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Home My WebLink About03812I ' ' t f ' • • ' GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT ' 109 Bth Street Suite 303 Glenwood Springs, Colorado 81601 Phone (303) 945-8212 N,. Permit -381?. Aaseasor'a Parcel No. This does not constitute a building or use permit. ~ INDIVIDUAL SEWAGE DISPOSAL PERMIT , PROPERTY : Owner's Name <!At<Z.mic h4~ ~ le 0 Present Address bf 1 Sy (Cfy t£. ( /Jai.one qb :3 -0 7 '2( 'systemLocation /5/ /rj/\(f 1r. Carbotdo.C\. Cb . / Legat Description of Assessor's Parcel No. lo± 3.!i f<{ NjS low S.d.9&-_ µjCf / ~ 'g;. 0 /DJ,:>) 1 SYSTEM DESIGN ~ ______ Septic Tank Capacity (gallon) ------'Other • ______ Percolation Rate (minutes/inch) Number of Bedrooms (or other) ____ _ Required Absorption Area -See Attached Special Setback Requirements: • ., Oate _____________ lnspector ___________________________ _ FINAL SYSTEM INSPECTION AND APPROVAL (as installed) ' t Call for Inspection (24 hours notice) Before Covering Installation J ' i • • • i " ' ' ) • ~ 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 ----------------------~--------------------- Dale ---19~-~rJ.~--Q~::S~ ____ Inspector & ~ <11 /?4-1 RETAIN WITH RECEIPT M60RDS40~NSTRUCTION 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 du ~Mhq1d./fAtlt.- ADDRESS b.& J D«..1tttr1Y eP. ct. OtlM CONTRACTOR c,..!> rt€.-,- PHONE ----- PERMIT REQUEST FOR (~W 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 ~D~ SizeofLot ;J,,25 4:.- Legal Description or Address IQ b,,.C,?+ ?f't=r'71i,.. WASTES TYPE: (vJ DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ()OTHER-DESCRIBE _______________ _ BUILDING OR SERVICE TYPE: ____ 'Si_,_J_F_=D_,..:i_e_Gl_r ""-=d-+------------ Nwnber of Bedrooms Nwnber of Persons .:z__ -------------~ -~~--- ( Y)' Garbage Grinder ( 0"'Automatic Washer SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( vf Dishwasher ( ) SPRING I ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: ffi,._....Y-s ~ //~¢""'""'' 6 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:~#'--#-~4-: _______ _ Was an effort made to connect to the Community System? -~p;_<--.,...~.L.'4,__ _________ _ A site plan is required to be submitted that indicates the followin& 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 __________________________ _ 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( )0 OTHER-DESCRIBE C'#ll?H($1fl< FINAL DISPOSAL BY: (t/f ABSORPTION TRENCH, BED OR PIT ( ) EV APOTRANSPIRA TION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER-DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ,,(/o PERCOLATION TEST RES UL TS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes ____ _,.er inch in hole No. I Minutes ------rer 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:------------- 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. Signed ~ ~ Date-----+-,4-"-'>'3~~3 __ _ PLEA~YOURPROPERTY!!1 (1) 1,250 GALLON PRECAST CONCRETE DOUBLE COMPARTMENT SEPTIC TANK CARMICHAEL RESIDENCE /SOS DESIGN f LOT 53, FILING 1, KINGS ROW SUBDIVISION / GARFIELD COUNTY, COLORADO 3-21-03 I I 1 I 76.7' .