Loading...
HomeMy WebLinkAbout04130(SO, do tfrO5 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Permit 4130 Assessor's Parcel No. (3-co .3,;.1R This does not constitute a building or use permit nuc Kht1aer IC g4 frr'`Ma►tl/229/ 5(4,11111i or. (ij leg/6�3 963- 9b6 f Owner's Name �'{/. �/(� Present Address Phone System Location LiP75 C- \ I (3 C'&a(e1 0 g 11 o�a3 Legal Description of Assessor's Parcel NolIti' 3 tito ` 8X"4- of o r 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 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 regulationsirequirements Other Date /3/16? 5/l6? Inspector *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.O0fine —6 months in Ian or both). -, •�LrYJ J RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE lin ift- White - APPLICANT VeIinw. fPPAPTUFMT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION /�oserriar ear4ho/der fi OWNER �otlei i%//erinnnt. ADDRESS O./ Scion Y re trhn!/a/e, Co r-sm,2 3 PHONE 77o A.3.706 sr— CONTRACTOR andro ADDRESS 8-C-SeAce• GIen[vodirlyJ,t S)60/ PHONE 9O.9?.sG6ss PERMIT REQUEST FOR V) 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 r,1yyJpp/C. Size of Lot /521 cues f 5'175"Gu �*�yRood //3 (adfie 0-eeE.G.d) 063 85¢ ¢. t Legal Description or Address Zof 9 ,'Vknf .E.Ae f7on WASTES TYPE: 94 DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER -DESCRIBE BUILDING OR SERVICE TYPE: p/%le 72 -elide e_ Number of Bedrooms) Number of Persons 2 ('4 Garbage Grinder (<1 Automatic Washer OQ Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (X) WELL ( ) SPRING ( ) STREAM OR CREEK if supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ilnh/iotvit, Was an effort made to connect to the Community System? /Vo A site ' lan is re s uired 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 220 r' Co. Grater'/cPJauraes WP/4eentif U �z1309 Percent Ground Slope /0 ° — 39% SMyer er W] f bcof PC/l ,et" /o S¢3/ 2 ( 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? i3e1 PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes ,7. (t per inch in hole No. l Minutes lT C per inch in hole No. 2 Minutes Minutes per inch in hole NO. 3 per inch in hole NO. f Name, address and telephone of RPE who made soil absorption tests: A-17 G & fl' ' 4-(/ 131, ZC (cur -n/ prA 7 1611 t_E (reI-1-ciTC.. `/0"-;e .7475�r' Name, address and telephone of RPE responsible for dcsign of the system: HLt,t OA/iv c am, ft -kik fRlAfr / gki-Gr L --)11204-F ( C rrt.r;tr< < 5%/2/ 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 arc 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. 1 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 • •erjury as provided by law. Signed Date 150 c PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 Designate North Arrow Co etn5' /load //3 Ca e Oee4'odJ County Road (Note the Road Number and Name) August 31, 2006 Mr. Andy Schwaller Garfield County Planning 108 8th Street, Suite 201 Glenwood Springs, CO 81601 MOUNTAIN CROSS ENGINEERING, INC. CIVIL AND ENVIRONMENTAL CONSULTING AND DESIGN RE: Review of ISDS for 4175 Cattle Creek Road, Halterman Residence Dear Andy: The purpose of this memo is to confirm that on Thursday, August 31, 2006, Mountain Cross Engineering, Inc. inspected the ISDS for 4175 Cattle Creek Road. In the professional opinion of Chris Hale, as a professional engineer licensed in the State of Colorado, #35964, and a representative