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Home My WebLink About4197, GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name~ V\ V\ \ t\. 0 R US" S J System Location Q {/;:z SYSTEM DESIGN _____ Septic Tank Capacity (gallon) ______ ,Other _____ Percolation Rate (minutes/inch) Number of Bedrooms (or other) ____ _ Required Absorption Area· See Attached Special Setback Requirements: FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation ' 11 • (' ,., Permit t • I Assessor's Pa rcel No. 'C.t-3'll -d-9 3 oc;-o 1~ This does not constitute a building or use permit. Other _________________ ~---------------~~--------- Date ______________ Inspector-----------------...------------ RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs, alters, or installs an individual seWage disposal system in a manner which involves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine -6 months in jail or both). White· APPLICANT Yellow· DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER /?tiS5 P.F.v,JJ,.JO ADDRESS 0333 .B/4-cJ~ .15£A'L -rte .,m~~PHONE 963-3918' CONTRACTOR J3t:JFerL ('o_._,y-;- PHONE 329-IJoo PERMIT REQUEST FOR ( ~W INSTALLATION ( ) ALTERATION ( ) REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test hole s, soil profiles in test hole s (See page 4). LOCATION OF PROPOSED FACILITY: Near what City ofTown. __ _,C. ... 'C4=/-'~=c&.=--c.-""-\e .... __________ Size of Lot 3, 7 Y AOZC) Legal Des cription or Addres s 6 II Z ~ N.N 4 c(;: ;::: WASTES TYPE: ( ) DWELLING ( ) COMMERCIAL OR INDUSTRIAL COv, ..,_ r / lPT r '1 ( ) TRANSIENTUSE S~vl;~ ( ) NON-DOMESTIC WASTES ~~~~ ( )OTHER -DESCruBE ______________________________ ___ BUILDING OR SERVICE TYPE: S,dJf /c ;Zi&Jr-1? t"'tt .-12£S;o;; _.7+-L I Number of Bedrooms __ 9.r___ __________ Number of Persons _____ _ ( 0 Garbage Grinder ( vf""Automatic Was h er SOURCE AND TYPE OF WATER SUPPLY: (t.1"-WELL If supp lied by Community Water, give name of supplier: ( v) Dishwas her ( ) SPRING DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Pov-<- ( ) STREAM OR CREEK ______________ Was an effort made to connect to the Community System? ------'-N~O ____________ _ A site plan is required to be submitted that indicates the following MINIMUM distances: Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System (septic tank & disposal field) to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS: Depth to first Ground Water Table ________________________ _ Percent Ground Slope ____________________________ _ 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: c4 SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET( ) OTHER-DESCRIBE FINAL DISPOSAL BY: c/J ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER-DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ___ _ PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes. _____ .per inch in hole No. 1 Minutes _____ ---J!er inch in hole No. 3 Minutes. _____ per inch in hole No. 2 Minutes per inch in hole No. Name, address and telephone ofRPE who made soil absorption tests:~------------- Name, addres<s and telephone ofRPE responsible for design of the system: _ _,r;-u.,?"t-~.,s=_,c;"' • .._~J_,_,'=c_.,c.._~ S-t:;-e r' C.. ---r //1-1 P £ T z_ Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests 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 in legal action for perjury as provided by law. Signed ~ ~ Date b-S'-o(, --~--~----- PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 05/08/2005 14:39 30321527% PETZ PAGE 07 -ENG-\ N &;:t R \ /\) 6 3 EVIl C. --:vE~ lT 06/08/2006 14:39 April 26, 2005 Don Barr 3032152796 1'0 .. :1144 ~$prlogi,COIItOJ PU7MtUOU .... J0$.21W'IIe 22 Crown Mountain Drive Basalt, CO 81621 PETZ Onsite Wastewater System Design, Proposed 4-Bedroom Residence Lot 17, Stirling Ranch Garfield County, Colorado Don, PAGE 01 Project No. 1071 ALL SERVICE septic, LLC prepared an onsite wastewater system (OWS) design for the subject residence. The property is located in a rural residential area where OWS and wells are necessary. HP Geotech prepared the Subsoil study dated December 4, 2003, and is included in the Appendix. SITE CONDITIONS The site is vacant and has moderate slopes to the northwest. A 4-bedroom residence is proposed. Vegetation consists of juniper and pinon trees with sagebrush. A site plan is included as Figure I. SUBSURFACE The subsurface was investigated by HP Geotech on December 2nd 2003 by excavating a test pit, and three percolation holes, near the proposed drain field location as shown on Figure I. HP Geotech indicated the test pit at the site ha.