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HomeMy WebLinkAbout01432 • • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 2014 Blake Avenue Glenwood Springs, Colorado 81601 Phone (303) 945-8241 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT ? 1432 i a building or use permit. Owner Union 011 System Location Mile post 2 south of Cotzntu Road 275 Licensed Installer Union Oil " Conditional Construction approval is hereby granted for a /a 6 n gallon Septic Tank or Aerated treatment unit. c.o.- Gil n (/ LS.•n.r' E!L �/ / • / Absorption area (or dispersal area) computed as follows: p G q � � � z A ��[t Fl Perc rate of one inch in --- minutes requires a minimum of / sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms `-- x -^ sq. ft. minimum r r quir ment = a total of '�� sq. ft. of absorption area. tv C May we suggest � e�! • 1- �� -•"S GLT'7'�'- ft P • / J�I/L� Date �� g/u ' Inspecto�� t.r raLt 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. © PC t. Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground surface. Q Proper materials and assembly. /� 0 , Trade name of septic tank or aerated treatment unit. tie/ /OQo 0 , Adequate absorption (or dispersal) area. / ^/ ✓\ Adequate compliance with permit requirements. o ✓\ Adequate compliance with County and State regulations /requirements. —�� Other Date (p/ ! � C Inspec � •��/ L red G RETAIN WITH RECEIPT RECORa.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 1, Petty Offense (5500.00 fine — 6 months in jail or both). Applicant: Green Copy Department: Pink Copy SPECIFICATION Union Energy Mining Division Union Oil Compony of California unien , R r-� TITLE: SPEC. NO.: ES — - SEPTIC SYSTEM FOR HUMAN WASTES PAGE 1 OF 15 REVISION RECORD SHEET _.I. Revisions to.subject.specification are listed below. Each - time -the specification. is -changed, -after the Initial Issue for construction, only the Record Sheet and new or revised pages are issued. The new or revised pages form an integral part of the specification and shall be complied with in their entirety. The revision column gives a brief description of the changes; stamps on referenced drawings Indicate the reason for Issue (approvol, construction, etc.) II. The information contained herein Is the property of Union Oil Company of California (Union) and is considered to be confidential and proprietary. The recipient of this information shall not reproduce this information nor disclose or reveal it to any other party without Union's written consent. All copies or reproductions mode by recipient shall be logged and returned to Union with the informotion originally • received. The document /specification /drawing to which this stamp is affixed Is to be immediately returned to Union upon demand. REV DATE APPROVED PAGES BY ISSUED REVISION DESCRIPTION ORIG 1 - 17 - 83 JWP 15 of Approved for bidding, fabrication, 15 installation, and construction. • • • t OME•104 (5-82) • T '' SPECIFICATION • - Union Energy Mining Division Union Oil Company of California • umen TITLE: - SPEC. NO.: ES -H -1 SEPTIC SYSTEM FOR HUMAN • WASTES PAGE 2 OF 15 I.D. DISK NO. REV. - .- ....__.._ - -..- INDEX Page 1. Scope 3 2. References 3 3. Definitions 3 4. Design Considerations 3 5. Disposal Systems 8 6. Sizing of Disposal 11 7. Soil Percolation Test 11 8. Disposal System Considerations 12 9. Design Precautions 15 • OME -106(9 -62) • srr i %ICA' - -1CN SPECIFICATION Enero= r. - - C a Union Energy Mining Division �. Union Oil Company of California ,, r kt union yb . TITLE't '� SPEC. NO. J SEFTLC SYSTEM -FOR HUMAN__ ES -H -1 WASTES PAGE 3 OF 15 DM NO. 0747a NOK 0020a • '- REV. 1. 