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HomeMy WebLinkAbout02712 f e s -- GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2 712 109 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 Walt Stowe Present Address n279 CR 10q, G1 ®nvnnA Phone 945 -5366 Owner's Name System Location 0279 CR 109, Glenwood Springs Legal Description of Assessor's Parcel No. SYSTEM DESIGN gyp() Septic Tank Capacity (gallon) Other Percolation Rate (minutes /inch) Number of Bedrooms (or other) 5 Required Absorption Area - See Attached Special Setback Requirements: ^ Date 1 `O ` / g Inspector \ 1 ----C FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer D . 12 I , P r" ( 0/4 5 , Septic Tank Capacity 9 *-- d v /+ d Septic Tank Manufacturer or Trade Name 8" ` v � C L_ Septic Tank Access within of surface C �1 Absorption Area -5 O 1< 2 S — / O A S- ✓ © 1 Absorption Area Type and /or Manufacturer or Trade Name ' ` b ` L- C C r Adequate compliance with County and State regulations/requirements Other, Date / f /Z 079 6 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 Offense ($500.00 fine — 6 months in )ail or both). White - APPLICANT Yellow - DEPARTMENT // ff, INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER Wdf Si 1 _ ADDRESS 1, eti PHONE % q e CONTRACTOR _ yy ADDRESS 1. id 11 I . S - PHONE 4 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: Near what City of Town (A 6 , r(/ _O Size of Lot / GC - _ Legal Description or Address WASTES TYPE: ( ' DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: Pvh l�X Number of Bedrooms I Number of Persons ( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher SOIJRCE AND TYPE OF WATER SUPPLY: (X),WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 5R) A Was an effort made to connect to the Community System? A site plan is required to be submitted that indicates the following MINIMUJM distances: Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROI JND CONDITIONS: Depth to first Ground Water Table Percent Ground Slope - 2 • 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 FINAL DISPOSAL BY: ( ) ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER - DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? a) pERCOI ,ATION TFST RFSIT1.TS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes per inch in hole No. 1 Minutes per inch in hole NO. 3 Minutes per inch in hole No. 2 Minutes p inch in hole NO. _ Name, address C and to one of RPE who made soil absorption tests: .. . f !! - Name, address and telep,17 of RPE responsible for design of the system: 77n P (. 0- r 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 purposed 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 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. Signed �— Date / /%1 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 CA CA CA /) J°' §§ 22 al b. o \ o \ 2 0 •k ( \ � 0 \ ¥ [ 7 § .§ -`± \\\ •\ cio __ oc {E \.Q cz ee8 1.. \ o 2-2 / _ § § / \/ƒ \ / \ � \ CO • . 0 0 0 \ 0 j e \ / ` ) { @ / { Z / } { 0 ° 0 •-"1- ® • / 2 z .--,..1 /O TR ■ NGWCCRING motet 1 LT November 19, 1996 Garfield County Building Department Attn: Don Owens 109 8th Street, 3rd Floor Glenwood Springs, CO 81601 RE: Stowe ISDS, River Ridge Subdivision, Existing Buildings HCE File // 93082.04 Dear Don: On November 14, 1996, HCE personnel performed a percolation test for a replacement system for the existing buildings located on the River Ridge Subdivision. The percolation rate observed was Less than five minutes per inch, therefore, a sand filter was recommended. The owner has indicated that this system will replace a system that served a total of five bedrooms of residential occupancy. The recommended system consists of two 1000 gallon septic tanks in series, for a total capacity of 2000 gallons. For five bedrooms the design flow rate is 1125 gallons per day. The required minimum gravel and sand top area is 1184 square feet. The minimum sand base area required is 1200 square feet. We have included two details of a typical gravity fed mound system for your use in evaluating the system. If you have any questions or need additional information, please contact us. Sincerely, HIGH COUNTRY ENGINEERING, INC. �,,.0,��`l PAV�•.F9 9 • Ti othy P. Beck, P.E. =�f Oflr � °� P incipal Engineer �.,.�. .� g TPB /tmc ��� % < !s 4 / �Nlal . �E . encl. 923 Cooper Avenue • Glenwood Springs, CO 81601 Telephone: (970) 945.8676 • FAX: (970) 945 -2555 2/ !2 ( Ai MSMCIIGI *CLL (11P.) (SEC OETM MS LCET) - i t S TV 1' W I • N FROU SEPTIC TANK 0 24' e J e' S 4 DISTRIBUTION PIPE STUB al EqC (SOW PVC) NME CRW ■ .•. e[0 FEf i (PERFOGI %C) Blur OF wnL OF K. coFC INNEE BO A*I B ED PLAN M.I.S. WO Er 1 1/E' SCREE . flTER FABRIC ROCK. 13• TYOK COSMO CROWD , soPE TOMB S S L TO 4 \\ \\ • 12' ANN I e . 34' MN I SAN FILL - SEE NOTES O(STRWITON LATERALS FOR MINIM RISC MEN SECTION A —A x.T.S 618