HomeMy WebLinkAbout01619 • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
I +1701:, P.1. {. , 10 IX) P191i 109 8th Street State 303
� Glenwood Springs, Colorado 81801
PExtf1' PIE O01,Y Phone (303) 945 -8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT '.�:� 1619 a building or use permit.
Owner Thn Beak
System Location __ 2744 Co. Rd. 113, Cartordale
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 _____ minutes requires a minimum of __sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms x // sq. . f ft. minimum requirement = a total of _sq. of absorption area.
May we suggest: ��4�ef Q 1 CIG Gj 0<? S (g In 6 y / 1.-t 4>e c ! t.• & T /
Date. Ze, [S _.__ . Inspector _ fJ Ate Lame
FINAL APPROVAL OF SYSTEM:
No system shall be deemed 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. -
// Pc Proper materials and assembly, ///'''
Trade name of septic tank or aerated treatment unit. / Z V b q, / /'CI e
(9 ,t� �t
Adequate absorption (or dispersal) area. 5-e e ca/ Yee e -/ S i
-- Q compliance with permit requirements.
0 v� Adequate compliance with County and State regulations /requirements.
Other� 411P4/
h %%/ //�
Date . __ JL --- --- -._ Inspector —_ - __Y��` — t -- - - - -- --
/ RETAIN WITH RECEIPT RECORDS AT CO , STRUCTION SITE
`CONDITIONS:
1. An 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 Zoning 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 contal ned in the application of permit commits a Class I, Petty Offense
($500.00 fine — 6 months in )all or both.).
Applicant: Green Copy Department: Pink Copy
uvulvlUUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER . Approval by
F► q County Official:
ADDRESS . 4 — / �J - znlo'i
7 'i• PHONEG .5 -e/ 7(
TRACTOR -._ ,
RESS_
PERMIT REQUEST PHONE
New Installation ( ) Alteration ( ) Repair
Attach separate sheett o report showing entire area with respect 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 C ,1.2 Pt I L p
Near what City or Town (44-R ;;,,,k ) L_E
Legal Description S ^ , Lot Size ��
WASTES TYPE: (2c1-Dwelling
( ) Transient Use
( ) Commercial or Institutional ( ) Non - domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE: -R e 5 >,Tti-c
Numb r of bedrooms
Number of persons
(V) Garbage grinder (✓f Automatic washer (Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (KT well
Give depth of all wells within 180 feet of system: ) spring ( ) stream or creek
y oA)13 5d I T. mi
Il by community water, give name or supplier: i lg
MIND CONDITIONS:
Depth to bedrock: 7 F3 4 r i1
Depth to first Ground Water Table: /,/„ - Roi =1LE M»LE
Percent ground slope: ^i to 1 y� T
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: > I l� r MI 1 : '"
� � S
Was an effort made to connect to community system? go
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(Al 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: - --
(Al Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe:
.'IL•FFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?
Page 2
SOIL PERCOLATYON TEST RESULTS: (To be completed by Registered Professional Engineer.)
Minutes per inch in hole No. 1 Minutes per inch in hole No. 3
Ilk Minutes per inch in hole No. 2 Minutes per inch in hole No.
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.permtt 44 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
bf 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.
Date / Signed NA ,4-
P•SE DRAW AN( ACCURATE MAP TO YOUR PROPERTY
144
43
3\4 111111111111
-N 1111112111
Z. M%LEs
36
•
Page 3
r •
• 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.
71.12 J r?cA/J 1% 9 ( )J R Li AT
L `-p ok) of -Fl ELI Wi LL G
8 to to vO -T1 c 4L. ¶ - Ase,• 77 LL
1 ero 955 booms PzAbd ( pus 4lozcr
� flak) 4 FEET o f %o i L To -V4 ye .
• ALSO 1 tt Y✓lL(, 7vE LAGATED >/60
r7coi WELL. Amp > 50 FT rP_oA
•
Page 4
WRJ.. Rev. 76' COLORADO DIVISION OF WATER RESOURCES
818 Centennial Bldg., 1313 Sherman St., Denver, Colorer ■ I " ' ER
Application must
RECEIVED PERMIT APPLICATION FORM s Cppy
he complete where (X ) A PERMIT TO USE GROUND WATER
applicable. Type or DEC 2 1 1 (X ) A PERMIT TO CONSTRUCT A WELL
print in BLACK FOR: (X I A PERMIT TO INSTALL A PUMP 21 -87
INK. No overstrikes WATER RESOURCES 2 :27 p
or erasures unless SrA14•ENGINEER ( ) REPLACEMENT FOR NO.
initialed. MLR. ( I OTHER
03..2
472 60.00
WATER COURT CASE NO NWXUUt P0011
IIL 60.00
(1) APPLICANT • mailing address FOR OFFICE USE ONLY: D NOT WRIITE I FACIA. COLUJih
NAME Charles A. Beck ( y ^ ^ T 1
Receipt No. 0 2L -1 BA?2J
STREET 1612 County Road 113 Basin Dist.
CITY Carbondale, CO 81623
(State) me) CONDITIONS OF APPROVAL.
TELEPHONE NO. 303 - 945 -5308 This well shall be used in such a way as to cause
no material injury to existing water rights. The
(2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant
that no injury will occur to another vested water
Garfield right or preclude another owner of a vested water
County right from seeking relief in a civil court action.
