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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
2014 Blake Avenue
Glenwood Springs, Colorado 81601
Phone (303) 945-8241
REPAIR OR ALTERATION OF EXISTING SYSTEM - PERC FEE ONLY
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT 4n, 1288 a building or use permit.
Owner Los Amigos Ranch Partnerhhip
•
System Location 2929__County Road 114
Licensed Installer owner
Conditional Construction approval is hereby granted for a 1 a nnn gallon
y)( Septic Tank or Aerated treatment unit.
• Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in /S minutes requires a minimum of sa: sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms # 3 x �J;y sq. ft. minimum requirement = a total of P37 sq. ft, of absorption area. L&
Cr % (",1/4> pc././9 :' r ' Y o t 6 .o03it-c) — 3 .35 .spa ,r 0 .p s 2rre+ t / 1 9noq .
May we suggest
n1 85 o C S Je 3 63 cC /.jar.deF c&
�. - Inspector --� -- _4/
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FINAL APPROVAL o ( nSYSTE M /el," r� r `ern a zo e c�5c z' "VC- f/LB -/'`7 /- /4 /
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.
tom-- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
@C surface.
Proper materials and assembly.
Trade name of septic tank or aerated treatment unit. Cc=
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
6- ' Adequate compliance with County and State regulations /requirements.
Other
Date ` - _2 S Inspector ,cr�
e �, _ 7
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE ce
"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
Application
e 7 1 IVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
OWNER S s / ,/ County Official:
ADDRESS'" 2 --L. , / 8 �X ';O'I h(l f
CONTRACTOR
ADDRESS PHONE
PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration Repair
Attach separate sheets or report showing entire area with respe t to surrounding areas,
topography of area, habitable building, location of potable ater wells, soil percolation
test holes, soil profiles in test holes. / (See pa e 4.)
LOCATION OF PROPOSED FACILITY: County (7e*,-G-• p /�
Near what City of Town C7 /e,._ ,� noPZ, ,*,p gy Lot Size �
Legal Description
WASTES TYPE: ( ) Dwelling ( ) Transient Use
( ) Commercial or Institutional Q Q ( p ) Non-domestic Wastes
( ) Other - Describe ( 4,aJ f 9-- g 4,',„
BUILDING OR SERVICE TYPE:
Number of bedrooms - li_ __ Number of persons / 0 /'_
( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (//) well ( ) sprin ( stream or Grgek
Give depth of all wells within 180 eet of system: G l
✓ a '&I-
T
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock:
Depth to first Ground Water Table:
Percent ground slope: _-
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to community system?
TYPE OF IVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
X
) 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:
5 /) Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe:
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? /F'
•
Page 2
SOIL I TEST RESULTS: (To be completed by Registered Professional Engineer.)
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 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
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 of issuing the permit applied for herein. I further under-
stand 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 per-
jury as provided y law.
Date 1 I Signed
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
F irs-1 c id oti
&LA_ y 62 .„ par t r._
e-a • &J,0
• Page 3
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.
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Page 4
•
GARF I EL D COUNTY
ENVIRONMENTAL HEALTH DEPARTMENT
PROCEDURE REQUIRED FOR COMPLIANCE WITH THE GARFIELD COUNTY SEWAGE DISPOSAL REGULATIONS:
Ste_2_I___Application
A. Obtain a standard "Individual Sewage Disposal System application"
from the Environmental Health Department - 2014 Blake Avenue,
Glenwood Springs, Colorado 81601 - 945 -2339 or 625 -3321.
B. Return completed application, map to property, and diagram of site to the
Environmental Health Department (pages 2,3 & 4).
C. Obtain a receipt for the applicable fee. Make check or Money Order payable
to "Garfield County Treasurer ". FEES ARE NOT REFUNDABLE.
Step_II_ Percolation Tests SEE DETAILED INSTRUCTIONS ON PAGE 6
*A. Prepare three percolation holes 4 feet deep, 8 to 12 inches in diameter,
and 20 feet apart in the area of the proposed leach field.
B. Fill percolation holes with water once for the required 8 hour soaking period.
C. Request percolation test by Sanitarian. (To avoid construction delay, we
suggest arrangements for percolation test be made at least 24 hours prior
to the end of the soaking period.) Please have at least 10 gallons of water
available at the site for the percolation test.
D. Upon completion, you Individual Sewage Disposal Permit will be issued provided
no prohibitive problems are encountered.
*If a drywell (seepage pit) is proposed, consult with the Environmental Health
Department for percolation test procedures.
!!IMPORTANT!! Please be advised that if the Sanitarian's initial field visit to your
property reveals any unusual difficulties such as high water table,
excessive percolation rates, bedrock, etc., the services of a
Colorado Registered Professional Engineer and /or Board of Health
approval will be required prior to the issuance of your Individual
Sewage Disposal System permit.
Step III: Final Inspection
A. When all components are in place, connected and ready to cover, request final
inspection by the Sanitarian.
B. DO NOT backfill any part of the system prior to inspection.
C. Upon final approval, carefully cover entire system.
Please feel free to contact the Environmental Health Department if any questions regarding
your individual home sewage treatment system arise.
(FOR APPLICANTS INFORMATION)
•
I SCNMUESER, 0 'alk ENGINEERS & CONSTRUCTORS MS
` \\ II ASSOCIATES
CRECE1VEL MAY 2 5 1983
May 24, 1983
Mr. Ed Field
Garfield County Sanitarian
2014 Blake Avenue
Glenwood Springs, CO 81601
RE: LOS AMIGOS RANCH
Dear Ed,
This is to confirm our inspection of the septic tank and leachfield for
the Los Amigos Ranch bunkhouse. The system was designed and
constructed following the State and Garfield County regulations, using
a one piece, 1000 gallon concrete and 344 ft. of leachfield
absorption area.
If you have any questions regarding this matter, please do not hesitate
to call.
Sincerely,
SCHMUESER & ASSOCIATES, INC.
1
Scott W. Leslie
Operations Consultant
SWL /kdm
(5 /field)
SCHMUESER & ASSOCIATES, INC.
1512 GRAND AVENUE, SUITE 210 • GLENWOOD SPRINGS, COLORADO 81601 • (303) 945-5468