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HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N'' 3 816 109 9th Street Suite 303 Glenwood Springs, Colorado 81801 Phone (303) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Assessor's Parcel No. This does not constitute a building or use permit. (Tuner's Name Lel 6fr.� `ajar I(/O(yS/t�� Present Address e2811 t t 4. Ave 4�-fit ��phh"one 1 aJ Dr System Location 015b a^r "',�l 5 �l�i.J (..iii 37 i rrf' 'ea "' eilavd Legal Description of Assessor's Parcel No ! ala 1 «333 — 00 - 36 / SYSTEM DESIGN Septic Tank Capacity (gallon) Other Percolation Rate (minuteslinch) Number of Bedrooms (or other) Required Absorption Area - See Attached Special Setback Requirements: Date Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installa System Installer Septic Tank Capacity Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface Absorption Area Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regul(at• ns/requiremen/nttss Other n#41114! JT) (l Z ' c- Q _)u_ i Tz ii) "/LC Date , *CONDITIONS: In RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 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). , `relbw - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER 6'2,4:4 ,Ey/34 ADDRESS O2J cvFsr ice, itEtt 00- PHONE aa.r=oVet- 6/r v3'.z CONTRACTOR /nine°. .(,C C ADDRESS con- Thq#JoeAnt. (leSitCO - PHONE 3 79 - 7trn, -F7b- 71fl PERMIT REQUEST FOR p0 NEW 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 holes, soil profiles in test holes (See page 4). LOCATION OF PROPOSED FACILITY: !� Near what City of Town Ir IFL £, (r/� o/ o. Size of Lot /0 x•23 66° iv 66o Legal Description or Address Sccrio,. 33, Aor 39./2,64 e do - (t /&5 Coo`j WASTES TYPE: kr)DWELLING( ) TRANSIENT USE 1 ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: r -e i ` ri Number of Bedrooms Number of Persons 9 ( ) Garbage Grinder (V) Automatic Washer (X) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (j() WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to the Community System? 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 %` o S Percent Ground Slope (— c) % T TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (O 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: ( ) ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION (4 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 (2(0 per inch in hole No. 1 Minutes C) per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in hole No. Name, address and telephone of RPE who made soil absorption tests: rck. Name, address and telephone of RPE responsible for design of the system: . rfro'f e ch . Tinc 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 �/r Date \r"-1-0•3 PLEAS `: ` ' W AN/kCCURAIfE MAP TO YOUR PROPERTY!! HEPWORTH-PAWLAK GEOTECHNICAL, INC. TABLE 2 PERCOLATION TEST RESULTS 1 JOB NcI 103 205 HOLE NO. HOLE DEPTH (INCHES) LENGTH OF INTERVAL (MIN) WATER DEPTH AT START OF INTERVAL (INCHES) WATER DEPTH AT END OF INTERVAL (INCHES) DROP IN WATER LEVEL (INCHES) A PER (M RAGE LATION ATE ./INCH) P-1 39 15 15 1/2 14 1/2 1 26 14 1/2 14 1/2 14 13 1/4 3/4 13 1/4 12 3/4 1/2 123/4 121/4 1/2 12 1(4 111/2 3/4 111(2 11 1/2 P-2 34 15 13 3(4 13 1/4 1/2 60 13 1/4 13 1/4 13 12 3/4 1/4 . 12 3/4 12 1/2 1/4 121/2 121/4 1(4 121/4 12 1/4 12 11 3/4 1/4 P-3 33 15 14 12 3/4 1 1/4 123/4 111/4 11/2 11 1/4 9 3/4 1 1/2 9 3/4 8 3/4 1 8 3/4 8 3/4 8 7 1/4 3/4 7 1/4 6 1/2 3/4 Note: Percolation test holes had been dug and soaked by the client prior to o testing. Percolation tests were conducted on March 24, 2003. The average percol on rates were based on the last three readings of each test. Froom Paul Drumm To: AWySchwaler FACSIMILE COVER PAGE Date: 2118104 Time: 4:r06 PM Page 1 of 3 • To : Andy Schwaller Sent : 2/18/04 at 4:01:50 PM Subject From : Paul Currier Pages : 3 (including Cover) Andy. Following is my inspection letter for the Leyba residence ISDS (Lot 38, Antlers Orchard Subdivision, Garfield County). Any questions, please feel free to call. Thanks! - Paul WATER RESOURCE CONSULTANTS, LLC RE., JVED -PA 2004 ..OUNTY PLANNING From Paul Curler To Andy Schealer Date: 2/18/04 Tune: 4:02:06 PM Page 2 of 3 WATER RESOURCE CONSULTANTS, LLC