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Home My WebLink About03811. \\ ~ /)..V'-~ I (pl'-,\ ~-~ I GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner"sNamDk'o oe lo 121 ocbLk~ntAddres& M'1i1Crl!C~ Jo·ii System Locatood 5 \ b t R_ l 3J 1 -~I )-__)CO Legal Description of Assessor"s Parcel No aB:\ -ay I -~ -I J ,;?_ SYSTEM DESIGN ______ Septic Tank Capacity (gallon) ______ ,Other ______ Percolation Rate (minutes/inch} Number of Bedrooms (or other) ____ _ Required Absorption Area -See Attached Special Setback Requirements: . N'" Permit -3811 Assessor's Parcel No. This does not constitute a building or use permit. r \lC'_:i- Phone Y 11..o-'zYlt:6. Cj 7D·l..\"J9=75x:::, Date _____________ lnspector ___________________________ _ 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~&,_-_72~-cf-/~ ____ lnspector 4 (~Ca• RETAIN WITH RECEIPT RECORDS::;c()NgRUCTION 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 1n 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). Whtte -APPLICANT Yellow -DEPARTMENT • INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION co ,f'/657 PERMITREQUESTFOR_ 0 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: NearwhatCityofTown f9'/cmvwz:£5j:JJC/~ f SizeofLot f S-{)() 4;mt~ Legal Description or Address Z ~If' -C X: I -1 7 U/'um..--Cr eel( WASTES TYPE: <,)Q' DWELLING ( ) TRANSIENT USE ( ) COMMERCIALORINDUSTRIAL ( ) NON-OOMESTICWASTES ( ) OTHER-DESCRIBE_~------------- BUILDING ORSERVICETYPE:___."""":i....=-------------------- NumberofBedrooms_~7 __________ N.umber of Persons~---- (I ) Garb11ge Grinder (I ) Automatic Washer ( Z) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (t/f WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:_,..,.1n~1""'/6~r _______ _ Was an effort made to connect to the Community System? -------------- A site plan is required to be submitted that indicates the followiJI& MINIMUM distances: I Leach Field to Well: /SO 100 feet Septic Tank to Well: /(JD 1 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: ro I 50 feet Septic System (septic tank & disposal field) to Property Lines: ta:/10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDIDONS: Depth to first Ground Water Table _____________________ _ Percent Ground Slope _________________________ _ TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: 9<J 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? 4/0 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:------------- 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 application and in legal action for perjury as provided by law. s;g,oo ~ Doto s/d,-15 PLEASE DRA w AN~ EMAPTOYoUR PROPERTY!! 7 7 CIVIL ENGINEERING June 22, 2004 Andy Schaller Garfield County Environmental Health 108 8th Street, Suite 201 Glenwood Springs, CO 81601 Ari Employee-Owned Company Re: Okanela Barn and Bunkhouse ISDS HCE Project Number 2021708.00 x 0218 Dear Andy: LAND SURVEYING Tue following letter is to confum the engineer's acceptance of the designed septic system of the Okanela Barn and Bunkhouse near Canyon Creek Road. Tue design included a 1, 750 gallon septic tank, a 1,000 gallon septic tank, and 168 infiltrator units. A 2,000 gallon septic tank was installed instead of the 1, 7 50 gallon septic tank, and the infiltrator trench configuration was moved about 7 5' east and rotated per site conditions. All of the inspection wells, infiltrators, manifolds, and cleanouts were inspected and were installed satisfactory. Tue relocation and rotation of the infiltrator trenches are still within minimum horizontal distances from the creek. Tue absorption field is approximately 150 feet from the creek, andl26 feet is required. The 17 6' minimum horizontal distance for any proposed well still needs to be observed and can be seen on the asbuilt drawing. With the above noted changes, the system has been completed with the intent of the original design. If you have any questions, or need additional information, please contact us. Sincerely, aner,P.E. Senior Project Manager 1517 Blake Avenue, Suite 101 Glenwood Springs, CO 81601 970.945.8676 phone Q7n QA'..,''"• ~~<A-- Deren Dircksen, E.I. Project Engineer 14 Inverness Drive East, Sutte F·120 Englewood, CO 80112 303.925.0544 phone ".l.nl. q-,i;: n(&7 i: