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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's Name
aq
System
1l�
Permit N — 3979
Assessor's Parcel No.
This does not constitute
a building or use permit.
Present Address f Y o' 6 (913 . C. g /None 9 V 6369
°cation
Legal Description of Assessor's Parcel No
SYSTEM DESIGN
-t-76
Septic
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 !� �F p � f
Absorption Area 36' "5/C� Q. L�-Sf��/� .. /4 Zr P
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other
Date -30 Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION 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
OWNER/\/.. -,e
ADDRESSC1) ,
CONTRACTOR
ADDRESS
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
e I 4)to ?Gs f1 : PHONE f V�
PHONE
PERMIT REQUEST FOR () 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 ivii.o s " - to-- Size of Lot _I:LP _ ..:
Legal Description or Address j-- - �. ; t b 2 S' %�'-141 A 'i 41 (Z 5
WASTES TYPE: DWELLING ` ( ) T NSIENT USE /tjcct)Cas-il.
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER — DESCRIBE
BUILDING OR SERVICE TYPE:
Number of Bedrooms
( ) Garbage Grinder
i
01/4. > r, "r. Se &
Number of Persons
( ) Automatic Washer ( ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: , (.
Was an effort made to connect to the Community System? ,41
A site plan is required to be submitted that indicates the following 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
2
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( ) SEPTIC TANK
( ) VAULT PRIVY
( ) PIT PRIVY
( ) CHEMICAL TOILET( )
FINAL DISPOSAL BY:
( ) AERATION PLANT
( - COMPOSTING TOILET
( ) INCINERATION TOILET
OTHER -DESCRIBE
ABSORPTION TRENCH, BED OR PIT
UNDERGROUND DISPERSAL
ABOVE GROUND DISPERSAL
OTHER -DESCRIBE
(
(
(
) VAULT
) RECYCLING, POTABLE USE
) RECYCLING, OTHER USE
( ) EVAPOTRANSPIRATION
( ) SAND FILTER
( ) WASTEWATER POND
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?
JLAD
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the
Percolation Test)
Minutes per inch in hole No. 1
Minutes per inch in hole No. 2
Minutes per inch in hole No. 3
Minutes per inch in hole No.
Name, address and telephone of RPE who made soil absorption tests:
Name, address and telephone of RPE 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.
Signed .,�_
Date
PLEA E RAW AN ACCURATE MAP ? YOUR PROPERTY!!
3
c7r
Designate North Arrow
Your Neighbor's
Name & Address
'1721 ?IN
Your Plot - Shape to Fit
(No Scale)
Com -) R. . °pis -
00410k AI A,
"I 7q 7 <-+.feA t C
f-
9;5 0.4) k...1
.3a dinqt y 16,
Your Neighbor's
Name & Address
Locate well, all streams, irrigation ditchs, and any water courses. Draw in your house,
septic tank & system, detached garages, and driveway.
If a change of location is necessary, you must submit a corrected drawing, before a
Certificate of Occupation will be issued.
)4/5 -
County Road (Note the Road Number and Name)
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BOUNDARIES
UNLIMITED INC.
Consulting Engineers
December 6, 2005
Garfield County Building & Planning
108 8th Street, Ste. 201
Glenwood Springs, CO 81601
Re: [SDS for Plantz Residence: 0849 Ridge Road, Garfield County, Colorado
BUI Project: Plantz ISDS
To Whom It May Concern:
On November 30, 2005, Boundaries Unlimited Inc. personnel observed the
construction of the ISDS for the Plantz Residence at 0849 Ridge Road, in Garfield
County, Colorado. One 1000 -gallon septic tank and 36 Biodiffuser units (equal to 24
Infiltrator units) had been installed in a bed configuration. No backfilling had taken
place. The contractor was advised to install the inspection ports at two corners of the
bed. Other than that, the system was installed in conformance with the intent of the
design. If you have any questions, or need additional information, please feel free to
contact me at 945-5252.
Sincerely,
BOUNDARIES UNLI
Deric J. Walter,
Project Manage
P.E.
r
Cc: Keith Plantz
1110 ".
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SPONM.��=
923 Cooper Avenue 1 suite 102 Glenwood Springs Colorado 81601 1 Ph 970,945.5252 1 Fax 970.384.2833
FROM :CRITERIUM KUPELIAN ENGINEERS FAX NO. :970 246 9200 Sep. 26 2084 01:40PM P1
1000 N..9th St., Suite 26
Grand Junction, CO 81501
TO:
DATE:
ATTN:
FAX N
ROM:
COMMENTS:
FACSIMILE COVER SHEET
Garfield County Building
0`-2-i}4 (Incl. cover) 4
No. PAGES
Steve Hackett
1
T 1.970248.9200
Fax:970-248.9200
e-mail:cke@ahinet. net
eP
Sue Kup= ian, P.E.
