HomeMy WebLinkAboutApplication.pdfGarfield County Building & Planning Department 108 8th Street Suite 401 Glenwood Springs, CO 81601· Phone: (970)945-8212 Fax: (970)384·3470 Permit NO. SEPT -11-12-2711 Permit Type: Septic
Pennlt Worl< Classification: New Permit Status: Active Issue Date: 11/30/2012 Expires: 05/30/2013 Project Address 4470 CR 100 RD CARBONDALE, CO Owner Information Brad Chaffee Contractor!s)
Proposed Construction I Details Newseplic FEES DUE Fee Septic Fee -New Total: Friday, November 30, 2012 Parcel No. Subdivision 239130200003 Address 1231 Elk springs DR CO Phone Primary
Contractor Valuation: Total Sq Feet: FEES PAID $ 0.00 o Section Township Range Phone Cell (970)948-9730 Required Inspections: ,,, '"p,,"o", ,,", 1 (888)868-5306 Inspection IVR See Permit
Record Amount Inv Total Pay type Amt Paid Amt Due $73.00 $73.00 Inv # SEPT-11·12-22203 $ 73.00 Check # 12180 $73.00 $ 0.00 Building Department Copy I
I 2 4 lOS 8''' Street, Suite 401, Glenwood Springs, CO 8160/Ph:970·945·82 I 2 Fx:970·384·3440 Inspection Line:888·868·5306 www.garfield-county.com SEPTIC PERMIT APPLICATION Parcel N:
: 1~S information is available at the assessors j ce 970-945-9134) I Lot Size: Lot No: Siock No: 21,: ( · 'Joc. -(')000 Job y~dress: (if an address has not been a~ please ptovide CR.
HWY Of Street Name & City) or and legal description Y?-O (',Y""r \C Q (/leo (' /h'Z/.y:;>vO~ Ph: \ Subd./Exemption: Ait Ph: r;;r (propeffyow(i 1/;1 f, -~ Mailing Address /l/JO Ii r,~c;
17.3/~7..K 5'(t2 -$ t S Ott.. 1'7'0 -1 v,l -7 TC D '12r2 -921'1'99'7 5 Contractor: Mailing Address Ph: All Ph: 6 Engineer: Mailing Address Ph: Ait Ph: 7 PERMIT REQUEST FOR: f ) New Installation
( ) Alteration ( ) Repair 8 WASTE TYPE: ITo7telling ( )Transient Use ( )Commercial or industrial ( )Non· Domestic wastes )Other -Oescribe 9 BUILDING OR SERVICE TYPE: #' Number of bedrooms
Vy Garbage Grinder ( )Yes ( )No to SOURCE & TYPE OF WATER SUPPLY: ,. ( )WELL ~PRING ( )STREAM OR CREEK ( )CISTERN If supplied by COMMUNITY WATER, give name of supplier: II DISTANCE TO
NEAREST COMMUNITY SEWER SYSTEM: v JV t<-,w l»-' ,'-' Was an effort made to connect to the Community System? ,1/n YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH
OUT A SITE PLAN 12 GROUND CONDITIONS: Depth to 1" Ground Water Table Percent Ground Slope t3 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (IS OS) PROPOSED: 1 )SePtic Tank ( )Aeration Planl
( )Vault ( )Vault Privy ( )Composting Tc;let )Recyciing, Polable Use ()Recyciing, olher use ()Pit Privy ( )Incineration T oilel ( )Chemical Toilet i iOther. Describe 14 FINAL DISPOSAL
BY: ( )Absorplion trench, Sed or Pit ( )Underground Dispersal ( )Above Ground Dispersal ( )Evapolranspiralion ( )Sand filter ( )Waslewater pond ( )Other· Describe 15 Will effluent be
discharged direcUy into waters of the state? ( )YES 1flNO 16 PERCOLATION TEST RESULT: (to be compoted by Registered Proress",,,' Engineer, ~ the Engineer does the Percolation Test) Minutes
per inch in hole No.1 Minules per inch in hole No.3 Minutes per inch in hole No.2 Minutes per inch in hoie No._ Name, address & telephone of RPE who made soil absorption tesl: Name,
address & lelephone of RPE responsible for design of the system: 17 Applicanl acknowledges Ihallhe completeness of the applicalion is conditional upon such further mandatory and addilional
tesl and reports as may be required by the local health department to be made and furnished by the applicanl or by the local health departmenl for purposed of Ihe evaluation of the application;
