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Home My WebLink About03155 9 144 `� 'S kg , 4 i I GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N' 3 1 g 5 'c' S i - � 109 8th Street Suite 303 A is Parcel No. Al 1 1 , Glenwood Springs, Colorado 81601 j, 1 1 • 3 Phone (303) 945-8212 1 q r Y This does not constitute ;. t 4 1 INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. f e t I a "4 PROPERTY 1a 6 . L. 'nce C22L91, /y 8 5 Owner's Nam- 1 -W resent Address L Pho ne S r • �.. 2Jo1 , SI ('f Co Q , c $ System Location r.s 1 Legal Description of Assessor's Parcel No. _ j t t) SYSTEM DESIGN y j 9 r ! Septic Tank Capacity (gallon). Other f :• 1$ `, Percolation Rate (minutes /inch) Number of Bedrooms (or other) • ' r f 1 f Required Absorption Area - See Attached y f 6 Special Setback Requirements: i• A( 4 f 1 R Date _ Inspector - 1 F y 1 1 c" FINAL SYSTEM INSPECTION AND APPROVAL (as installed) w Call for Inspection (24 hours notice) Before Covering Installation 4 •;, I a E System Installer T . it i' 4 1 Septic Tank Capacity — r 1 i' 4 ."0 Septic Tank Manufacturer or Trade Name G s. .' 1i Septic Tank Access within 8" of surface f1 ,R i f Absorption Area y1 1, 1 1i Absorption Area Type and /oriMenutacturer or Trade Name - +<e j. 4t r Adequate compliance with County and State reg rations /requireme is _ ",�. r i; Other --•...4 . ; . �...,/ _ � a? AL tar "+ I n Date Ori • / Ml 11 Inspector �n1..ild • / ` _ . .. ! '7 - K • y QQ� �� , I C (1 j RETAIN WITH RECEIPT RECOR S Cs TRUCTION SITE / _ 1 ) i i *CONDITIONS: .. t,' .. 1. All installation must comply with all requirements'kthe Colorado State Board of Health Individual Sewage Disposal Systems Chapter E} ' . ; 25, Article 10 C.R.S. 1973, Revised 1994. �-�, S. ,1 ' 1 1 2. This permit is valid only for connection to structures which have fully comp)ied with County zoning and building requirements. Con- 6 ! ! r nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a ;s requirement of the permit and cause for both legal action and revocation of the permit. variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense `! '; 3. Any person who constructs, alters, or installs an individual sewage disposal system In a manner which Involves a knowing and material + ii ($500.00 fine -6 ?f • j months In jail or both). 1 . 0. ... White- APPLICANT Yellow - DEPARTMENT - - - r INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER ( Y/J yN / A 4 p.(a pc kkilk.F . r). NAOS 5 ,JsKl ADtJRESS IF )Arsno,l (a 1)t,Yn.nt Seiwas Mr, 9/6o( PHONE 97o QqS -243r, CONTRACTOR r') LA) wl Q F L ADDRESS / I!& LIVT - SON dr C 1r- xlr.YnD Ail, 4 rlu Xlto1 PHONE g /r,- 94c -P PERMIT REQUEST FOR (vrNEW 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 PROPOS D FACILITY: �1 Near what City of Town G // Size of Lot el - 24) l !Pf Legal Description or Address 1 ■ c . r •_ • . . 6 r o WASTES TYPE: (.'DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: ) b, rn4 A) U IACT IN /long Number of Bedrooms Number of Persons 4, ( ) Garbage Grinder (automatic Washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (V) -WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: • DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 1 -r— , AI A rr F 4 Was an effort made to connect to the Community System? A n A site plan is required 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 , t-c - i ( Percent Ground Slope r P I L a - - Son - I1 LAST 2 TYPE/OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( SFPTIC 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 ( J,)' ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER - DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? A )n PERCOLATION TEST RESULTS: (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 per inch in hole NO. _ Name, address and telephone of RPE who made soil absorption tests: Name, address and telephone ofRPE responsible or design of the system: Nan r1 r,(C Asst. ,A 5 tnMN C 2AAl tt�JAIrrInA1 no # 7.