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Home My WebLink About02365 .C" ^ , y@i�p,.. ;aa�a�mn,.wepyq,.•- , - r..,.. -m. ....- -.-. +w ... .,., . _ _ _ _. ‘., i• t . 1 • • r GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit Ni 236 5 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81801 Phone (303) 945-8212 0 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY 1 Resold P. Hoffeeieter 5387 CR 154 P81, Glenwood 945 -7616 p Owner's Name Present Address Phone_ gg County Road 326, Silt 8 System Location i Legal Description of Assessor's Parcel Np. ). e'; / 1 e' ' �S 7ct 6- `yL SYSTEM DEqESIGN a 3 1 alb Septic Tank Capacity (gallon) Other Y �C Iwo ('@'V Perco ation Rate (minutes /inch) Number of Bedrooms (or other) 4 k A Required Absorption Area - See Attached C 41 0 Special Setback Requirements: 4 / t Date / 1 - !.$." ° 0 Inspector /L Aix-- .�' j,. :orac 4 i I : FINAL SYSTEM INSPECTION AND APPROVAL (as installed) ✓ i t Call for Inspection (24 hours notice) Before Covering Installation a nn A 1 /t System Installer ,( n-6. - c> 7- O It /S a Septic Tank Capacity la.s6 , P Septic Tank Manufacturer or Trade Name . fil es! 771 F t "...W. r s4/c -MKS, 44 Septic Tank Access within 8" of surface «F S t Absorption Area la s/ 0 i C Absorption Area Type and /or Manufacturer or Trade Name / .✓F'L.Jtnf it / r�� 5 3 O Ai /7. c Adequate compliance with County and State regulations /requirements yrs li Other i $ 4. $ Date 1 /- /S'- yy- Inspector il e 4 -•.r i - / :7.r / + ` . RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE li *CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 1 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- t nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or 8 p 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 1 variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 ' ! months in )all or both). YY 9 Applicant: Green Copy Department: Pink Copy % c Application /.' INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by ILL County Official: OWNER I d R fI Q Pfm t .Are. ADDRESS ckf P J4 P HON E 4 — ADDRESS 6,17 63 8 / )? — 1'110NE -74/4' is . K A PERMIT REQUEST FOR: • Q (� New Installation ( ) Alteration ( ) Repair „ � Attach separate sheets or report showing entire area with respect to surrounding r-•as, topography of area, habitable building, location of potable water wells, soil percolati test holes, soil profiles in test holes. (See page 4.) LOCATION OF PROPOSED FACILITY: County_ 6 Near what City of Town Si lr ,G Lot Size g Legal Description 4f0/Z/ -_ 5• ?V W G SS9ttt_npe 92- WASTES TYPE: ( X) Dwelling ( ) Transient Use ( ) Conuuercial or Institutional ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Humber of bedrooms A/ 43 / Number of persons y _ ( A Garbage grinder (X) Automatic washer ( 4 Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( )4,) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system:` /0 i e If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 1, • Was an effort made to connect to community system? 1/0 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (A) 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 ()9 Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? N4 1 • Non 7 '•SOIL P6efCATION 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 perm t.1s'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. / h Date A ' - rl / 7 L 1.' . —_, - .Siuned4 4)P 41As&.,_L__L_L__:__ PLEASE DRA 5� ( i I ( _. f l I. __ 14,,PPERFIELD RO f0 1 1 - ter ., - ,i. . I I . 6 �s - - - - -I(', _ _ , ROAp N � -\ - -� i . // i II— r ` - ' \ 'b _ -_. 5` 1. \_� I a $.2 /4_14 r r a + L , . i l W / \k I. , u � ix 1, X � I \\ � � 1 � t � , i 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 1 E if/ (11(1WiTh O / ,,.------ - tlf if k 0 I F.- .% 'I - o ..1 .....-• s " L C / .■' S..a 7 7srb ch rn Q 3 ,26 % /r LIB - - - -- _ • { ■ 40L'd own /CH prawn es sipir l' November 3, 1994 Garfield County Building Department MW: Art Hougland 109 8th Street, 3rd Floor Glenwood Springs, CO 81601 RE: Hoffmeister Residence ISDS on Chipperfield Lane near Silt DICE File # 94004.33 Dear Art: On October 19, 1994, HCE personnel observed the various test holes, trench drains, and natural drainages on the subject property south of Silt, Colorado. The septic tank, which was of precast concrete, was visible. During this visit, we recommended additional locations for percolation tests. Then on October 24, HCE personnel conducted percolation tests at the site. The average of the rates was slightly over 60 minutes per inch. However, the slowest rate was approximately 80 minutes per inch. We recommend that a standard absorption system be used, but that its size be based on the slower perc rate. For a three bedroom residence, the design flow rate is 675 gallons per day. The required absorption area is 1208 square feet. If Infiltrator trenches are used, the required area could be reduced to 604 square feet. At 18.75 square feet per unit, this would be 33 units. If you have any questions or need additional information, please contact us. Sincerely, HIGH COUNTRY ENGINEERING, INC. Ti oth` - y P. Beck, .E. P 'ncipal Engineer P ti.-. TPB /tmc 923 Cooper Avenue • Glenwood Springs, CO 81601 Tnlnnhnno• 3n3.445.RR7R . FAX: S02- 945 -2555 P0'd SSSE SV6 £02 ONI2133NION3 AdlNflOJ HSIH EP :ET 766 I -PI -00N