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HomeMy WebLinkAbout02205 cti• • w rli • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N.. 2205.i 109 8th Street Suite 303 A is Parcel No. R Glenwood Springs, Colorado 81801 • Phone (303) 945 -8212 This does not constitute ' 1 INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. f PROPERTY S Owner's Name Bill Dorale Present Address F.O. Box 391. Carbondale Phone_ 963 -2670 System Location 0470 Wooden Deer Road. Wooden Dear. Lot 15. Carbondale S Legal Description of Assessor's Parcel No. i f1 SYSTEM DESIGN 1,2 cTO Septic Tank Capacity (gallon) Other t /A- ' J l Percolation Rate (minutes /inch) Number of Bedrooms (or other) 4 Required Absorption Area - See Attached !r Special Setback Requirements: ,� $ Date 1—�-., y - 2. ! r r r f-/ Inspector C -@' t-P/s -) .-""11. Alli6 y/� ! /l „peal FINAL SYSTEM INSPECTION AND APPROVAL (as Installed) f+ Call for Inspection (24 hours notice) Before Covering Installation r? System Installer A i4 ! 'arotA_,,) Septic Tank Capacity /2 1 0 tt 11 1 Septic Tank Manufacturer or Trade Name Ca i «t.s. _- 4 Septic Tank Access within 8" of surface I "� r X t1 ) 5 4 . NI l Absorption Area f 4 0 ii '/ /� I Absorption Area Type and /or Manufacturer or Trade Name Rat' ((^t' -4- '('0 4 ii Q,..-1' 111 11 Adequate compliance with County and State regulations/requirements �....___., if r Other / Date h re 3 0 — ` ,-/ Inspector 0 _.,ri Lilli.. -. ♦ _ 1 RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE R •CONDITIONS: i 1. All Installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter E 25, Article 10 C.R.S. 1973, Revised 1984. 5 2. This permit Is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- - Y 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 gopatru#$,; 1tete,or InstallsehindM eisewege diapos& system In a marnerwh1oh Involves a knowing end materiel aa n, venation from 'rthe fgf fr, gtflpaoificationaooflfl)ktettll thgepplloatlonof permit oommltelsCla�Is I, Petty Offense (850000. fine -- , N i �� Ell months in (elf both or . r r . u : 6 .0 LL Applicant. G!.0 n Y Qaparfinent Pink Copy i V ,,i1 LL , a tiWr Application INDIVIDUAL SEWAGE DISPOSAL SYSIEll AI'II.ICAI1011 Approval by - - -- - _— — County Official: OWNER C? \\ CR3CS — ADDRESS 1 c• - \5 l el cPC r 11011 EG(ra-a(r)`1Ci CONTRACT0R_ a; \ \ __,I ('ASS - __ -- i 3°' ADDRESS 511 V c_ S (Cd thKmc ; ('C)_ PI10NE 3Q(J16 PERMIT REQUEST FOR: () New Installation ( ) Alteration ( ) Repair Attach separate sheets 6r report showing entire area wi th respect to surrounding areas, topography o f area , habitable building, location of potable water wel 1 s , soil percolation test holes, soil pro fi1es in test holes. (See page 4I.) 1.0CATION OF PROPOSED FACILITY: Coun y_ a___ —�_ Near what City of Town ay a \ C Lot Size c , LCOS POCCS. Legal Description_ ct_i-i o&y /T11Ju - 1 , cA\r, / fs'A'tar5,c apCd — ^- WASTES TYPE: ( $) Dwelling ( ) Transient Use ( ) Connnere1al or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING Olt SERVICE TYPE: Sti 12 \ e Number of bedrooms 4. Number of persons L\ _ (7) Garbage grinder (?c) Automatic washer (,X) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( )c) .ir ) spring ( ) streaw or creek Give depth of all wel 1 s within 180 feet of system: \W(` Solatotsrwq 1.9.E > \\ ` If supplied by community water, give name or suppl i er: lr� C�P�1 PX fliflUN\1AI9 ' GROUND CONDITIONS: \A ION to bedrock: 4 _ _ Depth to first Ground Water Table: OCS_ , Percent ground slope: \%i DISTANCE 10 NEAREST COMMUNITY SEWER SYSTEM: 1& tie_ ant. 'bjn e> ,, q Se.p.+14.. Was an effort made to connect to community system? es TYPE OF IiDIVIDUAL SEWAGE DISPOSAL SYSTEli PROPOSED: (X) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use • ( ) Pit Privy ( ) Incineration Toll e 1 ( ) Recycling, other use ( ) Chemical Toilet ( ) other - Describe FINAL DISPOSAL BY: 0 Absorption Trench , Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WiLL EFFLUENT BE DISCHARGED DIREC1LY INTO WATERS OF 111E STATE? r 'VO _. I • Patin ° .