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GARl'IELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81801
Phone (303) 945·8212
Permit N~ 364fl
AHe11or's Parcel No.
f fNDIVIDUAL SEWAOE DISPOSAL PERMIT
This does not constitute
a building or use permit.
I.· PROPERTY
Qwner'sName..Af:;rnt An1~/ /IPp•PresentAddress /7771, flwv 81-
1 System Locetlon J 171 (p tfw ~ b '2.. ('tVt"hond.a Ck ) 0.0
Phone 9fD ?i-;;13 7 /
&I<, i.3
i Legal Description of.Assessor's Parcel No.--------------------------------f SYSTEM DESIGN
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(''·-·_· ____ Septic Tank Capacity (gallon)
-----Percolation Rate (minutes/inch)
~~Ired Absorption Area • See Attached
kpeclal Setbac~·Requlrements:
______ Q,ther
Number of Bedrooms (or other) -----,,\
I Date Inspector--------------------------! FINAL SYSTEM INSPECTION AND APPROVAL (as Installed)
( Call for Inspection (24 hours notice) Before Covering Installation
System lnstaller ____ ~.Jii;,~~'£:(;,;,..J..il'!.11:drfj',£f.'J_f?,s.J:f;;tl:t.L--=~~';C-LCZ/r??e:J..~L----------------f
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Septic Tank CapacitY----------------4-' 1-+-------------------
Septic Tank Manufacturer or Trade Name _C-":J=---i-'b?<-L..:...<.1.,,?c..'/J,_,__ef._A_,_:"°",\_,')!\),.,,.C_,_1 /R'1E,,,_,_,,""J,,_ ___________ _
Septic Tank Access within 8" of surface --------'5£:=',.,f:.--=j'-.,,__*A*'1~-;.-:i..,:l..,C_+fSL.u:-"~""<Y""'------------
Absorption Area _____________________________________ _
Absorption Area Type and/or Manufacturer or Trade Name ------------------------
Adequate compliance with County and State regulations/requirements ___________________ _
Date 3 '.21-J,,ot'n.
' " RETAIN WITH RIC IPT RECORDS AT CONSTRUCTION SITE
•CONDITIONS: .
1. All Installation must comply with all requlr ents 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 w~ich have fully complied with County zoning and building requirements. Con·
nection to or use with any dwelling or structures not apP,roved by the Building and Zoning office shall automatically be a violation or a
requirement of the permit and Cause for both legal a,6tlon 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 sPeclfications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine - 6
months In Jail or both).
Whtte -APPLICANT Yellow -DEPARTMENT
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· ~IYJDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
:, fz~t ~h--f/uy;:!:Jf;
CONTRACTOR kM4/A= J &o c.-
PHONE q7tJ·CZte.3-Z>Zf
ADD~SS • ~~¥~C2) PHONE 170· 'lo/?--qso
PERMIT ~QUEST FOR (~NEW INSTALLATION ( )ALTERATION ( )~PAIR
Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable
building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4).
LOCATION OF PROPOSED FACILITY:
NearwhatCityofTowd.411lC5 ~-Z-t1!:::. C~f7$J1£ ~fJ.&LOJ ~
Legal Description or Addres~7'f &i;ec-J?Wi_J 7llt.!Ar;; ~J1i /J<ht¥ <f-l-
WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE
(v-}COMMERCIALORINDUSTRIAL ( ) NON-DOMESTICWASTES
( ) O!JIER -DESCRIBE
BUILDING OR SERVICE TYPE: /l~J-t~Atj //071 fT!Jl-
Number of Bedrooms ~ Number of Persons/3~GC'5
( ) Garbage Grinder#O ( ) Automatic Wash~ ( ) Dishwasher.A)o
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) S~AM OR C~EK
If supplied by Community Water, give name of supplier:----"tAh_t--_li"""'/ __________ __,._-,-
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /IJ~ ,/ii:-e/ ~ hwt /:>#to
Was an effort made to connect to the Community System? !f~l-.1};{f<e_tv.£fJt/i;;.c,4lr-t fo//'lfl;;_ J
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
SepticSystemtoPropertyLines:(septic tank &leach field)lOfeet
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
( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER 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? ______ _
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, ifthe Engineer does the
Percolation Test)
Minutes _____ ,per inch in hole No. I Minutes ______ ,per inch in hole NO. 3
Minutes er inch in hole No. 2 Minutes er inch in hole NO.
Name, address and telephone ofRPE who made soil absorption tests: ______________ _
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 applicati and in legal action for perjury as provided by law.