5,. COPE t This specification defines generalized standards and design considerations for septic system layouts. 2'. REFERENCES Uniform Building Code (UBC) Uniform Plumbing Code (UPC) National Electric Code (NEC) Colorado Dept. of Health: Design Criteria for Wastewater Treatment Works. Colorado Dept. of Health: Guidelines on Individual Sewage Disposal Systems Company Specification for Reinforced Concrete Company Specification for Grading and Earthwork Company Specification for Electric Wiring • 3. DEFINITIONS Company - Union Oil of California, Union Energy Mining Division Septic tank (Figure 1) - a watertight, accessible covered receptacle designed and constructed to receive sewage from a building sewer, to settle solids from the liquid, to digest organic matter, and store digested solids through a period of retention and allow the clarified liquids to discharge to other treatment units for final disposal. Dosing tank (Figure 2) - a holding tank with an automatic siphon or siphons which discharge effluent into the field at a predetermined volume. This large intermittent dose allows drying of the field between doses. This action extends the life of the absorption field. 4. DESIGN CONSIDERATIONS 4.1 Septic tanks shall be designed with a minimum liquid capacity equal to 30 hours' flow of sewage. The minimum size tank shall not be less than 1500 gal capacity. A dosing tank (see Figure 2) with an automatic sewage siphon shall be provided with all septic tank installation with fields extending more than 500' of line. DMF.105 (9.82) SPEChT IC Al ION SPECIFICATION C. 1 • Union Energy Mining Division „ U-mr C Cow oonv of cow Union Oil Compony of California , � r. TITLE - SPEC. NO.: ES -H -1 -- SEPTIC S FTEM FOR HUMAN WASTES r t. i s PAGE 4 OF 15 REV. - ,NRTTINpIj M HYGI CONCRETE SEPTIC TANK- MODEL`NO. • r1 - I — — 'I I I. II 1 I . I r I r II ; I i ----11 1111 I • o. 1I 1 I1 I 1 ' ■ I A I ' II I 1 11 I — CONCRETE MANHOLE MINIMUM CLEAR OPEN 20" x 20 "TYPICAL PLAN VIEW n VENT INLET _ T 4°DIA -1.- OpTLET SCH4b 14" : a 4 DIA ..,._ i____ . T 14 14r SpH 4 1 31-1011 41 -11'1 4 ° 3 . -7 ., SLUDGE ZONE t i s 11 ►I LONGITUDINAL SECTION FIGURE 1 SPECIFICATION Fr ;:CI ' IC t. Tli Ur. Frt,•,n Minin4 D -ision SPECIFICATION _. Unio - C I . Co - :o?n•v of C;" for = Union Energy Mining Division Union Oil Company of Colifornia _ omen - - - - - r wirer; TITLE : - I k: , - SPEC! NO.: ES — H -1 - SEPTIC SYSTEM FOB HUMAN WAS ES t PAGE 5 OF 15 REV. t i DOSING TANK ' f I - . M� PLAN VIEW r n r — — 1 f 1 . 0- - - -- f- �' ` X 1 - 7 1 TLW4 '€1 Cara-- GAS TIGHT MANHOLE COVER AND FRAME isomm■mi I l e alThi ryME II t] VENT CONCRETE rill I ' 6' t:'.I.li.. .'it.;t � zg ; :.. . : : : [ :. vi -.y OU 9: .. - , SAND FILL' > ,. T .. ,. •;• i, .;r: :i. ,6Y OTHERS i • • 6 -0" TYPICAL 1- -2‘6 REDWOOD I GRADE BOARD `•I 16 -0 LONGITUDINAL SECTION 1 I FIGURE 2 SPECIFICATION SPECiFICATIGty S!.0 rJcA1R. . _ 1-j Pier' Ene�g: ti rI�_ ::. , o ,. Union Energy Mining Division u,ion VI: C crna of ::a', ' c. ,. Union Oil Company of California urtion um®n � , -, TITS : EPIC SYSTEM ( N:, $PEC.NO. - ES — H _ 1, c- ∎ - . - at 4::;.