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7/907 p ass. hQ-t-n % GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 4 3 4 1 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's Name \nZZofl1 O.± ino5S? pseKnt Address %8q0 CAC) `t"Gde Phone h/ 7 — 9(I 7E; / Ire /+ System Location 0 9 Go ` (� _V ` t ©a- Cat at bpi/J.. Die_ c o g i(o )v Legal Description of Assessor's Parcel No o3 ^ 60 - -76 Porce ( 6 Q ° EX -60411:D Assessor's Parcel No. This does not constitute a building or use permit. 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 ,,i �// y� f%� Septic Tank Manufacturer or Trade Name l"©#%t- /V 17 C 12 " G' `./ 72 ZS- 77 C,4 , Septic Tank Access within 8" of surface Absorption Area 17¢ .sQ, /=T' Absorption Area Type and/or Manufacturer or Trade Name *v ax_// 0/ 4eP/c'`-- 4 - Adequate compliance with County and State regulations/requirements Other /� / / ,,!,pr/ ,� p/�/-- Date �//" ZrJ `©CJ Inspector /1 LG.- `--7C-✓l-1�,c, ` C . " a 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. 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 OWNER f \t. Y[ossej. ADDRESS ©€90 /e. /6 a?, (may -h c y O CZ'-- PHONE 963-940 CONTRACTOR ft, r/ilte ©wjcnd ADDRESS 5/4 PHONE PERMIT REQUEST FOR O 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 Size of Lot C ¢v+ Legal Description or Address Lo u trtr i2et r e Z tc i /3 e( Cat" t t/,&Lc'Pon --xesYu WASTES TYPE: (Kr) DWELLING ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER -DESCRIBE ( ) TRANSIENT USE BUILDING OR SERVICE TYPE: Res/ da..arat Number of Bedrooms `i Number of Persons ( ) Garbage Grinder ()6 Automatic Washer (A/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: Was an effort made to connect to the Community System? 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 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 ( ) EVAPOTRANSPIRATION 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, if the Engineer does the Percolation Test) S/A - 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: '27,4 hi- ,#// �'`Wc.e- ce,/S c.. To Sox n Ny^, Cites, c r x°74 0)— Name, address and telephone of RPE responsible for design of the system: „"r lei' Applicant acicnowledges 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, infoimation 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 departwent 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 LIC''A_ ec. ti� Date '/`if707 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 ELI June 5, 2007 PO Box 2844 IC Glenwood Springs,C081602 Ph 970318.5033 Fax 303-216-2796 Carbondale Custom Construction Attn: John Foulkrod PO Box 624 Carbondale, CO 81623 Project No. 1332 Subsurface Investigation and Onsite Wastewater System Design, Proposed Residence 4 -Total Bedrooms Razzore Residence 0890 County Road 102 Garfield County, Colorado John, ALL SERVICE septic, LLC conducted a subsurface investigation and prepared an onsite wastewater system (OWS) design for the subject residence. The property is located in a rural residential area where OWS and wells are necessary. SITE CONDITIONS A main residence and a guesthouse are proposed. The OWS design will be based on 4 -total bedrooms. The residence will utilize the neighbors well, located 100+ feet from the proposed drain field. Vegetation consists of native grasses. The slope in the area of the proposed drain field is 10% to the southeast. SUBSURFACE The subsurface conditions were