of Mountain Cross Engineering, Inc, it appeared to be installed per the plans prepared by Mountain Cross Engineering, Inc. Feel free to call if any of the above needs clarification or if you have any questions or comments. Sincerely, Mountain, Cross Engineeting, Inc. ' I Orris Hale, PE C: Mr. Bruce Barth, #866.431.1950 826 1/2 Grand Avenue • Glenwood Springs, CO 81601 PH• 970 945 5544 • FAX- 970 945 5558 • www mountaincross-eng com • ^N-^ Gn NP1�a PIV•N O NO a-a�q O t 33 3^ 3 -3 3 -3a �• o0r mS �a a_0am Qouz+o - 2 .19 0 o eros. 0o n og^a cwS8 RE3-a"m0 i'ng osic uP'apc=i� Qgg-o$ •,o'°S q g a in q'o o_Svi Y» 3n `P_g•ys odep a�= ^R 533��03 $ $e^01: s �3 °a' eg e R Ra -a ��^ v ^u3 N�ai� �S io. u 3o°ovso 4n3coa 5:0 ^> ge Wt2;0; a' > SS S0>4» g�°3� a u222 s40, - $ °o do v" o °= a a oa^ eC R >»sR 3'->I°°3'• Piro 3i�- g 80 0 $so''s'q P s 4-"e 8o a q:$' °Q $ 9nn$ i R 5,"°._o.�a 3"4-1. O _ g oa•e°^ 80 °iR� a9O -$ 3P �.3 i�, R.ei sSo.R Sy » a SS Ress gg °ea9 w.Rate. c,3e 3aR ° as E eR :3a_° ,d'b"� 9s=;� ^ ^ 8.iq�6�n_ opsF^"sc�g $','9 °gg -° . v:3� v8B&aSo$oa` ic'ooq;^ ga 3s. ug•i=S^=0;43 S =^'= me •' S• 3$^$• q 6 .° �? 9. R o® s; 3 'Ssoag m3'� aS_ s;�3 3�8 Eo•6R:aaS9�s. q g� ° .."_ 0Q :,!! !!! !!!!!: $ 34`•0= o.^S,ga i;,2,.33RR'" gS5» Soa c . oP° 330 -ff-3� aa3-2i o 1ooa 4^ 033 bS°P- o3$o R.°»sq R ■ e 0 �• »°0 R$'os °o9��q°r„e S 33- a°eRS -^ qse$ _0 9•o �"-'r 9. Ff fa �.f • oz: 2R8nge� R i3a9 aA I Tm •3'$a p,•.'q n' 6vo3 °o°4a°.$R •R32 eg"".-r eOE n ;} °}g'q y �S o° $R9 RnR■ } 3 ag5 3' -.-$$,Rana o ■0°qx SgPo"$^ S•c•• 3R »01°S . ^ °R•o ,E4u = viz i°ooP9.c..93»aa°�0_$5»• ^033L0F>�6» oa acS,.aj;Sm$'so.+^Raev.. °$o'e$•3P°i°'R"0i3 "_a 0egao -o- p S.P°033`0^ ° r R °8sTI-rga:f-1213A$g3 '-p°g•°; SRi3 r^3r-43-ay..°'rp c Q3- g io.3s QR. =3g9. POP ...PSS q 'OC mC g °N=q p OR 43g3g S O� ��.•. SSa a PO R,R S'o°n mSa S° oS a 3 3 Sai�_n S $ 33n $e^s °jj �iog g4ay S v2vsa54 o� o8 »e°» 3cYa ;Jinn -03 0 C16 ^r; '-3Na ^R2F.o nR3^. oR Sg^ R' ' R-» ^^5$ ,12g 301 s 495- .9'51" R,- a°a�u Y. 6i R. in n ^ 33}'$fm•7P^^ea» Rg44-^ 3S: a»q eP6 :?•9g9. R^ !hi -oi �o^ $q^ gg . n2» --D o.3 ,,'%q3 »R35r-Ro ° •• -o R b REt�i na e' =Qon y ey `- ]*- 9.-o �'o S,�,o ov9n v=: »p�l x.. oss' Peg ••s�' > � 04'43 §^v 3SP ^a 3a n m3 fl 38a»eR n q '• ^°o o°n i1 n •0 •0.n : o » 12:27_ oR o o !Pi a mgo Qo' a 9.9,5' g- R.� na °pg_.`A'Svee x R°q �mSR.3•..io�R9 vgSpo'oS- :dila S3 -gSv 9`'°0'&.. 6e3u g 3e o g.'- s 4 $ • aB •gee er a?, -q: Sas u o eo; ac..a o�o ��v_b'3 2 =a >;2R°4 •c3o � o» a;oegS _ ;lag air o Y $' °6S $-o5a OAo 3yg3 N g Ro ion 'e .`19 a= $'eY ^S$=36 i'^Soo$ �° ^ 3n.IR DA n i32R °W ,so i:a 3 u.5'3 R;< r S6 3�'0 orm 3 e $ 2x °$°aRr i"33° • 3s g s,°a �.°. _^R - R� 3�° ° u 9 63 » _ 4 R '-q • aN o itt • • 93S 2$ ^ 8 »3 a � 8$ • $ 411 2 K Ai 0 ma 11 H no .2 `Ce 517-0021 ISDS DETAILS Halterman Residence Red House Architecture O c MOUNTAIN CROSS ENGINEERING, INC. Civil and Environmental Consulting and Design 826 112 Grand Avenue Glenwood Springs, CO 61601 ph 970.945.5544 h 970.045 5558 www.mwnlelncronang.com 4-001 93O PC PPE, Ii4T1 0") 30 0 n 1 DA1E 06/09/05 Not to Scale IngEER Chrb Hale DIG FEE ISDSDudgn XiD 517-0021 ISDS DETAILS Halt rman Residence Red House Architecture 111 9 14 bPp 4 lIAI MOUNTAIN CROSS ENGINEERING, INC. Civil and Environmental Consulting and Design 626 112 Grand Avenue Glenwood Springs, CO 61801 ph 970 945 5544 h 970.945.5558 www.mounl.incrowan9.com