~ a 6·inch topsoil layer, underlain sandy silty clay to 2.5 feet, underlain by silty gravelly sand with scattered basalt cobbles to the maximum deptb explored of 9 feet. Groundwater or bedrock was not encountered. Percolation rates ranged from 11 to 30 minutes per inch (MPI). The average percolation rate of24 MPI will be used to design the OWS. DESIGN SPECIFICATIONS The OWS design is based on 4-bedrooms and an average sewage load of 600 GPD. Ihe installation must include a 1250-gallon, two-compartment, precast concrete septic tank, with an eftluent filter on the outlet. Tank alternatives may be considered. Three gravelless chamber trenches must be installed as indicated on plans provided. Three rows of IS 'Quick 4' chambers, for a total of 45 chambers, and 444.1 ~~quare feet (SF) of infiltrative area, is required. If standard thambers are preferred, 30 ehambers are required. We should be notified If this option is taken. Serial distribution should be used to distribute etlluent. A shallow installation is preferred due to the presence of large basalt 05/08/2005 14:39 3032152795 PETZ PAGE 02 OWSDesign Project No. 1071 4/26/05 Page2 boulders at a depth of 2.5 feet. If a boulder is encountered during construction, the boulder should be removed, and concrete sand or onsite sandy soils should placed in void. The sand should be adequately compacted to minimize settling. Construction must be according to the county ISDS regulatiollli, the septic permit provided by Garfield County Environmental Health Department, and this design. OPERATION INFORMATION AND MAINTENANCE The surface of the drain field should be seeded upon completion. Vegetation is an important factor in drain field performance. Oeo~fabrics or plastics should not be used over the drain field. Livestock should not graze on the drain field. Plumbing fixtures should be checked to ensure that no additional water is being discharged to OWS. For Example, a running toilet or leaky faucet can discharge hundreds of gallons of water a day and harm a drain field. The homeowner should pump the septic tank every two years and clean the effluent filter as needed. Garbage disposal use should be minimized, and non-biodegradable materials should not be placed into the OWS. Grease should not be placed in household drains. Loading from a water softener should not be discharged into the OWS. No hazardous wastes should be directed into the OWS. Mechanical room drains should not discharge into the OWS. The OWS is engineered for domestic wasteouly. ADDITIONAL CONSTRUCTION NOTES If applicable, air release valves and weep holes should be installed to allow pumping systems to drain and minimize risk of freezing. Extensions should be placed on all septic tank components to allow access to them from existing grade. Precast concrete tanks and distribution boxes should be used, unless plastic or fiberglass is required. Access to all tank compartments and distribution devices is optimal. INSTALLATION OBSERVATIONS ALL SERVICE septic, LLC, and the county must view the OWS during construction. The OWS observation should be performed before backfill, after placement of chambers and distribution pipes. Septic tanks, distribution devices, pumps, dosing siphons, and other plumbing, as applicable, must also be observed. ALL SERVICE septic, LLC should be notified 48 hours in advance to observe the illlitallation. LIMITS: The design is based on information submitted. If soil conditions encountered are different from conditions described in report, ALL SERVICE septic, LLC should be notified. All OWS construction must be according to the county regulatiollli. Requirements not specified in this report must follow county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulatio!lli ofthe county in which they are working. 06/08/2006 14:39 3032162796 Please call with questions. Sincerely, ~_2~nf Timothy R. Petz 3 copies PETZ PAGE 03 OWSDesign Project No. 1071 4/26/05 Page3