The URL can be used to link to this page

Home My WebLink About02078 I, GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N: 207 8 j 109 8th Street ,Suite 309 Assessor's Parcel No. ° Glenwood Springs, Colorado 81601 I P Phone (303) 945.8212 i n I 1 ` ! This does not constitute I 'ND!VIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. f i ROPERTY i John & Terri° Short 2517 Highway 199, Carbondale 969 -1786 I Owner's Name Present Address Phone 1 Syat Location 2517 Highway 139, Carbondale i 1 i Legtjl Description of Assessor's Parcel No. i 4 • 1 SYSTEM DESIGN q I I / d d 0 Septic Tank Capacity (gallon) Other I j / , y . (n , 1 Percolation Rate (minutes/inch) Number of Bedrooms (or other) 9 i 1 R ' Required Absorption Area - Sas�M 1 � o r , 1 ,1 M . ( . �� 7�' s I Special Setback Requirements: , b y ' . Ia � A .. .4 3 G 1caa't G7 4 9 t ..�� Date 5— / n J ? Inspector . • .FIL di,. - •. .....•k. FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation / System Installer > t // t/ /.Y / �/%�}� //! , Septic Tank Capacity / ,2(70 C:�4/(y ( ( Septic Tank Manufacturer or Trade Name ; Septic Tank Access within 8" of surface ,„ Absorption Area ,77 t tc/ - s . Absorption Area Type and /or Manufacturer or Trade Name 1N / /- 7fr - n t Adequate compliance with County and State regulations /requirements Other Date _r„�� /rj „'� In RETAIN WITH R RECORDS t • NSTRUCTION SITE NDITIONS: 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 nave fully complied with County zoning and building requirements. Con - nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or 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 (5500.00 fine — 8 y)@ months In )ail or both). - 1 r C Applicant: Green Copy Department: Pink Copy ,- j Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: II et' ADDRESS 9. Ir] V4t,5i1, 1:3 1 (0--f' nda.IP, PHONE 9(0x - )9Y�j CONTRACTOR_ V4(1)J, A 2 44/\' DDRESS _ PHONE PERMIT REQUEST FOR: ( ) 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 (3n1r -C-ip Near what City of Town C r 00 Lot Size /,31../ ct,e -LQc Legal Description WASTES TYPE: ( ,/) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: 010'64 (a r dfnm L- Number of bedrooms 3 Number of persons ( ) Garbage grinder ( ✓)'Automatic washer ( -- Dishwasher �,� SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) spring ( ) stream or creekltu r. -tl Give depth of all wells within 180 feet of system: If supplied by community water, give name or supplier: (or k,)n(4JL GROUND CONDITIONS: Depth to bedrock: _ Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: / t'YI, Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( _4 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 ( ) Other - Describe: WILL EFFLUENT BE DISCIHARGED DIRECTLY INTO WATERS OF THE STATE ?__ 6/0 5011 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 perm1tis'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 45/q s Signed PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY Page 3 lo11I� rs 1.1 3 0 v' 3 U q __ —, O kn 1 , etz rib N L, 1 /\ GA Z Z:HA I, o o 3- as 9 t ‘e t /3- (3.) r I-Ili '3/4„, `--- / I i I c \'' X. ..,sx) si 1 9,-., QC \* ran't'-reinied 1 / lit v • A v I C v A Qi T At& / / 1 4, 1 Q / i, , ,, , - 4- 3— co -e 9 I---i vAlp. 21 1- /q 9 1 . r.) , ,,, -I- a c C \. _ V X ..4 /.0 \KI ) 11 >c/ - U3 -1 Pit f). 9v (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 encountered. 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. Maxim grade of drainage lines: As level as possible 5. Minimu depth rock under drain PVC: 6" under PVC, 2" over PVC 6. Minimu depth of cover over distribution lines: 12 inches 7. Maximum depth of cover over distribution lines: Variable - 8. � Minimum rade 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 lie c ?os r 'T'4A q/ 12. Minimum distance of leaching area to a stream MIGAZI”7 m± a of • 0 feed.,,- . 2h? o ri S t, 13. 'in mum 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. 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) Page 9