- ' .. :SOLL.PERCOLATION TEST RESULTS: (lo 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 Mo. Nance, address and telephone of nPE who made soil absorption tests: _— Nance, address and telephone of !WE 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 perMft,is'subiect 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 ^ \� - Q� Signed _S • PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY • • "Y, r , • • • Page 3 N -.. • ChenQNorthern, Inc. Consulting Engineers and Scientists R• 5080 Road 154 Glenwood Springs, Colorado 81601 303 9457458 303 945-2363 Facsimile January 13, 1994 Bill Dorais P.O. Box 391 Carbondale CO 81623 Subject: Percolation Test Results, Proposed Residence, Lot 15, Wooden Deer Subdivision, Garfield County, Colorado Job No. 4 156 94 Dear Bill: As requested we performed percolation testing at the subject site on January 6, 1994. We previously performed a subsoil study for foundation design at the site and presented the results in a report dated January 4, 1994, Job No. 4 156 94. At the time of our field work a profile pit had been excavated to a depth of 9 feet in the proposed leach field area. The soils exposed in the profile pit consist of about 1 -foot of topsoil overlying 6 feet of sandy silt and clay containing shale fragments and gypsum crystals. Below the silt and clay soils highly weathered evaporite bedrock of the Eagle Valley Formation was encountered to the full depth of exploration. Groundwater was not encountered in the profile pit. The percolation tests were performed in three pre - soaked hand dug holes in the bottoms of backhoe pits. The profile pit and percolation test locations are shown on Fig. 1. The results of the percolation tests are shown on Table I. The test results indicate the subsoils have a percolation rate in the range of 15 to 20 minutes per inch. This rate is suitable for a conventional infiltration septic disposal system. If you have any questions or if we can be of further assistance, please contact our office. Sincerely, CHEN - NORTHERN, INC. Thomas L. Allen, P. E. TLA /Ir Attachments . r un,bpr in ti i group Of companies _. __._.. _.. 1 s a . 1I APPROXIMATE SCALE 1" Q 60' Ts. PROPETY BOUND I ` I r -I PIT 2 PROPOSED I 1 ■PIT 3 RESIDENCE 1 ' 0 P -1 P -3 0 re W �J o o PIT 1 • PRQTILE P -2 r�� o I O 3 LOT 15 L I I ..... .._ ..... j • 4 156 94 Chen0Northern,[nc. LOCATION OF EXPLORATORY PITS Fig. 1 " - ■ , • CHEN - NORTHERN, INC. TABLE I SUMMARY OF PERCOLATION TEST RESULTS JOB NO. 4 156 94 HOLE HOLE LENGTH OF WATER DEPTH WATER DEATH DROP IN AVERAGE NO. DEPTH INIBRVAL AT START OF AT END OF WATER PERCOLATION (Inches) (Mies.) INTERVAL INTERVAL LEVEL RATE (Min./Ineb) (tea) (Inches) (Inches) 1 49 2 6 15/16 6 9/16 3/8 10 6 9/16 5 5/8 15/16 20 5 5/8 4 1/8 1 1 /16 20 4 1/8 33/8 1 1/4 20 • 7 5 3/8 1 5/8 20 5 3/8 4 3/16 1 3/16 30 • 6 1/8 4 3/4 1 3/4 30 • 7 3/4 5 9/16 2 3/16 16 2 47 3/4 2 6 5/16 6 3/16 1/8 V 10 6 3/16 5 1/16 7/8 Ill 20 51/16 31/2 19/16 20 63/8 4 3/4 1 5/8 30 4 3/4 2 13/16 1 15/16 30 • 7 1/4 4 7/8 2 3/8 30 4 7/8 3 1/16 1 13/16 15 3 50 1/2 2 6 5/8 6 9/16 1/16 10 6 9/16 6 9/16 20 6 4 7/8 1 1/8 20 4 7/8 4 1/8 3/4 30 • 8 11/16 7 1/16 1 5/8 30 7 1/16 5 3/4 1 5/16 30 5 3/4 4 1/8 1 5/8 20 Water added ,r GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N_ 2 2 0 6 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Owner's Name Robert Lani Present Address Toledo Ohio Phone 419- 247 -2121 System Location 5353 County Road 100, Carbondale Legal Description of Assessor's Parcel No. SYSTEM DESIGN t� iv/ 3- Septic Tank Capacity (gallon) Other d h �S H a 1 / 43 ti r —6 0�.�.2a on Rate Rate (minutes/inch) Number Bedrooms (or other) 2 `J".. � _ 2.G Percolation /� /X 514 / )(-7 4 7 r Are . .G. -U� l -� - Required Absorption Area - See Attached 4 7 p / �^/ !J - " - t d a -2 �- y 0 r , Ce^ 2 4 IQ.- «:cam -i Special Setback Requirements: Date 3 2 7 ^ / y Inspector Clo FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation • System Installer 6 Septic Tank Capacity 1) 1') 0 U Septic Tank Manufacturer or Trade Name Ct V //-- / r) 'yl ti Septic Tank Access within 8" of surface Absorption Area 1,NO7 G 2 ./Y15 0 1 , 10 3 ' • • Absorption Area Type and /or Manufacturer or Trade Name � �- - -- 1 — ad& Adequate compliance with County and State regulations /requirements Other /.,[ Date '' / / 7/2 Inspector 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. 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 01 tense ($500.00 line — 8 months In Jailor both). Applicant: Green Copy Department: Pink Copy .,