investigated by our firm on April 18th, 2007 by observing a soils profile pit and by digging three percolation holes, near the proposed drain field location as shown on Figure 1. Subsurface materials consisted of 3.5 feet of sandy clay, underlain by clayey, silty sand with scattered basalt boulders to 8 feet, the maximum depth explored. Groundwater or bedrock was not observed. Percolation rates ranged from 14 to 40 minutes per inch (MPI). The average percolation rate of 25 MPI will be used to design the OWS. DESIGN SPECIFICATIONS The OWS design is based on 4 -bedrooms and an average sewage load of 600 GPD. The installation must include a 1250 -gallon, two-compartment, precast concrete septic tank, with an effluent filter on Subsurface Investigation and OWS Design Project No. 1332 6/05/07 Page 2 the outlet. Tank alternatives may be considered. Four gravelless chamber trenches must be installed as indicated on plans provided. Four rows of 12 `Quick 4' chambers, for a total of 48 chambers, and 473 square feet (SF) of infiltrative area, is required. If standard chambers are preferred we should be notified. Serial distribution should be used to distribute effluent. A shallow installation is preferred due to the presence of rocks and boulders. If a boulder is encountered during construction, the boulder should be removed, and concrete sand should placed in void. The sand should be adequately compacted to minimize settling. Construction must be according to the county ISDS regulations, the septic permit provided by Garfield County Environmental Health Department, 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 during and after construction of OWS. Geo -fabrics or plastics should not be used over the 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 applicable, air release valves and weep holes should be installed to allow pumping systems to drain and minimize risk of freezing. 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. 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. ALL SERVICE septic, LLC Reviewed Subsurface Investigation and OWS Design Project No. 1332 6/05/07 Page 3 Timothy R. Petz Richard H. 3 copies of Bearing) Overhead Power Line 1)).' ) Ex/sting g . . c"usej Line SITE PLAN AND LOCATION OF PERCOLATION HOLES COUNTY ROAD 102 PROPOSED RESIDENCE 4 TOTAL BEDROOMS 5 11,892 Sq Ft 0.27 Ac. 0 z New Lot Lines A SCALE 1" 100' NORTH 90£ YAW SEWOC 0890 COUNTY ROAD 102 GARFIELD COUNTY, COLORADO ALL SERVICE SEPTIC, LLC 970-618-5033 PRO. NO. 1552 FIGURE I A PROPOSED OWS SCALE 1"=40' NORTH 4" SCHED 40 PVC SEWER PIPE i 4" SDR 35 EFFLUENT PIPE OBSERVATION PIPES P- OPOSED RESIDENCE '4 TOTAL' BEDROOMS 10' 10' SETBACK TO PROPERTY LINES. 1250 -GALLON, TWO-COMPARTMENT PRECAST CONCRETE SEPTIC TANK WITH EFFLUENT FILTER ON THE OUTLET. SERIAL OVERFLOW LINES FOUR GRAVELLESS CHAMBERS TRENCHES WITH 12 'QUICK -4' CHAMBERS PER TRENCH. TOTAL NUMBER OF CHAMBERS = 48 DRAIN FIELD MUST BE 100 FEET FROM ALL WELLS THE LOCATION OF EXISTING AND PROPOSED IMPROVEMENTS SHOWN ARE NOT THE RESULT OF A PROPERTY SURVEY. THE LOCATIONS ARE APPROXIMATE N ISTHE HOMEOWNERS DUTY TO ENSURE ALL CONSTRUCTION AND IMPROVEMENTS LOCATIONS ARE ACCURATE ALL SETBACK DISTANCES SHOULD BE CONFIRMED PRIOR TO EXCAVATION. 