HomeMy WebLinkAbout03789~6b . ·~~
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
SYSTEM DESIGN
______ Septic Tank Capacity (gallon) ______ Other
______ Percolation Rate (minutes/inch) Number of Bedrooms (or other) ____ _
Required Absorption Area -See Attached
Special Setback Requirements:
Permit N~ 3789
Assessor's Parcel No.
This does not constitute
a building or use permit.
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 regulat1ons/requ1rements _____________________ _
Other ___________________________________________ _
Date b1/ 9, 2..o# !. Inspector LL-,1 Q.,.,. z & ;} .
RETAIN WITH RECEIPT ~ECO RDS AT CONS ~CTION 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.$. 1973, Revised 1984.
2. This permit 1s 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 ora
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 spec1f1cations contained in the application of permit commits a Class I, Petty Offense ($500.00 fine -6
months in iail or both).
White -APPLICANT Yellow -DEPARTMENT
• INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
O~N;\~ _,_f-~ __ { b ~ \'5k_._6_o_Jt _______ ··---·····-··-········---·-·-----··-----· _. -··-·
ADDRESS __ .Q'.Q.2_l---~~~----·--·---~ PHONE_ji?J_: p_ .7.Jf
CONTRACTOR . .Mic:LU~~-~L ··1-121[1 51~1, ---ADJ)RESS.-~!t'l'i.-~)W.b1\1,______________ PHONE __ ~.6..2.:_jJJd
PERMJT REQUEST FOR ( ) NEW INSTALLATION M,ALTERATJON ( ) REPAJH
Attach separate sheets or report showing entire area wit11 respect to surrounding areas, topowaphy of area, habitable
building, location of polahk water wells, soil percolation.test holcsi_soil p~ofiks in test holes (See page 4 ). -
1,0CAT\~lli_QfJ'ROPQSED FACILITY: l\0-lt ~.::1 ~i I'> ~ «rJrl~ .f ~-~
Near what Cily ol"Town. __ Ca.rbNl!l.Jc -UNtt-···-:--t e~(r-~ ·-1
Legal Descripfion or Addressj,gt_!/__l,;.o~T-L~~ ________ V _____ ~f ___ . ·----·· . _ ...... _
WASTES TYPE ('YJ DWELLING ( ) TRA TENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMFSTIC WASTl\S
( ) OTHER--DESCRIBE. ______________________ . ··········--···--········.
lllJlLDINO OR SFRV\CE TYPE:_jg~~4~c~ ·--·---·------------·--·-··-·--.... ____ : ..... ·-·· ·-·· ................... .
Number of Bedrooms ··-·--·-_ .5-..--·---·-·-·-·-·-------Number of Persons ___ . y
( ) Garbage Ur;rn!cr ( ) Automatic Washey' ( ) Dishwasher
.SOl!.!i(~lL1NPTYP~_QE_Wf.TER SUPPLY: {f) WELL ( ) SPRING ( ) STRFAM OR CREEK
If supplied hy Communi1y Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ____ ... ··---·-··-··-·· _
Was an cffo1i made to connect to the Community Syslem? -·---_____ ·--···--·-··· ·-·········· ..
A ~H!0Jlla11 is rcqu.irl)<! tg_l!_t.,~YhmI!ltdJhllt.in!licaJ~~-th~ fo.l!Q.wi.!!J{AtlJ'IUMlLM !li~t!!nft;~:
Leach Fidd lo Well: 100 feet
Septic Tank lo \Veil: 50 feel
Leach Field to Irrigation Ditches, Stream or Wal·er Course: 50 feet
Septic System (septic tank & disposal field) to Property Lines: 10 feet
YO(JR INDlVITllJAL SE\VAGE DISPOSAl, SYSTEM PERMlT WILL NOT BE ISSlJED WITIJOl.JT ·--.,:. ___ ··----.. ----. -.. ---------------···-··-----~---·-···"-----.. ----' ... --------~ ------------·--_,, ___ -, .. ·-·----·-. ... ~ ··--· -.. -------.---. --. --· ---.