Date.-----'"+'¥1---+lb'----~)~_
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
GAMBA
• Aa•OCIATI:•
coNaULTING ENOINll:ER•
6 LAND 8URYEYORa
•••·••••••••l•••••fl•,c••
PHONIE: 970/9411 .. 25110
l'AX: 1170/ll4S•l410
f t 3 NINTH STREET,
SUITE 214
P.O. BOX 1458
GLENWOOD SPRINGS,
COLORADO 81802•1488
TRANSMITTAL
DATIC: March 18, 2002 TIME: 12:15 PM
PROJKCT NAME: Alpine Animal Hospital
PRO.llCCT NUMBER: 99823
To: Garfield County
COMPANY: Dept of Planning and Building
ADDRESS:
PHONB: FAX:
P'ROM: Chris Strouse{1S
ISDS PERMIT SUBMITTAL
CC: ALPINE ANIMAL HOSPITAL
WI! HERl!CWITH TRANSMIT THE FOLLOWING:
x DRAWINGS D CONTRACT DoCUMENTS D BID DOCUMENTS 0 SPECIFICATIONS
0 PRODUCT LITERATURE 0 CHANGE ORDER X OTHER
FOR YOUR:
ox APPROVAL D REVIEW. COMMENT D DISTRIBUTION TO PARTIES x RECORD D INFORMATION D USE
• COMMENTS:
Original signed ISDS design 2 sheets
Calculation Sheet
Percolation Results sheet
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --------
'GARFIELD COUNTY
ISDS DESIGN CALCULATIONS
Owner's Name
Vetrinary Clinic
Number of Employee's
Average Daily Waste Flow: 390
0
13
State Review Required?: no
Pere Rate (t) --
Parcel ID#
Design Flow (Q) • #potential bedrooms X 2 people/bedroom X gpd X 1.50
Q• 585
Absorption Area .. IA=; x"1
A• 309.55 sq. ft. of absorption area required -----
20 infiltrator units without reduction -----
A maximum 50% reduction is allowed for use of deep gravel or gravelless chambered system,
only Uthe lot size and soil conditions are optimal.
lf a reduction is being proposed, describe why lot si7.e and soil conditions are optimal:
We will use a 40% reduction of the ieach area for a bed design.
A• 185.73 sq.ft. with reduction
12 infiltrator units with reduction --~--
Type of system: [X)Absorption trenches UAbsorption bed U Gravelless chambers
QDry well QSeepage Pit OOther (type)
SETBACK FROM WELL
# offeet • 100 -----
SETBACK FROM POND, STREAM OR IRRIGATION DITCH
# offeet = 50
SETBACK FROM DRY GULCH
# offeet • 25 -----
FINAL INSPECTION BY: _________ _
Page 1 of 1
Flow Rate
(gal/ per/ day) Total Flow
30
DATE: ____ _
0
390
0
0
PERCSHEET
PERCOLATION TEST RESULTS FORM ..... --------
HOLE .DEPTH OF TME MEASURE DROP in WATER PERCOLATION
No. TEST HOLE TIME INTERVAL MENT LEVEL RATE REMARKS
(in) (min.) (min) (inches) (inches) (min/in)
**I 47 ___ ,, ___ ,,_ ---
8:29 --·-···-------
8:31 0:02 19 1/8
------
8:41 0:10 23 5/8 4.500 2
-----
8:45 0:04 17 7/8 added water
-----
8:56 0:11 22 5/8 4.750 2 ----------
9:03 0:07 added water _, ........ ____
9:09 0:06 16 314
9:19 0:10 19 3/8 2.625 4 -·--····-· ---
9:29 0:10 23 3.625 3
9:39 0:10 17 3/8 added water --··-·--
9:49 0:10 20 112 3.125 3
9:59 0:10 23 2.500 4
-*1;2-48
--~-·-··-
8:35 49 5/8 --·-··-
8:42 0:07 51 1.375 5 added water
I---------
8:47 0:05 46 1/2
----r--------··-
8:57 0:10 47 1/2 1.000 JO
----
9:07 0:10 49 3/8 1.875 5 added water
----
9:13 0:06 45 -·---·---~-
9:20 0:07 45 1/2 0.500 14
9:22 0:02 45 7/8 0.375 5 ----~--··--
9:30 0:08 46 5/8 0.750 11
--···----
9:40 0:10 48 1.375 7
9:50 0:10 49 1.000 10
-- ----------
*I:? 48 ·--------
8:32 --------
8:36 0:04 48 1/4 48.250 0 --
8:42 0:06 empty --
8:52 0:10 44 3/4 added water
-·-·--__ ,,_
8:58 0:06 46 1/4 1.500 4 --
9:08 0:10 48 1/2 2.250 4 -------
9:14 0:06 44 added water
----··--
9:21 0:07 45 1.000 7
-·-·------
9:31 0:10 46 1/4 1.250 8
-----
9:41 0:10 48 1.750 6
-------
9:51 0:10 49 1/4 1.250 8
-------··
-Averge Pere. Rate: 7
Page 1
GAMBA
6 A880CIATE5
CONSULTING ENGINEERS
le LAND SURVEYORS
www ...... ,.,.,..,,,..,..,,,. ... co"'
PHONE: 970/945·2550
FAX: 970/945·1410
113 NINTH STREET,
SUITE 214
P.O. Box , 458
GLENWOOD SPRINGS,
COLORADO 81602-1458
March 27, 2002
Garfield County Dept of Planning, Building and Sanitation
109 Eighth Street
Glenwood Springs, CO 80602
RE: Alpine Animal Hospital ISDS
To whom it may concern:
On March 27, 2002 Gamba & Associates, Inc performed a final construction
inspection of the new ISDS leach bed system for the Alpine Animal Hospital near El
Jebel.
The system, as installed, is in substantial conformance with the plans submitted to
the County dated 3/18/02, except for the following field changes;
1. location of 1000 gallon septic tank is 41.2 feet from the existing clean-out.
2. A straight alignment was obtained by the contractor from the septic tank to
the leach bed, therefore eliminating the need for a new clean-out in the pipe
run.
If you have any questions, please call.
Sincerely,
Gamba & Associates, Inc.
Chris Strouse, Design Engineer
G:\99823\FINAL INSPECTION.doc
cc: Chuck Maker, Alpine Animal Hospital
Alpine Animal Hospital ISDS
March 27, 2002
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