0890 COUNTY ROAD 102 RAZZORE RESIDENCE GARFIFI D COUNTY, COLORADO ALL SERVICE SEPTIC, LLC 970-618-5033 PRO. NO. 1332 FIGURE 2 DESIGN 4 -BEDROOM RESIDENCE LOADING = q = 600 GALLONS PER DAY PERCOLATION RATE = t = 25 MINUTES PER INCH (MPI) CALCULATED AREA = ((1.5 X q X sqrt t) / 5) = 900 SF PROPOSED AREA = 900 SF X 50% REDUCTION = 450 SF TRENCH SPECIFICATIONS WIDTH OF TRENCHES = 3 FEET = 1 CHAMBERS LENGTH OF 'QUICK -4' TRENCHES = 48 FEET = 12 CHAMBERS TOTAL NUMBER OF 'QUICK -4 CHAMBERS = 48 TOTAL INFILTRATIVE AREA = 473 SF FOUR TOTAL TRENCHES DRAIN FIELD CROSS SECTION - TYP. T 3.5' MA Z �- 4" PVC OBERVATION PIPE GRAVELLESS CHAMBER (4' x 3) 2.0' MIN LIMIT OF EXCAVATION 6' MIN SCARIFY SURFACE SLIP4N PVC CAP DD NOT GLUE FINISHED GRADE SEVER LDS - 4 4• SCHEDULE 40 P.V.D. EFFLUENT LIE -4• SSCHE E 40 OR 33SS.fVG DISN.ATED OPER TRACER WIRE MAY BE TO LOCATE LD*: 01 1N ED FUTURE SWEEP / 2 WAY CLEANOUT DETAILS W.T.S) TYPICAL INFILTRATOR(R) QUICK4(TM) CUT SHEET 12 52" 48" (EFFECTIVE LENGTH) INLET AND OULET PIPES TO GO INTO TOP PORT IN END PLATES 34" PLAN VIEW - TYP. TO ADDITIONAL TRENCH GRAVELLESS CHAMBER 'QUICK -4' 3 FEET 1 0 OBSERVATION PIPE o _4 6 FEET MIN 12 CHAMBERS PER TRENCH SERIAL OVERFLOW LINES TO BE INSTALLED IN TOP PORTS ON END PLATES. PROJECT NO. 1332 PVC LINE FROM TANK FIGURE 3 OMEN C N yy� Y® w 0 0 c i 15 ccs CV /�6\ p�Wf\ vi CL U 76 LO PVC Splice Box w/Cord Grips -o J L -2 N O m o N 0 N pn toN O 8 c 4 'o Co: E E E 2 N ` N '0 EL a Os d p Q V O d of 0 O U d N 0 ds 'O Go y N my CP O 0 u CJ U d 0 Tank Adapter (cast or bolted) Effluent Discharge Modulating Discharge Orifices Vault Inlet Ports O 't (Z 0 ▪ N 0 an $ o m .,., a D E v 0< 0 N C Z U Jd a3 0cz I W O Q CC Lai Q Z N CC -J O O J ALARM IS OPTIONAL N PROJECT NO tO NI- � • C G V E Md T cn M O G g en �3) R N Ls- GARFIELD COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Percolation Test and Soils Data Form - TABLE 1 - PROJECT 1332 PROFILE PIT 0 - 3.5' Topsoil, Root Zone, Clay, Sandy 3.5' - 8.0 Sandy, Silty, Clayey, with Scattered Basalt Boulders, Dense, Moist White / Grey No Groundwater or Bedrock was encountered Date of Test: 4-18-07 Hole Hole Interval Measurement at Measurement at Change (in.) Percolation Rate No. Depth (in.) (min.) Start of Interval End of Interval (min./in.) MPI (in.) (in.) 1 34 20 3.50 4.50 1.00 20 4.50 6.00 1.50 fill 20 2.00 3.25 1.25 20 3.25 4.25 1.00 20 4.25 5.50 1.25 20 5.50 dry 2 36 20 2.25 4.75 2.50 20 4.75 6.50 1.75 20 6.50 8.00 1.50 fill 20 3.50 5.00 1.50 20 5.00 6.75 1.75 20 6.75 8.75 2.00 3 31 20 1.75 4.25 2.50 20 4.25 6.75 2.50 20 6.75 dry fill 20 2.25 3.00 0.75 20 3.00 3.50 0.50 fill 20 3.50 4.25 0.75 AVERAGE = 25 MPI 20 14 40 October 20th 2008 PO Box 2844 Glenwood Springs,C0 81602 Ph 970-618-5033 Fax 303-216-2796 FA Builders Attn: Mark Doherty 0890 County Road 102 Garfield County, Colorado Installation Observation, Proposed Residence 0890 County Road 102 Garfield County, Colorado RECEIVED OCT 2 7 2008 BUILDING & PL .L NNIN( Project No. 1332 Mr. Doherty, ALL SERVICE septic, LLC performed an installation observation on October 24th 2008 for the subject property. The installation included a 1250 -gallon, two-compartment precast concrete septic tank with an effluent filter, followed by 4 rows of 12 `Quick -4' chambers, for a total of 48 chambers, equaling 474 SF of drain field. Effluent is distributed via serial distribution. The OWS was 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 SER eptic, LLC Timothy R. ' etz 2 copies sent Copy sent to Garfield County ER6E O it ie • /if c,-):‹� 9Tm° a, . ,SRF , \��4k 9 36662 Nem' Richard H''' k.. . itt‘�„SSIONP���\rw