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HomeMy WebLinkAbout00476 1 " 1 , - This does not constitute I 5" " , ,, 5 1 a building or use permit. l'Ill l GARFIELD COUNTY DEPARTMENT OF ENVIRONMENTAL. HEALTH xst 2014 Blake Avenue il I�iA `` Glenwood Springs, Colorado 81601 , PJSRC FSS WAIVI ERC - PBR ONLY i { ; INDIVIDUAL SEWAGE Ir . • e ' L PERMIT NS', 476 Owner Charles C. i Barbara A. Smith l System Location Siphway 82 Licensed Contractor Conditional Construction approval is hereby granted for a 're° gallon 1 y l I _____„,k_ Septic Tank or Aerated treatment unit. I l i ' Absorption area (or diapersal area) computed as follows: III Perc rate of one inch in /t minutes requires a minimum of /6 sq. ft. of absorption area per bedroom. lilt i Therefore the no of bedrooms ea- x /64 sq. ft, minimum requirement = a total of .:.,„a564. ft of absorption area May we suggest "` 1:31Z Y eu et c_- / G> 'u5 r, "-FP 9 ' ,oC'� 0 2 _ e0 / n/ - - i t Date / /-- "-'..C.- 27 : Inspec or _ e" '( FINAL APPROVAL OF SYSTEM: - , No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to cover V ' ing any part. I' Q/r Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. /00 0 C#9 ,L„ • QF. Properjsaterials and assembly. 0 s /'HG L �° p II n /3G Trade name of tic tan9r aerated treatment unit. iu 0 7C Adequate absorption (or dispersal) area A 4'C ., +,r U i 19/c1 Adequate compliance with permit requirements. i ii ,Q/G Adequate compliance with County and State regulations /requirements. ii Other 1. Date G5 /9„7" Inspector .�r:,,/,seGr L,C ,.2_.7'C (/ RETAIN IIGITH RECEIPT RECORDS AT CONSTRUCTION SITE / "CONpITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to au., thority granted in 66-44-4, CRS 1963, amended 66 -3 -14, CRS 1983. L 2. This permit is valid only for connection to structures which have fully complied with County Zoning and building requirements,' Connection to or use with any dwelling or structures not approved by the building and Zoning oftice +shall automatically be a viola- tion of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section 111, 3.24 requires any person who constructs, alters, or installs an Individual sewage disposal system in a manner which in- volves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine - 6 months in jail or both. Building Official - Permit White Copy Applicant - Green Copy Dept. - Pink Copy Fees Paid $�.S: INDIVIDUAL SEWAGE DISPOSAL. SYSTEMS APPLICATION Date 10 1`1 - 1 NOTIFICATION OF PROPOSED DISCHARGE TO WATERS OF THE STATE INDIVIDUAL HOME SEWAGE TREATMENT SYSTEM Owner: l/»/9RLES' r(,, fI NJ fhRR,4k4 //, S,-r /7 7'/I Mail Address: rf.?4 4 . a c u rk feo. <z City: Td -4J yid 110 Zip: 93 /„Z Phone: Ye t /y INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW A7"/"..A y9/. yCze.- Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percola- tion test holes, soil profiles in test holes. 1. Location of facility: County « 9,er /�2f, City or Town Legal Description , r- nik - A/F/j L o .. Size d // /9 / O 2. No. of Bedrooms a Septic Tank Capacity J Aeration Unit Capacity 3. Source of Domestic Water: Public (name): Private: Well d Depth Other Depth to first ground water table 7 4. Is facility within boundaries of a city /town or sanitation district? 5. Distance to nearest sewer system: tid T ff^ - .34.4- , d/ Have you attempted to arrange a connection with the system? iv0 If rejected, what was the reason? 6. Rate of absorption in test holes shown on the location map, in minutes per inch of drop in water level after holes have been soaked for 24 hours: /" /o m ,,,/ 7. Name, address, and telephone of person who made soil absorption tests: 7 8. Name, address, and telephone of person responsible for design of the system: Cr./'& 1,3,4"rk&rL . i. , r. 34W /45 f ?D R / - 2 /S 9. Express permission is hereby granted for the inspection of the above property by any member of the Garfield County Environmental Health Department and /or such persons as they may designate. Any withdrawal of this permission shall be in writing and receipt acknowledged by the County Environmental Health Department. 