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Ga field County Community Development Department 108 8th 3 reet, Suite 401 Glenwood Springs, 0081601 (970) 945-8212 www.garfield-county.com I NDI VI DUAL SEWAGE DISPOSAL SYSTEM (I SDS) PERM IT APPLICATION TYPEOFODNSTRUCTION New Installation ✓ J Alteration WASTE TYPE Fbpair Dwelling Transient Use thmm/lndustrial Non -Domestic Other Describe INVOLVED PARTIES PropertyOwner: JOHN 5G4-4uMHr4 C14 4 Jet Phone: (4?4 )42 S• ZZ43 Mailing Address: Contractor: Phone: ( ) Mailing Address: Engineer: Phone: ( ) Mailing Address: PRQRT NAM EAND LOCATION ,bb Address: Assessor's Parcel Number:218724,J000 Z e- Jbi4or-s &c J 1sT Lot 24 Block Building or Service Type: gell d Lyt-h R 1 #Bedrooms: 2 Garbage Grinder Distance to Nearest Community Sewer System: 5PveYA 1 wales Was an effort made to connect to the Community Sewer System: NA Type of IS)SS�pticTa Aeration Rant Vault Vault Privy Cbmposting Toilet Fecyding, Fbtable Use Fbcyding Rt Privy Indneration Toilet Chemical Toilet Other Ground (bnditions Depth to 1' Q'ound water table Fbrcent Ground Sope Final Disposal by Absorption trends, Bed or Rt Underground Dispersal Above Ground Dispersal Evapotranspiration Wastewater Fond] Sand Alter Other Water Source & Type ( eIi Soring Sream or Geek astern Cbmmunity Water System Name Effluent Will fluent be discharged directly into waters of the Sate? Yes No CEFM RCA11ON Applicant admowledgesthat the completenessof the application isconditioniFupon 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 conditionsasdeemed 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 and understand the Notice and Certification above as well as have provided the required information which is correct and accurate to the best of my knowledge. Pr perty Owner Print and Sgn Cc I/t 2 - (q Date OFRCJAL UM ONLY medal Conditions: Permit Fee: PO Perk Fee:O D op Total Fees: , 7 �J b (j Fees Paid: Building Permit Soptic Permit: SLT--32.3 Issue Date: Balance Due: BLDG DIV:�. r 6/ 09. APPROVAL DATE my I0- II-I<� N Roth Gl®lral Plastics. Inc. March 2011 RorH-i YOU, IMMO/ MEM !SOUR .YSw6S. SECTION 34310 - POLYETHYLENE SEPTIC SYSTEM TANKS PART 1— GENERAL 1.1 Contf•actor shall furnish and install _ . (Qty) Fralo or equivalent HDPE polyethylene septic tanks plus fittings and fixtures as necessary_ The1 tank shall be ofd �,;J gallons capacity and shall meet all requirements of(,-c.v1,-ci t . As such, the tank shall have ck compartments, 02 24" diameter manhole openings, and riser systein as specified herein. 1.2 Reference: All tanks provided must be certified to and/or listed with both CSA and IAPMO. CSA and UPC (IAPMO) marks must be clearly molded into the tank. In addit on, all state and local regulations and codes shall be followed. 1.3 Standards The ollowing generally recognized testing methods for plastic materials shall apply: 2.1.1 ASTM D 1248 — Standard Specification for Polyethylene Plastics Extrusion Materials for Wire and Cable; 2.1.2 ASTM D 1693 — Standard Test Method for Environmental Stress -Cracking of Ethylene Plastics; 2.1.3 ASTM D638 - Standard Test Method for Tensile Properties of Plastics; 2.1.4 CSA International - B66-00 Prefabricated Septic Tanks and Sewage Holding Tanks; 2.1.5 International Association of Plumbing and Mechanical Officials — IAPMO PS 1- 98 Material and Property Standard for Prefabricated Septic Tanks. 2.1.6 ASTM D790 - Test Methods for Flexural Properties of Unreinforced and Reinforced Plastics and Electrical Insulating Materials 1.4 Locating Services Prior to excavating, contact local underground utility location service to coordinate locat.on and identification of existing underground services. 