<7 J � r,oirrvn) 070 24s j 2s') 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 .t, ,y L _ U b M -Q U Date <f 7199 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 I 4" diameter ASTM D 3034 plastic pipe Bench pipe area to same levation as nfiltra or inlets 50' r 11111111111111111111111111111111111III1I11I11111111111111 111111111111 1 0ri0 IIIIIIIIIIIIIIIIIIlI11111111111 [I111111111[IIIIIIIIIII 1 1 1ll[1111111111[I1111111111 1000 gal. septic tank 24 standard capacity infiltrators 75.03 Fla" Concrete distribution box scale 1' =20' NOTES; 1. Construction Ms changes must be al); N 2. The installation v. 3. A 1,000 gallon mil Garfield County Heal port shall be no mor:_ tc1 4. Use 4" diameter t \ c o 9 building. Pipe from ii \ Q 5. As -built drawings e Health Department. 1" Nt, 6. The system must e 7. Plot plan must ac c ap the Garfield County l 194.1 0 4.000' 0 25' r $ e 0)6 c 5 NoJ g * a m Fill / Topsoil to t0 N ll N so N v Sand filter bed 3 f rigin Gr• I N� 0 0 ° c± Lot 1 ^ NN 4.2 Acres O I c) 6' mil 443.79' Concrete " SEPTIC SYSTEM CALCULATIONS c y j o SEPTIC SYSTEM CALCULATIONS 0° Percolation rate =15 min. /in. ° v Number of bedrooms =3 E o r cc Waste loading 150 GPD /Bedroom =450 GPD Reduction for water saving devices =0 GPD m Subtotal= 450GPD r -- - - - - -- Peak flow + 50% =225 GPD Total design loading: =675 GPD rn Absorption area required = (total loading) + 5 percolation rate =523 Sq. Ft. Washing machine +40% =209 Sq. Ft. will Garbage Disposals - None =0 Sq. Ft. - Total design absorption area: =732 Sq. Ft. j q If using infiltrators m 1 _ . _ _ is _ _ Area after 50% Reduction for infiltrators366 Sq. Ft. ao Effective absorption area of each infiltrator =15.50 Sq. Ft. 0 Number of infiltrators required =24 Units _ Required septic tank volume for 30 Hr. detention time =844 Gallons - g Ls septic tank size =1 000 Gallons c 5. .e done according to current Garfield County individual Sewage Disposal System Regulations. Any m owed by the engineer and Garfield County Health Department. 0 C? . be inspected by the engineer and Garfield County Health Department before backfilling. a c E mum capacity septic tank is required. The tank must meet the septic design criteria specified by the o 0 N E Department. The tank shall be installed on a solid base and shall be level. Tank access and inspection U U .o N han 8" below finished grade. r M ;TM D 3034 plastic pipe from the building to the septic tank. A cleanout shall be installed outside the J C u, a in - s tank to the distribution box and infiltrators shall be 4' diameter ASTM D 3034. (t3 a hall be made after construction. One copy of the as -built drawing shall be delivered to the Garfield County en a, VJ L installed by a licensed septic tank installer. co J m ° - :re to all horizontal distance requirements as designated by co . . :alth Department. O Q 6 1:3 N n inimum distance to foundation o o, L Slope 2% min. to drain surface y a Local Topsoil 1 min cover N ' ,11:// -- ______ ______ _ �} E -__ Rel 'XF LLLMi � u llTP�T ':i. ' u[ILTMTOH ~ 4 ' � 16.5' ► m Imported Natural Sand c Percolation rate 15 min. /in. minimu I DATE DRAWN _ Section - �. 10 Apr 1999 1 Scale 1 = 5' � f •415Asr� ti � SCALE arum \ As Shown ._ _ Lines to infiltrators ' i ' 1091494 • I f i j n f : / : PROJECT NUMBE 1 '1 (� g ` _ ' r, % 3513 Distribution Detai \ \ SHEET NUMBER ' stribution box Scale 1" = 5' ' - ' �'* COIOR p�= 1 O 1 SEAL I 4" diameter ASTM D 3034 plastic pipe Bench pipe area to same !ovation as nfiltra or inlets 50' ari 70 o �� 111iFI111111111111! ll111111 h 1 I 1 111111111111111111111111 m 1000 gal. septic tank c 24 standard capacity infiltrators MI 0 75.03 an 22- Concrete distribution box Scale 1' = 20' C c, N NOTES; v 1. Construction mus changes must be apr to N 2. The installation wi co 3. A 1,000 gallon ml a Garfield County Heal port shall be no more es 4. Use 4" diameter A \ co 9 O building. As-built Pipe from ii \ \, ° �Q 5. sbuilt drawwings o'� Health Department. �0Q 6. The system must L \ 2 5 7. Plot plan must adi y �° a� the Garfield County I 194.1 � 4.000' o u? S e 9 O; �Il 25' r: \e \ Fill / Topsoil ci ro rn N� N li N N 3 Sand filter bed ?