~ 960 • -.di' BAFFLE CHAMBER Sff. OETAIL ON AGURE 2 -- aoo ~Sf>OSE OF EXISTING BERM I I FEET 40 N 0 GRAPHIC SCALE I Inch = 40 ft. AGURE 1 40 FEET CONTOUR INTERVAL .;, 2 FEET 159.J SF OF /NFIL TRA Tl!.£ AREA IN 1 GRA lflLESS CHAMBER-BED BED SHALL BE 18 FT. X 106.25 FT. ANO CONTAIN 6 ROWS OF 17 CHAMBERS FOR A TOTAL OF 102 CHAMBERS EACH CHAMBER NET DIMENSION BEING JO" W/0£ BY 6'-J" LONG FOR A NET AREA OF 15.64 SQ. FT. PER CHAMBER INSTALLA TION WIO TH PER CHAMBER IS J FT. OBSERVATION VENT PIPES PINNACLE IJ£SIGN CONSUL TING GROUP. INC CDNSll TING £NfiIN££RS e 0232 WOODS RDAD ASP£N. CD 81611 • <970> 923-9495 I 06SJGN °CRITERIA .. 1. HOUSE SIZE -4 BEDROOMS 2. A 1-E"RACE LOADING -600 GPO 3. PERCOLATION RA TE -JI MP/ 4. PEAK LOADING -1260 GPO 5. MINIMUM ABSORPTION AREA REOUIREO = J95 X 4 = 1580 SF GRA !IEZIESS CHAMBER BED )PECIF/CA TIQN£· 1. NUMBER OF CHAMBER BEDS -I 2. GROSS LENGTH OF BED -106.25 FEET J. GROSS HfDTH OF BED -16 FEET ... J. NET DESIGN PERCOlA TION H10 TH OF BED -15 FEET 4. TOTAL CHAMBER BED OESIGN AREA -106.25 X 15 = 1594 SF 5. TOTAL NUMBER OF CHAMBERS REQUIRED = 102 INl.<T RNAL GRADE ,.. OIJTLET PLAN L1£W FIBERGLASS UO tfl1H JO~ / STAJNLESS srcn BOLTS ~ ANO IJR£1HAN£ GASKET Rl8BE'D PK' BASIN JO" REVAllQN 30» FLOW SPLITTER BASIN N. r.s. CARMICHAEL RESIDENCE /SOS DESIGN LOT 33, FILING 1, KINGS ROW SUBDIVISION GARFIEL°D COUNTY, COLORADO 3-21-03 0 0 0 0 0 0 ,,. ASTM .J034 -SDli' JS OBSE7i"VA TION~NT PIP£ MTH CAP (TYP.) 106.25' F1GURE 2 ro DISrRIBUTlON BOX 2k CRA0£ MIN. "----4• ASTM .JO.J4 -SOR JS PVC LINE TYPICAL PLAN ll7EW GRA VELLESS CHAMBER BED N. r.s. /, RNISH£0 GRADE NA TIVC BACK. ,,. AS1M JO,J4 -SOR 35 Q5'SCRVATION/V£NT PIPE MTH CAP (T'IP.} G'i'A ITTL£SS CHAMBER (7YP} J' x 6.25' TYPICAL CROSS SECTION -GRA VELLESS CHAMBER BED N. r.s. - TYPICAL CRA ~LLESS CHAMBER PLAN, SECTIONS. AND DESIGN CALCULATIONS PINNACLE DESIGN CONSUL TING GROUP. INC. CONSl.A. TING £N6/ICCRS e 0232 VWDS ROAD ASPEN, CO 81611 • <970J 9C3-9495 EffiUENT fflOM 2000 GAL. ABERGLASS GASK£1FO LID WITH Pl.<t' RISER WTH GROUUETS {BONO TO TANK ADAPTER WITH STAINLESS STEEL 80l TS \ OR SEALED CONCRETE LIDS SLOPE GROUND RECOMME:NO£D ADHESI~) A WA r FROM RISER OR CONCRETr RISER WITH ,,,.,....J.~~..,.-~=======--~--r~~~-ro(._~RUBBER-NO( TANK ADAPTCR (CAST OH BOlfm) EmUENT OISCHARG£ 0 -2:K GRADE . FTGIJR£ .J 1.250 GAL. BAFFLED SEPTIC TANK CARMICHAEL RESIDENCE ISDS DESIGN LOT 33. FILING 1, KINGS ROW SUBDIVISION GARFIELD COUNTY, COLORADO 3-21-03 N. r.s. 1,250 GALLON OOIJBLE COMPARTMENT (BAm£o) SEPT7C TANK OETAIL PINNACLE DESIGN CONSUL TING GROUP. INC. CONSl.A.. TING £NGDCD?S e 0232 'r/O/JDS !?DAD ASPDl CO 81611 • <970J 923-9495 INSPECTION WILL NOT BE MADE UNLESS THIS CARD IS POSTED ON THE JOB . . -24 HOURS NOTICE REQUIRED FOR INSPECJ'IONS Setbacks Fro gt Side Side Rear This Card Most Be Posted So It is Plai11ly Visible From The Street Until Final Inspection. Foundation Underground Plumbing Rough Plumbing Chimney & Vent INSPECTION RECORD Notes: ALL LISTED ITEMS MUST BE INSPECTED AND APPROVED BEF COVERING - WHETHER INTERIOR OR EXTERIOR, UNDERGROUND OR ABOVE GROUND. ~ THIS PERMIT IS NOT TRANSFERABLE ~ 109 8th Street County Courthouse Glenwood Springs, Colorado. APPROVEDDO NOT DESTROY THIS CARD oate~evii"e'-. i&..(c, " · IF PLACED OUTSIDE -~R WITH CLEAR PLASTIC ..