HomeMy WebLinkAboutApplication.pdfCommunity Development Department
108 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945 -8212
www.earfield- countv.com
TYPE OF CONSTRUCTION
II New Installation
WASTE TYPE
❑
Dwelling f 0 Transient Use
❑ Other Describe
INDIVIDUAL SEWAGE
DISPOSAL SYSTEM
(ISDS)
PERMIT APPLICATION
❑ Alteration
❑ Repair
i Comm /Industrial
0 Non - Domestic
INVOLVED PARTIES
Phone: ( 303
Property Owner: Black Diamond Minerals
) • 7 322;
Mailing Address: 1600 Stout St. Suite 1710 Denver, CO 80202
Contractor: CUDD - snubbing
unit - loll and gas operations) Phone: ( )
Mailing Address:
Engineer: Anthony Savre(Memorlal
Resources) Phone: ( 304 ) 532 -0899
Mailing Address: 1301 McKiney St Suite 2100 Houston TX 77010
-
PROJECT NAME AND LOCATION
Job Address: Tepehe Park Ranch - Pad 36 (15-7S-114W)
Assessor's Parcel Number:
Building or Service Type:
Distance to Nearest Community
Was an effort made to
#245306100005 Sub. mineral srvy (20590) Lot Block
work trailers (4) nedrooms: 8 Garbage Grinder no
Sewer System:
connect to the Community
>2 Miles
Sewer
System: N/A
Type of ISDS
D Septic Tank 0 Aeration
Plant j Vault
0 Recycling F 0 Pit
Cl Vault Privy 1 0 Composting Toilet
0 Recycling, Potable Use
Privy l 0 Incineration Toilet
system - skid mounted (2 unitsi
0 Chemical Toilet
• Other
Portable septic
Ground Conditions
Depth to 1" (Ground water table
unknown Percent
Ground
Slope 2ct
Final Disposal by
0 Absorption trench, Bed
or Pit
0 Wastewater
0 Underground
Pond 1
Dispersal
0 Above Ground Dispersal
0 Evapotranspiration 1
0 Sand Filter
• Other Hauled off by contractojjynited services - Rifle. COi
Water Source & Type
0 Well 0 Spring
• Community Water System
' 0 Stream or Creek 0 Cistern
Name
Water Provided by United Services (Rifle. Co)
Effluent
Will Effluent be discharged directly into waters of the State? D Yes • No
,;aEf iFiir font
Applicant acknowledges that the completeness o t e app cat on con . tiona upon suc er
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 purposedpof the evaluation
of the applkatlon; and the issuance of the pemilt 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, 1
further understand that any falsification or misrepresentation may result In the denial of the
as provided or revocation of any permit granted based upon said application and legal action for perjury
I hereby acknowledge that I have read and understand the Notice and Certification above as will as
have provided the required information which Is correct and accurate to the bast of my knowledge.
:7-/ % f4/
Date
000-ICIAL`U8_EaOiVul4Y _
Spedei Conditions:
Permit Fee:
1.3
Perk Fee:
enh3.
Total fees:
-
Feu Paid:
1-3, /
e t Idkni Permit Septic Permit:
-- c\Z,\E1)1-311,
Issue Date:
Da.ii-i
Went* Cue:
BWG CiVi .t - '`"`1 2-)1-14
AP ROV LATE
5P I',.19
Um- 133.-
GENERAL PERMIT CONDITIONS
DOMESTIC WASTEWATER
VAULT SYSTEMS
AUTHORIZATION TO UTILIZE A VAULT SYSTEM UNDER THE GARFIELD COUNTY BOARD OF
HEALTH "INDIVIDUAL SEWAGE DISPOSAL SYSTEMS REGULATIONS"
The Garfield County Board of Health "Individual Sewage Disposal Systems Regulations" adopted in 1994
pursuant to current guidelines of the state board and adopted in compliance with Section 25 -10- 104(2), (3), and
(4) C.R.S., shall govern all aspects of permits, performance, location, construction, alteration, installation, and
use of individual sewage disposal systems of less than 2,000 gallon per day design capacity.
This permit specifically authorizes the entity(s) listed on page 1 of this document to install and utilize a vault
system, as of the effective dates stated on page 1, in accordance with permit requirements and conditions set
forth in part 1 hereof. Any vault system installation authorized herein shall be consistent with the terms and
conditions of the permit.
SEPTIC PERMIT NUMBER SEPT -2 -14 -3112
WELL SITE LOCATIONS (APD #) Teppe Park Ranch- Pad 36
OPERATORS NAME Black Diamond Minerals (Jamey Brumley)
A. GENERAL:
Vaulted wastewater systems are not permitted in Garfield County for any facility that will generate 2000
gallons or more of wastewater per day. A vault system as permitted by Garfield County is allowed only
for limited use occupancy with a cumulative usage period of less than one year and for occupancy of 24
or less people, only on property which cannot accommodate a sewage treatment system. Vault
systems are allowed on oil and gas well pads due to the limited development time frames and limitation
of on site disturbance set by the Colorado Oil and Gas Conservation Commission, the United States
Forest Service and the Bureau of Land Management.
A vault, as permitted by the local board of health, shall have a minimum 1000 gallon effective capacity.
B. TERMS AND CONDITIONS
1. Minimum, horizontal distances from the various components of a system to pertinent terrain
features, including streams, lakes, water courses, springs, wells, subsoil drains, cisterns, water
lines, suction lines, gulches, dwellings, other occupied buildings and property lines, shall be in
accordance with the following "Table of Minimum Horizontal Distances ".
2. No vault system shall be installed in a floodway.
3. When a system is installed in a 100 -year floodplain then the system shall meet or exceed the
requirements of the National Flood Insurance Program. The system as approved by the Garfield
County Building Official or his/her designated agent shall be designed to minimize or eliminate
infiltration of floodwaters into the system, and discharge of the system into the floodwaters.
4. Only tanks that have been certified by the Colorado Department of Public Health and
Environment shall be used for a vaulted system.
5. All tanks shall be installed in accordance with the manufacturer's specifications.
6. Watertight vaults shall not allow infiltration of groundwater or surface water and shall not
permit the accidental or intentional discharge release of wastewater or liquids to the ground
surface or to waters of the state.
7. Vaults shall not have an outlet unless designed to flow to another tank in series for the purpose
of increasing holding capacity. Such outlets shall be water tight.
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8. Tanks shall be so constructed and installed as to withstand earth and hydrostatic pressures when
filled and when empty.
9. In locations where groundwater may cause instability problems to the vault due to flotation, the
tank shall be anchored in a sufficient manner in order to provide stability when the tank is
empty. The method of anchoring must be approved by the Garfield County Building Official or
his/her designated agent prior to installation. The local authority may require the design of the
anchoring system to be prepared by a Registered Professional Engineer.
10. Each vault unit shall be equipped with an access manhole located to permit periodic physical
inspection and maintenance of all the tank and removal of the waste contents.
11. Components shall be so designed and constructed that when installed in accordance with
manufacturer's recommendations, they shall be capable of being easily maintained, sampled,
drained, pumped, inspected and cleaned.
12. The surface of the ground over the vault system must be restricted to activity or use which will
allow the system to function as designed and which will not contribute to compaction of the soil
or to structural loading detrimental to the capability of the vault to function as designed.
13. All metal surfaces shall be properly coated to prevent corrosion.
14. Plumbing fixtures, grease traps, building sewers, vents, sewer lines and other appurtenances
shall be designed, operated and maintained so as to comply with the minimum requirements of
the International Plumbing Code.
15. All wastewater lines used in individual sewage disposal systems shall be constructed of
compatible pipe, bonding agent, and fittings.
16. Where plastic pipe and fittings are used, the minimum wall thickness of the pipe shall conform
to ASTM Standard D 3034, or equivalent.
17. All electrical work, equipment, and material shall comply with the requirements of the National
Electrical Code.
18. A signal device shall be installed to indicate when pumping is necessary.
19. The permittee shall provide for maintenance and cleaning of the vault system through a legal
contract with a company experienced in the removal, proper handling, transport and proper
disposal of the vault contents.
20. Disposal of waste materials removed from a vault system in the process of maintenance or
cleaning shall be accomplished at a site approved by Garfield County in a manner which does
not create a hazard to the public health, a nuisance or an undue risk of pollution and which
complies with state and local rules and regulations.
21. When the use of a vault system is terminated or the vault system is relocated, the contents of a
vault shall be properly removed and disposed of and the emptied vault shall be filled with soil
or rock, or the Garfield County Building Official may allow the vault to be reused, removed and
disposed of properly.
C. RECORDS
The Permittee shall establish and maintain records. All records shall be maintained a public records and
be made available to Garfield County or other third party upon request. Required records shall include,
but not be limited to, the following:
• A copy of the permitees's current legal contract for removal of vault waste.
• A copy of this permit.
• The dates, location, and time of pumping tank contents;
• The individual(s) and company that performed tank pumping;
• The volume of waste removed from the tank;
• The location of disposal including a receipt from the receiving facility;
• Any system repair or maintenance performed including the reason for said repair or maintenance.
D. CERTIFICATION OF AN APPROVED VAULT SYSTEM INSTALLATION
The Permittee shall inform the Garfield County Building Official in writing of any intent to construct,
install, or alter any vault system, no greater than 48 hours after construction, and shall furnish the
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Garfield County Building Depaitinent such plans and specifications to evaluate compliance with the
Garfield County ISDS Regulations.
E. REMOVED SUBSTANCES
Solids, sludge's, or other pollutants removed in the course of vault maintenance shall be removed and
disposed of in a manner such as to prevent any of this material from discharging to the ground surface
or from entering waters of the State. For all domestic wastewater treatment works, the Permittee shall
dispose of sludge in accordance with State (Regulation No. 64) and Federal (Section 405(d) of the Act)
regulations. The Permittee shall take all reasonable steps to minimize or prevent any discharge or
sludge use or disposal in violation of this permit that has a reasonable likehood of adversely affecting
the public health or environment. Permittee shall maintain a copy of a service contract and any
pumping and disposal records from the approved contracted systems cleaner and submit such
information when requested by the local regulatory authority.
F. PERMIT VIOLATIONS
Failure to comply with any terms and/or conditions of this permit shall be a violation of this permit.
The surface discharge of any pollutant identified in this permit in a manner other than is authorized in
this permit shall constitute a violation of the permit. Permit violations will be subject to enforcement
provisions as outlined in Section IV.H, IV.I and IV.N of the Garfield County Board of Health
"Individual Sewage Disposal Systems Regulations ". Violations of the permit are the sole responsibility
of the Permittee.
G. ACCESS TO THE SITE
For the purpose of inspection and enforcing applicable rules, regulations, terms and conditions of any
permit issued, the Garfield County Building Official or his/her designated agent is authorized to enter
upon private property at reasonable times and upon reasonable notice for the purpose of determining
whether or not operating sewage treatment systems are functioning in compliance with this permit.
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