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5 t GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N_ 3 13 5 (f'
r • 109 8th Street Suite 303 Assessor's Parcel No. 2
Glenwood Springs, Colorado 81601 i 1
i itifffry._r _ ... - Phone (303) 945 -8212 . - _,--
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permit. building !
bung or use
t INDI SE AGE DISPOSAL PERMIT a '/ i
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° Owner's Name LI gle _€ : , - • _ • • /� �l r �./� l Phone "r' ' /'!
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(; Sy�tem Location
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L egal Description of Asses or's Par el N o. a
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3 SYSTEM DESIGN l� A C t► — C H A Asc Ee — Q -7 65-22, f✓ I(1 'I r3 g (" 1 ER
1 S 0 0 Septic Tank Capacity (gallon) Other • f
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I L i G ✓ . (8 F T) r K 4
$ j ' ." 3 Percolation Rate (minutes /inch) Number of Bedrooms (or other) f
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6 j Required Absorption Area - See Attached i ,
;� Special Setback Requirements: M ';
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Soen & E F(G 2 . L CC
Date Inspector t, I ,
?'? FINAL SYSTEM INSPECTION AND AP (as installed)
1, Call for Inspection (24 hours notice) Before Covering Installation w 4
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i System Installer
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:r Septic Tank Capacit yy
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Septic Tank Manufacturer or Trade Name
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t , Septic Tank Access within 8" of surface LL .t5. ` Absorption Area L 1 ' ` E '` 'C ' - I C S ' 4
/` iA� F r1.T n AS ', Absorption Area Type and /or Manufacturer or Trade Name i
j' Adequate compliance with County and State regulations/requirements ✓� )
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+ Date 7/ I I ! / p .�.� -- A ' / '' �. v I r Ins ector t ;
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RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE % )
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i *CONDITIONS: f
i ,, 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. i
i . ,• 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 t
requirement of the permit and cause for both legal action and revocation of the permit.
t' 3. Any person who constructs, alters, or installs an Individual sewage disposal system in a manner which Involves a knowing and materlal
variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine -8 "
,
i / months in jail or both). ! t
E White - APPLICANT Yellow • DEPARTMENT X r
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
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OWNER G7 e P L -t5m
ADDRESS 018 2, air IAA/kJ E PHONE 1na - 32 69
CONTRACTOR Q0- - R-
ADDRESS ii'L F 6 I Ca(Z- S°rif , Cy PHONE
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PERMIT REQUEST FORIEW 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 6 Size of Lot 92S nca€: S
Legal Description or Address z g - -/ ` I N .. S
WASTES TYPE: DCDWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: 7
Number of Bedrooms 's Number of Persons .'S
(A Garbage Grinder (b4' Automatic Washer e( Dishwasher
SOU RCE AND TYPE OF WATER SUPPLY: WELL N ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to the Community System?
A site plan is reauired to be submitted that indicates the following MINIMUM 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.
GROUND CONDITIONS:
Depth to first Ground Water Table
Percent Ground Slope
2
YE'OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( i) 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?
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the
Percolation Test)
Minutes per inch in hole No. I 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 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. c
Signed ��� Date /o// / i
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
I l October 15, 1999
t ib Plimpton
'P.O. Box 61
Carbondale, Co 81623
RE: ISDS for Residential House
SE Job No. 99108.01
Dear Gib:
As requested, we have conducted a subsoil study for the 5 bedroom home at the subject site.
Percolation tests were conducted on October 4, 1999 to evaluate the feasibility of an infiltration septic
disposal system at the site. One profile hole and three percolation holes were dug on the east side of the
house at approximate locations shown of on attached Figure 1. The test holes were dug to approximately
40" depth with a back hoe and a hand dug 10" hole in the bottom and were soaked with water one day
prior to testing. The soils encountered in the percolation holes are similar to those encountered in the
profile hole. The soils encountered in the profile hole was 6" topsoil overlying a reddish -brown si Ity clay
to 2' depth overlying coarse gravel alluvium approximately 7.5' depth. No water was present in the profile
hole.
The percolation tests results indicate average rates of 31.8 about 2 minutes per inch. : ased on the
subsurface conditions encountered and the percolation test results, 1 e ould be suitable for a
conventional infiltration septic disposal system.
• Limitations:
This study has been conducted in accordance with general accepted engineering principles and practices in
this area at this time. We make no warranty either expressed or implied. The conclusions and
recommendations submitted in this report are based upon the data obtained from the field. Our findings
include interpolation and extrapolation of the subsurface conditions identified at the exploratory pit and
variations in the subsurface conditions may not become evident until excavation is performed. If
conditions encountered during construction appear different from those described in this report, we should
be notified at once so re- evaluation of the recommendations may be made.
If you have any questions or need any additional information, please give us a call.
$incerel
SOP�iSI RING, LLC
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502 Main Street • Suite A3 • Carbondale, CO 81623 • (970) 704 -0311 • Fax (970) 704 -0313
Sorais ENGINEERING • LLC civil consultants
OCT -15 -1999 15 40 ' P•
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GARFELD COUNTY
PITKIN COUNTY
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EXISTING
DWELLING
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PERK HOLE
PERK HOLE 2p'._O
NEW HOUSE 28'
I 42' -0
�� PERK HOLE
PROFILE HOLE
GIB PLIMPTON
189 SOUTH THIRD STREET
FIGURE 1 •
es•'■ Si SOPRIS ENGINEERING. LLC. SITE MAP
I CIVIL CONSULTANTS
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502 MAIN STREET, SUITE A3 DES. YIN CK. FILE 99108.01 SHEET 1
N.T.S. CARBONDALE. CO 81623
(970) 704 -0311 DR. JF DATE 10/4/99 MCMAP OF 1
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