HomeMy WebLinkAbout03930GARFIELD COUNTY BUILDING AND SANITAT ION DEPARTMENT
109 8th Street Suite 303
G lenwood Spri ngs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
SYSTEM DESIGN
______ Septic Tank Capacity (g a llon)
______ Perco lation Rate (minutes/in ch)
Required Absorption Area -See Attached
Special Setback Requirements:
______ Other
Number of Bedrooms (or other) ____ _
Perm it N ~ 3930
Assessor 's Parcel No.
This does not constitute
a building or use permit.
Date _____________ Inspector ___________________________ ~
FINAL SYSTEM INSPECTION AND APPROVAL (as in stall ed)
Call for In spection (24 hours notice) BeJ::' Covering Instal lation
System Installer V._c.~f) tt-f.-1.
Septic Tank Capacity _______________________________________ _
Septic Tank Manufacturer or Trade Name --------------------------------
Septi c Tank Access within 8 " of surface ---------------------------------
Absorpti on Area -----------------------------JF'<--------------
~
Adequate comp liance with County and State regu l ations/requirements J ) IAAJbfe-L I N-1,. ,
Other _________________ ___,.-...~-------,--...-------------------
lnspector __ ':i)~_f\-c)'--'----'-l_..Q.__'_~,,.-~=----W...:..=......._1 ___________ _ Date 7-{o ~ (T[
RETAIN WITH RECE IPT RECORDS AT CONSTRUCTION S ITE
*CONDITIONS :
1. All installation must comply with all requirem en t s of the Colorado State Board of Health Individual Sewage Disposal System s C hapter
25, Article 10 C.R .S. 1973, Re vised 1984 .
2. This permit is valid only for connection to structures w hich have fully complied with County zoning and building requirements. Con-
nection to or use with any dwel ling or structures not approved by the Building and Zoning office s hall automatically be a violatio n or a
requirement of the permit and cause for both legal action and revocation of the permit.
3 . Any person who con structs, al ters, or installs an individual sewage disposal system in a manner which involves a knowing and material
variatio n from the terms or specificati o ns contained in the application of permit commits a Class I , Petty Offense ($500.00 fine -6
months in jail or both).
White -APPLICANT Ye llow -DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER \Jl,d ,· civirl )Javik'.o''j \Jrvic\vi t,\(S.
ADDRESS [ oc;t{ {~ v 111 hj i1d, / 0 j,, (cvk?o11ci cdc
CONTRACTOR I ,uj { 0 v~S .1 t (,
ADDRESS 10SLJ lv-1 v1 ~ 1ld. I Cle (wbGi1da (,i:;_,.
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.--'("-'c"-'1 v'--'b"--'-o ''-•11-"c""'I &"-d""v"--_________ Size of Lot S7J ; f I q o 1
Legal Description or Address I c k 2!/ ~ ?z 0 i1 / !( JL 4 (Do jl' t v fp VI ) u v'lv1,; i ti:::-
WASTES TYPE: Cf) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
()OTHER-DESCRIBE ________________ _
BUILDING OR SERVICE TYPE: '), Ylj k Jll 111111 1,1 ){<,;A (VI(<:>
Number of Bedrooms 3 Number of Persons 3 ~-----
( ) Garbage Grinder (1
/,) Automatic Washer ( ) Dishwasher
SOURCEANDTYPEOFWATERSUPPLY: Cf)WELL ()SPRING ( )STREAMORCREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:~/~'/~1'-'-vi,~''~lof~<"'------
Was an effort made to connect to the Community System? --.-J:'-'-'1 o'----------------
A site plan is required to be submitted that indicates the followini: MINIMUM distances:
Leach Field to Well:
Septic Tank to Well:
100 feet
SO feet
Leach Field to Irrigation Ditches, Stream or Water Course: SO 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_G_·~0_1
_____________________ _
Percent Ground Slope_-";;'-· ''""""'/''------------------------------
2
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( ) OTHER-DESCRIBE
FINAL DISPOSAL BY:
CX) 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? V\O ~---
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. 3
Minutes _____ per inch in hole No. 2 Minutes ______ per 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: 1.,1,1,cl \1 v'.ief I ,.;+
/~\ \ I ·1-I ' (:/1' 1 1 '! Cf<ll <// j M '1" 11 i vl (,/_ j/lJ 1 Ylf.i'VI '.::) I (; · U 2 · -C> ' +
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 sa:d applicatio; and in legal acti~lerjury as provided by law.
Signed l .. ·~ ... ~ Date~~'-'l~-z~,l~-1+\~~-1 l,_, ____ _
PLEASE DRAW AN A AP TO YOUR PROPERTY!!