February 18, 2004 Matt Bjlson 28 Panoramic Drive Sift, CO 81652 RE: Lebya Residence, Lot 38, Antlers Orchard, Garfield County, Colo. ISDS Inspection Matt: I inspected the layout and construction of the ISDS for the above residence on July 22, 2003. The absorption field and septic tank and appurtenances were installed in accordance with the plans dated July 11, 2003. Photos of the installation are attached. Should you have any questions, please do not hesitate to contact me. Sincerely, WATER RESOURCE CONSULTANTS, LLC Fpo r 'f ! • 11 24753j 1/140'.' Q; ! h S/ON/AL '+ '11 Paul C. Currier, P.E. PCC/pcc cc: Andy Schwaller via Fax to 384-3470 and U.S. Mail /301-1 0 ISDS Foal Inspection 244 Hutton Ave., Rifle, CO 81650 PH / Fax (970) 625-5433 pcumerrbwn. net From Paul Curler To: Andy ScMxaler Date: 2/18/04 Time: 4:02:06 PM Page 3 of 3 Leyba Residence Lot 18, Antlers Orchard Subdivision. Garfield County Photographs of ISDS Installation Photo 1 Overview of Leyba ISDS system, looking southwest, July 22, 2003 Photo 2 Absorption field layout, July 22, 2003 vLncw rm.w'scat Can,l:unta, LLC 4.4‘. WATER RESOURCE CONSULTANTS, LLC Emmil TRANSMITTAL TO: Matt Bilson -1 J(el FROM: Paul Currier, R.E. DATE: July 11, 2003 RE: Leyba Residence - Individual Septic Disposal System Design (1806) File: Sot - isos Transmittal t 7.u-03.doc / Matt: Enclosed for your use are three signed and stamped copies of the ISDS design for the Leyba residence. The original copy of the application (3 pages) and one copy of the drawing will need to be submitted to Garfield County. To comply with County requirements, the County likes to have the design engineer inspect the system before it is backfilled. Please call me when Dan gets close this point. Any questions, please feel free to call. Usually the best number is 618-3213. Thanks, WATER RESOURCE CONSULTANTS, LLC Paul C. Currier, P.E. 244 Hutton Ave., Rifle, CO 81650 PH / Fax (970) 625-5433 pcunier©bwn.net t 2 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER ADDRESS Carlos Leyba, 2819 West Ave, Rifle, CO 81650 PHONE c/o Water Resource Consultant, LLC - (970) 625-5433 CONTRACTOR ADDRESS Go Matt Bilson, 28 Panoramic Circle, Silt, CO 81652 PHONE (970) 876-0755 PERMIT REQUEST FOR: (x) NEW 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 holes, soil profiles in test holes (See page 4). LOCATION OF PROPOSED FACILITY: Near what City or Town Rifle Size of Lot 10 Acres Legal Description or Address Lot 39, Antlers Orchard Subd. WASTES TYPE: (x) Dwelling () Non -Domestic Wastes () Transient Use ( ) Commercial Or Industrial () Other: Describe: BUILDING OR SERVICE TYPE: Number of Bedrooms Four (4) Number of Persons (x) Garbage Grinder (x) Automatic Washer (x) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (x) WELL () SPRING () STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to the Community System? () Yes ( ) No N/A 3 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 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: 45 Ft. Table Percent Ground Slope: 1-2% Typ. TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (x) 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: (x) 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? NO PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes 26 per inch in hole No. 1 Minutes 20 per inch in hole No. 3 Minutes 60 per inch in hole No. 2 Minutes per inch in hole No. 4 AVERAGE = 35 MIN/INCH. RPE WHO MADE SOIL ABSORPTION TESTS: Name: HP Geotech, Inc. - Jordy Adamson P.E. # 29707 Address: 5020 CR 154, Glenwood Springs, CO 81601 Telephone: (970) 945-7988 RPE RESPONSIBLE FOR DESIGN OF THE SYSTEM: Name: Water Resource Consultant, LLC - Paul C. Currier, P.E. # 24753 Address: 244 Hutton Ave., Rifle, CO 81650 Telephone: (970) 625-5433 4 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 saki application and in legal action for perjury as provided by law. skt• REOSt1 t' ' 24753 i �: 'moi /, a� `�i�b`o3; �_ ,) fgSi ....... • PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! Signed: Date: 10 -Jul -2003 0 0 J LOT 26 CINDY'S W#Y n RESIDENCE 91 ABSORPTION FIELD LOT 39 ABSORPTION FIELD CANNOT BE CLOSER THAN 100' TO WELL / ii .