HomeMy WebLinkAboutApplication.pdfREC
MAY
Gar.field County
GARFIELD ~ffiq\l\hity Development Department
)MMUNITY OEVELOPM~R~ 8th Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
TYPE OF CONSTRUCTION
INDIVIDUAL SEWAGE
DISPOSAL SYSTEM
{ISDS)
PERMIT APPLICATION
D New In st allatio n I D Altera tio n I ..lD Repair
WASTE TYPE
l,lO, Dwelling I D Tr ans ie nt Use I D Co m m/Indu strial I D No n-Domestic
D Other Desc ribe
Property Owner: Q... -Phone : {-~-__....__.~ _ __.::;__.__,__ .....
Mailing Address: (2]] ~ C fL. c2d. T-~ ~ C 0
Contractor: :I5 ,.. \=1v.....M.. I M Phone: ,_._.~-..110&&...L_-LJJ.-'-'"""----
Mailing Address: I [31 yo..'tll'O A-0 Au i3
Engineer: -~-+--~---------------Phone :{ ___ --------
Mailing Address:-------------------------------
PROJECT NAME AND LOCATION
Job Address: _.._;i;:::.!::::!:.:l(:!..!::..~-~~-~~u.¥.J~~=-:::::....i'------------------l
Assessor's Parcel Number: _______ Sub . _________ Lot ___ Block
Building or Service Type: #Bedrooms: ____ Garbage Grinder _
Di stance to Nearest Community Sewer System: __.lf-~lt'"-':4-'-------.,------------
Was an effort made to connect to t he Community Sewer System: --'J""""lJ .... __________ _
Type of ISDS Septic Tank D Ae ration Pl a nt D Va ult D Va ult Pr ivy D Compost ing Toilet
D Recycling, Potable Use D Recycl ing D Pit Privy D Incineration Toilet
D Chemical Toil e t D Other _______________ _
Ground Conditions De pth t o 1' Gro und wat e r t a bl e ____ _ Perce nt Gro un d Slo pe ------
Final Di sposal by Absor ption trench, Be d o r Pit D Underg round Dispersal D Ab ove Ground Disp ersa l
D Wastewate r Pond D Sa nd Filter
Water Source & Type Well D Spring D Stream o r Creek D Ci st e rn
D Co mmunity Wate r Syst e m Na me-----------------
Effluent Will Efflu e nt be discha rge d d irectly into waters of the State? D Yes No
CERTIFICATION
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 condit ions as deemed
nece ss ary to insure compliance with rules and regulation s 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 de si gned 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 ba sed upon said application and legal action for perjury
as provided by law.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
vided the required inf rm tion which is correct and accurate to the best of my knowledge.
·u 0-~7 -11
Date
OFFICIAL USE ONLY
Special Conditions:
Total Fees: ~esPaid :00 ..::P / .-
Issue Date:
Garfield County
Community Development Department
108 81
h Street, Suite 401
Glenwood Springs, CO 81601
(970) 945-8212
www.garfield-county.com
SEWAGE DISPOSAL PERMIT CHECKLIST
INDIVIDUAL SEWAGE
DISPOSAL SYSTEM
{ISDS)
APPLICATION CHECKLIST
Permit applications can be obtained and submitted to the Garfield County Community
Development Department at 108 ath 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 Permit for a New installation ...................................................... $73.00
• Septic Permit for alteration and/or repair ............................................... $73.00
• Septic Perk test .............................................................................. $100.00
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.
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 2"d 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 PERGOLA TION TEST IS DONE IN THE BOTTOM
ONE (1) FOOT OF THE HOLE .
Post Hole
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Backhoe Hole
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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
requ ire 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 prov ide 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
and/ or Board of Health approval.
(Applicant's Copy)
RECOMMENDED MINIMUM REQUIREMENTS FOR
INDIVIDUAL SEWAGE DISPOSAL SYS TEMS llSDS)
Before construction is sta rt ed, the Inspector must be contacted for approva l and deta il ed information concerning the proposed
disposal system is needed . Higher standards tha n those wh ich follow may be requi red in individua l cases to assu re attainment of
the objective. Those objectives are to locate, construct and maintain individua l sewage disposal systems in such a manner that
existing or contemplated water supplies will not become con taminated and so that sewage wi ll not overflow the ground surface
and resu lt in a nuisance or health hazard.
LIQUID CAPACITY OF TAN K (GALLONS)
(Provide for use of garbage grinde r, automatic clothes washer and other water using household appliances).
Num ber of Bed rooms Reco mm ended Minimu m Tank Caoa citv
2 or less 750 gallons
3 or less 1,000 gal lons -4 or less i 1,250 aa llons i
For each additiona l bedroom, add I 250 aallons I
Dwelling on less than two acres, areas of high water tables , or areas with a percolation test rate faste r than 1" in 5 mi nutes must
have alternative sewage facilities, i.e., centra l co ll ection, holding tanks , individual treatment, etc .
EXEMP TI ON: Absorp tion areas may be allowed with percolation rates faster than one (1) inch in five (5) min utes provided the
soi l is a sa ndy textu re and no wa ter tab le prob lems are enco untered . An Engineer is requ ired.
Slopes grea ter than 30% also require an Enginee red System .
1. Ma ximum lenath of drainaae li ne : I 100 linear feet
2. Minimum width of dra inaae trench : I 18 in ches
3. Minimum spacina between trenches or pipes : i 6 feet
-
4. Maximum arade of drainaae svstem: I As l~vel a~ossi bl_e ______
5. Minimum depth rock unde r drain PVC: I 6" under PVC, 2" over PVC
6. Minimum depth of cover over distribution lines: I 12 inc hes
7. Maximum depth of cover over distribution lines : I Variab le
8. Minimum arade of ho use sewer: I 1 /8 to Y." per linear ft .
9. Minimum distance of sewaae disposa l svstem from dwe lli na : l 20 feet
10. Minimum distance of septic tank from dwelling : I 5 feet
11 . Minimum distance of leaching area to a well : I 100 feet
12. Minimum distance of seotic tank to a we ll : i 50 feet
13 . Minimum distance of leachina area to a stream of water course: I 50 feet
14. Minimum dis tance from septic tank and disposa l field to property lines : 110 feet for drywell
i 10 feet for leach field .
15 . Minimum sewer pipe and distribution pioe : I 4 inch diameter
• Septic tank construction should be of concrete , co ncrete block or of a materia l that will resist deterioration and which
can be made reasonab le watertight.
• Acceptab le drain fie ld pipe mate ria ls include plast ic, te rracotta or concrete. If the house sewer line is longer than 10
feet between house and septic tank, a clean-out Y should_be installed outside as near as practica l to the house .
• Septic tanks shou ld be inspe cted on ce a year and cleaned when necessary . Cleaning is recommended when sp ac e
between th e scum accum ulation and sludge res idue 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 owne r is
no t practical.
(App li cant's Copy)
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Garfield County
BUILDING PLAN SUBMITTAL
X New Application
D Revisions Requested by Plans Examiner
D Information/Corrections requested by Inspector
D Revisions to approved plans . Building Permit#: _______ _
Contact Information
Job Addres s: -'-""""'--L----'----=---""""'""""""""--=;;;_____.____;_ __________ _
Phone: _,___,____,,,.:::....________.,,~--+--_,____(?""---7.L..-CJ_~ ______ _
Cell: ---------------------------
E -ma i I: S'Q Y\cte e.. -Ji 4 bf@ il1S 11 .-C-OYYJ
Permit Number (if applicable):-------------------