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GARFIELD COUNTY BUI NG AND SANITATION DEPARTMENT
109 Bth Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
Permit N~ 3724
Assessor's Parcel No.
This does not constitute
a building or use permit.
PROPERTY ~ ' G~ ~~ .. ,~ _ • .,....ai.s~w.dp ,_,-,,1'1-Q19;J
System Location!.M)['\ bu.)€C \ ~ C QO ~ \
Legal Description of Assessor's Parcel£&+., (aCJ.= C.O/) L'i...o ill Q Q0 J..
SYSTEM DESIGN ;i. 3 °I ( -3 )._ {-0 )..-0' y
______ 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 Y-./f / l/ · 1/-o "2... Inspector Y¥ ~1 ~ ;;,~
r RETAIN WITH RECEIPT REcoRos AT coNsrRCr10N s1
•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 1n jail or both).
White -APPLICANT Yellow -DEPARTMENT
I
INDIVII?UAL ~EW AGE DISPOSAL SYSTEM APPLICATION
. OWNER S'a. Y\ Dec 1~ n . Tue , I
ADDRESS ()X.£9 ;:eu.v£fcu.uec 7-,p.,,p , PHONE 7CJ '{ -/;2 ({')/
CONTRACTOR .. S'qo D.e.r1~n . :Idife I
ADDRESS ,S2t W7£
PERMIT REQUEST FOR (~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 FA<;JLITY:
NearwhatCityofTown c;le 1C:be.} /cH-rbtJ;o.Jfl.fE SizeofLot 2. I fk:r-eJ
Legal Description or Address J·g;/s IE
1
RA-t1c k Lo+ /, Lj 0333 Sl.wl-fl 0 ....,u-l01!f
WASTES TYPE: (t,..1'1)WELLING ( ) TRANSIENT USE ( lc\.ci.,k
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( )OTHER-DESCRIBE. _______________ _
BUILDING OR SERVICE TYPE:___,SJ==-+-'F'---'~....oL::::.e=..:..:l \c...\ ~--------------
N'°fBedrooms 3 Number of Persons lo er Le.s <,
(\)"'Garl>ageGrinder (~omaticWasher (~washer '
SQURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community water, give name of supplier: & rrs £. R IJ-,J e b
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:_-__________ _
Was an effort made to connect to the Community System? Per Sgb)r;_,rsre..V !If p~v.4-l
A site plan is reauired to be submitted that indicates the followinr MINIMUM distances:
Leach Field to Well: 100 feet
Septic Tank to Well: . 50 feet
Leach Field to Irrigation Ditches, Stream or Water Course: ~ _ 20 ' ,
SepticSystemtoPropertyLines:(septic tank &leach field)18feet l>!/z/l.1AJ E/li/,,I F.uw~
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Wil.L NOT BE ISSUED WITHOUT
A SITE PLAN.
GROUND CONDITIONS:
I Depth to first Ground Water Table __ .__ __________________ _
Percent Ground Slope __ .>.<..-----------------------
2
TYPE OF INDIVIDUAL SEW AGE DI~POS'¥-SYSTEM PROPOSED: (~SEPTICTANK,A-re"1-l'l'l#1 )µ-AEAATIONPLANT ( ) VAULT
' ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POT ABLE 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
( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OTHER-DESCRIBE
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) :>£ E De s1111 "'cf) Pi-A-N By l/t"'! J. ~ '" p-f'/ E:Ny/;v-. .,.,,,.,,
Minutes per inch in hole No. 1 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: I-/ ID 6e" kc b -&>aJy f'-7
, '
Name, address and tel hone ofRPE responsible for design of the system: H1'f \.. (!011tefrv EufYJJ~er/ry
· Br -er S/7 A-<!' .,.) ,' Co /9"1601
'IVS-9"' ~
Applicant acknowledges that the coraiileteness 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
fillsification or misrepresentation may result in the denial of the application or revocation of any permit granted based
upon said appli · n and · legal action for perjury as provided by law.
Date Jk_Ly
/
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
Designate North Arrow
Your Neighbor's
Name & Address
Lot b 3
Your Plot -Shape to Fit P f
. (No Scale) t,01~
ff p v-) (!; f'
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5t=£
s:+t. fl/4-f'l
~.it.
Locate well, streams · · , and any water courses. Draw in your house,
t.--serruc tank & system, detached garages, and driveway.
If a change oflocation is necessary, you must submit a corrected drawing, before a
Certificate of Occupation will be issued.
County Road (Note the Road Number and Name)
me c.\~wpdocs'91otloc
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Your Neighbor's
Name & Address
Lof-c,~
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/, L\J\..,Pll IVn.:i ur l"\L..L•\.,,UIYlrv\"'L..1,.,J '"''"'' u1. .,..,.,,,._.., ............................ ··---··-
AS ALL MINIMUM DISTANCES AND SLOPES MEET THOSE REQUIRED.