� _ WASTES " - PAGE 6 OF 15 W. DISK C� t NO. 0747a NO. 0020a REV. i ■ Y'szi 4:2 ' Sitiii' of t septsic tank shall be biased upon '75% of '- r the daily flow plus storage volume of 1,125 gal, or by total fixture units served, whichever is greater: Table I shows minimum septic tank she according to - i ) the fixture units given in Table Iii I ' . t 4.3 Septic tank installations shall be taottingham HYGI;t t septic tanks or equivalent. (See Fi,Ilyurg 1.) Septic 1 c• tank design criteria are as follows: t i 4.3.1 Inlet invert shall be 3" higher than the outlet invert. l ; c I I 4.3.2 Outlet tee or baffle shall extend above the '. c surface of the liquid to within one inch of . the underside of the tank toth and shall extend t at least 14" below the outlet invert. ; 4.3.3 The distance from the outlet invert to the underside of the tank top shall be at. least 10 ". I I 4.3.4 Liquid depth shall be a minimum of 30" and the maximum depth shall not exceed the tank length or 60 ", whichever is less. . 4.3.5 A septic tank shall have twolIor pore ? compartments or more than ond tack may be used c ;r in series to provide the followifg capacity arrangement. The first compartment of a septic tank shall hold no less than 1/2 of the E t t required effective capacity. . , I 4.3.6 The transfer of liquid from the first compartment to the second or successive compartment shall be made at a liquid depth of . at least 14" below the outlet invert but not less than 4" above the sludge zone. 4.3.7 Ductile iron pipe properly supported to ' prevent failure by settling shall extend from the septic tank for a distance of at least 5' from the inlet and outlet ends. - . _ , • C - ( . . . , - - j t DME•106 (982) SPECIFICATION SPFCIFiCATIOK Union Energy Mn Dnsion SPECIFICATION Ur. on E,i :ry N U +ion Oil Company of Cahforni. Union Energy Mining Division Union 01 Company of California 1 7 6 union ■ ' r ., 0C 1 . _ __ ._ TITLE "_�y S YEC.. NO- gc_,,_ I I , - - Icp : --- -- t SPEC NO ES — H - 1 - --- - 1 _. - SEPTIC SYSTEM FOR H WASTES` ' • —____ PAGE OF IS ,VC G ?4; F I0 i DISK NO NO REV I . _ -,... ;k ` Er ... • i r ;- 1 . 1 1' 1- cc - 'r 7 l' r']"cj j 4 cTABK - Er : i 4 - - I SEPTIC TANK SIZING - Minimum peptic' Fixture Units Tank Capacity Per Table 1I In Gail¢ns 15 75q i 20 1004 33 1500 j - 45 200 55 225 j 60 250 70 275C 80 300C 90 325C 100 350C TABLE 11 FIXTURE UNITS Kind of Fixture Units Drinking fountains 1 Floor drains 2 Interceptors for grease, oil, solids, etc. I 3 Interceptors for sand, auto wash, etc. 6 Laundry tubs ` 2 Receptors (floor sinks) indirect waste receptors , for refrigerators, coffee urp water stations, etc. 1 Receptors, indirect waste receptors for commercial , sinks, dishwashers, airwashers, etc. 3 Showers, single stalls 2 Showers, gang, (one unit per head) Sinks, bar, private (11/2" min. waste) 1 Sinks, bar, private (2" min. waste) 2 • Sinks, commercial or industrial, schools, etc. including dishwashers, . wash -up sinks and wash fountains (2" min. waste) 3 Sinks, flushing rim, clinic 6 Sinks, service 3 Urinals, pedestal, trap arm only 6 . , •r Urinals, stall, _ , - . 2 Urinals, wall (2" min. waste) 2 :, AJrtn @Isiwall through (2l" min. waste', 2, . I a. r: Washbasins (laboratories). single . 1 „ Wash , basins,in sets - , ,- 2 Water closet tank type, trap arm only 4 Water closet flush valve type, trap arm only I i f - - SPE',IFICATi mr SPECIFICATION cPE A'. Y. Union Energy Mining Division Dn c, Energy v. nI o D., :, or Union Oil Company of California Union 0'J CcmFcn, pf Cc f. i _ c y men union ; w., - 1 TI LE: SEPTIC SYSTEM FOR 14MAN t' ? - - - -- SPE NO .. zsTy_1 t '^ L :i!SP - -...'