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Home My WebLink About03625GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945·8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT /31-P..., le.. A ve..- Permit N~ 3625 Assessor's Parcel No. This does not constitute a building or use permit. PROPERTY ~ fu~, C.U 'ifl(,Z,/ Owner's Name Ru d d 1 ~ Present Address 6 ld.Sj-:Ito .3 1 .Sci. R Phone 9 ~ 7 -CZ// Cj ~ ,;r(tero~-S C«--t!G... CAu.k' .f<irr--F~ System Localion ____________________ _,oft-.a::.:'=-..1>'-!lu:d.0.__i;~_..._l-'lr--'~"'-'"2'--~6a.1•""'~J,S::>--~?>1>.1-I 1.1tt1.>0.u.I_ Legal Description of Assessor's Parcel No.----------------------------------- 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-------------------------------- 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 .~ -U -<J-1 •CONDITIONS: Inspector 2 JH1Ca,n eJ k fnT • 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). White -APPLICANT Yellow -DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION PERMIT REQUEST FOR (A. 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 Gt,.~p 9°KfA&i £ Legal Description or Address /\A. ID U11yD f;3 ~J\117 n () N Size ofLot -Z.o-f h::r2cY -~EL 13 WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE ~COMMERCIAL OR HeBS'fRiA:L ( ) NON-DOMESTIC WASTES ( ) OTHER-DESCRIBE. _______________ _ BUILDING OR SERVICE TYPE: ,/ t&t I T"Q;> Number of Bedrooms Number of Persons ------ ( ) Dishwasher ( ) Garbage Grinder ( ) Automatic Washer SOURCEANDTYPEOFWATERSUPPLY: <')Q WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: ______________ _ DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ____ 5......__.../h.LL..L.1='-...:6""'S.,._-___ _ Was an effort made to connect to the Community System? ____ IV_t>~--------- 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 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, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER -DESCRIBE FINAL DISPOSAL BY: ( ) ABSORPTION TRENCH, BED OR PIT ( ) EV APOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVEGROUNDDISPERSAL ( ) WASTEWATERPOND ('fl-OTHER -DESCRIBE /?:.#6rtVf'!::l?[Z ei> b/dAttAI FrE?--l) WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ____ /V_O __ 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 er inch in hole NO. Name, address and telephone ofRPE who made soil absorption tests:_+ff~(J _ __.fli"""""~~'"'n_,ec""""'""r-1_,_ ___ _ Name, address and telephone ofRPE responsible for design of the system: ~L&Af/SUA: 4; ~-r<;. · 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 pennit is subject to such tenns 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 pennit applied for herein. I further understand that any fillsification or misrepresentation may result in the denial of the application or revocation of any permit granted based :.Wd71i:]y:;:~~I~ I I 3/0~ r I PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 P.O! Box 1908 1005 Cooper Ave. Glenwood Springs, C081602 ~--~.__---~~~~~~~-z Z4t4C41'4ELt.4 41'40 4SSOC'41ES, lt4C. May6, 2004 Mr. Wayne Rudd Rudd Construction 0132 Park Avenue Basalt, CO 81621 if'f'4Cilf'4EEl:Ut4G' CC>t45Ut.TAl'41S" Re: Cattle Creek Commercial Center, Building # 3, ISDS Dear Wayne: (970) 945-5700 (970) 945-1253 Fax This letter is to finalize the permitting for the individual sewage disposal system which was constructed for Building #3 and the future buildings proposed to be constructed adjacent to this building. This group of buildings is located on the farthest easterly portion of the property. Based on our periodic observations of the construction, as well as photographs provided by your company, we believe that the system constructed meets the intent of the approved design. If you have any questions, please call our office at (970) 945-5700. Very truly yours, Zancanella & Associates, Inc. cc: Roland Parker, Rudd Const. Tim Holliday, Garfield County Bldg. & Planning Z:l97000"sl97404 Rudd. Wayne\97404.01 Catue Creek\2004\ISDS-east.doc