HomeMy WebLinkAboutApplication.pdf, cG> Garfodd County , "'1 ~ , '~. I~ommunlty Development Department "" 1\-, f ('0/• lOS S"' Street, Suite 401 N Glenwood Springs, CO S1601 DV 0 6 2013 (970) 945-8212 r ,~~ r-i::d:;
COUI rwww.garfield-county.com uNiT { DE1.if=! OFtl11 rv)lml' CONSTRUCTION INDIVIDUAL SEWAGE DISPOSAL SYSTEM (1505) PERMIT APPLICATION M" New Installation 10 Alteration 1 o Repair WASTE
iliYPE ,-o Dwelling 1 I!1f Transient Use 1 0 Comm/lndustrial 10 Non-Domestic o Other Describe INVOLVED PARTIES Property Owner: 7'1. • oM + (' iLrvt. I "'" lnv-., Phone: (~70 ) /,-, /Mailing
Address: '3b I cR,~ n S i~ CO "ZStb5.7 '/.".,1 Contractor: 6. I..2!:l e,t= Phone: ( j 20) G::> ( l) ':J "1)1 ::.J... Mailing Address: -:::z,~ I Engineer: 'lj b ..... Nt ri'....s LLI1
I It'l!, ~ Phone: ( j 112 ) q J.j 5 5 .."2.. S-2 Mailing Address: q ::2 ~ ~c>D €J A U e 5-n... 2.0 I GI .. d1,.M"rl .(). r; c/:>. ftlb6\ PROJECT NAME AND LOCATION Job Address: '-.l f?\
I ~ I "~ r 1-<' a Y\ (' I,., Assessor's Parcel Number/Sub. Lot j Block ...J!L. Building or Service Type: -{'Il.f!_J/I /""OfYif!.YI ~r l flSl#"B,,e5d rooms: -Garbage Grinder 1:1t> 7 Distance
to Nearest Community Sewer System: Was an effort made to con~ct to the Community Sewer System: no TypeoflSDS Ii" Septic Tank 10 Aeration Plant 10 Vault 1 0 Vault Privy 1 0 Composting
Toilet o Recycling. potable Use o Recycling 1 0 Pit PrIvy .1 0 Indneratlon Toilet o Chemical Toilet I!I Other M ~ lJ..na ~ \/::;, ~I Ground Conditions Dep~to 1st Ground water table t.;
F~ I I Percent Ground Slope C2 Final Disposal by I!iI' Absorption trench, Bed or PIt 10 Underground Dispersal 1 0 Above Ground Dispersal o Evapotranspiration o Wastewater Pond 1 0 Sand
Filter o ~er Water Source & Type Ill" Well 10 Spring I [] Stream or Creek 1 0 Ostern o Community Water System Name Effluent Will Effluent be discharged directly Into waters of the State?
o Yes IlI'No
Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test 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 legal action for perjury as provided by law. I hereby acknowledge that I have read an understand the Notice and Certification above as well as have provided
the required informatio ect and accurate to the best of my knowledge. 11/4.//3 Property Owner Print and Sign Building Permit 8a~nceD~ O. BLDGDIV: ~~~~~~~~~ _____________________________
__ h"'<;'I~ Ii> I fbt-I< S 8J.Ll ~ -I J 1/I1../C..., DATE
c:G" Garfield County Community Development Department 108 8th Street, Suite 401 Glenwood Springs, CO 81601 (970) 945-8212 www.garfield-county.com SEWAGE DISPOSAL PERMIT CHECKLIST INDIVIDUAL
SEWAGE DISPOSAL SYSTEM (1505) APPLICATION CHECKLIST Permit applications can be obtained and submitted to the Garfield County Community Development Department at 108 8th Street, Suite
401, Glenwood Springs, Colorado. See below for additional information. All applications are required to be submitted in person. PERMIT APPLICATION & SUBMITTAL REQUIREMENTS: • Complete
application. • 1 Copy of a Site Plan that includes well, all streams, irrigation ditches, and any water courses. Draw in your house, septic tank & system, detached garages, and driveway.
If a change of location is necessary, you must submit a corrected drawing. • Engineered System will need copy of perk rate and design for our records prior to final inspection. FEES.
FEES ARE NOT REFUNDABLE Make Check payable to: "Garfield County Treasurer" • Septic Permitfor a New installation ......................... .. .. ......................... $73.00 • Septic
Permitfor alteration and/or repair ...................... . .................... .... $73.00 • Septic Perk test .......................................................................