(7 / SWELL N. T.S. 1 Physical Data No. of Bedrooms No. of people/bedroom Total no. of people LOT 42 APPROXIMATE SITE PLAN ISDS Calculations Per Capita Waste Water Gallons of effluent / person / day Waste water from Reverse Osmosis, Idtchen sink i» Waste water from Reverse Osmosis, bathrooms Rt Ave. Daily Flow / person, gal/day Design flow = peak daily flow = 1.5.* Ave. Daily Flow, gal / day Design Flows and Volumes Design flow for absorption field, gal / day Tank - size for min. of 30 hours retention: —> use 1500 gal tank ISDS Calculations Physical Data No. of Bedrooms No. of people/bedroom Total no. of people Per Capita Waste Water Gallons of effluent / person / day Waste water from Reverse Osmosis, kitchen sink (1) Waste water from Reverse Osmosis, bathrooms al Ave. Daily Flow / person, gal/day Design flow = peak daily flow = 1.5 • Ave. Daily Flow, gal 1 day Qesicn Flows and Volumes Design flow for absorption field, gal / day Tank - size for min. of 30 hours retention: —> use 1500 gal tank Percolation Data Teat Hole 1, minfinch Test Hole 2, min/inch Test Hole 3, min/inch Ave., minrinch Sat Profile at Location of Absorption Field 0.0 - 0.5 feet Topsoil 4.5 feet Water table encountered 0.5-7.0 feet Clay and silt Absorption Field Utilize gravelless bed with Infiltrators ; reduce total area required by 40% Area = Q/5 `(t)60.5 = 1200 / 5 • (35.3 min / in)"0.5 , SF less 40% reduction TOTAL REQ'D AREA OF ABSORPTION FIELD: Use infiltrator chambers, 6.25' x 2.83' = 17.7 sf each No. required: Use 8 rows of 6 (23' wide x 38' long) or other configuration to obtain equal square footage Design Notes (1) Based on State of Colo. ISDS regulations, point of use of 4.4 gpc/d with a product to waste stream ratio of 1:2 (33%) (2) Based on State of Colo. ISDS regulations, point of use of 8.4 gpc/d with a product to waste stream ratio of 1:2 (33%) v 1 a e 1 W ;43 Gp zm •m pg=�n A �nO 845 §2pon a" LU I %XI 1 no, W- OG_ O V) -w U Z 00 J — • '4C --I O 0 C as aw ea a $ k S gl 5 c E 0 5 s a § _ i it 8617 oas Es- a of F c c la b t E % 3 og E t o tA VS. 41 in e t 28 o ii odd Sr C - r • ao4 o is Ii mat .1 1 P $ $§_ Q e� C 8 4t } U m al"1 1:011 lila ;DT g rZ Sga =Eg 'o 0 0 c 9979997QpQQpa EEa �g-�a p�E aw.m= casg'a Iv ^_. Flag'"..YR m Ig o i 9= f n `i i2 o x gymm ' O m C Q N O imitG 06;41 N o t {{U Se-oioni ga�cS 8,eogCX$if ° Elkg-Ofy g i g! C g C T.. g t W c i E m 'a.2tSttt.g a • s• st8ag 8abs avE U ami Eel • =1E111111N1 o ESEEEEEE E 222222222 2 L �S7IS Egw o ON OF ST PITS RESIDENCE 4"0 PVC SEWER LINE SLOPE MIN. 1/4" FOOT TO TANK 1500 GAL . TWO COMPARTMENT SEPTIC TANK 4"0 PVC SEWER LINE. SLOPE MIN. 1/8" PER. FOOT TO TANK. IF PUMP IS REQUIRED, SLOPE PIPES MIN. 1/8" PER FOOT i BACK TOWARDS TANK TO DRAIN. 4" PVC MANIFOLD, TEE WITH 4x4x2 INCH FITTINGS TO DISTRIBUTION LINES. PROVIDE CLEANOUTS AT ALL BEND AND AT CENTER OF MANIFOLD. ABSORPTION FIELD 48 INFILTRATOR CHAMBERS; PLACE IN 8 ROWS OF 6 EACH (8 WIDE x 6 LONG) SCHEMATIC OF LAYOUT s WATER RESOURCE CONSULTANTS, LLC Rifle, CO 81650 1 (970) 625-5433 INDIVIDUAL SEWAGE' DISPOSAL SYSTEM DATE : JULY 11, 2003 FILE : 301-1.0 DWG : 301-1.0 ISDS DESIGN BY : PCC 1 OF 1 CHKD : PCC REV: 0 AIkik WATErt RESOURCE CONSULTANTS, LLC 20044 "' F�br>Ji3ry' iBJ04 Matt Bil 28 P ramic Drive SCO 81652 RE: Lebya Residence, Lot 38, Antlers Orchard, Garfield County, Cob. ISDS Inspection Matt I inspected the layout and construction of the ISDS for the above residence on July 22, 2003. The absorption field and septic tank and appurtenances were installed in accordance with the plans dated July 11, 2003. Photos of the installation are attached. Should you have any questions, please do not hesitate to contact me. Sincerely, WATER RESOURCE CONSULTANTS, LLC PQo REO/S�t) O_.� -•• •uR �nt . i G 4753 ?;�;11t I" �; 1 FS-•••••••.•N�`? i; ON AL Paul C. &mer, P.E. PCC/pcc cc: Andy Schwaller via Fax to 3843470 and U.S. Mail / 301-1.0 ISDS Final Inspection 244 Hutton Ave., Rifle, CO 81650 PH / Fax (970) 625-5433 pcunien bwn.net Leyba Residence Lot 18, •Antlers Orchard Subdivision, Garfield County Photographs of ISDS Installation Photo 1 Overview of Leyba ISDS system, looking southwest, July 22, 2003 Photo 2 Absorption field layout, July 22, 2003 WATER RESOURCE CONSULTANTS. LLC