-1 PAGE 8 .. OF 15 I.D. DISK ' NO.! 0747a NO. 0020a REV. - •- 4.4 The septic tank sh[11 tie' located where it can (receive•- -; . r „ gravity flow from the project. , 4.5 When the septic collection system cgvers a large,,, area, it shall be broken down into tiwolor more a :t , separate systems. i. 4.6 Manholes shall be located over the inlet, outlet; and no more than 25' apart. This provides Ifor propey pumpiuy and maintenance. i ., f 5. DISPOSAL SYSTEMS 5.1 The three conditions which determin$ the most effective type of disposal system ar1e: ; 1 o Area available 1 o Local codes and ordinances o Geological composition of thglI soil Absorption trenches shall be the UEI4D standard septic disposal systems. ! , . I 5.2 Absorption trenches shall be compos'd Of one or a . series of parallel trenches between�18 ".land 36" in , width. The trenches are to be grail filled with a • minimum of 12” under a perforated pilpe find 2" over (Table III, Figure 3). , r 1 • 5.2.1 Several advantages of absorption trenches are: o Large contact area with soil • o Aggregate provides added treatment surface and protects the soil o Effluent is disposed of in three fashions: percolation, evaporation, transporation 5.2.2 Limitations of absorption trenches include: o A larger surface area for disposal is i (._ required which becomes a very limiting _ factor in commercial systems f , 1 1 -- DMEN06 (9-82) • SPEC F G'; i Di SPECIFICATION .:;:= U" an 1 Union Energy Minjng Division Union Oil Company of California UIir union Cr! 'Ic'r u TITLE -- — — - S EC. NO ES -H -1 SEPTIC SYSTEM FOR HUMAN WASTES "-ht Hl PAGE 9 OF 15 REV. I - 1 I TAE3EE III 1P !.�'_ AfSOA' .I,)P .. •Li_ :... I < . ABSORPTION TRENCH 1 t UNTREATED BUILDING PAPER • PERFORATED DISTRIBUTION PIPE - SCH4OPCV 12" MIN. `\ 4_ iii ,/ 4., •‘%1 NT -.7 • -�. .. 1. �J:::- Y1:9C�.4:' ^d. �:l 6.TcA �:: I >'� 2 MIN 0 0 0 0 0 0 0 0 0 0 0 • 1=_ _ �' '` I 60° 12 ,•, it ii:i: Dpi }.- •lip'- .. d...j'j I ;i. 1 .:i: I/2 ° -2 I/2 GRAVEL 36" MAX HOLE ROTA 'IONI: 60° - FIGURE 3 SE E Al LT"' N SPECIFICATION ri i !o 'in' -._ _ . Union Energy Mlnin9 Divis,on ... U io- C. c _ Union al Company of Cal:lorma :is 1 union . TITLE .. _ .. SPEC NO ES SEPTIC SYSTEM FOR HUMAN WASTES PAGE 10 OF 15 : I D DISK NO NO REV I TABLE III F ABSORPTION TRENCHES Minimum number of drain lines per field 1 Maximum length of each line 100 it Minimum bottom width of trench 18 in Maximum bottom width of trench 36 in - , Minimum spacing of lines center to center 6,11 Minimum depth of earth cover over lines 12 in Preferred depth of cover of lines 18 in Maximum grade of lines I , 6 in per 100 ft Minimum grade of lines , 3 in per 100 It Minimum filter material under drain lines 12 in Minimum filter material over drain lines � 2 in NOTE: Minimum spacing between trenches or leaching beds: Shall be 4 feet, plus 2 feet for each additional foot of depth in excess of 1 foot below the bottom of the drain line. I TABLE IV RATED ABSORPTION CAPACITIES OF FIVE TYPICAL SOILS (For Rough Estimates) Minimum Absorption Square Feet Capacity Gals /Sq. Ft. of Leaching 1 of Leaching Area for Type of Soil Area /100 Gals.! A 24 -hour Period Coarse sand or gravel 20 5.00 Fine sand 25 4.00 Sandy loam or sandy clay 40 I 2.50 Clay with considerable sand or gravel 90 1.10 . .. Clay with small amount of sand or gravel 120 .83 . TABLE V LOCATION OF SEWAGE DISPOSAL SYSTEM Bldg. Septic Disposal Seepage Minimum Horizontal Distance Sewer Tank Field Pit in clear required from: (Ft.) (Ft.) (F1.) (Ft.) Buildings or structures 2 5 20 20 Properly line adjoining private property 0 10 10 25 • Water supply wells 50 50 100 150 Streams 50 50, 50 . 