HomeMy WebLinkAbout04644GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
108 Eighth Street, Suite 401 4644
Glenwood Springs, Colorado 81601 Permit
Phone (970) 945-8212 Assessor's Parcel No.
IN- 3GO/pd Jo). oq
DIVIDUAL SEWAGE DISPOSAL PERMIT This does not constitute
a building or use permit.
PROPERTY 3 r WS e&l`1
Owner's Name �t �'0 1S"�.�t Present Addressa7 1 �' (7 Phon'C5.15ft
System Location (API] HW v '�J
S LOCKTI
Legal Description of Assessor's Parcel No. 2--1 . 2. •0E). 005
SYSTEM DESIGN
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
Septic Tank Manufacturer or Trade Name 7,444`e U7 S D IZ
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Septic Tank Access within 8" of surfac
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
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. 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
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER t,,, 'Ca ►� rl r>
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SJQ1 ct ti
ADDRESS Gr LA ` cud Cn Qe.nuic � �eca.s o PHONE clic) 91-15- 7 388
CONTRACTOR 74 0
ADDRESS
PHONE
PERMIT REQUEST FOR ( ) 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 ( w o n cl 6f f I n c.% S Size of Lot,090 ct.rc 5
Legal Description or Address 6 to 9'l g �c, W*! 6 ° C
WASTES TYPE: DWELLING. TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
(n OTHER — DESCRIBE 2. -aed rn4 rn Loci c e.
BUILDING OR SERVICE TYPE: ,Sped E.V - Lkicta÷b5 C yco pi r_
Number of Bedrooms A Number of Persons 50
( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL, SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 6 M i k cs
Was an effort made. to connect to the Community System? 0
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 t Cala
2
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
SEPTIC TANK ( ) AERATION PLANT ( ) VAULT
( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE
( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE
( ) CHEMICAL TOILET( )
FINAL DISPOSAL BY:
OTHER --DESCRIBE
ABSORPTION TRENCH, BED OR PIT
UNDERGROUND DISPERSAL
ABOVE GROUND DISPERSAL
OTHER -DESCRIBE
( ) EVAPOTRANSPIRATION
( ) SAND FILTER
( ) WASTEWATER POND
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? d
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the
Percolation Test) N
Minutes per 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.
Name, address and telephone of RPE who made soil absorption tests:
Name, address and telephone of RPE responsible for design of the system: IJ
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 pro Date""" 4 9
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
Designate North Arrow
Your Neighbor's
Name & Address
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Tp
Your Plot - Shape to Fit
(No Scale)
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Locate well, all streams, irrigation ditchs, 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, before a
Certificate of Occupation will be issued.
Your Neighbor's
Name & Address
L1
County Road (Note the Road Number and Name)
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BAIR RANCH
SITE PLAN
ISOM & ASSOCIATES
1 +y'l1SV ' _ Pox P Pule, Work , 81633 (77O) 326-2398 PAX 328-111288
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�SITE PLAN
5GALI 1" = I X00' -0'x
P.O. Box 1908
1011 Grand Avenue
Glenwood Springs,
CO 81602
Steve Isom
P.O. Box 9
Eagle, CO 81631
Re: Septic Systems
Dear Steve:
Z.ANIc4VIELL4 411d) 4S5004TES,
EPICa`MEERINa COPISULT4t415
August 11, 2008
(970) 945-5700
(970) 945-1253 Fax
This letter documents our July 17, 2008 visit to the Craig and Doris Bair ranch, to view
septic systems installed at guest facilities on the ranch, in conjunction with your ongoing
effort to obtain county permits for the systems. As you are aware, we viewed three
septic systems, one at each of the following facilities: Golden Le -Grand Lodge (on
Spruce Creek), Caribou Cabin (near the Lodge on Spruce Creek), and the Wapiti
Cabins (west of Ike Creek).
At the Lodge, the septic tank was observed. Some scum was floating on the effluent
side of the baffling, but not a serious buildup. The. tank appeared to be functioning
reasonably well, discharging clear water from a level below the scum layer. The
general location.;,af,:tbe leach field area was indicated to us. Fixtures in the Lodge were
turned on (approximately 5 gallons per minute) and let run for about 90 minutes while
we viewed,other systems on the ranch; after which we returned to the Lodge, finding no
evidence of problems with the leach field.
At Caribou Cabin, the locations of the septic. tank' and leach field were not apparent.
Jim Bairindicated the location of the septic tank, buried beneath the lawn. As indicated,
the septic tank location is about 80 feet from Spruce Creek; .which is, in compliance with
the 50 ft setback requirement. No evidence of system ri nalt'inction was noticeable.
At the Wapiti Cabins, the septic tank was observed. The tank appeared to be
functioning normally, discharging clear water. Jim indicated the general location of the
leach field area. There was no evidence of leach field malfunction.
if you have any questions, please call (970) 945-5700.
Very truly yours,
Zencarie!Ia: ;Associates, Inc... .
•
6.
S. Collin Robinson, El
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