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•- y ' t EiARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (3019 5 -8212 .+. .,.�.�.... ~ This does not constitt e INDIVIDUALS GE SP LPERMIT N 1eJ8 1 abuilding oruse permit!, Owner T. Carter Page �I System Location USX 0081 Apache Drive, Elk Creek Village, New Castle Owner Licensed Installer Conditional Construction approval is hereby granted for a gallon Septic Tank or _ Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in /2 — minutes requires a minimum of s'T141/42f absorption area per bedroom. Therefore the no. of bedrpoms x sq. ft. minimum requirement = a total of sq. ft. of absorption area. May we suggest: Date /0//0 7 -. _ Inspector AA �' y "��f� 9 ..• FINAL APPROVAL OF SYSTEM: No system shall be deefned to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover- ing any part. ,' Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. - Proper materials and assembly. (./0// 9/8/ y Trade name of septic tank or aerated treatment unit. /Jp oirt 0 tc -i / 74 Adequate absorption for dispersal) area. lJ tj 2 // S Art', /, ( Adequate compliance with permit requirements. � ,1/^v/ --. Adequate compliance with County a nd State regul /requirements. Other , c</ R CIt t f g N � ti e es— Pia -le I •e Date — __.._. _ Inspector RETAIN WITH RECEIPT RECORDS k.'ONSTRUCTION SITE / "CONDITIONS: l 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have .fully complied with County zoning and building requirements. Connection to or use with any dwelling or structures not approved by.the Building and Zgning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs, alters, or installs an Individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 months in Jail or both.). Applicant: Green Copy Department: Pink Copy INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by `' T. Carter Page and Nancy Sprick Page eg^ S t County Official: ADDRESS 0081 Apache Drive, New Castle, CO 81647 PHONE ftV - 2 er CONTRACTOR_ (Owner) AT FLORIDA ADDRESS: ADDRESS 1908 Dale Street, Tallahassee, FL 32304 PHONE(904) 575 -3335 PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration Attach separate sheets or report showing entire area with respect a to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes. (See page 4.) LOCATION OF PROPOSED FACILITY: County Garfield Near what City of Town New Castle, in Elk Creek Village Lot Size ±0.5 acres Legal Description Lots 5 & 6, Block 6, Elk Creek Development; WASTES TYPE: ( XX) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Private Residence Number of bedrooms 2 Number of persons 2 (XX) Garbage grinder (XX) Automatic washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( XX) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: None If supplied by community water, give name or supplier: Hank's Well #1; Elk Creek Homeowners Assn. GROUND CONDITIONS: Depth to bedrock: Unknown Depth to first Ground Water Table: Unknown, but local wells are at approx. 80ft. depth Percent ground slope: Varies on property; approx. range 1% to 7% (estimates) DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 2 Miles Was an effort made to connect to community system? No TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM 000900( IN PLACE (XX) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: FINAL DISPOSAL BY: (XX) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? NO Page 2 SOIL' PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) F Minutes per inch in hole No. 1 Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in hole No. Name, address and telephone of RPE who made soil absorption tests: - Name, address and telephone of RPE responsible for design of the system: Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposes of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further under- stand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for per- jury as provided by law. y� Date 9/z ff / t7 Signed 7�ltcC! 75.14- PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY MAP SHOWS APPROXIMATE LOCATIONS OF PERCOLATION • TEST HOLES ON PROPERTY aoi "' � IDn r \\o • P¢ \ • \, • i. z. N wrn • I / For MAP description of property ;" see l'/f1C l .wn .r MI..W. , • $G U.c t For location of septic system and ptilities, •• see MAP 2 % 641 onere) Page 3 a. t ' PLOT PLAN AND DESIGN FEATURES: Include by measured distance location of wells, springs, potable water supply lines, cisterns, buildings, property lines, subsoil drains, lake, water course, stream, dry gulch and show location of proposed system by direction and distance from dwelling or other fixed reference object, and additional submissions in support of this application such as data, plans, specifications, statements and commitments. PLEASE SEE ATTACHED MAPS FOR DETAILS I have redrawn an older county - recorded map made by Scarrow and Walker • to include changes and corrections to the buildings. One map shows the property boundaries as recorded, for your reference. (MAP 1) The second map shows all of the existing utilities (electric, telephone, NA p water (both main and service lines), gas, and the approximate location of the existing septic system. Of the existing septic system, not much is known, only the location of of the cleanout cover, and the approximate