100 Large trees — 10 10 10 10 Seepage pits — 5. 5 r 12 Disposal field — 5 4 5 Domestic water line 1 5 5 • 5 Distribution box — 5 I 5 1 1 . • SPECIFICATION r ' Union Energy Mining Division Union Oil Company of California linen 4 TITLE: SEPTIC SYSTEM FOR HUMAN SPEC. NO.: ES -H -1 WASTES PAGE 11 OF 15 I.D. DISK NO. 0747a NO. .0020a REV. 0 The use of absorption trenches is dependent on a porous strata being within a reasonable distance of ground surface 6. SIZING OF DISPOSAL SYSTEMS 6.1 Sizing of disposal systems is based ; on Square feet per 100 gal of the septic tank size, or;,gallons of flow per day. The required square feet area is based upon percolation rates or rated soil absorption capacity. Table IV indicates typical soil absorption rates in square feet of area required per 100 gallons for five types of soils. 6.2 Percolation tests shall be run to determine the actual absorption rate of the soil (see Section 7 of this specification) prior to system design and installation. • 6.3 Available square footage of absorption trenches, which is equal to the trench bottom width plus the available sidewall under the distribution pipe multiplied by the total length of the trenches. The available sidewall shall be not less than 6" or more than 15" with the distribution set 3" above the • available sidewall. 6.4 The minimum absorption area in square feet (A) for an individual sewage disposal system shall :be determined as a function of the estimated quantity of sewage flow in gallons per day (Q) and the rate in minutes per inch (t), according to the formula: A g x J t , where 5S t< 60 7. SOIL PERCOLATION TEST 7.1 Soil percolation tests shall be performed in at least three (3) test holes in the area in which the absorption system is to be located, spaced uniformly over the proposed site, except there shall be no less than - 1 test hole in any 1200 sq ft area of the r - absorptionrsystem. r L , tle DME.106 (9434) c I SPECIFICATION Union Energy Mining Division ''' - - Union Oil Company of California •"#. it; umen TITLE: SEPTIC SYSTEM FOR HUMAN- SPEC. NO.: ES -H -1 WASTES PAGE 12 OF 15 I.D. DISK Na 0747a Na 0020a REV. 7.2 The percolation test holes shall be from 4" to 12" in diameter, and shall be terminated at the depth of the proposed absorption system. 7.3 One soil profile test hole at least 18' deep or to bedrock, must be completed to give an indication of the soil condition in the area including that soil zone at least 4' below the bottom of, the proposed absorption system. 7.4 Percolation test holes shall be filled with water to a depth of 14" or more at least 8 hours prior to Making the water percolation test, and shall be refilled with water if necessary to a depth of at least 14" prior to final measurement. Measure the time for the water to drop one inch within the lower 25% depth of the percolation test hole. The percolation rate shall be reported in minutes of time per inch drop. 7.5 The field percolation rate shall be +he average rate of the percolation tests after rate has stabilized in all the test holes observed in the proposed absorption area. A percolation rate of between 5 and 60 minutes per inch is required. A field percolation rate determined by the test shall be used in calculating the absorption area required for the proposed system. (See Section 6.4.) 