HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401 4 6 5 3
Glenwood Springs, Colorado 81601 Permit
Phone (970) 945-8212 Assessor's Parcel No.
?V 1173.7: uses (o4°1
INDIVIDUAL SEWAGE DISPOSAL PERMIT
C r CRI ;-
PROPERTY ��AA��,,��'' —7 lJ �{-l{,-,,,�
Owner'sNameaQAN&b j j 1 � resent Address \ 1b?1 N1/41 f32 -
This does not constitute
a building or use permit.
System Location 1 I 53 Y )2 I CA-CQil'3 � (_
ry I, 5z1 CO. Qy
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
Phone 6?1P J' 2
Septic Tank Capacity (gallon) Other
Percolation Rate (minutes/inch) 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 Installation
System Installer
Septic Tank Capacity %%� �p
Septic Tank Manufacturer or Trade Name g -/,Lt -
Septic Tank Access within 8" of surface
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other
Date /o / —o Inspector % 0e✓4 2. " 1-. G .
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 9����� l�
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. Connection 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 1, Petty Offense ($500.00 fine - 6 months in jail or both).
White - APPLICANT Yellow - DEPARTMENT
GARFIELD COUNTY SEPTIC PERMIT APPLICATION
108 8'h Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003
www. aarfield-county. com
0eNcl1 t?11' LI SA•y
Parcel No: (this information is available at the assessors office 970945-9134) Z^
I �'eCitp (I3
2
Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description
}`1353 FtW`1 F5`. CA-0Q00DA-LC Co 2'16a3
3
Lot No: Block No: Subd.l Exemption:
Lot Size:) 3 2 x 0
Issue Date:
, t
CO L�
4
Owner: (properly owner)
'{'oaDr
5 602 -Pc -NG=
Mailing Address
1`1353 4h,.+.1 Bit C'+jypri-E 610_3
Ph:
C)633 alWi..
Alt Ph:
311.39o°
5
C ntractor. + e w•,va {r,.,,
Pvwk,vP w.A- Tit, c w
MailingAddress �-cw�v�a.�+.l <-
Ph:
Alt Ph:
6
Engineer.
ilv" Pc 1---t1'ga
Mailing Address
Gtr nw.✓t S
Ph:303 Llb`2-)qL
Alt Ph:
7
PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration (Repair
8
WASTE TYPE: (4 -"welling ( )Transient Use ( )Commercial or industrial )Non- Domestic wastes
Describe
( )Other —
TYPE: Sir ,...- tzun' Hwvk-.
9
BUILDING OR SERVICE 5
Number of bedrooms 3s- J Garbage Grinder (i'fes ( )No
10
SOURCE & TYPE OF WATER SUPPLY: (I- ELL ( )SPRING ( )STREAM OR CREEK ( )CISTERN
If supplied by COMMUNITY WATER give name of supplier:
SYSTEM: ....3rr ipe i -c1'-'
11
DISTANCE TO NEAREST COMMUNITY SEWER
a
Was an effort made to connect to the Community System?
YOUR
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN
12
GROUND CONDITIONS:
Percent Ground Slope
a
Depth tot Ground Water Table
13
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PDS) PROPOSED: Toilet
(pticTank ( )Aeration Plant ( )Vault ( )Vault Privy )Composting
( )Recycling, Potable Use ( )Recycling, other use ( )Pit Privy ( )Incineration Toilet ( )Chemical Toilet
Describe
14
( )Other-
FINAL DISPOSAL BY:Sand filter
( )Absorption trench, Bed or Pit ( )Underground Dispersal ( )Above Ground Dispersal ( )Evapotranspiration ( )
( )Wastewater pond ( )Other- Describe
15
Will effluent be discharged directly into waters of the state? ( )YES (»R
16
PERCOLATION TEST RESULT: (to be completed by_Registered Professional Engineer, it the Engineer does the Percolation Test)
a .i°
inch in hole No.1 Minutes per inch in hole No.3
Minutes per
inch in hole No.2 Minutes per inch in hole No.__
Minutes per
test:
Name, address & telephone of RPE who made soil absorption
the "1 1 M Y� .I t 303) R..' 6 ,,,, 2i q C.
