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HomeMy WebLinkAbout02622 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2622 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 Vernon 6 Leslie Hope Present Address 1801 RR #C -21 Rifle Phone 625 -5077 System Location S QS State Highway 325, Rifle `f Legal Description of Assessor's Parcel No. SYSTEM DESIGN ia 0 S ept i c Tank Capacity (gallon) Other "CM In. Pe U 1 t 5 4 . � „ Z . ercolation Rate (minutes /inch) Number of Bedrooms (or other) Required Absorption Area - See Attached : ,,ecm , / , � r f� , Special Setback Requirements: Dat2l/rtA44 - 4 71/ l Inspector ( „(n i ,E4."/t �ri. FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspectioh (24 hours notice) Before Covering Installation i System Installer 0 M)N ear, Septic Tank Capacity in d Septic Tank Manufacturer or Trade Name eOP41:L0f- ! Septic Tank Access within 8" of surface yrS 4 Absorption Area L of t Absorption Area Type and /or Manufacturer or Trade Name 6 // , 3 •f 1) N /zS L) F 1 /Li JAR Adequate compliance with County and State regulations/requirements YEr • Other y /� Date / - �;t* cite Inspector s4 a» • 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 Offense ($500.00 fine — 6 months in Jail or both). White - APPLICANT Yellow - DEPARTMENT • INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER \6 7.4k*. 4 Lest ■ e A°ir. ADDRESS 18101 OA rooA £c. , k i r C -21, Q(4-' PHONE COLS -Scrfl CONTRACTOR Sc- 4 ADDRESS SAaNC' /tis q�aJ PI IONE PERMIT REQUEST FOR (K 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 6Ae la7 Near what City or Town QC C \C 1 Size of Lot 31QF12S Acct.?, Description or Address S c.c. h'c4t 1n WASTES TYPE: ( DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OK SERVICr.'I'YPE: Sttar1le, FACn■\1/41 EeSir-ke..1.( Number of Bedrooms Number of Persons 2.- O Garbage Grinder ( ) Automatic Washer (X) Dishwasher SOURCE AND TYPE OF WATER SUPPLY; >4 WELL ( ) SPRING ( ) STREAM OR CREEK h Give depth of all wells within 180 feet of system: DtA'e . If supplied by Community Water, give name of supplier t4IA GROUND CONDITIONS: Depth to bedrock: et War-i S r Depth to first Ground Water'I'able 6r2A\er se^a1 $ Percent Ground Slope 'Erb DIS'T'ANCE 10 NEAREST COMMUNITY SEWER SYSTEM: CS:t rr \e-S Was an effort made to connect to community system? ( ) YES ( NO TYPE OF INDIVIDUAL 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. FINAI. DISPOSAL BY: (xj ABSORPTION TRENCI I, BED OR P11' ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER- DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? 2 PERCOLATION TEST RESULTS; (To be completed by Registered Professional Engineer) • Minutes S per inch in hole No. 1 Minutes 23 per inch in hole No. 3 Minutes I. LA per inch in hole No. 2 Minutes per inch in hole No. Name, address and telephone of RPE Wm made soil absorption tests: 00 24404 e. 11Bo\ (CPA Qcve 1 k? . c1.1 • Q: 4-ke (b 931t.oSo CP ZS 501 Name, address and telephone of RPE responsible for design of the system:' S4 Mr / Abc»'C_ 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 pules 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. 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 actior� ,jury as provided by law. Signed V Date S.29 • Itit PLEASE DRAW AN ACCURATE MAP TO YOUR PROP _ TY!! air , 1%12A0 G oon al \ r•a`1 r fit\ f S.12..31.5 3 Property Description Lot 1 A troct of land lying in the S1/2S1/2 of Section 5 and the N1/2N1/2 of Section 8, Township 5 South, Range 92 West of the 6th P.M., more porticulorly described as follows: (This property description is based on the survey performed by the United States Deportment of the Interior, Bureau of Land Monogment, Survey dated June 28, 1991) Commencing of the Northwest corner of soid Section 8, o BLM brass cop in place, os defined by soid survey; thence S 0' 8' 12" E along the West line of Section 8 a distance