7.6 The percolation test results shall be verified by UEMD's registered professional civil /structural engineer. The percolation test results shall be submitted with the application for the County Health and Building Code permits. 8. DISPOSAL SYSTEM CONSIDERATIONS 8.1 Capacity of the dosing tank is calculated on 75% of the total gallon capacity of the absorption pipe. The capacity of the tank is the volume contained within the area of the siphon's draw -down distance. In a large field this may amount to several thousand gallons. In these cases it is more economical to install dual alternating siphons. Each siphon would • then serve one -half of the field, thus effectively reducing the tank capacity by one -half. • �'< SPECIFICATION Union Energy Mining Division �' - - Union Oil Compony of Colifornio ��. unu n , TITLE. • SPEC. NO.: ES —H -1 SEPTIC" SYSTEM" FOR HUMAN WASTES PAGE 13 OF 15 • REV. TYPICAL DISPOSAL SYSTEMS • e I f I .rl, UK) t t I :a " l ' k. _. tft n.i l.. t ., t. SEPTIC TANK • LEACH LINE NO SCALE - DIAGRAMMATIC ONLY SINGLE LEACH LINE FIGURE 4 • INLET PIPE O OUTLET PIPE COUPLING dirc1/4 lobate LONG 1/4 BEND o / 4 , 141 ‘ s ig.,% 4 �� PAPER BUILDING DISCHARGE DISTRIBUTION � / r ®e� BOX D -•9 e � �� , o`;nillNu • PERFORATED DRAIN PIPE • •0•60.. • e • e • ' •� 0 o e c + noeo • \s v 0 0 o • p4� I GRAVEL OR.CRUSHEO FIGURE 5 STONE NO SCALE -DIAGRAMMATIC ONLY MULTIPLE LEACHING LINES OME•SG) 19.832) DTI 4 i ;; . SPECIFICATION r: - - - -if.- Union Energy Mining Division - Union Oil Company of California T :., L. union TITLE - •- SPEC. NO.: ES —H -1 SE SYSTEM FOR - HUMAN WASTES PAGE 14 OF 15 REV. I r TYPICAL DISTRIBUTION BOX M a a I f- N i N , . NOTE IF LEACHING LINES ARE Of UNEQUAL LENGTHS PROVIDE INLET r _ S BAFFLES TO INSURE PROPER DISTRIBUTION OF LIQUID (SEE FIGURE 4) L - ! . H . 21/2" TYP ir - OUTLET PLAN CONC. COVER 21/2" INLET 1 OUTLET 1 �i I l'-6" 10" 9„ 2 I /2" 2 1/2" I - B" SECTION FIGURE 6 SPECIFICATION -, Union Energy Mining Division Union Oil Company of California un TITLE: SEPTIC SYSTEM FOR HUMAN SPEC. NO.: ES -H -1 WASTES PAGE 15 OF 15 I.D. DISK - NO. 0747a Na 0020a - REV. • 1 9. DESIGN PRECAUTIONS - Precautions to be otisertfed in the design of septic systems are the following: I 9.1 Sewer Connections: • i o The sewer connection from the Structure to the septic tank and from the septic system to the leachiny system shall be water!tig t. This will minimize rain water run -off infilt ation and settlement problems around the1septic tank o The sewer lines shall not be laid igit.h less than 1/8 inch fall per foot., preferably'1 /4 inch per foot, nor more than 1/2 inch per foot o Care shall be taken to compactsoia beneath lines to prevent dislocation, cue 'Ito settlement 9.2 Septic Tank Odors: o Septic tanks are automatically vented back through the venting facilities'in .he . structure. Where manholes extent to grade, they: shall be gas -tight 9.3 Surface above leach fields shall be :gra!ded (1/4" min.) to drain to avoid ponding ove# leech field: 9.4 Paving over the area shall not be permitted. The area shall be fenced or posted if necessary to avoid . parking. i 9.5 Electrical enclosures shall, be NEMA 12 and all interruptors grounded. 