Name, address & telephone of RPE responsible for design of system:
by
17
Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test and reports as may be required
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 legal action for nury as provided by law. b , 4— o'i
OWNERS SIGNATURE r DATE
0eNcl1 t?11' LI SA•y
Permit Fee:
Perk Fee:
Total fees:
Building Permit #:
IA
Septic
G--
Permit (#:
( (1
Issue Date:
, t
CO L�
o9
g�(&Planning Dept:
'\ ) 2
CCI
AL
DATE
ATM
PO Box 2844
Se 1p c ; Glenwood Springs,C0 81602
SECE PFax303-h970-672768.5033
.2796
June 23, 2009
Todd Grange
17353 Highway 82
Carbondale, CO 81623
Installation Observations
17353 Highway 82
Garfield County, Colorado
Project No. 1608
RECIVEJ)
JUL 0 2 2009
GARFIELD COUNTY
BUILDING & PLANNING
Todd,
ALL SERVICE septic, LLC performed an installation observation on June 18th 2009 for the subject
property.
The installation included the existing 1250 -gallon, two-compartment concrete septic tank followed by
a gravelless chamber drain field. An effluent filter was recommended in the septic tank, although the
owner and installer have opted not to install the effluent filter. The drain field consisted of 51 `Quick -
4' chambers for a total of 504 SF of infiltrative area. A distribution box was installed to distribute
effluent.
The OWS was generally installed according to specifications. This observation is not a guarantee of
workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes
are made to the OWS.
LIMITS:
The observations were based on information submitted. If conditions are different from conditions
described in this letter, ALL SERVICE septic, LLC should be notified. All additional OWS
construction must be according to the county regulations. The installer should have documented and
demonstrated knowledge of the requirements and regulations of the county in which they are
working.
Please call with questions.
Sincerely,
ALL SERVICE septic, LLC
Timothy R. Petz
2 copies sent
Copy sent to Garfield County
x
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May 28, 2009
PO Box 2844
Glenwood Springs, C0 81602
Ph 970618.5033
Fax 303-216-2796
Todd Grange
17353 Highway 82
Carbondale, CO 81623
Project No. 1608
Subsurface Investigation and Repair Onsite Wastewater System Design, 3 -Bedroom Residence
17353 Highway 82
Garfield County, Colorado
Todd,
ALL SERVICE septic, LLC performed a subsurface investigation and an onsite wastewater system
(OWS) design for the subject residence. The property is located outside of Carbondale, in an area
where OWS and wells are necessary.
SITE CONDITIONS
A 3 -bedroom residence exists at the subject property and is utilizing an OWS that is experiencing
problems. There is an existing septic tank that will be incorporated into the repair OWS design, and
the existing drain field may be utilized in the future, although must be allowed to `dry -out'.
Vegetation consists of a full cover of irrigated grass. Water is provided by the onsite well.
SUBSURFACE
The subsurface was investigated by observing the profile hole next to the existing septic tank. The
materials encountered consisted of a thin layer of topsoil, underlain by clayey sand with scattered gravel
and cobbles to 5 -feet. Groundwater or bedrock was not observed. A soil sample was taken, and the
OWS drain field will be designed on a 0.95 application rates. An 8 -foot test pit must be dug prior
to construction when machinery is onsite to confirm subsurface conditions.
DESIGN SPECIFICATIONS
The OWS design is based on 3 -bedrooms and an average sewage load of 450 GPD. The installation
must include the existing 1250 -gallon, two-compartment septic tank, with the addition of an effluent
filter on the outlet, followed by one gravelless chamber drain field. The drain field must have a total
of 51 chambers, equaling 504 SF of infiltrative area. If 'ARC 36' chambers are used there must be
a total of 41 chambers.
Repair Onsite Wastewater System
Pro No 1608
May 28th 2009
Page 2
Construction must be according to the Garfield County Health Department OWS regulations, the OWS
Construction Permit provided by the county, 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. Erosion control should be practiced prior to and during re -vegetation. Geo -
fabrics or plastics should not be used over the drain field. No heavy equipment, machinery, or
materials should be placed on backfilled 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
waste only.
ADDITIONAL CONSTRUCTION NOTES
If design includes a pump, air release valves and weep holes should be installed to allow pump lines
to drain to minimize risk of freezing. Excavation equipment must not drive in excavation of drain
field due to the potential to compact soil. 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
installation.