8. PROVIDE POSITIVE DRAINAGE OF SURFACE WATER AWAY FROM ABSORPTION
FIELD AREA USING DRAINAGE SWALES AS NECESSARY.
9. SOILS INFORMATION PROVIDED BY H.P. GEOTECH, INC., JOB NO. 102 367,
DATED MAY 31, 2002.
10. THIS DRAWING DOES NOT CONSTITUTE AN ISDS PERMIT. PERMIT MUST BE
OBTAINED FROM APPROPRIATE CITY OR COUNTY OFFICIALS.
ENGINEER MUST OBSERVE CONSTRUCTED SYSTEM BEFORE BACKFILL
AND PROVIDE REPORT TO COUNTY.
11. THIS SYSTEM IS SIZED FOR TYPICAL DOMESTIC WASTES ONLY. BACKWASH
OR FLUSHING FLOWS FOR REVERSE OSMOSIS UNITS OR WATER SOFTENERS
OR FILTERS SHOULD NOT BE INTRODUCED INTO THIS SYSTEM.
12. SITE PLAN INFORMATION FROM SANDESIGNS, INC.
13. INSTALL BLUEBOARD INSULATION OVER SEWER PIPE WHEREVER DEPTH IS
LESS THAN 5.0 FEET.
14. THE ENGINEER SHALL BE CONTACTED FOR SITE INSPECTION PRIOR TO
BACKFILLING OF SYSTEM COMPONENTS.
15. DESIGN OF ABSORPTION BED BASED ON PERC. RATE AND SOIL PROFILE
INDICATING 1/2-FOOT OF TOPSOIL OVERLYING MEDIUM STIFF TO STIFF
SANDY SILTY CLAY TO A PROFILE DEPTH OF 8-1/2 FEET. GROUNDWATER
WAS RECORDED AT A DEPTH OF 7-FEET.
1 .
2.
3.
4.
5.
6.
7.
8.
ABSORPTION LATERALS SHALL NOT EXCEED 100 FEET IN LENGTH.
THE BOTTOM OF EACH ABSORPTION BED SHALL BE LEVEL.
DRAINAGE SWALES ARE TO BE PROVIDED ABOVE AND AROUND BED, AS
NECESSARY, TO PREVENT SURFACE RUNOFF FROM ENTERING ABSORPTION AREA.
BED LATERALS SHALL FOLLOW CONTOURS.
INSTALL INFILTRATOR IN ACCORDANCE WITH MANUFACTURER'S RECOMMENDATIONS.
BED BOTTOM AND SIDEWALLS MUST BE RAKED TO REMOVE SOIL SMEARS
INCURRED DURING EXCAVATION.
NO EXCAVATION OF ABSORPTION FIELD IS TO BE DONE DURING WET WEATHER
AND USE OF RUBBER TIRE VEHICLES OVER ABSORPTION AREA IS PROHIBITED
UNSUITABLE MATERIAL EXISTING WITHIN THE BED SHALL BE EXCAVATED AND
BACKFILL SHALL CONSIST OF ONSITE SELECT OR PIT-RUN MATERIAL.
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PROJECT NO.
2021055.0218
SHEET
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December 3, 2002
Garfield County Building & Planning
109 Eighth Street, Third Floor
Glenwood Springs, CO 81601
Re: ISTS for Ron Sande, Lot 64 Cerise Ranch Subdivision
HCE Job No. 2021055.0218
To Whom It May Concern:
On September 18, 2002 and November 11, 2002, High Country Engineering personnel
observed the construction of the ISTS for Ron Sande located at Lot 64 of the Cerise Ranch
Subdivision in Garfield County, Colorado. One 2000-gallon septic tank and 40 standard
Infiltrator units had been installed in a bed configuration. No backfilling had taken place.
The Advantex treatment system had also been installed and appeared to be installed per the
manufacturer's recommendations. If you have any questions, or need additional information,
please contact us.
Sincerely,
HIGH COUNTRY ENGINEE~~, f ·. · ·.•.<s"' o··-..· ·~· '.\ 7~ -;;:;.""""--..l/c( c:~;<>·" , . "<::':{:;\
RogerD.Neal,P.E. "· ·-::~.\ :.~,-"::-3 } .
Project Manager ·:.'.;\, / ·~
'' .,, , ..
RDN/djw
Cc: Ron Sande
1517 Blake Avenue, Suite 101
Glenwood Springs, CO 81601
Telephone (970) 945-8676 -Fax (970) 945-2555
14 lnvemess Drive East Suite D-136
Englewood, CO 80112
Telephone (303) 925-0544 -Fax (303) 925-0547