HomeMy WebLinkAbout01173 r •.f • 1
r
a GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945-8241
PERMIT FEE ONLY - ENGINEERED PERC TEST
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT . 3n 1173 a building or use permit.
•
Owner Lee R. Enewold
System Location 39047 Highway 6. New Castle
Licensed Installer
Conditional Construction approval is hereby granted for a 750 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in C-S minutes requires a minimum of sq. ft. of __ V ea absorption area per bedroom.
Therefore the no. of bedrooms 2 x sq. ft. minimum requirement = a total of sq. ft. of absorption area.
May we suggest
Date Inspector
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-
ing any part.
Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
(/ surface. � � Q -Q -}'�
Proper materials and assembly. (.tAJLllt IAA t'"* � a c °r^ """"'e
K-
Trade name of septic tank or aerated treatment unit. 1 Ctr
r • /
(Of' Adequate absorption (or dispersal) area. f9 x 3O X
(41- Adequate compliance with permit requirements.
0 Adequate compliance with County and State regulations /requirements.
Other
Date � -' Inspector � . DQyf l/i Q( ig yl
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
"CONDITIONS:
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 1963.
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 office 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 III, 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 I,
Petty Offense (5500.00 fine - 6 months in jail or both).
Applicant: Green Copy Department: Pink Copy
INDIVIDUAL
LJ HOME SEWAGE TREATMENT SYSTEMS APPLICATION PAGE TUO
OWNER 1C . Netm,co. �C - - - _ Q
ADDRESS a0j� 3iq�p ;NG�/oo9 P O ` PHONE
APPLICANT
ADDRESS PHONE PHONE 1/
CONTRACTOR
ADDRESS it PHONE _ si
IS PERMIT FOR: (✓ ' New Installation ( ) Alteration ( ) Repair
Attach separate sheets or report showing entire area with respect to surrounding
areas, topography of area, habitable buildings, location of potable water wells,
soil percolation test holes, soil profiles in test holes.
LOCATION OF PROPOSED FACILITY: Cpunty aritta
Near. what: City or Town /l —. Lot Size Mats
Legal Description JO& t rT EE
"
WASTES TYPE: ()t') Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non - domestic Wastes
( ) Other - Describe: //
BUILDING OR SERVICE TYPE: /�jg,r,4 the Number of Persons 3
Number of Bedrooms Z
( ) Garbage grinder (I) Automatic was ( ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: / � ,,/ y � � 4 •
If supplied by community water, give name of supplier: '1 .
GROUND CONDITIONS:
Depth to bedrock: $O for--
Depth to first Ground Water Table: cS ## T
Percent ground slope: 3 A
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: AN — ��) AP1-� .
Was an effort made to connect to community system? 7�f..5
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( 1 Tank ( ) Aeration Plant ( ) Vault
( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use
( ) Chemical Toilet ( ) Other - Describe:
FINAL DISP L BY:
( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe:
PAGE THREE
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?
SYSTEM IS DESIGNED FOR 3 GALLONS PER DAY
If the system is to be designed by a Registered Professional Engineer (RPE), state
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:
SOIL PERCOLATION TEST RESULTS:
Minutes W per inch in hole No. 1 Minutes 7 per inch in hole No. 3
Minutes 74iper inch in hole No. 2 Minutes -- Wiper inch in hole No. 4
Name, address, and telephone of RPE who made soil absorption t sts: 8385
occ ouO age &,8394 airmsa.1 e , gnot_
Name, address, and telephone of RPE responsible for desi� of the sy m:
144 ' EAti riocry deo, 49‘. &etas/oat) - 8/4 z
/844
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 purposes 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 adopted under Article 10,
Title 25, C.R.S. 1973 as amended. The undersigned hereby certifies that all
statements 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 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 id by law.
Date 440/2 Signed --4
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY
jet Sf1 CP4 C. i 44
C • PAGE FOUR
PLOT PLAN AND DESIGN FEATURES:
Include by measured distance location of wells, springs, potable water supply
lines, cisterns, buildings, property lines, subsoil drains, lake, water course,
stream, dry gulch and show location of proposed system by direction and distance
from dwelling or other fixed reference object, and additional submissions in
support of this application such as data, plans, specifications, statements and
commitments. N
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A parcel of .].and situated in Lot 2 of Section 4, Township 6 South, Range 91 West •
of the :iixth Principal : cr'_dian, Garfield County, Colorado, ly1r '. Norhtwesterly
of the [orthwesterly right-of-way line of U.S. Hwy. 6 & 24, said Parc'efi No. 1.
is more fully described as follows:
Beginnin at the Southwest Corner of said Lot 2; thence N.00 ° 33'33'd. alone
the :.sterly line of said Lot 2, 225.CJ feet to a poic C'allence the hoc .i. ..ZuLrL'
Corner of said Section 4, being the Northwest Corner or said Lot 2, bears: 1+. 1070.86 feet; thence from said point N.87 24'29"i!:. 1152.34 f;_
to a point on the Southerly bank of the Ware and Hinds Ditch; thence 11.40 ° 25'00 "2.
111.CC) rect along said ditch ban:; thence ...,C ° 43'40 "a. C3.37 ... relon6-
ditch tank to a point on the Westerly easement line of a 30 foot road cw;cme nt;
thence, along said easement line, 21.32 feet along the are of a curve to the
right, having a radius or 160.00 feet, the chord of which bears: S.04 ° 14'53 "E.
21.30 feet; thence S.00 25'51 "E. alone said easement line, 118.27 feel to a point
on said right -of -way line; thence S.47 14'00 "W. along said right -of -way line
382.47 feet to a point on the Southerly line of said Lot 2; whence the Southo
corner of said Lot 2 bearol N.88 312.74 feet; thence !
fro;l .. a I , c .
5.88 ° 57'38 "W. along said Southerly lir 1011.20 feet to the Southwest cor•ne
of said Lot 2, the point of br;ginninrr.
The ah•:,'.2 described Parcel :o. 1 co;lta:t..;
The above described Parcel No. 1 is subject to the easements or right- of-way of
the Tompkins Ditch, Ware and Hinds Ditch, and utility lines, all as cor.
and in place; Also together with a 30 foot road easement being adjacent to the
Easterly line of the above described Parcel No. 1.
The bearing source for the above described parcel is N.00 ° 25'51 "s. Lotxeen
the Southeast and Northeast corners of said Lot 2.
tove.ber 7, 1979
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