10. I have been given an opportunity to read the Individual Disposal Systems Regulations of Garfield County and I hereby agree to comply with all terms, conditions and requirements included therein. r9 /a, /`, 77 r 4is Date Signature of Applicant (TO BE RETURNED TO HEALTH DEPT.) - ---- ---..._ 4 . • , • i/ ,:,,, / _,-- /,..4, 1: r ' • '11.V.' s • . \ ... • rl we •- - 0 sl,..01,-cii;:s?•kNts. . 6 :2c. 1 . '''.! • , e. !:i ',"-.. : , • 5 0 '' ..,"•r, '. -- /.:T?..".' .t.i,:: ' y ... g I— L • . u ■ ■ f I , . . / . . • ..., 1 . . c 1/ //:---,..,________ • i, . , . " I i I . • . : .-- , i \ -........... 7 s ; • Z 0 7 ( 11 / Cl/ illir I il NO. 6'2 .. '11 I ( ..5" c c . o' 6 ) A , . _ : t . co .... ■0 2 IV L. .7 0 ADA 1 11 . a ..... (ASPE/V -;....._ il .6 R ,e) /: / c // ) 0 -- La .4 /S if 0 ...' ''■ '7 N. 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'µ 4 \q .� ":. ly k T>3' I /I rrFj t L — __ V J I ; ,x � uQ\ F ,' r ^i, 1 W.../4-.1 ' T. ...;„:ii. t m1'' F..-- �. ft. t t I' \ c r / II i\,, _ F ,, , R • 4 > Y�1 � \ , ,( ' 2 1 1}a r 1gy �,s,'� / I e � a ,, 4 . ' I' 1O 1 1. C. I . 00. t2 - I 2 . � / . V i r " G 4 jilt HI 1 1� \ r 1 �e /, P :nGl� LD • (`t .L r I 1/4 4 L . �7i NSA° L " 1 _ oHD�l9 �"aZ.L r /( � \`i- _- 1 .4 E9Airi O �'I I O 4 1 t Coke 5 0j ( A r v� a ♦v ;� y (J \ ,r.6 � I (Y \III 1 {. l I . T 1 , k � � nitr I �� 11 2 / � I 3�'2- " "' „ ` 13 1 I I I ,ICJ' 1 Is ��v • " 1 :2 1• � 7i (rj a h 1 r f ‘, I k:Y MIDDIE '�' ' h o 4 C?" 1 I 1 A.I ` I -- J ta•' , I V 1. 4 ' 7 1 - �1 • e . � , „ I „ .'- p vl, I I 1, I �t 1, �I I -- ' r -1 i _ I ! I - * s / ., ` 1 qa )� \' ° 11 e I 7I 1 �. - °��.�, ., b� SnII r., '� 11. I i `f ' COLORADO STATE UNIVERSITY 1 SOLAR.ENERGY APPLICATIONS LABORATORY FROM THE DESK OF: DATE Charles C. Smith C..7 4 ej2 WRJ - - Rev. 76 COLORADO DIVISION OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 80203 PERMIT APPLICATION FORM Application must be complete where (N A PERMIT TO USE GROUND WATER - applicable. Type or (y) A PERMIT TO CONSTRUCT A WELL print in BLACK FOR: (j ) A PERMIT TO INSTALL A PUMP ' INK. No overstrikes or erasures unless ( ) REPLACEMENT FOR NO. initialed. ( ) OTHER WATER COURT CASE NO._ (1) APPLICANT • mailing address FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME _ Charles C. Smith Receipt No. / STREET 5633 W. County Road 52 Basin Dist. -_ • CITY Be11 vne f C(Sa nrad0 80i ( CONDITIONS OF APPROVAL TELEPHONE NO. (303) 484'5719 This well shall be used in such a way as to cause f no material injury to existing water rights. The e (2) LOCATION OF PROPOSED WELL issuance of the permit does not assure the applicant that no injury will occur to another vested water Garfield right or preclude another owner of a vested water County right from seeking relief in a civil court action. SW % of the SW %, Section 36 Twp.-_6__ S. , Rng. __.83_ its, 6 P.M. 1 N.SI IE.WI (3) WATER USE AND WELL DATA 1 E Proposed maximum pumping rate (gpm) 8 E Average annual amount of ground water 0 5 to be appropriated (acre-feet): • Number of acres to be irrigated: 0 . 'F r`- 1 �f{ Proposed total depth (feet): . 120 +.: SIIf. • Aquifer ground water is to be obtained from: i • Pravel te i Owner's well designation GROUND WATER TO BE USED FOR: w.4, I f/ HOUSEHOLD USE ONLY - no irrigation (0) . ' - ( ) DOMESTIC (1) ( ) INDUSTRIAL (5) • 1 ) LIVESTOCK (2) ( ) IRRIGATION (6) t ., 1 1 COMMERCIAL (4) ( ) MUNICIPAL (8) ; E ( ) OTHER (g) APPLICATION APPROVED il4 DETAIL THE USE ON BACK IN (11) PERMIT NUMBER t{ (4) DRILLER DATE ISSUED • ' 1: licenced kr Name EXPIRATION DATE _ Street . City (STATE ENGINEER) (State) (Zip) • BY - Telephone No. Lic. No. I D. COUNTY ________ _ ___ • n 1 ti , l (5) THE LOCATION OF THE PROPOSED WELL and the area on (6) THE WELL MUST BE LOCATED BELOW.. which the water will be used must be indicated on the diagram below. by distances from section lines. Use the CENTER SECTION (1 section, 640 acres) for the well location. {.r L ft. from south ' sec I)ne .I. — 1 ...s� —L _ - ÷ — .