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Home My WebLink About01758 -- ,. -' ritgri^e9►Y,A!#RAFi,1.RwI i ' ` "ie '°rF,4S1+Irratroplioa aT NC+t 51.a1Swr,n N P9tn1 ".9w t o .. ;,,;., GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT • 109 8th Street Suite 303 • Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 1. TOO This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT i a building or use permit. Owner Dieter S Carina Sander 335 Rd. Silt NE 1/4 814 1/4 ST, 66S, R91U System Location Gene Stanek 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: /I Perc rate of one inch in _ minutes requires a minimum of ! 1) Sri sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms x / r� sq. ft. minimum requirement = a total of sq. ft. of absorption area. - _ May we suggest: Fny rte .' - 4�eck)c,les /S'157 cY /j/ct c Date 0-0 Inspector •.. 41 .fia4 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. l 0 (1 Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Proper materials and assembly. C( J% ./ (A Trade name of septic tank or aerated treatment unit. bor.OwCsn 1 &AI, Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. _ Adequate compliance with County and State regulations /requirements. l Other L•. I / Date ro /� �� /1U Inspector / e - j.1 �` � RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 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 Zoning office shall autothaticelly tie a olatron of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who.ponstructs, alters, or installs an individual sewage disposal system In a manner which Involves a knowing and material variation frojp the terms or specifications contained in the appiicatignnf permit commits a Class I, Petty Offense (5500.00 tine --'13 nionthe in (ail or both.). Applicant: Green Copy Department: Pink Copy Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by ^� County0ffic!a OWNER ,J� / / / E ,, ' "' ✓� (sC " //�! /<d ��elr ,/ x` //11 °n1i��r ADDRESS c mae�02c) /%n- 'o Q/ /Y- PHONE '927 3 7 �19' J J0` ") CONTRACTOR 4'ele..4 _ Sr GI c C . ��n E �' f 5 t ADDRESS ✓J /C9 e ae2 / — BIPc PHONE -176 264 e k7.1) O' g r'^ 3 90 c PERMIT REQUEST FOR: (V7 New Installation ( ) Alteration ( ) Repair 1' Attach separate sheets or 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 pa a 4.) LOCATION OF PROPOSED FACILITY: County GCS/ P-fd Near what City of Town <�►� Lot Size --;1/41%9/ Legal Description /(/Z S 57 7 eq /� WASTES TYPE: ( Vf Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - escr,Jbe BUILDING OR SERVICE TYPE: 44t2Pf(P-crcc/ C54-1 Number of bedrooms ---- Number of persons ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( Vj well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: Y? OJT 4 If supplied by community water, give name or supplier: GROUND CONDITIONS: / // Depth to bedrock: P.S7`7CC.tQA. Zooi4 . Depth to first Ground Water Table: PSI. !m O / e Percent ground slope: C p / DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: a la l•P Was an effort made to connect to community system? Gcp TYPE OF INDI DU!U, SEWAGE DISPOSAL SYSTEM PROPOSED: ( // tlank Colt? ( ) Aeration Plant ( ) Vault ( ) Vault Privy c ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other / use ( ) Chemical Toilet (li) Other - Describe:Q y✓✓<7e-y t (e�dPP FINAL DISPOSAL BY: / v / ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) / Nast ater Pond ( Vj Other - Describe: pQGw /l� ke. ' �f /66r.6,07 WILL EFFLUENT BE DISCHARGED DIIECTLY INTO WATERS OF THE STATE? e • P1a£ 2 MIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) 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 permftis 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 • legal action for per - jury as provided by law. Date / �iiQ/Z -4 f /990 Signed PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY Page 3 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. i a N zoo `) , —dhke -"_7 fr►QcJe. � g4rd✓y ire// �/ him � ' � "5 :///////// / e► P --________ ' heD ... / /oh o /dh 4h 9 .I \UIv11JUnL JI.i/JL UIJYUJ -L JIJILI111111_1U/till/II ..I .... OWNER k / - / �QGj41e� /// ,/ County Official: ADDRESS /Te2a • � ?csc7 PHONPz?