and the issuance of Ihe permit is subject 10 such terms and conditions as deemed necessary to insure compliance wilh rules and regula lions made, information and reports submitied herewilh
and required 10 be submitied by Ihe applicant are or will be represenled 10 be true and correello Ihe besl of my knowledge and belief and are designed to be relied on by Ihe local department
of health in evaluating the same for purposes of issuing Ihe permil applied for herein. I further undersland Ihal any falsification or misrepresenlalion may result in the denial of Ihe
application or revocalion of any permit granted based upon said applicalion and legal acl~ pe ~aJJ ov!ded by law. .... //Z //-30 -(2-OWNERS SI6flATUR i" DATE STAFF USE ONLY Permit Fee:~
Perk Fce: Total fees: ~ Fees Paid: i59 Balance due: "7'? ,,--.-b-'1? ;.-'77, --~ Building Permit: S3;:1-:it:~ 7 LJ Issuili~ /' ~ Building & P!I~at: M..4q.-. /1.1..7 Ud;;r APPROVAL DATE
PERCOLATION TEST INSTRUCTIONS • The successful operation of your septic system depends on the rate the soil in which your leach field will be installed will accept water. • THIS IS CRITICAL
If instructions are not followed completely, technician may not do the perk test and you will be charge a $50.00 fee for 2nd visit. • The rate of absorption is called the percolation
rate and it determines the size of the leach field needed for a particular flow of sewage and in some cases even determines the feasibility of the installation of a septic tank and leach
field system. • PERCOLATION TEST MUST BE DONE AT THE GROUND DEPTH WHERE ABSORPTION WILL TAKE PLACE. STANDARD LEACH FIELDS ARE INSTALLED THREE FEET DEEP, SO THE PERCOLATION HOLES ARE
DUG FOUR FEET DEEP, AT LEAST 20 FEET APART, IN A TRIANGLE SHAPE. THE PERCOLATION TEST IS DONE IN THE BOTTOM ONE (1) FOOT OF THE HOLE. Post Hole Backhoe Hole '6'in.u --:-/,\~p-Jt---~I
(O~J ~\ A posthole digger, auger or backhoe can be used to dig the percolation test holes. If a back hoe is used, dig the backhoe hole three (3) feet deep, with 2 steps or a ramp. Put
a test hole one (1) foot deep and 8 to 12 inches in diameter in the bottom. Installation of absorption areas (i.e. drywells) deeper than three (3) feet require the permission of the
Environmental Health Department. All dry wells shall be designed by an Engineer registered in the state of Colorado. Saturation with water will affect the percolation rate, and since
the system will be expected to operate when the soil is saturated with water, THE LOWER TEST HOLE MUST BE FILLED WITH WATER AT LEAST EIGHT (8) HOURS BEFORE THE TEST AND ALLOWED TO STAND.
More water will be needed to perform the percolation test, so AT LEAST FIVE (S) GALLONS OF WATER PER HOLE SHOULD BE ON HAND WHEN THE TEST IS PERFORMED. AN EIGHT (8) FOOT PROFILE HOLE
IN THE LEACH FIELD AREA IS REQUIRED BY THE STATE OF COLORADO TO DETERMINE THE PROXIMITY OF GROUND WATER AND BEDROCK. (One soil profile hole shall be drilled or dug to provide observation
of the soil profile of the area of the soil absorption system. The hole shall be prepared at least eight (8) feet deep. The hole may be terminated when ground water or bedrock is encountered.
The hole shall be prepared in such a way as to provide identification of the soil profile four (4) feet below the bottom of the soil absorption system.) If ground water is found in any
perk or profile hole, an engineered systems is required. Percolation rates faster than five (5) minutes per inch or slower than sixty (60) minutes per inch require engineered system
andl or Board of Health approval.
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