+ _ -� J _ I_ _ __ - I -4_ (north or south) ' � t --- 1 MILE, 5280 FEET - - ->rl 1000 ft. from we (east sf or west) sea Ilse iiiq 4' + - + LOT BLOCK FILING tr �' '., NORTH SECTION LINE I - — + I SUBDIVISION Litt! �,. W" I (7) TRACT ON WHICH WFLL-L� WILE P NORTH I LOCATED Owner: C , C . 813.A • St i. mmw 'I- + Z - — + — -- __ -I- — n -1 i No. of acres 3 • ll J Will ihl y s j � b i l tn o I ` SEC776 m �_ I the only well on this tract? yPs t ± N 34 5 (8) PROPOSED CASING PROGRAM I y I r I Plain Casing rb la +- -- 4- i- - -I- - -- -I- — -r + 4- 5 in. from 0 ft. to " ao [te , ' , ft 5 in. from ft. to ft, 4- — + - ,I - I I 1 — _ 1 Perforated casing . 1 SOUTH SECTION LINE 80 120','W r 1 I I I I _ in, from ft. to ft, -I- • -I- -1- -1- 4 -I- 4 4- `I- in. from ft. to ft,L `; I I 1 I 1 (9) FOR REPLACEMENT WELLS givedistence• .;h 1 I and direction from old well and plans for plugging - 1 - - - ■ -) + T - - ± ■ ±- - + - -1- - -1- it: t A ' The scale of the diagram is 2 inches = 1 mile nnfA ,' Each small square represents 40 acres. r ;. WATER EOUIVALENTS TABLE (Hounded Figures) An acre-foot covers 1 acre of land 1 foot deep 1 Cubic foot per second lets) ...449 gallons per minute I9pm1 11". A family of 5 will require approximately 1 acre -foot of water per year. , A 1 acre -foot ... 43.560 cubic feet ... 325,900 gallons. � r , 1,000 gpm pumped continuously for one day produces 4.42 acre-feet, F ll , (10) LAND ON WHICH GROUNDWATER WILL BE USED: l , Owner(s): Charldig 0. R Rarhara A. Smith No. of acres: ) ,: attached ` Legal description: "% ,, + , . (11) DETAILED DESCRIPTION of the use of ground water: Household use and domestic wells must indicate type of disposal i "t'> system to be used. household use for three persons- disposal will be ti '',r, s'- it septic tank with leech field'' c ,., 1 : (12) OTHER WATER RIGHTS used on .this land, including wells. Give Registration and Water Court Case Numbers. .. <_'' Type or right Used for (purpose) Description of land on which used : ' f r' . "tV T (13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS :.a TRUE TO THE BEST OF HIS KNOWLE GE, ( r r d o- Cfl\2 - 1� `pact. SIGNATURE OF APPLICANTS) i L n, October 14, 1977 Mr. Charles C. Smith, P. E. 5633 West County Road 52 Dellvue, Colorado 80512 Dear Mr. Smith: I am in receipt of your letter of October 10, 1977 regarding individual sewage disposal for your property in Garfield County. The processing fee for the permit is 925.00 made payable to the Garfield County Clerk 6 Recorder and remitted to this office. Therefore, I am returning the check you sent. Please remit the correct fee so we can process your permit and prepare it for issuance on November 25th, at which time I would be glad to witness the pert test and review the site with you. My calendar is open on that date so please let me know at what hour you would like to meet at the property. Very truly yours, ENVIRONMENTAL HEALTH DEPARTMENT Edward L. Feld Department Head ELF/tls encls. • CHARLES C. SMITH, P. E. SOLAR ENERGY APPLICATIONS LABORATORY Engineering Research Center COLORADO STATE UNIVERSITY 303- 491 -8325 303 -484 -5719 Fort Collins, Colo. 80521 COLORADO STATE UNIVERS TY 1 9 1977 SOLAR ENERGY APPLICATIONS LABORATORY FROM THE DESK OF: DATE Charles C. Smith alt. /7 p . �. ■Df33 46eL t e r _- sir -C<�- r� .-.. �.-- �._..,..�.�°W'"" "` b° - � i 0 014. /4 , w+e« 3 i - OCT 17 ���� -�r2c� C0 ° 107 0 ,s y1 — • / / A , i ,'< Sii(a/ RECEIVED OCT 1 3 1977 Charles C. Smith, P. E. Consulting Solar Energy Engineer 5633 West County Road .&SS Z Bellvue, Colorado 80512 Tele. (303) 484 -5719 October 10, 1977 Gentlemen: I wish to apply for a disposal system permit for a property which I own in Garfield County. I could not find the applicatio n fee, so I am sending x;20 as a g uess at the amount. I plan to be at the site and to set up the pert test on Nov. 25. I would like to know if a sanitarian from your office could be available mn that date to witness the test. Sincerely, Charles C. Srith, F.E. Engineer