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Home My WebLink About02602 • - _ .� C nn GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2 6 0 2 109 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 John & Dolores Huebinge rese A ddress 235 O La Glenwood Phone 945 -6619 System Location 0073 Dolores Circle, Lot 3, Westbank Mesa, Glenwood Springs Legal Description of Assessor's Parcel No. SYSTEM DESIGN 1 ✓ Septic Tank Capacity (gallon) Other / ' 4,4 / J Percolation Rate (minutes /inch) Number of Bedrooms (or other) 3 Required Absorption Area - See Attached Special Setback Requirements: 1 - / ate ' /yh"�/ Date Inspector -.4.s na *./ Ripe' �l�J. +' / FINAL SYSTEM INSPECTION AND APPROVAL (as installed) OO Call for Inspection (24 hours notice) Before Covering Installation System Installer �r `�-w✓ r . Septic Tank Capacity 1 5 0 a U Septic Tank Manufacturer or Trade Name "M-4 i s Septic Tank Access within 8" of surface 6 D. '/ J I 3 r . Absorption Area ? i � „/�^'L w � 4 -e r Absorption Area Type and /or Manufacturer or Trade Name nf T i 7 ! R A t r `�' r -h- n r' Rid. n!1 J D Adequate compliance with County and State regulations/requirements L." ((// Other Date 4 _ 16 - 7 (/ Inspector C r a A 626., revs 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 Ina 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 ($500.00 fine —6 months in )ail or both). White - APPLICANT Yellow - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER JO 4 flo HOC 8 /)J6F/L ADDRESS a 3 S ()4 < L/`ln> E ( /twwoayPHONE 9 YY-e 6 //` CONTRACTOR S ,CL F ADDRESS 4JI¢ 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 affe Fi 5La Near what City or Town C/ EWC&J000 SP/2 /,JCS Size of Lot 2 * ,4 c Legal Description or Address 00 7.3 :loo L02F S �/ 2G cg le )6 *7 15/94i1G UYIES'A - tor 3 — '7- ffal G000n S PP /A)c ( 8/607 WASTES TYPE: D K, WELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON- DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: R E-5 l 47EiQC E Number of Bedrooms S i Number of Persons ( 1) Garbage Grinder ( /) Automatic Washer (/) Dishwasher SOURCE AND TYPE OF WATER SUPPLY; ( ) WELL ( ) SPRING ( ) STREAM OR CREEK Give depth of all wells within 180 feet of system: If supplied by Community Water, give name of supplier (.0 EST .S, f S AF l-1 6 4 GROUND CONDITIONS; Depth to bedrock: Depth to first Ground Water Table Percent Ground Slope_ DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: r in /'- e 5 Was an effort made to connect to community system? (✓/ YES ( ) NO TYPE OF 1 I. IVIDUA SEWAGE DISPOSAL SYSTEM PROPOSED: (✓SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE FINAL DIS OSAI. BY: ( ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER - DESCRIBE /lJ F /t-TR ATe) IL , / WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? /V O 2 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: C , T TNo Nmp 8a x.) Name, address and telephone of RPE responsible for design of the system: Sr. pmt J ESEk (:a2 0bn1- MF}/E>- 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 proposes of the evaluation of the application; and the issuance of the permit is subject to such teens 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 sane for purposes of issuing the permit applied for herein. 1 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. Signed - /r � Date s /7/y PLEAS : RAW AN ACCURATE MAP TO YOUR PROPERTY!! • 3 INDIVIDUAL SEWAGE DISPOSAL CALCULATIONS FOR HUEBINGER, LOT 3, WESTBANK MESA SUBD., GARFIELD COUNTY 1. DETERMINE FLOWS: 6 BEDROOM IN PROPOSED RESIDENCE 2 PERSONS /BEDROOM /DAY 75 GALLONS PER PERSON PER DAY TOTAL AVERAGE DAILY FLOW = (6)(2)(75)= 900 GPD 2. FROM CTL THOMPSON REPORT: PERCOLATION RATE FOR DESIGN 15.0 MINUTES PER INCH. 3. REQUIRED SEPTIC CAPACITY: FOR A 6 BEDROOM HOME= 1750 GALLONS 4. DETERMINE FIELD AREA: FOR ABSORPTION: WHERE: A= ((Q)SQRT(T)) /5 A =FIELD AREA A= ((900)SQRT(15.0)) /5 Q =FLOW RATE A= 697.13 SQUARE FEET T= PERCOLATION RATE 5. PEAK FLOW AT 150% PER COLORADO DEPARTMENT OF HEALTH REGULATIONS AND ADJUST FIELD SIZE ACCORDINGLY. A= 1.5x697.13= 1045.70 SQUARE FEET 6. AREAL ADJUSTMENT TO BED SIZE FOR USE OF INFILTRATOR. DECREASE AREA BY A FACTOR OF 50% A= 1045.70x0.5= 522.85 SQUARE FEET 7. AREAL ADJUSTMENT TO BED SIZE FOR WASHER AND DISPOSAL. (FACTOR BY 1.4 AND 1.2) A= 522.85x1.4x1.2= 878.39 SQUARE FEET 8. DETERMINE AREA OF EACH INFILTRATOR TRENCH. (ASSUME 3 TRENCHES) A= 878.39/3= 292.80 SQUARE FEET/TRENCH 9. DETERMINE NUMBER OF INFILTRATOR UNITS PER TRENCH. (USING STANDARD INFILTRATOR CHAMBER WITH 18.75 SQUARE FEET PER UNIT) NO. OF UNITS= 292.8/18.75 = 15.6 UNITS/TRENCH (USE 16 UNITS/TRENCH) 10. TOTAL UNITS IN INDIVIDUAL SEWAGE DISPOSAL SYSTEM: 16x3= 48 INFILTRATOR UNITS (STANDARD INFILTRATOR CHAMBERS) 1 SC.HMUESER GORDON MEYER, INC. JOB Lot 3 , VJEST2ANIK ME 1 _ � _ 118 W. Gth St. Suite 200 P.O. Box 2155 SHEET NO I — _ or ___ G lenwood Springs, CO 81601 Aspen. CO 81612 l (303) 945-1004 (303) 925-6727 CALCULATED BY 0 ; DATE FAX (303) 9455948 FAX (303) 925-4157 I CHECKED BY - -- __ DATE__ • • r -, 19crO 3 c' .Kress t7SS E __ _ 4'2l R C .rii I ' 5 fcor. 0 V4 /Or ..Leh 1 1 Ml ( 1 500 6ALLO/,l Prl L 'IAhl K i 4 i 1 1 ... 25 Mln( 1 i ' a _ - • ' RerM 2172q P� e e_ — � { I @ /4'( /Fr f I o el �& A"cM ,S�Z°� WG I � @ 0 QVp (Arm car -1-) i I rt f I( 1 w { , ue Pmt 1� ; RJ!t __. ._ _.......... / . I ; l ; ° ...._ _ !/�17.. 1 : l .10i __ l_l0L _. I fAN V I,C\ . of 4 -Pr1 W. TjENI I N.6TAU TOM to s