SE of the SE 4, Section 9 1) APPROVED PURSUANT TO CRS 37 - 92 - 602(3 ) (b) (I 1
AS THE ONLY WELL ON A TRACT OF' LAND OF 36 ACRE
Twp, 7 S _ , Rng. 88 W 6th P.M. DESCRIBED AS THAT PORTION OF THE SE 1/4 OF
"si ie.wl SECTION 9, T7S, RBRW OF THE 6T11 P.M. , GARFIELD
(3) WATER USE AND WELL DATA COUNTY, BEING MORE PARTICULARLY DESCRIBED ON
THE ATTACHED EXHIBIT "A ".
Proposed maximum pumping rate (gpm) 15 gpm 2) THE USE OF GROUND WATER FROM THIS WELL 18
LIMITED TO FIRE PROTECTION, ORDINARY HOUSEHOLD
Average annual amount of ground water 1. 5 AF PURPOSES INSIDE A SINGLE FAMILY DWELLING, THE
to be appropriated (acre•feet): IRRIGATION OF NOT MORE THAN ONE ACRE OF HOME
Number of acres to be irrigated: 1 aC . lawn GARDENS AND LAWNS AND THE WATERING OF DOMESTIC
ANIMALS.
Proposed total depth (feet): 100 ft. 3) THE RETURN FLOW FROM THE USE OF THIS WELL
MUST BE THRU AN INDIVIDUAL WASTE WATER DESPOSA
Aquifer ground water is to be obtained from: SYSTEM OF THE NON — EVAPORATIVE TYPE WHERE THE
gravel WATER IS RETURNED TO THE SAME STREAM SYSTEM IN
WHICH THE WELL IS LOCATED. 27 717. /- 4r-trt
Owner's well designation Beck Well No. 1
GRQUND WATER TO BE USED FOR;
( ) HOUSEHOLD USE ONLY - no irrigation (0) (
(XI DOMESTIC (1) ( ) INDUSTRIAL (5)
(XI LIVESTOCK (2) ( ) IRRIGATION (6)
( 1 COMMERCIAL (4) ( ) MUNICIPAL (8)
1 I OTHER (91 APPLICATION APPROVED
DETAIL THE USE ON BACK IN (11) 1 50339
PERMIT NUMBER
(4) DRILLER JAN 0 5 1988
DATE ISSUED
Name to be determined - will be EXPIRA ION DATE a. ,,nn 0 5 1990 • Street licensed in Colorado . ,Iy w
City (STATE ENGINEER)
(State) (2101 / V�� : J I J
BY /- IV- - /%/ -f?
Telephone No. Lic. No. . --- 2
I.D. ' 'i d CO UNTY "- ?
•
v (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW
' which the water will be used must be indicated on the diagram below. by distances from section lines.
Use the CENTER SECTION (1 section, 640 acres) for the well location. 950 South
+ — _t. - - 4 - - + 7 + - + - -1- - + - 4,
I t from (north or south) sec. line
220 East
.4-- 1 MILE, 5280 FEET —5 I ft. from sec. line
(east or west)
+ + + ± + LOT BLOCK FILING w
I 1 I I
— — NORTH SECTION LINE _ + _ SUBDIVISION
1 I (7) TRACT ON WHICH WELL WILL BE
NORTH l
Section 3, T7s REM w, 6th P.M. LOCATED Owner: Charles A. Beck
+ z - - + - - - T - _m + ± N o. of acres 36 . Will this be
J - I 0
2 1 I m ' the only well on this tract/ Yes
+ t rz
I I I-- — }-
y well loca flon 5 (8) PROPOSED CASING PROGRAM
H & use area '- I Plain Casing
- -1- f 6 ' 0 60
. in. from ft. to ft.
1 I I X
1 in. from ft. to ft.
+ - + SOUTH SECTION LINE — —1-- — -I- Perforated casing
6" 60 80
+ I in. from ft. to ft.
+ - 1 - -1- + 4- '* 4 4- -+- in. from ft. to :t.
I 1 1 1 (9) FOR REPLACEMENT WELLS give distance
I and direction from old well and plans for plugging
- _l' - _-- - -{- - 4- _x_ -+- - -I- - _i- - T it:
n/a
The scale of the diagram is 2 inches = 1 mile
Each small square represents 40 acres.
WATER EQUIVALENTS TABLE (Rounded Figures)
An acre-foot covers I acre of land 1 foot deep
1 cubic foot per second Icfsl ... 449 gallons per minute (gpm)
A family of 5 will require approximately 1 acre -foot of water per year.
1 acre-foot ... 43.560 cubic feet ... 325,900 gallons. •
1,000 gpm pumped continuously for one day produces 4.42 acre-feet.
(10) LAND ON WHICH GROUND WATER WILL BE USED:
Owner(s)• Charles A. Beck No of acres: 36
SE 1/4 of the SE 1/4 of S9, T7S, R88W, 6th P.M. (see attached)
Legal description:
(11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal
system to be used.
Domestic, stock watering and lawn.
Individual Disposal System using septic tank and leach field
(12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers.
Type or right Used for (purpose) Description of land on which used
CA 132 Fonder Ditch Irrigation See attached sheet
II
W 159 Delcon Spring'" ' " n II
(13) THE APPLICANT(S)..STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF HIS KNOWLEDGE.
SIGNATURE OF APPLICANT
•
Use additional sheets of paper if more space is required.
COMPUTATION SHEET DATE 6 4. 0 7
�� ( PAGE / OF
- STATIO ".C 265/0P-7 Al Cr
DESCRIPTION '5 V� ��S r' 1, 4A JOB NUMBER
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• COMPUTATION SHEET DAT I PAGE G /7 -. OF G_� ^J
't. Denver Engineering Center —FWS STATION
Denver, Colorado
DESCRIPTION JOB NUMBER
1 BY I CHECKED
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