Repair Onsite Wastewater System
Pro No 1608
May 28th 2009
Page 3
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 regulations. Requirements not specified in this report must follow
county regulations. The installer should have documented and demonstrated knowledge of the
requirements and regulations of the county in which they are working.
Please call with questions.
Sincerely,
ALL SERVICE septic, LLC
Timothy R. Petz
3 copies
SITE PLAN and PROPOSED
REPAIR OWS
EXISTING DRAIN FIELD
EXISTING
SEWER PIPE
TO CONNECT
TO NEW PIPE
WITH 45 DEG
ANGLE
FITTING.
OBSERVATION
PIPE
51 GRAVELLESS 'QUICK -4'
CHAMBERS IN ONE BED.
(IF 'ARC 36' CHAMBERS ARE USED
THERE MUST BE 41 CHAMBERS MIN:
SDR 35 PVC PIPE
(1%FALL TO
CHAMBERS
PLASTIC DISTRIBUTION
BOX (RECOMMENDED TO
BE BROUGHT TO GRADE)
/EXISTING 1250 -GALLON
SEPTIC TANK WITH THE
ADDITION OF AN EFFLUENT
FILTER ON THE OUTLET
17353 HIGHWAY 82
GARFIELD COUNTY, COLORADO
GRANGE RESIDENCE
EXISTING
SEWER PIPE
ALL SERVICE SEPTIC, LLC
PO Box 2844, GLENW000 SPRINGS, CO 81602
970-618-5033
a•
SCALE: 1" = 20'
PRO. NO. 1608
REV. FIGURE I
DESIGN
3 -BEDROOM RESIDENCE
LOADING = q = 450 GALLONS PER DAY
PERCOLATION RATE = t = 28 MINUTES PER INCH (MPI)
APPLICATION RATE = 0.95 GALS/SF/DAY
CALCULATED AREA = (1.5 X q) / 0.95 GALS/SF/DAY) = 711 SF
PROPOSED AREA = 711 SF X 30% REDUCTION = 498 SF
BED SPECIFICATIONS
TOTAL NUMBER OF 'QUICK -4' CHAMBERS = 51
TOTAL INFILTRATIVE AREA = 504 SF
DRAIN FIELD CROSS SECTION - TYP.
4" PVC
OBERVATION
PIPE DRAINAGE,_,_,�,
INFILTRATOR(R) QUICK4(TM) CUT SHEET
12
52
48"
(EFFECTIVE LENGTH
4" PVC
OBERVATION
PIPE
34"
PIPE TO ENTER IN A TOP
PORT OF END PLATE
SLOPE 2% FOR
GRAVELLESS
'QUICK -4'
CHAMBER
(4' x 3')
LIMIT OF EXCAVATION
SCARIFY
SURFACE
PRIOR TO COMPLETE BACKFILL, SOIL
MUST BE PLACED BETWEEN EACH
ROW OF CHAMBERS TO 'PACK' AND
'SECURE'.
2.0' MIN
PLAN VIEW - TYP.
OBSERVATION PIPE
END CAPS
PROJECT ND. 1608
GRAVELLESS CHAMBER 'QUICK -4'
4 It
4 ..■.'DISTRIBUTION BOX
MEN MN Iii.
ME MEN WITH BAFFLE
ONE EIMMIalli
IM MN Stir
4 MEM MI
21'4111 EINEM 4 4
28'
EFFLUENT
LINE FROM
SEPTIC
TANK.
REV. FIGURE 2
ng Septic Tank with the Ad
X
W
Concrete Risers
L
0
a)
0 L
=
r m
0
N V
O
0
=
o 0
Tank Adapter (cost or bolted)
0
0
O
"se"
Effluent Discharge
N
N
dulating Discharge 0
Vault Inlet Ports
0
LT_
0
It
.0
W
Q
rTh
o
zW
Q
o
O L
0 L.)J
LU F-
Cr o
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00
CO0
PROJECT NO
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tri
M E N
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Q) N
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y G
N
coCL
C
0
0 0 N
0 0 N
O
0
00
00
0 0 0 0
o o 00 r- CO
Buissed %
Diameter of Particles in Millimeters
Sparse Cobbles and Gravel, Silty, Dense, Moist, Red/Brown
Gravel - 9%
Fines - 23%
Project No. 1608