3
Designate North Arrow
Your Neighbor's
Name & Address
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Locate well, all streams, irri
septic tank
If a change of location is
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ation ditchs; and any ater courses. Draw in your house,
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County Road (Note the Road Number Jnd Name) e.i. 11Jlt
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smUC1rll.JillA.1L/CIIV1DL IENGJINEEruING • CON1l"JRAC1I'l!NG • CIER111IlFIBID IENIEIRGY !DlESilGN IPROIFlESSilONAIL
Garfield County Building Department
108 8th St. #201
Glenwood Springs, CO 81601
Re: ISDS Installation
Hendrix Residence
1161CR106
Carbondale, CO
Dear B uil din g Official :
July 6, 2007
The install ation of the ISDS system for the above project has been completed and has been install ed in
accordance with applicable county specifications. Enclosed is a drawing of the final location of the
system.
If you have any questions, please call me at 963-9869.
Sincerely,
TIMBERLINE ENGINEERING
["\ ~, ............ , \ 'e; .. .-=-~~!JO Rl,''\'1, ·-~\:l~· . . fit,. 1t ) ;'·~~ ... \\J A. P.. ~'/'. \
owell , PE .f /(:,~/ii O~\i,,
Reg. No. 2585 1 r :· ~'/~GJ r":: t -~ : 1 . ~ l!:.. f ; ',~ ·.. ... ;
'/ ~-. ,,. ~!~.... . ... _, •1~~"·•····· / ~,,, .... 4AL ~ .. -,.,\,v ·~ .. -<
lPHONIB 970 963 9869 I 1F AX 970 963 9003
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Lot 2 8
A. CALCULATION$
1. PERCOLATION RATE = 7.6 MP/ (TIMBERLINE ENGINEERING)
2. DESIGN FLOW = 4 BEDROOMS X 2 X 75 X 1.5 = 900 GALLONS PER DAY
3. REQUIRED SEPTIC TAN~ CAPACITY= 900 ~ 1.25 = 1,125 GALLON$
USE ONE -1,250 GALLON, TWO CO MPARTl,fENT CONCRETE SEPTIC TANK
4. ABSORPTION AREA REQUIRED =
A ~ ( 900 / 5) • 7.6'1/2 ' 1.1 = 546 SF
5. DRY l\ELL BOTTOM AR~A = 12 fT X 12 FT = 144 SF
6. ffFECTIVE $/DEWALL DEPTH = 9 FT
7. DRY l\ELL PERIMETER REQUIRED = (546 -144) SF / 9 FT = 44.67 FT
B. DRY l\ELL PERIMETER PRD"1DED = 12 FT X 4 = 48 FT
9. ACWAL ABSORPTION AREA PR0"1DED = 144 + (12 X 9)4 = 576 SF
10. WELL SETBACK DISTANCE
700 FEET
11. DITCH, STREAM AND PONO SEJBACK DISTANCE
50 FEET
12. WATERLINE SfTBACK DISTANCE
70 FEET TO TANK, 25 FEET TO RELD
IJQIL
r'A TERUNE CROSSiNGS REQUIRE THAT THE DRINKING WATER OR WASTEWATER PIPE BE
[NCASEO fOR AT LEAST TEN (10) FEET OF EACH $/DE OF THE CROSSING OR PLACE
WHERE COMPONENTS ARE CLOSER THAN TEN (10) FEET. PIPE OF SCHEDULE 40
RA TING OR BETTER f.fUST BE USED, OF SUFFICIENT DIAMETER TO EASILY SLIDE OVER
AND COMPLETELY ENCASE !Hf LINE. RIGID ENO CAPS OF AT LfAST SCHEDULE 40
RATING MUST BE GLUED OR SfCURED IN A WATERTIGHT FASHION TO THE ENOS OF
THE ENCASE MENT PlfE. THERE MUST SE A HOLE OF SUFFIP ENT SIZE TO
ACCOMMODA Tf THE PIPE IN THE LOllERMOST SECflON OF THE RIGID CAP so THAT
!Hf CONVEYANCE PIPE RESTS ON THE BOTTOM OF THE ENCASEMENT PIPE. THE
AREA JN \\HIGH THE PIP£ PASSES 1HROUGH THE f:NOCAPS MUST 8£ SEALED l\11H AN
APPROVED UNDERGROUND SEALANT COl.f PA TIBLf 11/TH THE PIPING USED.
[XCAYA11CW IMDTH -Sff Pl.AN
GRAPHIC SCALE
" ' ' " " "' ~ ... lllL• I I I I
( IN FEET )
1 incl) -10 ft. ------------- ----- --:-:-::::-::::-:_:-:_:-:_::::=~-=-i-----t>--4 SHED r
SEE TANK DETAIL CHICKEN COOP
FOR "T" INSTALLATION
j
~
1.