location of the failed seepage pit. I have had my renter drill four percolation test holes according to county - supplied instrucions. I located these holes on a map for him, keeping the appropriate set -backs in mind. The locations of these test holes are also shown on the second map. &CLs /4NZaatay 91k - BYlo Without knowing the percolation results, it is difficult to accurately predict the area required for the seepage bed, so I have made an assumption of the percolation rate based on the results of several of my neighbors, who have had tests performed. The range is from 5 to 8 minutes per inch, with recommended seepage bed areas of from 150ft to 204ft per bedroom. Currently, as the application shows, there are only two bedrooms in the house, and no space in the house to add additional bedrooms. However, we have long felt that we would like to have an addition to the house that would expand it to three or four bedrooms, Accordingly, I have sized the seepage beds based on four bedrooms and a required bed size of 180ft per bedroom, giving a total required area of 720ft I have located two possible areas to install the seepage beds on the map. My first choice, AREA 1, is farthest away from all utilities (particularly water service line), and is quite open and exposed to sunlight. It has a slope that may be a cause for concern, but I propose to do considerable leveling prior to installation of the seepage bed, assuming that the perc. tests are adequate, I will use this area. My second choice, AREA 2, is considerably more level and easier to work around, but it is also closest to all of the buried utilities, and the water main for Apache drive, in paritcular. It also gets less sunlight due to vegitaion, and may be more root - filled than AREA 1. Page 4 ` 1 0 U V ti • C i C ro . O n a 4 4O 4� y w 9 \4 ` w Q / . moo LL O ^ e `fit xrd / 14 :C O 4, �S k • \ o J Z t W \ G `�� 4 Q r � 6x i u • �� \ illr ic- t17 qk •3 1--r) \ i 0 ■ i J S 0 5 ' E S� -t- 5 $b si E 5 �Z 1 / u, / / a� 0. / N IN; Oa 0 40 Lu J o a N. Cr o VI CD _ K J CC 0 0 if U v W vl _ = l r C d J C — z in J Q 0 w ze I- W 03 J V W / O 2 N F' V A / / Q tV 0 / V. 1 I 1 1 V o o J ' X ?... M 1 ` ' De W 1 / o g I S / 0 0 / cC is g o / / ,' i i / J „ / W W • 4 , K • i / Q Cr A r 3 �' %C !Y in ul '�� Kt a w y I. 0 p \ , a ( 4, W ‘ Yh K < < �L. K < ea a4 a U ° P H m o 1k T i ) I I /�ND ad i�N�� mod 2 / A r i ar pwinwi / �. ■ \ 1 1 \ � / - W \ I V v �� A 2 \ / \ _ I \ ' A \ l< It 11/‘ `,\ \ \ \ r` ♦ N. 1 b 1 \ • m \� \� _ - / / O m I ,_ 0 -r1 ) t s / -re O z \; a r. O - P D 3 . • / / m ppp / Si 0 ,, D O / n 2 F, m 1 n O . �-9 a s h 6 • I 1 j ►; 1 v 1 m I m m > D r m D \ A N . N N n n m �i o r ; n 1 1 z A A ti 1 1 C R n r \ v m tb t I 1 Z \ " m oo m M G r b m / x A . , ° v U ) / ) P 2 0 i / m m m / " r d / i / rA o / o 3' m / ' m / 1 z , ' / N .-1 ,.. , , , co o, , e v 1 / / "4 to n 2 a / n > •c 0 c x A r co r N A r " nh j 11 A _ 1 D y .r= r y a n !" n a• c z x Z M m o n n 0 o c N r A bo m A 'c 0 m D i 0 b to -N f iil ' 'q i.ci C. lk . l I .. h • Permit 5 CHARGES Name of Applicant T. Carter Pa )e Percolation Test $100.00 $150.00 (Includes final Inspection) Amount Paid Permit Processing Fee $50.00 Date Paid 9/2.'1/87 Check Cashier Lois J. LotzOE Cash Money Order ALL CHECKS ARE TO BE MADE PAYABLE TO GARFIELD COUNTY TREASURER Treasurer: Receipt White Copy Appllant: Gran Copy Department: Pink Copy u , y...J.�. w_,..,...,.�., ..,_.... .w....wwS ed..�.a ...w.0 aY�:..u*.�ueisiWii. .m ^4.'4. • u � . I‘Y...fdalIWYaa .., _..a,S.wL.ue,:.t. aaaw...a`vw / ,/ C /1/274 �C %4}`. ?r. !)Y er"G C7'/ 0 y- X To tes» _ 5 Date 9/-7 Time / / /.2,0 • r • 6jn Name • ' �% °��"_� r n of /SO_ Phone — el _ c� Telephoned © Please Call ■ ■ Will Call Again . 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I 11 ip p M 11 Mld� w .M..i._ d . .. w ccxrr » .,. a'' Pine: Aloe eip,' X908 awes,: 3a 3ot 'J e tkt &t9t&75333� of GARFIELD COUNTY PLANNING DEPARTMENT February 18, 1987 Carter Page 1908 Dale St. Tallahassee, Florida 32304 Dear Mr. Page: Enclosed is an individual sewage disposal system (ISDS) application, with instructions. Jim McMurrey said that the existing system may not require a new septic tank, which should reduce the cost to approximately $1,500. If the septic tank needs to be replaced, the cost would probably be around $4,000 to $5,000. It appears that the inmediate replacement is not an absolute necessity. Jim said that your plans to replace the system in March would be alright. If you have any additional questions, feel free to call or write to this office at your convenience. Sincerely, Mark L. Bean Director of Planning, Building and Sanitation MLB /emh encl. 109 8TH STREET, SUITE 303 945 -8212 / 625 -5571 GLENWOOD SPRINGS, COLORADO 81601 ??_)c( T O u 10 - (AA € chi lairs • • l a r ZA V -- CXE 6 /C gene Islam e — oat/ fripa CA ILI /ell-A ,I es t AV I Velle — Seibf/ r owns W EL A AA Pay /908 ,Uccle Sf n/aAacie 7701 3z3o¢- 1 — yo¢ -5"i$- 333S .Yro 1cag�l Or w \L'•••- Q.....:,k:a5 4 S a; , To..., ; o.., Pg..-- • V g- %a 1 a [ t v v 5 •e. G- r 1 r 1 Sleek U a rc_c et,.-..... t J Q. • • t�? t 11 1/4 Car f flab Ppr 7 l:4-hn an, c to , 32.309 gag -575 •3 335 North American Medical /Dental Association P.O. Box 1982 Newport Beach, California 92663 Telephone (714) 642-7689