^ rigin Grp o o co no 0 Lot 1 ° ^ s ue 4.2 Acres \ 0 \ p 6' mil J J 443.79' Concrete SEPTIC SYSTEM CALCULATIONS m > p—\ SEPTIC SYSTEM CALCULATIONS a m o Percolation rate =15 min./in. 6 is v 0 Number of bedrooms =3 o — P Waste loading 150 GPD /Bedroom =450 GPD Reduction for water saving devices =0 GPD cc Subtotal =450 GPD Peak flow + 50% =225 GPD Total design loading: =675 GPD co Absorption area required = (total loading) + 5 percolation rate =523 Sq. - Ft. Washing machine +40% =209 Sq. Ft. In. Garbage Disposals - None =O Sq. Ft. m - ' - - - - - - Total design absorption area: =732 Sq. Ft. 6 If using infiltrators m 9 _ - g _ - Area after 50% Reduction for infiltrators366 Sq. Ft. I m Effective absorption area of each infiltrator =15.50 Sq. Ft. 0 Number of infiltrators required =24 Units c Required septic tank volume for 30 Hr. detention time =844 Gallons d Minimum septic tank size =1 000 Gallons c 2 c, , e done according to current Garfield County individual Sewage Disposal System Regulations. Any m a it Dyed by the engineer and Garfield County Health Department. 0 1 - : m be inspected by the engineer and Garfield County Health Department before backfilling. >, �j E aim capacity septic tank is required. The tank must meet the septic design criteria specified by the o cp Department. The tank shall be installed on a solid base and shall be level. Tank access and inspection - o han 8" below finished grade. V x LIS TM D 3034 plastic pipe from the building to the septic tank. A cleanout shall be installed outside the J C J 7 ) N septic tank to the distribution box and infiltrators shall be 4" diameter ASTM D 3034. U) cd r- gall be made after construction. One copy of the as -built drawing shall be delivered to the Garfield County z, c u- u) 0 cz'8E installed by a licensed septic tank installer. w J m .- :e to all horizontal distance requirements as designated by r :alth Department. �O Q N I -5 W nimum distance to foundation Slope 2% min. to drain surface N 1 z o Local Topsoil 1' min. cover 2 o T _._ , N 16.5' E .... Imported Natural Sand vs Percolation rate 15 min. /in. minimum _, 1 sand muo watertable d ///ZZ tzntz t,— `�nrn milky DATE DRAWN Section 10 Apr 1999 � - PP N I � y Scale 1 = 5' f ,��. N ' r SCALE ..um � "fir CI As Shown - ', < Lines to infiltrators I ' Q ® S : l I \I' 4 , Ti .,. 7 I I PROJECT / ( �V L 4L 3513 Distribution Detail Y /.1f t o u c>lf SHEET NUMBER stribution box Scale 1" = 5' O f C M, 1 , sc" • � 06/23/1999. .5:04 9702453251 NICHOLS ASSOCIATES PAGE 01 r Nichols Associates, Inc. Professional Engineering and Surveying 751 Horizon Court, Suite 102, Grand Junction, CO 81506 970- 245 - 7101 `l 970 - 245 - 3251 Date: August 23,1999 Number of Pages: 2 To: Garfield County Recipient Fax: 970 - 945.7786 Attn: Mark Bean Bldg. & Planning From: Laura Bray Nichols Associates, Inc. Re: Certificate of Oocupanoy for Larry Dardynski Memo: ThIs letter is notice that Inspection of the designed Septic system Is complete and certificate of occupanoy Is requested. 00/23/]999 3.5:04 9702453251 NICHOLS ASSOCIATES PAGE 02 j X 4/1/4iirlin \` ": Environmental Health Garfield County Health Department Glenwood Springs, CO 23 Aug 1999 Subject: Larry & Cindy Dardynski Septic System - Silt, Colorado Dear Sirs: I have completed a field inspection of the above referenced individual sewerage disposal system. I found the system to be constructed in accord with the plans and specifications prepared by me. The project Is 100% complete and ready for startup. If you have any questions please call me at 970 - 245 -7101. Regards, P.0. BOX 60010 Terry Nichols 751 HORIZON CT Nichols Associates, Inc. SUITE 102 GRAND JUNCTION �`� COLORADO 81506 cc: Lar Cindy Dardynski TELEPHONE 910 - 2457101 FACSIMILE 910.245.3251