ASlTt~J'!,,\N.
~;gQ!J:Nl?J:Xl ~n IIH) N. S:
Depth to firs! Ground Water Table··--·· -·····-··--------···--· _ ···--·--------·····
I' crccn t < i ro 11 ml Slope . __ ........ ---·-·--··-····---··----····-····---··-·· ____ .... . _ ---···--·--·-· -·· . ___ ...... -·-... .. . . .. ··-· -··-····--··--..... .
2
;~ . .. '
TYP;B OF INDNIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(V) SEPTICTANK ( ) AERATIONPLANT ( ) VAULT
( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE
( ) PITPRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE
( ) CHEMICAL TOILET( ) OTHER-DESCRIBE. ______________ _
Ft DISPOSAL BY:
( ) ABSORPTION TRENCH, BED OR PIT ( ) EV APOTRANSPIRA TION
I
( ) UNDERGROUND DISPERSAL ( ) SAND FILTER
( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OTHER-DESCRIBE
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ,,[,, J
PERCOLATION TEST RES UL TS: (To be completed by Registered Professional Engineer, if the Engineer does the
Percolation Test)
Minutes 2--0 per inch in hole No. 1
Minutes ____ _,..er inch in hole No. 2
• '
Minutes _____ _,..er inch in hole No. 3
Minutes _____ __,..er inch in hole No .
Name, address and telephone ofRPE who made soil absorption tests:-----------~-
1/ r, /z Cov-4<1Cv f;;'!Vo/1°,pveer1;_,y_,, 15/ > d/4/[e;1tre C./"t"',..,~-"':;/y.rs-<~' ~ ) ( ~ ~ ~ ~ .
Name, address and telephone ofRPE responsible for desi of the system: /j_;r.,lz Ccv«rr•/ !i/0 //t'ffr J"t'
., e ,;.ovvV'occ. :,r,,;,._7 · 7 -?
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 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 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 fv'J~c/Jf:ltL Date ?/l;/J 3
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
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GRAPHIC SCALE
O 01020 •O llC
·• ~ I I ~-( IN FEET )
1 inch = 20 ft.
REMOVABLE PVC CAP
CUT HOLE IN TOP OF
INFILTRATOR UNIT FOR
;~ ~ \ I INST AlLA TION OF INSPECTION
/, SIDES WELL PIPE ',(,/ /I ;~~·
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0 ~\. 4 ~ ~ PE RF ORA TED PIPE
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INSPECTION WELL OETAIL
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REMOVABLE\ PVC CAP
FINISH GRADE ~
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4• COUPUNC \ r1::::~-~
VICNTYMAP
SCALE: 1•=2000'
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1, ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE GARFIELO COUNTY
REGULATIONS Of INDIVIDUAL SEWAGE DISPOSAL SYSTEMS, EVEN THOUGH
ALL SUCH REQUIREMENTS ARE NOT SPECIFICALLY NOTED ON THE DRAWINGS.
THE CONTRACTOR SHALL BE RESPONSIBLE FOR SUCH SPECIFIC DETAILS AS
ARE REFERRED TO IN THE ABOVE MENTIONED REGULATIONS.
2. FLOW FOR BED:
J.
4.
5 BEDROOMS • 2 PERSONS/BEDROOM • 75 GALLONS/PERSON/DAY IS:
750 GPO• AVERAGE DAILY FLOW.
DESIGN FLOW• 1 .5 • AVERAGE • 1125 GPO (Q)
SEPTIC TANK:
MlNIMl.M TOTAL TANK SIZE:
Q • 1 DAY/24 HRS • JO HRS• 1406 GPO
INSTALL ONE AD01TIONAL 1000--CALLON TANK WITHOUT BAFFLE INLINE
AND AFTER EX I ST! NG 1 OOO~ALLON SEPTIC TANK
•••INSTALL EFFLUENT FILTER IN SEPTIC TANK OUTLET•••
STANDARD ABSORPTION AREA:
A • SJ..fL QsMAXIMUM FLOW
t..PERCOLATION RATE= 20 min.fin,
~ ~ 1007 SF •••FOR GARBAGE DISPOSAL INCREASE
•>. 1007 SF • 1,20 • 1207.5 SF
USE OF STAN6~D INFILTRATOR UNITS IN BED CONFIGURATION:
40X REDUCTION (1208 SF • 0 60) 0 15.5 S F./UNIT.