2.
3.
4.
5.
6.
PERC TEST HOLE
12' .[ , ..
8. GENERAL NOTES
THE SEPTIC TANK SHALL BE LOCATED AT LEAST FIVE FEET AWAY FROM THE RESIQENCE
THE PIPE FRQ/,I THE RESIDENCE TO THE TANK MUST .BE INSTALLED AS FOLLOWS:
THE PIPE MUST BE INSTALLED STRAIGHT IN ALIGN MENT AND GR ADE.
IF A CH ANGE° IN ALIG NM ENT OR GRADE IS NECESS ARY. A CLE AN OU T W1 LL BE RE QUIRED AT THE CHA NGE.
TH E MINI MUM GRADE OF THE P/Pf MUST 8£ 1/4" PER FOOT.
THE PIPE MUST BE A l,llNIMUM OF ASTM 2729 PVC PIPE. IF THE LINE CROSSES A VEHICUL AR ACCESS,
THE PIPE SPECIF/CATION SHALL BE CHANGED TO ASTM 3034 PVC OR BETTER.
A MINIMUM OF 1 ClEANOUT SHALL BE INSTALLED AT THE LOCATION WHERE THE PIPE LEAVES THE RES/DENCE.
THE PIPE SHALL BE A MINIMUM OF 4" IN DIAMETER.
THE PIPE FROM THE SEPTIC TANK TO THE SEEPAGE PIT MUST BE INSTALLED AS FOLLOWS:
THE MINIMUM SLOPE OF THE LINE MUST BE 1/4' PER FOOT. ·
TH E PIPE SHALL BE A MINIMUM OF ASTM 2729 PVC PIPE. IF THE LINE CROSSES A VEHICULAR ACCESS,
THE PIPE SPECIF/Cli TION SHALL BE CHANGED TO ASTM 3034 PVC OR BETTER.
THE PIPE SH ALL BE A MINI MUM QF 4" IN DIAMETER.
PR0"1DE ffFLUENT FILTER IN SEPTIC TANK DR IN ffFLUENT LINE TO FIELD
USE RISERS TO BR/ING THE SEPTIC TANK ACCESS WJTHIN 6" OF FINAL GRADE.
ALL MATERIALS, INSTALLATION PRACTICES AND SE1BACK REQUIREMENTS SHALL
COMPLY lllTH GARFIELD COUNTY /NDMDUAL SEWAGE DISPOSAL SYS TEM REGULATIONS.
THIS ORAl\lNG SHOWS ALL EXISTING 11£L[S lllTHIN SETBACK DISTANCES
(INCLUDING ON SURROUNDING PROPERTIES), CONTOUR INTERVALS, ALL PROPOSED
AND EX/Sf/NG BUILDINGS, PROPERTY L/NfS, O/TCH£S, SLOPES OF GRfATER THAN
15!!, WATER LINES, SPRINKLER SYSTEMS, SPRINGS, SUCTION (IR RIGATION) LINES,
DRI NKING \\'ATER CISTERNS, DRAI N TILES , /RR/GA TION DITCHES, LAKES. PONDS,
WATER COURSES, STREA MS, FLOODPL AINS, FLOOD l\'AYS, ORY GU LCHES , OR
EXISTING SEPTIC SYSTEMS, AND ALL SUCH FEAWRES ON NEIGHBORIN~
PROPERTIES l\lTHIN SETBACKS.
I I . •··
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1/2" - 2 T/'l" OlA WASHED ROCK ROIOVABLE CAP AT TOP Of STAND PIP£ e
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0'1,£R-EXCAYAlf cl: fill JO Pl.AN WD1HS
'wJ 1/2" -2 1/2" DIA WASMED ROCK
1/2." - 2 1/2 " DIA . WASHED ROCK
TYP ICA L DRY ~LL DETAI L
NOT TO SCAl.E
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...El.ML I PlASnc trt IHSTAU.£0 TO
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f IH. MAX. SAQf.Fll. 0\6' I CffMlfG C0\9 <:£ JiWlfKlf. ~
17 WA 7ER L£\fi
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Sf~TION
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SEPTI C TANK DETAIL
NOT TO SCALE
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GRAPHIC SCALE
,r::.~-=·-=?::.0 -'1-rliiiiiiiiiiiil•I---•
( IN FEET )
1 inch = 20 tl
•
SHED
CH [C~E N COOP
PERC TEST HOL
------i!! tot 3
•
f,ot 4 .
£ot 2 8
x
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xx
x
DATE
07/06/07
REVI SI ONS
SCALE ( AS SHOWN
,,
DRAWIN G
ISDS PLAN
NOTES
AND
DETAILS
SHEET
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