1.5 Prod ct Delivery, Storage, and Handling A. on arrival, inspect tank, including the interior, for any damage that may have ogcurred during handling or transportation. Remove damaged or rejected materials frbm site. Polyethylene Septic System Tanks 334310 - Roth Gl® al Plastics. Inc. March 2011 B. tore tank on flat surface and secure against movement. C revent damage to tank during setting and connection. 1.6 Project Conditions A. Environmental: Contactor to comply with all federal, state, and local environmental r quirements and setbacks. B. afety: The contractor shall keep the site and excavations in a safe a satisfactory condition during the progress of the work. PART 2— i'RODUCTS 2.1 Material The polyethylene used shall comply with ASTM Standard D1248, Specification for Polyethylene Plastics Molding and Extrusion Materials. Raw materials shall meet or exceed the following: D1248, Class B - requiring ultraviolet stabilizer or D1248, Class C - requiring a minimum 1% carbon black and D638 — Tensile strength of 2,400 pounds or greater D1693 — Environmental stress crack resistance of 150 hours or more D790 — Flexural modulus of elasticity of 85,000 pounds or greater 2.2 Tana Construction A. 411 tanks shall be of monolithic construction and shall be blow molded using high Molecular weight HDPE resin. There shall be no metal parts molded into plolyethylene tanks. Field assembly or modification of tanks is strictly prohibited ith the exception of basic piping systems and risers. all Thickness and Tank Weight Wall thickness of all polyethylene tanks shall be determined by manufacturer's design tib meet performance standards as set forth in Section 3 and shall be a minimum of 0.25 inches. Internal baffles and partitions shall be determined by manufacturer's design to meet performance standards as set forth in Section 3 and shall be a minimum of 0.1875 inches. Bhe tanks shall have a minimum weight to volume ratio of 0.35 pounds per total allon of capacity. This ratio shall be calculated by dividing the net weight of the Polyethylene Septic System Tanks 334310 - 2 Roth Gl© al Plastics. Inc. March 2011 Ro+h YOUR IMVNOMNSMS IS WRRVSA[S. tank only (without lids, risers, compartment walls, t -baffles etc.) by the total capacity et.* tank. Total capacity shall be defined as the volume in gallons of the tank when cbmpletely filled and without airspace. C. dank Pumping All tanks shall have sufficient structural integrity to withstand being pumped dry ithout incurring structural deformation (i.e. rib collapse). ser Connections All risers shall be watertight, available in 6 -inch increments and be able to extend to grade from the maximum burial depth. Riser covers shall be lockable. PART 3 — EXECUTION 3.1 Site reparation A. Obtain required installation permit from local jurisdiction B. Review safety procedures with all employees C. Establish and verify tank location and elevation. Tank should be buried no greater than 36 inches below grade. 3.2 Excavation for Structure A. Establish tank subgrade elevation and over excavate to a minimum of 6 inches below bottom of tank. Excavate to provide 2 feet of horizontal clearance between outer surface of structure and trench wall to allow for proper backfilling. Place a minimum 0 6 inches of well -graded clean stone (minimum 1/8 to 3/4 -inch diameter) or coarse s d over subgrade and rake smooth. B. ere rock is encountered such that the structure would bear on rock, remove the rock to a minimum of 8 inches below the structure and place an 8 -inch cushion of c can stone over the exposed rock. 3.3 Tank Installation A. Identify the inlet and outlet ends of the tank. Inlet and outlet may be located on the did of either side ports (per local code requirements). Identify drill location based on liquid level. Drill the inlet and outlet holes using a 5 -inch diameter hole saw. B. Install manufacturer provided rubber gasket in inlet and outlet ports. Polyethylene Septic System Tanks 334310 - 3 Roth GI® al Plastics. Inc. March 2011 WWI INV C xun .15 OUR SYSp{SS. C. lir stall the inlet and outlet tees. D. Install the required FRALO threaded Septic Access Riser System. E. Lysing the corner lifting holes, lower the tank into the excavation. Level the tank and erify the outlet is lower than the inlet. Install remaining inlet and outlet plumbing. F. Perform required water tightness, plumbing, and/or tank inspections as applicable. 