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Home My WebLink About02345 — _ • ' .. 8 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N.. 2 3 4 5 109 8th Street Suite 303 Assessor's Parcel No. $ r Glenwood Springs, Colorado 81601 • Phone (303) 945 -8212 N ' fk This does not constitute ,& INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. i ?? PROPERTY a Michelle McLaughlin P.O. Box 1262, Glanwbod 928 -0997 Owner's Name Present Address Phone_ System Location Los Amigos, Piling 3 & 4, Lot 22, Glenwood Springs Legal Description of Assessor's Parcel No. x SYSTEM DESIGN c /01,0 Septic Tank Capacity (gallon) Other 1 ! 16t:*ercolation Rate (minutes /inch) Number of Bedrooms (or other) 4 Required Absorption Area - See Attached ...0' Special Setback Requirements: 4 A F Date Inspector 7 t 6 FINAL SYSTEM INSPECTION AND APPROVAL (as installed) 6 t Call for Inspection (24 hours notice) Before Covering Installation tI i System Installer -�/��. -- ,C4lcc �' °` i /AI Septic Tank Capacity / 2 Se i Septic Tank Manufacturer or Tratle Name e A r1 41 .t . t i 1 Septic Tank Access within 8" of surface jat t. f. Absorption Area /M ace a I' Absorption Area Type and /or Manufacturer or Trade Name _ • p 1 `. Adequate compliance with County and State regulations /requirements 7 )) 4C s Other • t Date f / - •'1 x`95 4- Inspector .. ., RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SI t *CONDITIONS: 1. All installation must complyvyIth all regyirementsp State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 19833. r 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- V 4 n 'on to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or e 4 ' requir ent of the permit and cause for both legal action and revocation of the permit. n , S. Any person ho constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material C variation fro the terms or specifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 f months in jail both). ) Applicant: Green Copy Department: Pink Copy 'j °bi Application Approval By •� u ti, 0 10 ; .: County Official C _- V k _ _ IA Li . PHONE �' °� �' OWNER to 2 ADDRESS P � (30 - ;ONTRACTOR / ` - - -' c 7 0 PHONE _--- ADDRESS - - rink, Co • - o e air 'ERMIT REQUEST FOR: ( New Installation () Repair Alteration () topography of area, \ bita se building,,llocation of potable water wells, oil percolation test holes, soil profiles in test holes Haabitable g See page.). • ":.0.0 - IP . • : County - -' _ .- o �c --+—j--- Lot Size v Dear what City or Town - -. , o , y It V b � a - egal Description o - a . L C , et.- n i if OTransient Use SACTFS TYPE : ( Dwelling Non- domestic Wastes ( ) Commercial or Institutional ( ) () Other - Describe 3UILDING OR SERVICE TYPE: • Number of persons /il k fala — Vumber of bedrooms ishwasher Garbage grinder (.Automatic Washer W () spring ()stream or creek live depth of all wells within 180 feet of system: co "N. a f supplied by community water, give name of supplier t • - 3ROUND SO_NDITIONS v . _ • 7 _C oL - -- • r ac t� Depth to bedrock: t Depth to first Ground Water Table: 3 ercent ground slope: DISTANCETO NEAREST COMMUNITY SEWER SYSTE ' - Has an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: lt (ter Septic Tank ( ) Aeration Plant ( ) Rceycling, potable use ( ) Vault Privy ( ) Composting Toilet ( ) p other use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, () Chemical Toilet () Other - Describe: FINAL DISPOSAL BY: Evapotranspiration ( ) Absorption Trench, Bed or Pit (� E vap vapot t ( ) Underground Dispersal O dFilter Wastewater Pond () Above Ground Dispersal l_ *sr Av....) * l () Other - Describe: E. WILL EFFLUENT BE DISCHARGED DIRECTLY I 0 WATER OF THE STATE? a J 011, PERCOLATION TFST REST IT .TS: (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. _. Jame, address and telephone of RPE who made soil absorption tests: I1Eflt./oarrm- t i wt-i.tc Cro gc.t4atcat_ 'lame, address and telephone of RPE responsible for design of the system; 41-city, -r acenti, rs 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 understand 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 perjury as provided by law. / I Date 11 36 .9 Si gned J _ I 1.• 1, I1 ` �.. "Xl{ S pi ,RASE DRAW AN ACCIIRATE MAP TO YOIJR PROPERTY r . Michelle McLaughlin June 17, 1994 Page 3 The drains should consist of drainpipe placed in the bottom of the wall backfill surrounded above the invert level with free - draining granular material. The drain should be placed at each level of excavation and at least 1 foot below lowest adjacent finish grade and sloped at a minimum I% to a suitable gravity outlet. Free- draining granular material used in the underdrain system should contain less than 2% passing the No. 200 sieve, less than 50% passing the No. 4 sieve and have a maximum size of 2 inches. The drain gravel backfill should be at least 2 feet deep. Surface Drainage: The following drainage precautions should be observed during construction and maintained at all times after the residence has been completed: 1) Inundation of the foundation excavations and underslab areas should be avoided during construction. 2) Exterior backfill should be adjusted to near optimum moisture and compacted to at least 95% of the maximum standard Proctor density in pavement and slab areas and to at least 90% of the maximum standard Proctor density in landscape areas. Free - draining wall backfill should be capped with about 2 feet of the on -site, finer graded soils to reduce surface water infiltration. 3) The ground surface surrounding the exterior of the building should be sloped to drain away from the foundation in all directions. We recommend a minimum slope of 12 inches in the first 10 feet in unpaved areas and a minimum slope of 3 inches in the first 10 feet in pavement and walkway areas. A Swale will be needed uphill to direct surface runoff around the residence. 4) Roof downspouts and drains should discharge well beyond the limits of all backfill. Percolation Testing: The subsoils encountered in the proposed leach field area consist mainly of basalt cobbles and boulders in a sandy silt matrix to the pit depth of approximately 3 1/2 feet. The log of the profile pit (Pit 2) is shown on Fig. 2. Results of percolation testing conducted in three holes are presented in t o •z • 1, I t PI 3 Iintu r :fy }I. The system may need to be mounded due • to e rocky so . Additional profile pits could be dug to identify deeper soil areas and percolation tests conducted as needed. H -P GEOTECH