47 UNITS REQUIRED. REC~ENO 48 UNITS IN A e K 8 BED CONFIGURATION.
CLEAN OUTS AAE REQUIRED AT ALL BENDS AND AT LEAST EVERY 100
FEET ALONG THE HOIJSE SEWER.
THE CONTRACTOf! SHALL BE RESPONSIBLE FOR INSTALLING ALL
WATER TIGHT COMPONENTS, PRIOR TO THE ABSORPTION AREA,
TO PREVENT INFILTRATION.
--... ~ . .-... ''•"T'"' t ~t'll1T MINIMUM) TO ALLON
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4• COUPLING
4• 45" SWEEP BENO
. 4• SE'NER. UNE
DISTRIBUTION
LATERAL
•• ' •• ' 4•_/ %: PVC wY( _5/ /
ClE.6.N OUT
ASSEMBLY
SEWER CLEAN OUT DETAIL
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5PECTION 'M:LL (T'r'P.)
BED PLAN VIEW
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3. CLEAN OUTS ARE REQUIRED AT ALL BtNDS ANO AT LtAST EVERY 1DO
t£ET ALONG THE HOUSE SEWER.
4. THE CONTRACTOR SHALL BE RESPONSIBLE FOR INSTALLING ALL
WATER TIGHT COMPONENTS, PRIOR TO THE ABSORPTION AREA,
TO PREVENT INFILTRATION .
S, TOPSOIL COVER MAY BE VARIEO (WITH 1 tOOT MINIMUM) TO ALLOW
LANDSCAPING.
6. INSTALL RISERS AS NECESSARY TO BRING ALL ACCESS POINTS TO
WITHIN ONE-HALF FOOT OF FINAL GRADE.
1, LOCATIONS OF ALL COMPONENTS MAY BE VARIED AS NECESSARY AS LONG
AS ALL MINIMUM DISTANCES AND SLOPES MEET THOSE REOVIR[O.
S, PROVIDE POSITIVE DRAINAGE OF SURFACE WATER AWAY FROM ABSORPTION
FIELD AREA USING ORAINAGE SWALES AS NECESSARY.
9. SOILS JNFORMA.TION FROM INFORMA.:flON AND PERCOLATION TESTING
PROVIDED BY GARFIELD COUNTY, PERMIT NO. 2069, DATEO APRIL 29, 1993.
10. TM!S DRAWING OOES NOT CONSTITUTE AN !SOS PERMIT. PERMIT MUST BE
OBTAINED FROM APPROPRIATE CITY OR COUNTY OFFICIALS,
ENGINEER MUST OBSERVE CONSTRUCTED SYSTEM BEFORE BACKFILL
AND PROVIDE REPORT TO COUNTY.
11. TMIS SYSTEM IS St ZED FOR TYPICAL DOMESTIC WASTES ONLY. BACl<WASH
OR FLUSHING FLOWS FOR REVERSE OSMOSIS UNITS OR WATER SOF'TENERS
~FILTERS SHOULD NOT BE INTRODUCED INTO THIS SYSTEM.
12. SITE PLAN INFORMATION FROM MICHAEL DOYLE ARCHITECTS.
13. INSTALL BLUEBOARO INSULATION OVER SEW£R PIPE WHEREVER DEPTH JS
LESS THAN 5.0 FEET.
14. THE ENGINEER SHALL 0E CONTACTED FOR SITE INSPECTION PRIOR TO
BACKFILLING OF' SYSTEM COMPONENTS,
OBEW... ABBOFEUM ED NO'TEB
1. ABSORPTION LATERALS SHALL NOT EXCEED 100 FEET IN LENGTH.
2. THE BOTTOM OF EACH A9SORPTlON BEO SHALL BE LEVEL.
3. DRAINAGE SWAL£S ARE TO BE PROVIDED ABOVE ANO AROUND BED, AS
NECESSARY, TO PREVENT SURFACE RUNOFF FROM ENTERING ABSORPTION AREA.