3.4 Fast ping of Fittings Fasting of internal walls or partitions shall be done using a corrosion resistant fastening syst . Under no circumstances shall any fastening system penetrate the tank walls. 3.5 PipeConnections All pene ipe connections shall be watertight. Tanks shall be capable of accommodating pipe rations on each end and on either side where allowed by local Codes. 3.6 Backfilling A. Verify the height of the risers and modify/adjust as required. Mark the riser locations or a drawing using permanent landmark features as reference. A minimum of 2 and preferably 3 ties per riser are recommended. B. Back fill in an alternating method around tank in 6- to 8 -inch lifts. C. Backfill material may be native soils provided soil is free of debris, organic matter, sharp stones, and stones greater than 2 inches in diameter. However, soil must be able to freely flow into corrugations between tank ribs, including midpoint to bell of tint D. Care shall be taken to prevent any disturbance to the structure or newly made joints. 1)he filling of the trench shall be carried on simultaneously on both sides of the tank such a manner that injurious side pressures do not occur such that the tank could be displaced or dislodged. Installer may add a small amount of water (4-6 inches) to the bottom of the tank for stabilization during backfilling, this may be particularly useful in multiple tank and "side by side" installations. E. Do not backfill with muddy or frozen soil. 3.7 Tesl�ng & Structural Strength Testing A. VI olumes, Capacities, Rates & Dimensions Polyethylene S�ptic System Tanks 334310 - 4 Roth G101?al Plastics. Inc. March 2011 YOUR INVAONYWTPIO RWtpU. Any or all of the following methods shall determine all volumes, capacities, rates, and d mensions: 1 Mathematically 2 By actual measurement of the volume of water and/or; 3 By weighing tank before and after filling tank with water B. I/ 1 2 acuum Test Seal the empty tank and apply an internal vacuum of 0.9 inches of mercury per foot of maximum depth of earth cover as recommended by the manufacturer, with such depth a maximum of 36" (note: Fralo tanks may be buried at greater depths upon consultation with Factory) Expose the tank to this vacuum for 30 minutes. The tank shall not be structurally deformed (i.e. rib collapse) after 30 minutes. ater Tightness Test l{emove the vacuum and fill the properly bedded tank with water to the invert of the outlet pipe. Leave the tank full of water for 30 minutes minimum and check for leaks. 3.8 Clea up and Restoration of Site A. Complete backfilling and grade the area such that surface water drains away from tank. B. After the backfill is completed, the contractor shall dispose of all surplus material, dirt and rubbish from the site, and shall keep the site free of mud and dust to the satisfaction of the owner. e fter all work is completed, the contractor shall remove all tools and other luipment, leaving the site free, clean, and in good condition. Polyethylene Septic System Tanks End of Section zr:<./..7/r/T. ,.:/j Gkc l: LCC A7 -9 // 334310 - 5 STATE OF COLORADO Bill Ritter, Jr., Governor( James E Martin, Exec live Director Dedicated to protecting and improving the health and environment of the people of Colorado 4300 Cherry Creek Dr. S. Laboratory Services Division • Denver; Colorado 80248.1530 6100 Lowry Blvd. Phone (303) 692-2000 • Denver, Colorado 80230.6928 - - TDD Line (303) 891.7700 (303) 692-3090 Colorado Department Located in Glendale, toiorado of Public Health http&Mww.cdphe.state co.us andEnvironment