....... $1 00.00 ATTACHMENTS • Percolation Test Instructions • Recommended minimum requirements for Individual Sewage Disposal System (ISDS). FINAL INSPECTION • When all components are
in place, connected and ready to cover, request a final inspection by the County Inspector. • DO NOT backfill any part of the system prior to the inspection. • The initial fee covers
the percolation test and one (1) inspection before cover up. Any additional percolation test will be charged at $100.00 each and additional inspections will be charged at $50.00 each.
• Upon final approval, carefully cover the entire system. • Engineered Systems are inspected by the Engineer prior to backfill. A final sealed letter by the Engineer is required to be
submitted to Garfield County. (Applicant's Copy)
, 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 3 PERCOLATION HOLES ARE
DUG FOUR FEET DEEP, AT LEAST 20 FEET APART, IN A TRIANGLE SHAPE. THE PERCOLATION TEST IS DONE IN THE BOTIOM ONE(1) FOOT OF THE HOLE. ttl Post Hole 1'!\')·· Ii\ p~-I J I I I J I I I~q~liil-II
-\lJ,......~~-rrt. L~!:l.· . __v Backhoe Hole ~' 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 3 feet
deep, with 2 steps or a ramp. Put a test hole 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 8 HOURS BEFORE THE TEST AND ALLOWED
TO STAND. More water will be needed to perform the percolation test, so AT LEAST 5 GALLONS OF WATER PER HOLE SHOULD BE ON HAND WHEN THE TEST IS PERFORMED. AN 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 dug to provide observation of the soil profile
of the area of the soil absorption system. The hole shall be prepared at least 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 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 5 minutes per inch or slower than 60 minutes per inch require engineered system andl or Board of Health approval. (Applicant's
Copy)
• RECOMMENDED MINIMUM REOUIREMENTS FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS OSDS) Before construction is started, the Inspector must be contacled for approval and detailed information
concerning the proposed disposal system is needed. Higher standards than those which follow may be required in individual cases to assure attainment of the objective. Those objectives
are to locate, construct and maintain individual sewage disposal systems in such a manner that existing or contemplated water supplies will not become contaminated and so that sewage
will not overflow the ground surface and resuH in a nuisance or health hazard. LIQUID CAPACITY OF TANK (GALLONS) (Provide for use of garbage grinder, automatic clothes washer and other
water using household appliances). Number of Bedrooms Recommended Minimum Tank Caoacitv 20r less 750 gallons 3 or Jess 1,000 gallons 4 or less I 1 ,250 gallons For each additional bedroom,
add I 250 gallons Dwelling on less than two acres, areas of high water tables, or areas with a percolation test rate faster than l ' in 5 minutes must have altemative sewage facilities,
i.e., central collection, holding tanks, individual treatment, etc. EXEMPTION: Absorption areas may be allowed with percolation rates faster than one (1) inch in five (5) minutes provided
the soil is a sandy texture and no water table problems are encountered. An Engineer is required. Slopes greater than 30% also require an Engineered System. 1. Maximum Ienoth of drainaoe
line: 1 100 linear feet 2. Minimum width of drainaoe trench: 118 inches 3. Minimum spacino between trenches or pipes: I 6 feet 4. Maximum grade of drainage system: As level as possible
5. Minimum depth rock under drain PVC: 6' under PVC, 2' over PVC 6. Minimum depth of cover over distribution i nes: 12 inches 7. Maximum depth of cover over distribution i nes: Variable
8. Minimum grade of house sewer. 1/8 to Yo' per 6near ft. 9. Minimum distance of sewaae disoosal system from dwellina: 20 feet 10. Minimum distance of septic tank from dwelling: 5 feet
11. Minimum distance of leaching area to a well: 100 feet 12. Minimum distance of septic tank to a well: 50 feet 13. Minimum distance of leaching area to a stream of water course: 50
feet 14. Minimum distance from septic tank and disposal field to property lines: 10 feelfor drywell 10 feet for leach field. 15. Minimum sewer pipe and distribution pipe: 4 inch diameter
• Septic tank construction should be of concrete, concrete block or of a material that wil resist deterioration and which can be made reasonable watertight. • Acceptable drain field
pipe materials include plastic, terra cotta or concrete. If the house sewer line is longer than 10 feet between house and septic tank, a clean-cut Y should_be installed outside as near
as practical to the house. • Septic tanks should be inspected once a year and cleaned when necessary. Cleaning is recommended when space between the scum accumulation and sludge residue
on the tank bottom is less than eighteen (18) inches. The Department recommends pumping a septic tank once every four (4) years, when a yearly inspection by the owner is not practical.
(Applicant's Copy)