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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81801
Phone (303) 945 -8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT ' \!
18 4 0 This does not constitute
a building or use permit.
Owner IUlxst C. & Linda Cosa, Jr.
System Location — tb'; 1/4 Soc.34T5Z, R92W Cit. 259 Rif :Lc ', ` f
Licensed Installer (1. ny.r
Conditional Construction approval is hereby granted for a Jj CVO gallon
Septic Tank or _ Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in d.# _ minutes requires a minimum of j7 0 sq. ft. of absorption area per bedroom.
Therefore the no. of bed 3 x - 27� sq. ft. minimum requirement = a total of gjc sq. ft. of absorption area.
May we suggest: 2'148" X 3 t" p 8' X 't/.� 3 yet s`-d$ 9r�' �/h.&
o'►- 2JC3 Leal dr s a 2
Date /0 , 9 s" • ? 6 — . Inspector
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 part.
/8 6 a _ Septic Tank 'access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
//'^
��� �������Q Proper materials and assembly,
gg �� / n Trade name of septic tank or aerated treatment unit.
IA is VV 4' p .4 a Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
!!!///__. Adequate cornpliance with County and State regulations /requirements.
Other p
Date /7- 3 0 - / _ Inspect°
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
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 Offence
($500.00 tine — 6 months in )ail or both.).
Applicant: Green Copy Department: Pink Copy
• Application •
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
' OWNER ` County Official:
P n'nerk n. 4 L; r o A G o bs 3 z_
ADDRESS P.O. Q, Eby S @.OIn PHONE 12,1105.;-
CONTRACTOR_
ADDRESS PHONE
PERMIT REQUEST FOR: (X ) 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
Near what City of Town G OA- Lot Size l b An
Legal Description 1J11.) Sec 3L1 T', A $ g. gat.) _IQ p. m.
WASTES TYPE: ( X ) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE: 4.n
Number oo/a�f bedrooms 3 Number of persons
?(14 Gah4?i rI der ( Automatic washer ( 'Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( t- well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: AJ D n 44.
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock: t t V.... -- o,,..> 4i
Depth to first Ground Water Table: 14.w0C.n)o1.451,1
Percent ground slope: u_ V_.,aowo
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Km).
Was an effort made to connect to community system? BV
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
('Septic Tank ( ) Aeration Plant ( ) Vault /
( ) Vault Privy ( ) Composting Toilet ( ) Recyclirg, potable use
( ) Pit Privy ( ) Incineration Toilet ( ) Recyclig, other use
( ) Chemical Toilet ( ) Other - Describe:
FINAL DISPOSAL BY:
(✓) 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? 4/9
SOIL 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 perniftis'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.
Date ?Ito 1 0 Signed 1?:At. .dCe✓ )p
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
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.
Page 4
TYPE OF SYSTEM TO BE CONSTRUCTED
(11" to 21/2" Clean Gravel Required Unless Otherwise Approved)
TOP TOP
Length deter- , -, 0 0 O o o ° p & . o 0 'o o Gravel
4 " Perforated goo
mined from pipe eo ooa 000aod O'D ° ,
perc test ^ ^ t,,from 4" solid pipe ° o o °O � o a
Op ' 0-0 ?
results - ' tank o° � * °c000 ° o 4 solid pipe ex-
e �.. ^^ 1 oo tending into
,. ^ ^ • ` , � ao� ° p drywell 1'
.-.•• l 1 m en a °Oo o ° v ° • , • y 4" hay or
3' + � p 0*O c 0 o'° co.= �a 44,p _Qo ° 0 o • o °'' • ;• : • ∎ • • •. � * . • s traw over rock
,,,,C1 O Q00000p0 q O O 0Q .oO G � ° O � O O lDO * � • 0• • O�� i �
• o ° a ° Op a u ° . w o od�o o ° a ' % % *
3' I 6' i 31 *Size determined from perc test results
-
SIDE VIEW Backfill • SIDE VIEW
Backfill ' vyXk�x\NX�k�X 4" hay Backfill
0 0 �(^ or straw 4" solid pipe to tan'
�8$ o ,E' . ave over full Cone 4 " hay or straw
0 0�c� oo :� 4 pipe n
y
1 to .r-
O e£�erk gravel r • I ; ; ', • '' :" Gravel
o o cm be" Oa '
4b o OO o ° o ° o ,
� � 6" • Gravel � ,
b�o c $ � °$ o; under pipe * r ' , t, 04 Concrete rings or
(DO p •p C ' � � � cinder blocks
D d; 1' of gravel in
n Seepage Bed ! FF IV I111. i
:Is'. ' bottom
! '0 Drywell n
__
•
•
•
( Other
PERCOLATION TESTS '
The successful operation of your septic system depends on the rate the soil in which
your leach field will be installed will accept water. This is critical. The rate of
absorption is called the percolation rate and it determines the size of the leach field
needed for a particular flow of sewage and in some cases even determines the feasibility
of the installation of a septic tank and leach field system. AN EIGIHT (8) FOOT PROFILE
HOLE IN THE LEACH FIELD AREA IS REQUIRED IN THE STATE OF COLORADO TO DETERMINE THE PROX-
IMITY OF GROUND WATER AND BEDROCK. In some cases the profile hole may be waived but
only by specific approval of the Environmental Health Department. PERCOLATION TESTS
MUST BE DONE AT THE GROUND DEPTH WHERE ABSORPTION WILL TAKE PLACE. STANDARD SEEPAGE
BEDS (LEACH FIELDS) ARE INSTALLED THREE FEET DEEP, SO THE PERCOLATION HOLES ARE DUG
FOUR FEET DEEP, AT LEAST 20 FEET APART; THE PERCOLATION TEST IS DONE IN THE BOTTOM
ONE (1) FOOT OF THE HOLE.