October 8, 2008 Mr. Bruce Stowe Technical and Re atory Affairs Manager Roth Global Plasti s, Inc. One General Motirs Drive, P.O. Box 245 Syracuse, NY 1321 1 Re: Request for S tic Tank Approval and Listing Update — Roth Septic Tank Re -Branding Dear Mr. Stowe: The Water Quality Control Division has received information in a July 2, 2008 letter that indicates that Roth Global Plastics purchased a assets of FRALO Plastech Manufacturing. The Water Quality Control Division has reviewed Roth Global Plastics' request to update product approvals provided for the FRALO Septech HDPE septic tanks to reflect their "re -branding" as Roth MultiTank products. As indicated in the July 20° letter, the only change to the FRALO tanks is that the exterior color is black instead of blue and the inner layer will be composed ofNSF6l-listed HMW -HDPE. Th following current (FRALO) listings and the updated (Roth) listings were provided. Current Listing Updated Listing ST -750 RMT -750 ST -1060 RMT -1060 ST -1250 RMT -1250 ST -1500 RMT -1500 The Division will update its records to reflect that the Roth MultiTank products are approved for use in Colorado. Please be advised constitute approval stringent than the r `tat approval by the Water Quality Control Division as meeting design standards does not for use in all 64 -counties of the State of Colorado. Local health regulations may be more quirements of the state Guidelines which were utilized in the review of these products. Please call me at (303) 692-3591 if you have any questions. Sincerely, lOad,e/ Dave Akers, Mann er Clean Water Facili " es Program Water Quality Con Division cc: Local Environ Cental Health Agencies WQCD Engingering Section Unit Managers STATE OF COLORADO Bill Owens, Gave nor Douglas hi. Benev6nto, Executive Director Dedicated to prof ting and improving the health and environment of the people of Colorado 4300 Cherry Creel Dr. S. Denver, Colorado 60246-1530 Phone (303) 692-2000 TDD Line (303) 691-7700 Located in Glendate, Colorado http!/www.cdphe. itate.co.us October 26, 20Q4 Laboratory Services Division 8100 Lowry Blvd. Denver, Colorado 80230-6928 (303) 692-3090 Mr. Mark Jones{ Fralo Plastech Manufacturing One General Motors Drive Syracuse NY 13206 Dear Mr. Jones: Colorado Department of Public Health and Environment The Water Quality Control Division has reviewed the revised drawings for the Erato Plastech Septic Tanks as provided on October 25, 2004. On the basis of this review, the Division is able, at this time, to tate that these designs for the ST750 gallon, ST1060 gallon, ST1250 gallon, and ST 1500 gallontanks are consistent with the requirements of the State Board of Health Guidelines On Individual Sewage Disposal Systems with the following conditions. All tanks furnished to the State of Colorado will have 4" inlet and outlet tees as integral part of the tank and the liquid transfer from the first compartment to the second or successive compartments shall be made at a liquid depth of a least 14" below the outlet invert, but not in the sludge. Please be advised that approval by the Water Quality Control Division as meeting design standards does not assure acceptability within all 64 -counties of the State of Colorado. Local health authorities are empowered to promulgate, adopt, and enforce local regulations that are more stringent t Ian the Guidelines, which were utilized in the review of this product. Sincerely, 81, 44-- R. Kent Koster Environmental Pr.tection Specialist Water Quality Co trol Division (303) 692-3574 Orenco° j' 4 -inch (100 -mm) Biotube® Effluent Filters Biotube® filter — cartridge Biotube® filter — vault • Extendable tee handle Vented top plate, standard Biotubes Flow modulation plate (optional) q Vault • . Inlet holes Applications Branco® 4 -inch Biotube® Effluent Filters are designed to remove solids from effluent leaving residential septic tanks. They