9.6 Allow access for "Honey Wagon" - most have limited suction capability and suction hose length. (.___u_ _- J DME406- 19.9.2 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: OWNER UNION OIL• COMPANY OF CALIFORNIA ADDRESS P.O. Box 76, Parachute, CO. 81635 PHONE 285 -7600 CONTRACTOR Same as above ADDRESS n/a PHONE -- PERMIT REQUEST FOR: (xx) 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: County Garfield Near what City of Town Parachute Lot Size 188 Arres Legal Description NWT;, Nkik of SEa of Sect. 2, T7S, R96W of the 6th P.M. WASTES TYPE: ( ) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non - domestic Wastes (xx) Other - Describe Ranch operations - temporary living atrs. BUILDING OR SERVICE TYPE: Mobile Home Number of bedrooms 3 Number of persons 1 (xx) Garbage grinder ( ) Automatic washer (xx) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (xx) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: 30 ft. to water If supplied by community water, give name or supplier: N/A GROUND CONDITIONS: Depth to bedrock: >50 ft. _ Depth to first Ground Water Table: 30 ft. Percent ground slope: 3 -1/2% DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: N/A Was an effort made to connect to community system? No. TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (xx) 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: (xx) Absorption Trench, Bed or Pit ( ) Evapotranspiration (xx) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: :ILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? No. Page 2 • SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) Minutes 30' 31" per inch in hole No. 1 Minutes 30'.41" per inch in hole No. 3 Minutes 30' 33" per inch in hole No. 2 Minutes per inch in hole No._ Name, address and telephone of RPE who made soil absorption tests: Larry Pyeatt, 285 - 7600 Parachute, Colorado 81635 Name, address and telephone of RPE responsible for design of the system: Same as Above 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 by law. Date 1 / /6 /R5 Signed 4/.../..ii ,4 .. PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY 53 a See Attached Map. • Page 3 •' . TEST DATE 4/12/85 SOIL PERCOLATION TEST RESULTS ; TEST HOLE # TIME (DELTA) READING (DELTA) 1 1'44.47" 0'00.00" 3.13" 0" 8'26.10" 6'41.63" 3.31" 0.18" 32'15.27" 30'30.80" 4.18" 1.05" 2 2'17.08" 0'00.00" 2.94" 0" 9'04.20" 6'47.12 " - 3.06" 0.12" 32'50.02" 30'32.94" 3.94" 1.00" 3 0'57.90" 0'00.00" 2.94" 0" 7'42.89" 6'44.99" 3.13" 0.19" 31'38.86" 30'40.96" 3.94" 1.00" 4 THIS TEST WAS THROWN OUT BECAUSE PRESENTS OF BURROWING ANIMAL HOLE. 5 0'00.00" 0'00.00" 2.12" 0" 7'08.89" 7'08.89" 2.31" 0.19" 31'04.80" 31'04.80" 2.69" 0.57" 50'30.12" 50'30.12" 3.00" 0.88" 58'14.87" 58'14.87" 3.12" 1.00" HA E EE TT EE EE gy NKEDICKEY WERE PERMIT. *-1 ea . 1/35,30' 1 /�‘/as • C . -\ . . /� // / / i • / / • i .. i „, „ , ,, . , , .,,,,,., ,. , . , si f .) .,,. ......., tA . . .r ., ,. . .,. N 5 ,. , , ,, , , ,, . . :, .. . • . .., , . . , , . ,,, . , . . . r. . • J ... t ..!: , .. . , . . __ _.r.._____ ,_ 85 l-.E c_H Ea.D Cs;cory g ALB C2S .0N C }l t Este. t4 AP-CA .t. 1400 Vt mo o' N ( s Pee.) 4" Scw. 4o P,PE -z- D',st. B (see as Pe c. t I N I v 4 7 J ! + A ScW 40 g atir, - o d • T Cr.i C.W — %-SCCTtovt _ g is" 15uicD:-.Y PAP a• _0 30. a: 1 wihstICL GQauE 71 % 3530-