HomeMy WebLinkAboutApplicationGørfield County ONSITE WASTEWATER
TREATMENT SYSTEM
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PERMIT APPLICATION
REC munity Development Department
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TYPE OF CONSTRUCTION
EI New lnstallation tr Alteration tr Repair
WASTE WPE
tr Dwelling E Transient Use tr Comm./lndustrial tr Non-Domestic
E Other þs5ç¡iþs ennNr
INVOLVED PARTIES
Property OWngf : Aces and Eights LLC Phone:
Mailing AddfeSS: '132 Park Ave Basalt, co 81621
Email Address:eric@ruddconstruction.com
Contractor:Er¡c Rudd Phone: (e7o )
Mailing AddreSS: 132 Park Ave
Emaíl Address:eric@ruddoùstruction.com
Engineer:Zancanella And Assoc¡ates lnc Phone: lezo 1928-3422
Mailing Address:101 1 Grand Ave Gkenwood Springs, CO 81601
Email Address:tbeck@za-engineer¡n g.com
PROJECT NAME ANE TOCATION
Job Address:60 Flying Fish Road (This ¡s the lot east of ô0 f¡ying lish RD
ASSeSSOT'S ParCel Number: 23e132403003 Sub.Lot Block
Building or Service Type:BARN #Bedrooms: Garbage Disposal(Y/N)-
Distance to Nearest Community Sewer Syste ¡¡; N/A
Was an effort made to connect to the Community Sewer System:
Type of OWTS E SepticTank E Aeratíon Plant E Vault E Vault Privy I Composting Toilet
E Recycling, Potable Use E Recycling E Pit Privy E lncineration Toilet
E chemical To¡let E other
Ground Conditions Depth to 1st Ground water table tz"Percent Ground Slope
Final Disposalby E Absorption trench, Bed or Pit E Underground Dispersal E Above Ground Dispersal
E Evapotranspiration El Wastewater Pond E Sand Filter
E other
Water Source & Type E Well E Spring E stream or Creek E cistern
E Community Water System Name
Effluent Will Effluent be discharged directly into waters of the State? E Yes E ltlo
Applicant acknowledges that the completeness of the application is conditiona! Vpgn such further
nìândatory and additional test 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 be3t 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
fuither 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 legal action for perjury
as provided by law.
I hereby acknowledge that I have read and understand the Notice and Certification above as well as
have provided the on which is correct and accurate to the best of knowledge.
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Property Owner Print and Sign
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Total Fees:Sraß.s Fees Paid:íta3,ØPermit Fee:ôtQ<æ Perk Fee:
Ë\,.\c.ã
Balance Due:6¡7- ooSeptic Permit:-
ıtr=Ftr-.5514*
¡ssue Date:
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Building Permit
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BUITDING/ PLANNING DIVISION:
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DateSigned
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2OOO Gallon Top Seam -2CP
with High Head Pumptbnr #
2000T-2GP.llll
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DESIGN NOTESo Design per performonce test per ASTM
c1227o Top surfoce oreo 87.75 ftzr f'c @ 28 doys; concrete = 6,000 PSI
Min.
lnstollotion:o Tonk to be set on 5" min. sond bed
î
..- r, 1 t:
GleüAccæ
or peo grovel
Tonk to be bockfilled uniformly on oll
sides in lifts less thon 24" ond
mechonicolly compocted
Excovoted moteriol moy be used for
bockflll, provided lorge stones ore
removed
Excovotion should be dewotered ond
tonk filled with woter prior to being
put in service for instollqtion wîth
woter toble less thon 2' below grode
Meets C1644-06 for resilient
connectors
lnlet ond Outlet identìfied obove pipe
Delivered complete with internol piping
Control Ponel to be mounted in sight
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Top View
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24'Minimum
Riser Height
Afd(
b
Rl¡el¡ bGr*Vrhrrline of tonk
4' Moximum bury depth Rbü
HCgtf
ALLOWABLE BURY
(Bosed on Woter Toble)
WATER TABLE ALLOWABLE
EARTH FILL
0'- 0'3'-0"
1'-0"3'-0"
2'-O"4'-0"
3'- 0"4'-O"
DRY 4'- o"
7l JN
OT
Section Mew
*Service contracts available for maintenance*
Pump:o l¡vuer¡ TSS and hprovæ silu€nt
qualltybf,eldr Compl# hsûallaüon (wldng, paml,
mannthg and ürt+p pmcedurcs)o Completorvarrenty
Digging Specs I n vert Dimensions Net Copocity Net Weight
15' Long x I' Wide
56" below inlet
ln let Outlet width
Min.
Height lnlet Side Outlet Totol Lid Tonk Totol
56"ôrl 162"78"507 9ol 2066 gol 5420 I 15530 lbs 21150 lbs
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VALLDT
PRTCAST¡rnc.
Phone: 719€95{764
Fax 719€95€7?/
Webclb: www.ìlalloyprffilærr
Emll : fon6esk@valle¡ryrccastæmBue¡¡ Vbte, Golo¡ado