can be used in new and existing tanks at flows of up to 1200 gpd. General Orenco 4 -inch Biotube Effluent Filters (U.S. Patents No.4,439,323 and 5,492,635) are used to improve the quality of effluent exiting a septic tank in a residential septic system. Increased effluent quality improves system performance and extends drainfield life. The Biotube cartridge fits tightly in the vault and is removable for maintenance. The tee handle can be extended for easy removal of the cartridge. Standard Models FTS0444-36, FTS0444-36M, FTW0436-28, FTWO436-28M FTW0444-36, FTW0444-36M Product Code Diagram FT 9_ O4 - - TI Flow modulator and float switch bracket options: Blank = no options selected M = flow modulation plate Installed A = float switch bracket installed Cartridge height, in. (mml: 28 = 28 (711), standard 36 = 36 (914), standard Filter housing height, in. (mm): 36 = 36 (914), standard 44 = 44 (1118), standard 4 -in. (100 -mm) filter diameter Ou et tee: W = fits Type 3034 outlet tee 5 = fits Schedule 40 outlet tee Filter mesh option: Blank = Ye -in. (3 -mm) filler mesh P = AAs -in. (1.6 -mm) litter mesh Biolubec effluent filler Materials of Construction Vault PVC Biotube® cartridge Handle components Polypropylene and polyethylene PVC, polyethylene, stainless steel areneo Systems• Inc., 8 4 Airway Ave., Suthetltn, OR 97479 USA • 800-348-9843 • 541.459.4449 • www.orenco.com RTD.FT-FTs-1 Rev. 1.3, O 03A4 Page 1 of 2 Orenco°� Air vent (on optional flow modulation plate) I , _)_• Discharge orifice (on optional flow modulation plate) c3; •. A B C r Specifications V It D -►I Model FTS0444-36 / FTS0444-36M FTWO436-28 / FTW0436-28M FTW0444-36 / FTW0944-36M A - Vault height, in. (mm) 44.00 (1118) 36.00 (9141 B - Cartridge height, in. lmm) 36.00 (915) 28.00 (710) C - Inlet hole height,* in. (�nm) 21.25 (540) 19.25 (489) D - Nominal diameter, in. mm) 4.00 (100) 4.00 (100) Number of inlet holes 8 8 Inlet hole diameter, in. (mr'n) 1.13 (29) 1.13 (29) Number of discharge orifices 1 or 2' 1 or 2' Discharge orifice diameter, in. (mm) 4.00 or 0.25(100 or 6)1 4.00 or 0.25 (100 or 61t Discharge coupling diamifter, in. (mm) 4.00 (100) 4.00 (100) Number of air vents 1 1 Air vent diameter, flow mddulation plate, in. (mm) 0.50 (13) 0.50 (13) Filter surface area,' ft1 (m 1 5.1 (0.50) 3.9 (0.40) Flow area,** ft' (m') 1.5 (0.15) 1.2 (0.12) * Inlet hole height can vary deending on the configuration of the tank. Optimum hole height is 70% of the minimum liquid level. t Available on optional flow modulation plate. t Alter area is defined as the oral surface area of all individual Biotubes® within the filter cartridge. ** Row area is defined as the total open area (or area of the mesh openings) of all the individual Biotubes within the filter cartridge. N10 -FT -FTs -1 Rev.1.3.®00114 Pa0o2 of fence Systems• inc., 814 Airway Ave., Sutherlln, OR 97479 USA • 800-348-9843 • 541-4594449 • www.orenco.com Resid a ntial Biotube® Effluent Filters Applications Our patented* 4 -inch Inlet Filters, and Biotul a lifetime warranty. Th improving wastewater 4 -inch (100 -mm) Bi 100 -mm) Biotube Effluent Filters, Biatube Jr., Biotube Base e Insert Filters are ideal for residential septic tanks and have y prevent large solids from leaving the tank, dramatically quality and extending the life of residential drainfields, be Effluent Filter -Inch (100 -mm) Biotube Jr. (4 -Inch Biotube cartridge avail- able separately as Insert Filter) 8 -inch (200 -mm) Base Inlet Filter 4 -inch (100 -mm) Insert Filter Orenco's superior eftlue t filters resist clogging better than all other brands. Our standard, full-sized 4 -inch (100-m,n) Biotube Effluent Filter provides maximum long-term protection in a complete package, with nousing. Our 4 -inch (100 -mm) Biotube Jr., at half the size of our stan- dard model, has more fit ening capacity than the full-sized filters sold by other manufacturers. For