8 " -12"
Ground
1 i Level
1 I
I 8 " -12"
4'
1 ' I
Post Hole I I Back Hoe Hole
_ _1 L
A post hole digger, auger, or back hoe can be used to dig the percolation test holes.
If a back hoe is used, dig the back hoe hole 3 feet deep and put a test hole 1 foot
• deep and 8 to 12 inches in diameter in the bottom. Installation of absorption areas
(i.e. drywells) deeper than thrcc foot requires the permission of the Environmental
Health Department.
Saturation with water will affect the percolation rate, and since the system will be
expected to operate when the soil is saturated with water, THE HOLES MUST BE FILLED
— WITH WATER AT LEAST 8 HOURS BEFORE THE TEST, AND ALLOWED TO STAND. More water will need •
to be used to perform the percolation test, so AT LEAST 10 GALLONS OF WATER SHOULD BE
ON HAND WHEN THE TEST IS PERFORMED.
( FOR APPLICANTS INFORMATION)
PERCOLATION TESTS FOR DRY WELLS (SEEPAGE PITS) ARE PERFORMED AT THE LEVEL OF TIIE
BOTTOM OF THE PIT (USUALLY 10 FEET).
Ground Level
10'
8 " -12"
i
1' 1 Percolation Test for Seepage Pit
1_ _
If you call for a percolation test or inspection and for some reason are not ready
when the time comes, please call us between 8 and 9 a.m. at 945 -8212 or 625 -5571
to cancel the appointment.
THANK YOU FOR YOUR COOPERATION.
(d). Absorption area for seepage pits is figured as effective side wall area
beneath the inlet.
(e) Unsuitable for seepage pits if over thirty.
(f) Unsuitable for absorption systems if over sixty.
Dwelling on less than two acres, areas of high water tables, or areas with a
percolation test rate faster than 1" in 5 minutes must have alternative sewage
facilities, i.e., central collection, holding tanks, individual treatment, etc.
EXCEPTION: Absorption areas may be allowed with percolation rates faster than
one (1) inch in 5 minutes provided the soil is a sandy texture and no water table
problems are enrrnmtered.
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;
10 feet for leach field
14. Minimum sewer pipe and distribution pipe: 4 inch diameter
Septic construction should be of concrete, concrete block or of a material that
will resist deterioration and which can be made reasonably watertight.
i Acceptable drain field pipe materials include plastic, terra cotta, concrete.
If the house sewerline is longer than 10 feet between house and septic tank, a
clean -out Y should be installed as near as practicable to the house.
Septic tanks should be inspected once a year and cleaned when necessary. Cleaning
is recommended when space between the scum accumulation and sludge residue on the
tank bottom is less than 18 inches.
The Department recommends pumping a septic tank once every 4 years when a yearly
inspection by the owner is not practical.
(FOR APPLICANTS INFORMATION)
Pane 9
RECOMMENDED MINIMUM REQUIREMENTS FOR
INDIVIDUAL SEWAGE DISPOSAL SYSTEMS
Before construction is started, the Inspector must be contacted for
approval and detailed information concerning the proposed disposal system. Higher
standards than those which follow may be required in individual cases to assure
attainment of the objectives. (hose objectives are to locate, construct, and
maintain individual sewage disposal systems in such a manner that existing or
contemplated water supplies will not become contaminated and so that sewage will
not overflow the ground surface and result in a nuisance or health hazard.
' 1. LIQUID CAPACITY OF TANK (GALLONS)
(Provides for use of garbage grinder, automatic clothes washers, and
other water using household appliances.)
Recommended Minimum
Number of Bedrooms Tank Capacity
2 or less 750 gallons
3 or less 1,000 gallons
4 1,250 gallons
1 for each additional bedroom add 250 gallons
2. MINIMUM LEACHING AREA OF DISPOSAL FIELD
ABSORPTION AREA REQUIREMENTS FOR INDIVIDUAL RESIDENCES
Percolation Rate Required Absorption Percolation Rate Required Absorption
(time required for Area, in sq. ft., (time required for Area, in sq. ft.,
water to fall one per bedroom water to fall one per bedroom
inch - in minutes) ( b) standard trench inch - in minutes) b) standard trench
c seepage beds & c) seepage beds &
d seepage pits d) seepage pits
*1 or less . . . • 10 . . . . 228
*2 15 279
*3 30 (e) . . 395
*4 - 45 (e) . . 483
5 161 60 ),(f) 558
*(See Below)
*Percolation rates faster than 5 minutes per inch or slower than 60 minutes per
inch require engineered systems and/ or Board of Health approval.
(a) It is desirable to provide sufficient land area for entire new absorption
• system if needed in future.
(b) In every case, sufficient land area should be provided for the number of bed-
rooms (minimum of 2) that can be reasonably anticipated, including the
unfinished space available for conversion as additional bedrooms.
(c) Absorption area is figured as trench- bottom area and includes a statistical
allowance for vertical side wall area.
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