of 680.8 feet to the N —N 1/64 of Section 7 and Section 8, o BLM bross cop in ploce; thence S 89' 57' 42" E along the Southerly line of soid N1/2N1/2N1/2 o distance of 4457.29 feet to the TRUE POINT OF BEGINNING; thence N 00' 28' 42" W a distance of 60.00 feet; thence N 89' 57' 42" W o distonce of 52.19 feet; thence N 00' 28' 42" W a distance of 1928.72' to a point on the Northerly line of the 51/251/2 of soid Section 5; thence S 89' 51' 14" E along soid Northerly line o distonce of 972.79 feet to the S 1/16 of Section 4 and Section 5, a BLM brass cop in place; thence S 03' 18' 18" W along the East line of Section 5 o distonce of 1114.70 feet to a BLM brass cop in ploce; thence S 05' 10' 57" W along the East line of Section 5 a distonce of 217.48 feet to the Northeast corner of Section 8, a BLM brass cop in place; thence S 37' 05' 52" W o distonce of 622.83 feet to o BLM brass cap in place; thence N 89' 04' 12" W o distance of 276.50 feet to BLM bross cop in place; thence 5 00' 11' 48" E o distonce of 164.60 feet to BLM bross cap in ploce on the Southerly line of the N1/2N1/2N1/2 of said Section 8; thence N 89' 57' 42" W along soid line o distonce of 168.50' feet to the TRUE POINT OF BEGINNING, contoining 36.928 acres more or less. left cuvrR DATE: h /NEER /h5 JOB NO.: • HIGH COUNTRY ENOIFEERINQ INC. 111 923 COOPER AVENUE GL.ENWOOD SPRNOS, CO 81601 (970) 945 -8876 S1 /16 SECTION 4 N 89'51'14" W AND SECTION 5 -- - - - - -- C - -- r 7 - -- r BLM BRASS CAP - - - -- - - - -� I I / -- - \\\\\\ I I 1 1 N — II 1 11j 1 I I 1I1 1,- / 1 I I 1164. � 1 II 11�I �1 ',' . s1/4, *.1 . I j111��� 1�'I 1 i14 l J I. � I 111 IW 1 1 1 1 1 IM I 1 I Y LOT1 I 1 j 1 I 1 I 1 1 I 1/1 / I BLM B.C. / 1 i 1 N 05'1057" E 1 S1 /2S1 /2 / (SECTION 5) , // NE CORNER SECTION 8 N1/2N1/2N1/2 / BLM BRASS CAP (SECTION 8) // // y m / / / // /�lo�' /� // /7 // // — ✓ 7, / / / / / / N 89'47'01" E / / / / % . f 107.1T / / / / / / / / / / / /1 i N 35'44'59" E -- 1 / / /�!�> i 94.02 -\ / Ct S 00'17'36" E // N 89'04'12" W-- 165.26 / / / / L M 7 B COQ BLM B. C/ / N 89'47' E / W F[ L / L 1 ' / i S 89 w 180.50' S 33.56' � r , [� _ I I CURVF "C1" S 89'57 42 E o = 11'55'53" BLM B.C. R = 495.00' S 00'11'48" E T = 51.73' 164.60' L = 103.08' GjvTRY DATE: a. h5/NLER /M5 . - j c JOB NO.: — - HOH COUNTRY ENGt4EERINO, NC. 1 1 923 COOPER AVENUE OLENWIOOD SPRINGS, CO 81601 ^^ (970) 945-8676 /OH i TRY NGYVC2 WNVG Lrt May 29, 1996 Garfield County Building Department Attn: Art Hougland 109 8th Street, 3rd Floor Glenwood Springs, CO 81601 RE: Hope ISDS, north of Rifle Reservoir, CO HCE File #502 Dear Art: On May 12, 1996, HCE personnel observed the profile and percolation test holes, on the subject property north of Rifle Reservoir, Colorado. On the same day, HCE personnel conducted percolation tests at the site. The average of' the rates was approximately 32 minutes per inch. Based on the above, we recommend that standard absorption bed with infiltrators be utilized. One possible layout would be five parallel rows of infiltrators located in a bed. The bottom of the bed would be flat. We understand that this ISDS would serve a single family residence with the potential for four bedrooms. Therefore, the estimated average wastewater flow would be 600 gallons per day. The design flow, per regulation, is 1.5 times the average, or 900 gallons per day. The required standard absorption area (based on 32 minutes per inch) is 1018 square feet. Less 40% for using "Infiltrator" units in beds would give 611 square feet. At 18 square feet per unit, 34 units would be required. The minimum size of septic tank required is 1250 gallon. If you have any questions or need additional information, please contact us. Sincerely, HIGH CO14mq ENGINEERING, INC. Q P �G /Sr � D Veth a 61,T.E.% Pro}ect •Ma itlig th ; W 923 Cooper Avenue • Glenwood Springs, CO 81601 Telephone: (970) 945 -8676 • FAX: (970) 945 -2555