4. BED LATERALS $HALL FOLLCM' CONTOURS.
5, INSTALL INFILTRATOR IN ACCORDANCE WITH MANUFACTURER'S REC~ENCAT!ONS.
6. BED BOTTOM ANO SIDEWALLS MUST BE RAKED TO REMOVE SOIL SMEARS
INCURRED DURING EXCAVATION.
7. NO EXCAVATION OF ABSORPTION FIELO IS TO BE DONE DURING WET 'M:ATHER
AND USE OF RUBBER TIRE VEHICLES OVER ABSORPTION AREA IS PROHIBITED
8. UNSUITABLE MATERJAL EXISTING WITHIN THE BED SHALL BE EXCAVATED AND
BACKFILL SHALL CONSIST OF ONSITE SELECT OR PIT-f!UN MATERIAL.
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£XISTING 1000-GAL SE:PTlC TANI<
CONTRACTOR TO MAINTAIN !i' MIN,
DISTANCE BETWEEN FOUNDATION
WALL ANO SEPTIC TANK
(RELOCATE AS NECESSARY)
!NSTAU. ADDITIONAL 1000-GAL
SEPTIC TANK JN SERIES
WllliOUT BAFFLE (MIN)
INSTALL DISTRIBUTION LATERAL
(BOTl-I ENDS)
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NATURAL BACKF1LL
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t2• MIN. COV(R
36• MAX. COV(R
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\EXISTING ROCK BED AND DISTRIBUTION LATERAL
\ TO BE ABANDONED
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CONTRACTOR TO VERIFY AND MAINTAIN
MINIMUM SEPARATION OF 25' BET'WEEN
SEPTIC FIELD ANO WATER SER\llCE
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BED BOTTOM LEVEL ANO ROUGHENED
INFILlRATOR UNIT (TYP.) BED CROSS SECTION (TYP.)
N.T.S.
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April 9, 2003
Garfield County Building & Plannina
109 'Eighth Street, Third Floor
GlenWood Springs, CO 81601
..
. ~---~~~ -354 Liomi=J.9ed.
HCE File Number 2031007.00/0218
To Whom It May Concern,
RECEIVED
Ar'~ J ) 2003
1111~!~ .!J COUNTY -c. & Pf.ANNING
On March 28, 2003, High Country 'Fngi•«<in& (HCE) pponnel impected the construction of the
ISDS located at 354 Lions Ridge Road in Garfidd CountY, Colorado. 48 Infiltrator units in a 6x8 bed
configuration were installed per HCE's design One ecldjtjmeJ 1000-gallon septic tank was instaUed in
eeries with the existing 1()()()-pllcm. l!llJtic tanldramja,ablndoned existing ISDS. The existing ISDS
has been abandoned because the driveway fur tbenwhhP is locamd over the leach field At the time
of inspection, the conb:a:tor had inslalled the 1 QOO.aallon CODCtete septic tank and the required
Infiltrator units. No backfilling had 1aken pJace. Althnnp the water line was not located, from field
observation, the water line did not appear to be witfiin the 2S' ininimum separation required from the
leach field The contractor was ditccllld to scarify tlie excmDd beds sides prior to liac!cfimng using a
pick or rake. The contractor was also advised 1o inllall an eft1ue:nt filter in the new tank outlet prior to
bac!cfimng
If you have any questions, or need ed!tijjolat\4iwu'8tton, please contact us.
' ~ ,_,, .
Sincerely,
JDOHmUN'IR:Y ENG
Deric J. Walter, P .E.
Project Managa
DJW/erw
CC: Michael Doyle
1517_ A_ Slit 101
Olonwaad~ C:Ol1'°1
Telopboao (!170) 94Um•1's (!l70) '4545S5
14--DriYe ElllS&iloB-144
Jqlewaod. CO IOIU
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