HomeMy WebLinkAbout01458 • 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 In 1 458 a building or use permit.
Owner Anthony and Darlene Baran
System Location 0796 County Road 170
Licensed Installer _ Owner
• Conditional Construction approval is hereby granted for a t " CO gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate of one inch in minutes requires a minimum of 2 .0 54 sq. ft. of absorption area per bedroom.
Therefore the no. of bedrooms 2— yy
x � ft. minimum requirement = a total of : ft. of absorption area.
May suggest X 3 A C 3 "de or / ` �c 3 cf
Ma we su est / � � � Z •e •C /� i
Date �(� // 6 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.
Q _ Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
/.r surface.
Q - \ Proper materials and assembly.
t fr c Trade name of septic tank or aerated treatment unit. 6 e / a . _ v t c " / o o G', c
w\ Adequate absorption (or dispersal) area. G8 2.. % / � •
o Adequate compliance with permit requirements.
o K Adequate compliance with County and State regulations /requirements.
Other q /�
Date h / ` Inspect. // A
RETAIN WITH RECEIPT RECORDS 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 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 ($500.00 fine - 6 months in jail or both).
Applicant: Green Copy Department: Pink Copy
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
County Official:
OWNER Rnllho.Jy ni 1 - DA R/CNe /lfhR1gh1/
ADDRESS Rex So 0144 110 giPliONE 92S -6AZY
CONTRACTOR Tory RBRN9
ADDRESS aox . sob 45/£n) PHONE
PERMIT REQUEST FOR: (I() New Installation ( ) Alteration ( ) Repair
Attach separate sheets br report showing entire area with respect to surrounding areas,
topography of area, habitable building, location of potable water wells, soil percolation
test holes, soil profiles in test holes. (See page 4.)
LOCATION OF PROPOSED FACILITY: County Qo.rtteld
Near what City of Town ( rboNtla(p Lot Size4,Rr pr,t J
Legal Description Pa,. #of AJk)Yf! Sec.4taJ i7, T. 7S• R.57 W,CIA.4e14Cea4
WASTES TYPE: ( )C) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE: Qp
Number of bedrooms a, Number of persons_ a
(A,) Garbage grinder (X) Automatic washer (x) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (y( ) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: - au -f- _
If supplied by community water, give name or supplier: _
GROUND CONDITIONS:
Depth to bedrock: Goo
Depth to first Ground Water Table: 3.5'0
Percent ground slope:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: // -la m rle$
Was an effort made to connect to community system? ,J o
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( y■) 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: '^
( )y 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? N D
Page 2
. 4
SOIL_ PERCOLATION 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 by law.
Date Signed
r
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
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(d) Absorption area for seepage pits is figured as effective side wall area
beneath the inlet.
(e) Unsuitable for seepage pits if over thirty.
(f) Unsuitable for absorption systems if over sixty.
Dwelling on less than two acres, areas of high water tables, or areas with a
percolation test rate faster than 1" in 5 minutes must have alternative sewage
facilities, i.e., central collection, holding tanks, individual treatment, etc.
EXCEPTION: Absorption areas may be allowed with percolation rates faster than
one (1) inch in 5 minutes provided the soil is a sandy texture and no water table
problems are encountered.
n f
, Vf o �
1. Maximum length of drainage line: )� 1. 7e 100 linear feet a , $2.
2. Minimum width of drainage trench: 18 inches
3. Minimum spacing between trenches or pipes: 6 feet
4. Maximum grade of drainage lines: As level as possible
5. Minimum depth rock under drain PVC: 6" under PVC, 2" over PVC
6. Minimum depth of cover over distribution lines: 12 inches
7. Maximum depth of cover over distribution lines: Variable
8. Minimum grade of house sewer:- 1/8 to 1/4" per linear ft.
9. Minimum distance of sewage disposal system
from dwelling: 10 feet
10. Minimum distance of leaching area to a well: 100 feet
11. Minimum distance of septic tank to a well: 50 feet
12. Minimum distance of leaching area to a stream
of water course: 50 feet
13. Minimum distance from septic tank and disposal
field to property lines: 25 feet for drywell;
10 feet for leach field
14. Minimum sewer pipe and distribution pipe: 4 inch diameter
Septic construction should be of concrete, concrete block or of a material that
will resist deterioration and which can be made reasonably watertight.
Acceptable drain field pipe materials include plastic, terra cotta, concrete.
If the house sewerline is longer than 10 feet between house and septic tank, a
clean -out Y should be installed as near as practicable to the house.
Septic tanks should be inspected once a year and cleaned when necessary. Cleaning
is recommended when space between the scum accumulation and sludge residue on the
tank bottom is less than 18 inches.
The Department recommends pumping a septic tank once every 4 years when a yearly
inspection by the owner is not practical.
D°\A \j\-y
(FOR APPLICANTS INFORMATION)
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