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HomeMy WebLinkAbout03567I \ j f 11 l f r f GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 Bth stfiet . Suite 303 Glenwood Springs, Colorado 81601 Phone (30~) 945-8212 Permit N: 3567 Assessor's Parcel No. 1 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY This does not constitute a building or use permit. • • l ' I ; ' I \ .. , Owner's Name f jf\e 1£ Qce,esDe.Lt?/qJ.;el;.~dress /<./S1 Wo./z /Jw. G.s ry/6orl,one .:$</-.Jf</</ ·, System Location _ ___,D\'"")J--f~-l-J-~_.£ ..... 5~'-/-A'-'--=e-'-"'R.~C-"'"T-__:__:_• _,_S:-'--'-r_J._. /-'-f_,Ci>>&!._2'~/(,'--"'5.'--""d---=------­ Legal Oescription of Assessor's Parcel No. -----~k ...... ~+-~-q~_,_/+tL'IJ.,,e ... Awf-~A'-'-'c--'l'-'-'et;"""-· ~·-$"'u,,.· _...&]"""'-.-". •------- ; SYSTEM DESIGN _____ Septic Tank Capacity (gallon) ______ Q.ther 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 ------------------------------- 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------------------~------------------------- lnspector ttj4 0A . ~4~~ Date /o/$?11) I RETAIN WITH RECEIPT RECORDS AT coZSTRuclliNSITELJ •CONDITIONS: ,i 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewape Disposal Systems Chapter 25, Article 10 C.R.$. 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 Bullding 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). f White -APPLICANT Yellow -DEPARTMENT . ' '' INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER Vi\,.\,., Arae.<;. V<v"(,,.\O'f"""-J j l LC. ---1..sl*-4.( vJoJL,r !vl_..,r) ADDRESS_ '82 Bo=t 111.1 §\.e.,10;,J -:::'.%1 51bO'-PHONE ~~4-1.e.<.t'-I CONTRACTOR___L(lo~'-~~·-~~~~(--'~-·~·J"'-~'1_J~~-\~\~"';__~\-~_,_. --------------- ADDRESS Po \?o°' 1] 1-1 ~\~Jv-Jo_pJ <::fS-~ 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). LOCAIION OF PROPQSEP FACILITY: Near what City of Town <;; \ +-Size of Lot q 3, 52 ~ LegalDescriptionorAddress Lof 't U\<~I ... A<n~ <;., \.:;,J;._,,;c,·,,..,,_., G:a£~1J ({'1, CO WASTES TYPE: ('i() DWELLING £5~ C-t . ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER-DESCRIBE_~--------------­ BUll.DING OR SERVICE TYPE:_(_,ffi...wia"'-'-'i\_,,,\),;....,,:i.:...· _,fb...!.IU1C.!y'\_,_,e'-''--------------- Number ofBedrooms _____ ,_L______ Number of Persons _ _.$/._· ____ _ ( ) Garbage Grinder Cj._) Automatic Washer (')() Dishwasher SQURCE AND TYPE OF WATER SUPPLY: ()Q WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: Uu I!. A;c..ru;, Cl:J-rv--"-"v.; · 1 Wcitl'<f DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ~;\ \----~~.:..:....-------~ Was an effort made to connect to the Community System? __ ....:""..;;;,:..:lo::.-__________ _ A site pig Is regmrecl to be sqbmltted that indicates the following MINIMUM distances; Leacb Field to Well: 100 feet -tlc~to~ ~~ Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: 10 feet YOlJB INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITEfLAN. GROUND CONDITIONS: Depth to first Ground Water Table _____________________ _ Percent Ground Slope _________________________ _ 2 • • TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ()<> SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PITPRIVY ( ) INCINERATION TOILET ( ) RECYCLING, 01HER USE ( ) CHEMICAL TOILET ( ) OTHER. DESCRIBE FINAL DISPOSAL BY: ('>() ABSORPTION TRENCH, BED OR PIT ( ) EV APOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER· DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? rvo PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes. ____ ~per inch in hole No. I Minutes _____ per 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:_.,..H~·~P-· ~6-R~of_e_c..la~_-__.l~q~q~q,_ ___ _ Name, address and telephone ofRPE responsible for design of the system: 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. Date. __ ~-+f-b.,_/_o~/ _____ _ PLEASE DRAW AN ACCURATE MAP IO YOUR PROPERTY!! 3 VESS L5 -------...-... ---............... 