-3T"Z7 CONTRACTOR / ate elf!' _ _ .01C— ADDRESS PHONE PERMIT REQUEST FOR: (V)New Installation ( ) Alteration ( ) Repair Attach separate sheets or 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 G Ft2l=rw Near what City of Town S ic. Lot Size Legal Description WASTES TYPE: ( `Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe _ BUILDING OR SERVICE TYPE: Se6m6.1:4C.15 Number of bedrooms Number of persons 7— Y) Garbage grinder (Automatic w(as ier ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( V) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: If supplied by community water, give name or supplier: / /A- GROUND CONDITIONS: Depth to bedrock: >R> �T . Depth to first Ground Water Table: >a e7�, i Percent ground slope: 1 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (V) 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: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond (.4 Other - Describe: -- WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE ?_ A) 0 pgnn 7 SAIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) Minutes >(,, per inch in hole No. 1 Minutes _ 1 4per inch in hole No. 3 Minutes 4-0 per inch in hole No. 2 Minutes _ - per inch in hole No. Name, address and telephone of RPE who made soil absorption tests:(,] c Z Name, address and telephone of RPE responsible for design of the system: r eit-, -jic 144- O tf,z.j 64 i 7u iabte, / i11C.,� �! A 5,%s 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 nd in legal action for per- jury as provided by law. Date '7 2-0 g Signed , ��''� � vC C : :� — gel PLEASE DRAW ANIL ACCURATE MAP TO YOUR PROPERTY ,I • Page 3 r(.C.. ColOS r2 MT o Stylsk.c, /,u y g64' C4 C. A7a'vs soAAE e r.6gtAIK6A yr2 ,c As . Yv5 1. Maximum length of drainage line: 100 linear feet 2. Minimum width of drainage trench: 18 inches 3. Minimum spacing between trenches or pipes: 6 feet 4. Maximum grade of drainage lines: As level as possible 5. Minimum depth rock under drain PVC: 6" under PVC, 2" over PVC 6. Minimum depth of cover over distribution lines: 12 inches 7. Maximum depth of cover over distribution lines: Variable 8. Minimum grade of house sewer: 1/8 to 1/4" per linear ft. 9. Minimum distance of sewage disposal system from dwelling: 10 feet 10. Minimum distance of leaching area to a well: 100 feet 11. Minimum distance of septic tank to a well: 50 feet 12. Minimum distance of leaching area to a stream of water course: 50 feet 13. Minimum distance from septic tank and disposal field to property lines: 25 feet for drywell; 14. Minimum sewer pipe and distribution pipe: 40 feet for inch diameter field • I E302 as 0 2 a I %G - SAD ( S DS 1>ES1 /tr E €I) CA 8 r A./ 46. c,o W --- 2 5 G A L. l 3 t� Z Pees = /5o C '0 clicry - 7e3€6)0 q� -ith4 t. , 5 AVE ZZS G pr Lc- w 3o -He- . CT ?i en) • Z 22 ! * 3 o ra = ZEO CftL dray ?AtdR /pAy jvrc 1 1 E0 6ftL IS MW, A -VA-(C- 3LC Pk. 17 PtU2LA) 4(6 `may c-but STj r KEt Peep TGsT "(a&suLTS — SINGE qurre vm1- tRibLE yeeceavuutato .'t 1waU-- /N Cocfrrtav OF Ttt*re TE,Qc. TEs7 'qUr=''- - O- -;r -1 ALSO, 4ssgME 40.00t Del 771- 6( . 3 1 t)5 1 - 0 P 4 >6. co ILL tE (As E Fu (_.- 1 R_ -A t3%aern otJ -1 � =025 105 = /73-Az i 8.2; •_• A ia •• z Go /OP « AMOd bPTto,t15 w c Ltnoc: 3' ., t,51 _ t Co t _ 2: venf c *o&0.12 - 4 ` veA - LcoL 195 FT' = 44 FT . ?E6ZiMETE__ 4 FT $ S ao couLD LksE A in 8 Des? 1 r 1 ll fEEr aN encN- op roue 5 (bps. 3 - 5 ' _ 2' vCTCCa oi 6 -k,9 / t 3' Vercrir c... - Co TA-C., 5 vTIcA-t- 15 pTz - 35 FT. ?6g1METc s s cocAup k56 /4 PCT 9' DEEP 1 9 fF T 0*) CACH of face 5/065. r NE 1/4 SW 1/4 S 7, T6 S, R 91 W, 6TH P.M. P. 3: A D SCALE: 1' = 200 PJ APPROX. DRIVEW,' LOCATION APPROX. WELL LOCATION 1 \RCEL 702 ).9 ACRES 750 GAL. (MIN.) DRYWELL SEPTIC TANK LOCATION PROPOSED CABIN •