low -profile tanks, there's the Base Inlet Filter. And for tanks with existing outlet tees, the Biotube Insert Filter is ideal. • Covered by patent numbers 492635 and 4,439,323 To Order Call your nearest Orenco Systems®, Inc. Distributor. For nearest Distributor, call Orenco at 800-348-9843, or visit www.orenco,com and click on "Where to Buy." Standard Features & Benefits • Has 5-10 times more flow area than other brands, so lasts many times longer between cleanings, increasing homeowner satisfaction • Installs in minutes inside new or exist- ing tanks; extendible tee handle for easy removal • Easy to clean by simply hosing off whenever the tank needs pumping • Removes about two thirds of suspended solids, on average, extending drainfield life • Corrosion -proof con- struction, to ensure long life • Lifetime warranty Optional Features & Benefits • Alarm available, to signal the need for cleaning • Flow modulating discharge orifices available to limit flow rate leaving tank, mitigating surges and increasing retention time • Custom and commercial sizes available Biotube Filtering Process Effluent from the relatively clear zone of the septic tank, between the scum and sludge layers, horizontally enters the Biotube Effluent Filter. Effluent then enters the annular space between the housing and the Biotubes, utilizing the Biotubes' entire surface for filtering. Particles larger than the Biotube's mesh are pre- vented from leaving the tank. Orencoe Orenco Systems0, Incorporated APS -R-1 Rev. 3.5 011113 Page 1 Orenco Systems• Inc. , 814 Almay Ave., Sutherlln, OR 97479 USA 888.349-9843 • 541-459-4449 • www.orenco.cam Orencoe Nomenclatures 4 -inch (100 -mm) Bio ube Filter (standard) FT El 04❑ -❑-0 Residential Biotube® Effluent Filters Flea modulator and Goal switch bracket options: Blank = no options selected M = (low modulation plate Installed A = float snatch bracket Installed G. 'doe height, in. bong: 28 = 28 (711), standard 36 = 36 (914),standard Filter housing kieight, In, (mai. 36=36(91 ,standard 44 = 44(1118). standard 4 -ii (100-mml 0fler diameter Outlet tee: W = fits Type 3034 outlet lee = fits Schedule 40 ou I fee Fitter mesh option: Blank = (3-mm)filermesh P = 'Gain.(1.6-mm)Rat mesh Bletube° effluent utter 8 -inch (200 -mm) Bio ube Filter (base inlet model) FT ❑ 22-14Bn Float witch bracket and overllow plate options Blank = no options selected A = Ileal switch elbow installed FM/ = overflow pale installed Base inlet model Ca hidge ieight, In. (none: 14 = 14(35M, standard Filler hawks heig I. in. (mm): 22 = 22 (558), shmdard Filter diameter, In. (mm): 08 = 8 (200) 12 = 12(300) Filter mem option: Blank = 'A -n. (3 -mm) Idler moyh P = 'As -in. (1.6 -mint filer nesh Blotube• effluent litter 4 -inch (100 -mm) Bio FTJELl0418❑ ube Jr. (includes cartridge and housing) Fllowmodulator and float switch bracket ap'.ions: Elan no r{tiane selected M = flow modulallon plate installed A = float switch backer Installed 18 -in. (457 ml cartridge sleight 4-I (100 -mm) tier diameter Out el to W = f6 Type 3034 t tee = tits Smeale 40 outlet tee mesh her mesh filter mesh option: Blank = 'fain. (3 -mm) Ilk P = Me -in. O.6 -mm) Amin series Blolube° efuell lifter 4 -inch (100 -mm) 4 -inch (100 -mm) Biotube Effluent Filter Biotube Jr. Extendible PVC handle Stainless steel set screws Vented top plate Biotube* filter cartridge /Solid base Filter housing Tank wall Riser wall 4 -inch (100 -mm) Biotube Filter Insert (cartridge only) FT 00418 -0 - —lc customized epuens (e.g., TIC indicates North Carolina regions) IW = fits Type 3034 outlet lee S = fits Schedule 40 outlet lee Carta ge height (Inches) Filte theme r inches) Bla k = 1/8" iltretion P = 1/16 filtration Insert Bioluhe effluent filter series APS -FT -1 Rev. 3.5 0 11 /13 Page 2 Orenco Systems° Inc. , 814 Airway Ave., Sutherlin, OR 97479 USA 800-343-9543 • 541-459.4449 • www.orenco.com