589"24'.D"W ~ 140.00' --l Building En ve/ope I LOT #8 I 01, 056 sq.ft. 2.32 acres ~ I I I I I I .._ ..._ .--f:-¢ -- N8979'44"£: -1w:oo·--~ \~ 10• unuTY ~:~~ ~~MfflT \ [: _____________ _ 209.02' I I I N89'24 '.D"£: -,45.iiiJ.- LOT #.9 93, 523 sq.ft. 2.15 acres I I I ~ I;) ~ ;:! ~ ()) ~ • l\:i ()) • gi II) Qi .:::i... 15' OED COUNTY, ~ ~ ~ !::--.. ~ ~ ~ ~ ~ ~ ~ ~ .. ~-----------------------------Co tJ7~4c1orz__ ; t: lo f/I 1-f AU r f ]tJA LLEYL , j A/ c , C/70, 3Scf-Z/o'f tf {307 17z_7 (il-cnvJ{)e:y}~fj'· (O 'P-e,f~ < Wei I (er © S"E:-f'"11c coc.AreO f0 1 o~f'." 1-fou c€ CA~O TO THE "OR UKELE LANE t,;;:'Acii Fit LD WC-A"f€b 2o' o ~ ~ H-our~ BO ~-- I GRAPHIC SCALE 0 JO BO 120 I I I I ( IN FEET ) 1 inch = 60 ft. LAND USE SUMMARY LAND USE 9 SINGLE FAMILY RESIDEN77AL LOTS STREETS TOTAL ACRES 23.520 1.461 24.981 240 I October 3 I, 200 I Garfield County Building & Planning I 09 Eighth Street, Third Floor Glenwood Springs, CO 81601 Re: ISDS for Lots 1,2,3,7 end 9-Ukele Acres Subdivision HCE Job No. 2011081.59 To Whom It May Concern: RE€E\\IEO NO\I O 7 2001 On October 8, 2001, High Country Engineering personnel observed the construction of the ISDS Lots 1,2,3,7 and 9 of the Ukele Acres Subdivision in Garfield County, Colorado. The observations made were: Lot 1 The tank had been buried, but it appeared that one 1000-gallon septic tank had been installed with 24 standard Infiltrator units in a trench configuration. No additional backfilling had taken place. The owner was advised to rake the trench sidewalls, install the effiuent filter and install the inspection wells. Other than that, the installation of the system was in conformance with the intent of the design. Lot2 One 1000-gallon septic tank and 34 standard Infiltrator units had been installed in a trench configuration. No backfilling had taken place. The owner was advised to rake the trench sidewalls, install the effiuent filter and install the inspection wells. Other than that, the installation of the system was in conformance with the intent of the design. Lot3 . One 1000-gallon septic tank and 112 standard Infiltrator units had been· installed fa a bed configuration. No backfilling had taken place. The owner was advised to rake the bed sidewalls, extend the outlet tee into the center of the septic tank riser, install the effiuent filter and install the inspection wells. Other than that, the installation of the system was in conformance with the intent of the design. !&11 One 1000-gallon septic tank and 32 stan4ard Infiltrator units had been installed in a trench configuration. No backfilling had taken place. The owner was advised to rake the trench sidewalls, install the inlet tee in a vertical position, install the effiuent filter and install the inspection wells. Other than that, the installation of the system was in conformance with the intent of the design. · 1517 Blake Avenue, Ste. IOI Olcmwod Springs, CO 81601 Telephone (970) 945-8676 -Fax (970) 945-2555 14 lnvemess Drive Ea.<t Suite &144 Englewood, co 80112 Telephone (303) 925-0544 • Fax (303) 925-0547 f ,, Garfield County Building & Planning October 31, 2001 Page2 ~-gallon septic tank and 26 standard Infiltrator units had been installed in a trench configuration. No backfilling had taken place. The owner was advised to rake the trench sidewalls, install the effiuent filter and install the inspection wells. Other than that, the installation of the system was in conformance with the intent of the design. A follow up inspection was conducted on October 30, 2001. At the time of re-inspection, all inspection wells had been installed and septic tanks had been covered. If you have any questions, or need additional information, please contact us. Sincerely, RDN/djw Cc: Pete Waller 1517 Blake Aveme, SIC. IOI Glenwood Springs, CO 81001 Telephone (970) 94U676 -Fax (970) 94S-2SSS 14 Inverness Drive East SUite 8-144 Englewood, co 80112 Telephone (303) 92S-OS44 -Fax (303) 92S-OS47