E N0,; 970-945-8212
LEASE
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RESIDEN
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NGIN� '' wCI LIKING IN 5 +
ERCIAt BUILDING EVALUATIONS
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Pre-
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inspections
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rcial building inspections
Support/Expert testimony
FROM :CRITERIUM KUPELIAN ENGINEERS PAX NO. :970 24B 9200 Sep. 20 2004 01:40PM P2
Keith Plantz
P.O. Box 913
New Castle, CO 81647
Dear Mr. Plantz:
September 28, 2004
Job No. 2004100
EERS
CRITER1UM-KUPe1WN ENGINEERS
160 N. sTN, ST.. 50TE 711
G ANO JUNCTION, CO 81501
PHONEIFA>< 97o 24(1-9204)
E iNREL cke®ahinet.net
At your request; a limited structural inspection of your home foundation located ir► the vicinity
of Main Elk Road in New Castle Colorado, was performed on September 17, 2004. The report
that follows has been • prepared based._on that inspection. The inspection was performed by
and report written by Suzanne M. Kupelian, P.E. For your interest, a copy of Ms, Kupelian's
resume is attached.
This ilten .report is the complete response to your request for an inspection of this property
and should be read in full. It supersedes any discussions that may have occurred during the
inspection. If you have any questions about this report or our inspection, please call our office
immediately for clarification.
INTRODUCTION
You told us that the county had requested a document confirming that the foundation for your
home being constructed at the above address had been built according to UBC requirements.
This report is based on a visual examination of the foundation and non-destructive exploration
with a metal detector, intended to confirm the presence of adequate reinforcing steel in the
foundation: No surface materials were removed, no destructive testing undertaken, nor
contraction materials moved: This report is not an exhaustive technical evaluation. Such an
evaluation Would coat many times more.
Owning any building involves some risk. Even the most comprehensive inspection cannot be
expected to reveal every condition you May consider relevant to ownership or financing_
Further, without disassembling the building, not everything can be known. As Professional
Engineers, it is our responsibility to evaluate available evidence relevant to the purpose of this
inspection. We are not, however, responsible for conditions that could not be seen or were not
within the scope of our service at the time of the inspection.
Attached are the actual inspection field notes which contain additional
information. These should be considered part of the overall evaluation and
report;
LEGENSEO .
PROFESSIONAL
ENG/VEERS
BUILDING INSPECTtoNS
O►AE',l+ OG -Tl
STRUCTURE & FOUNDATION
DESIGN
This inspection was performed in conformance with the standards of practice
of the National Academy of Building Inspection Engineers.
Page 1
09/28/04
FROM :cRITERI[JM KUPELIRN ENGINEERS FAX NO. :970 248 9200 Sep. 28 2004 01:41PM P3
A copy of the pre -inspection agreement associated with this inspection has been for your
reference.
DESCRIPTION
The foundation is approximately 16 feet by 24 feet and is intended to support a one-story
log cabin with a loft. The foundation is built of mortared, grouted, reinforced concrete block.
OBSERVATIONS
There is an opening in the foundation at the northeast corner of the building. At this
location, grouting and re -enforcing steel are visible. No backfill had been placed around the
foundation at the time of the inspection.
DISCUSSION
We obtained visual confirmation of the presence of steel in the foundation at the northeast
corner of the building, photographic confirmation of steel in the east footing and the lower 3
feet of the south and east stemwalls. We obtained indirect confirmation of considerable
steel in the upper and lower portions of the stemwall on all 4 sides of the foundation, with
concentration around window and door openings.
Spacing of the visible steel was approximately 32 inches on center. A professional quality
metal detector was used to determine the presence and spacing of steel in the stem walls.
As determined from the metal detector, spacing appeared to be about 32" on center
vertically and horizontally in the areas where steel was not actually visible..
CONCLUSION
There appears to be adequate, properly positioned steel in this foundation, according to UBC
requirements,
Due to the fact that the foundation had already been constructed at thetime of our
inspection, portions of the foundation and reinforcing steel were not visible and the
presence and nature of reinforcing in the concrete could not be directly observed. However,
there indirect evidence (obtained by use of a metal detector) that sufficient steel
there Y is r, roar wrr�. � \
reinforcing at appropriate spacing, is present in the foundation. Also, the general quality of
workmanship appeared to be good.
This report has been prepared in strict confidence with you as our client. No reproduction or
re -use is permitted without your express written consent Further, we will not release this
report to anyone without your permission. We have released a copy of this letter, at your
request, to Mr. Steve Hackett at the Garfield County Building Inspection Office.
Page 2
09/28/04
FROM :,CRITERIUM IUPELIAN ENGINEERS FAX NO. :978 248 9200 Sep. 28 2004 01:42PM P4
Several issues have been discussed in this report. However, we realize that there may still be
other things of interest to you that have not been discussed. Therefore, we encourage you to
call with any additional questions you may have.
Thank you for the opportunity to be of assistance to you.
Sincerely,
Suzanne M. Kupelian, P.
SKlsk
Attachments
Page 3
09/28/04