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Home My WebLink About01513 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 0 . 109 8th Street Suite 303 Glenwood Springs, Colorado 81601 TEMPORARY — NO r t Phone (303) 905 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT iL'! 1513 a building or use permit. Owner Dept. of Hiatitvaye — - System Location Grizzly Creek and I -70 Licensed Installer _____ Hig ym Dept. Forces Conditional Construction approval is hereby granted for a 750 gallon Concrete 75(1_ Septic Tank or _ Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate of one inch in 6 __ minutes requires a minimum of 220 sq. ft. of absorption area per bedroom. Therefore the no. of bedrooms 1 x 225 sq. ft. minimum requirement = a total of 225 sq. ft. of absorption area. May we suggest: Tletnporary — approx. 2 ears — Date -Ce "a... 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• ins any part. it ,s �,C - /S 79A/ (1, .- Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground „2.1/4._ surface. Proper materials and assembly, T � �/ / d , Trade name of septic tank or aerated treatment unit. ,/ / / ` k f 5 .l T` 9 0 i, 1: :: Adequate absorption (or dispersal) area. — See 0944iCkCq`- ^� /I fa y1 ��jj Adequate compliance with permit requirements. 'j / O , n /, L( �' 7 t ,{ $ + 9 G2._!__L_ Adequate cornpliance with County and State regulations /requirements. J J _ Other Date l7 /1/ s 4 Inspector ./ _ - /. R ETAIN WITH RECEIPT RECORDS ONSTRUCTION SITE / *CONDITIONS: // 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 25, Article 10 C.R.S. 1973, Revised 1984. 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 violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 tine — 6 months In Jail or both.). Applicant: Green Copy Department: Plnk Copy INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by ER y County Official: .. OWN COLORADO D OF 1416 WAYS /RALPH tRAPANI 4 Rose-e4 8aaact-r ADDRESS 58341 HWY 61 24„ Box I430 6LENWOOD SPRINGS. CO _ PHONE (3o3) 94jogo CONTRACTOR p164WAV DEPARTMENT FoRc eS ADDRESS (As ABOVE) PHONE PERMIT REQUEST FOR: ( ) New Installation ( ) Alteration (x) 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 6ARFIELD Near what City of Town 6 LEN W000 SPRINGS Lot Size - Legal Description W,,,I,N H, a,HWAy R \6Hr- or- WAY A GR122LY c RREK 1N GLENWOOD CANYON WASTES TYPE: ( ) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( x ) Other - Describe tiELD OFFICES 'BUILDING OR SERVICE TYPE: I41644wAY bEPATCTHeJr F,FLD oFFtt s yOGFICE�' lfEnTECH OFPCB Number of S, ::7?{[s cscic�� . 3 Number of persons 6- zo ( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( x ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: APPRO,c. 75' If supplied by community water, give name or supplier: - GROUND CONDITIONS: Depth to bedrock: lo'+ Depth to first Ground Water Table: lo'+ Percent ground slope: Iz DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 4+ M,LE5 Was an effort made to connect to community system? N TYPE OF INDIVIDUAL 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: (X) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: (JILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? NO Page 2 s m O N O j 1 1 fi o F. n = i �� '� 1 In • • o D • 1 g i • d. LI /oo ..- ': r • V' 1 _ . A X ~ ' f N : . Z 7 �1 � IT. 1 I o.� CC F 44 n i 7 ,_, i Ir g a SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.) 0. , ' Minutes z.s per inch in hole No. 1 Minutes 1 5.o per inch in hole No. 3 Minutes 10.o per inch in hole No. 2 Minutes per inch in hole No. Nance, address and telephone of RPE who made soil absorption tests: As en..ow Name, address and telephone of RPE responsible for design of the system: MIGLJAeL J. e'n.E, P.o, 130X 1430 , 6LENW000 SPRINGS . Cot -ow-AP° 8160 (3o -) 945 -13080 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. late - S� Signed / / / (� !O to8cmr K. Baia , btsr. ¢I GEOLG61sr PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY P / , Gl 01.! n, N AA ntf r, I N 1 l ! Q YJMa n v,n•f u � U :Tvter,r(L '11') livc 1. -' /o WESlrtnuNb ' ' / / Page_3_-- - v s ENN`l 6 • i,rL yr o,oltN iU bt LUNJIRUCIUU (11" to 235" Clean Gravel Required Unless Otherwise Approved) 0 • ' TOP TOP Length deter- -"- - _, 4" perforated Soopo0 oo0ooal°, • 000.0 Gravel mined from Pi Pe s” o G o °o °oao °oo oao perc test Al from ° o 2,0 0 o results J ®`4 solid tan pipe of) o � ° e k o uoo ° o ° d �o0 4" solid pipe ex• ^ ^ �— * tending into , 40000 4 1 4 t3A drywell 1' • pQ I •-• 00 0 0 0 ,-):•••• ••• 0 • 4" hay or 3, + � OOppp`� psp40 fA 4(b , e . 0 00 00�0$'• �' � ��i•��i� i � straw over rocl • �� O 00 a O p CO 401 NO up OO O OOp � * ----_ 3' 1. 6' 1 3' *Size determined from perc test results SIDE VIEW Backfill SIDE VIEW Backfill Backfill o AXx XXnX )<kXx 4' r straw solid pipe to tar aw 4" n n • Oo8$ o e3� -le. _" 'ravel over flit * Cone „ ( /�:".. . sta , 4 hay or straw - g m a - oo 4 pipe n , T.,- . • ' • ' ' 1 ' 00 0 0 0 0 a r i o o ; c vel p s,, Gravel 'g ° o CD oeo ., 6" Gravel 4. OO o o - s , o a o 4 ° a c kb under pipe * "` Concrete rings or o.• a, Viii cinder blocks ob. 10 1' of gravel in n Seepage Bed s za bottom 1 3n Nu I T 1 . - I I E-71 1 Other TRENCU g (FOR APPI TC.ANTC TNFfRMATTnNI