HomeMy WebLinkAbout01615 4'
GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
P,MU --• I&U P12t11'S FM:: Glenwood Springs, Colorado 81601
"----- Phone (303) 945 -8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT I :4C 16 15 a building or use permit.
Owner Walt 1M & Mary Jame Winkler
System Location 0362 Co. Rd. 165, Carbondale
Licensed Installer Ice 2atnre
C ' Y ys 7`�/ /�
* Conditional Construction approval is hereby granted for a gal .. /.��a --•- n-4 A- Ok-i J
✓ (Neil ►- ewt�i
- - -. Septic Tank or _ _Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
. �` 1 +�_ - See- Pe_ Fni) ,' 09
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 requirement = a total of _sq. ft. of absorption area.
May we suggest: �y `
Date_ /D Inspector �t _.- 1/ • �v[i i _
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.
N i e l - Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground
surface.
Ng
Proper materials and assembly.
N4 Trade name of septic tank or aerated treatment unit. // // -/
-l�✓ \ Adequate absorption (or dispersal) area. C C / 7',f9 e CL felt k'v` e'f eN
OK cr f f4c/ s-kef ,
Adequate compliance with permit requirements.
— Adequate compliance with County and State regulations /requirements.
--C Other / ilv
Z -
Date 2_______ __— ___.__ Inspector it.
RETAIN WITH RECEIPT RECORDSNSTRUCTION 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 fine — 8 months in )ail or both.).
Applicant: Green Copy Department: Pink Copy
Application
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
OWNER Mai / a /7 /�/al'y e Enne_Jethek/- �/�6 �, Nciale 8)62/3 County Official
ADDRESS 16. Mnx C'/ (Mail") 6342 /654 PHONE 963 - 272'7
CONTRACTOR 45 p4-71e feesiderzd
ADDRESS 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 Lz"a r ie . /J.
Near what City of Town (74/ - /j74, 1 d /p (:; /4 Lot Size
Legal Description Jol )7 o E,S c z ,T'8S )P &? ph ?Al
WASTES TYPE: ()() Dwelling
( ) Transient Use
( ) Commercial or Institutional ( ) Non - domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE:
Number of bedrooms / Number of persons 2
( ) Garbage grinder ( ) Automatic washer ( ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ()() well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: /3,S''
If supplied by community water, give name or supplier:
GROUND CONDITIONS:
Depth to bedrock: 15'2/
Depth to first Ground Water Table: /5-9'
Percent ground slope: /0
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: / /Wile Air 1 -47e
Was an effort made to connect to community system? Yes
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: /4 j id —
(JC) 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: '/
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? /2/p
Page 2
.3
:SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.)
Minutes y 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:
£m, 4 Co77s /. (:» -yina )
fu Applicant e
thermandatoryan s
and additional completeness
tionaltes t s the application
tsandreportsas
aybeequired
bythelocal
department to be made and furnished by the applicant or by the local health department for
purposes
suchtermsfandeconditionsnasf application; ; and issuance permit
nsurecompliance withrules and regulations
adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies
statements
information
submitted
herewith
correct
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. / �J
Date Ap 1 8 /SRa Signed
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
•
•
•
Page 3
' TYPE OF Pally ‘.
SYSTEM
lk" to 23-" Clean Gravel Re.uired Unless U Otherwise A..roved
TOP TOP
Length deter- Perforated $00000 o000 opp oca o Gravel • 4
mined from , :p 600 0 00 o o ° Op 0 o Oo 0 0 O O O 000 0
perc test " solid pi Pe 00 0 °p � 0 00 pe opo00
results " from tank 0 00000 a O4 0° „
. -e ^ , t * ° 0000 b.-150 4 solid pipe ex
4w ��>•i�E D ov
,� ,� ....11-• bob °p �� drywell tending 1' into
straw over roc 0.
go C+Ci �;, � a °O oo o o Y.�.�.�... 4 hay or
�+ g oC►0 a$ o° 4O eo 4 eb p o O o D o $ • :�i ♦ � ♦ ���i e '.�
3 _ o o Caop0 oppe e O 0ov ° ° C•seP .•♦ ;�
At p p O O Q p p 0 0 0� p°OO O *••t ��.',��
p s 0. WAeS�.,p p0 OOOOD ! * ._,_____
3' 6' 3' *Size determined from perc test results
SIDE VIEW Backfill SIDE VIEW
Balk +ill I oxXkkXX)CXkXkX 4' r stir ; Backfill
�o$�_ straw
4 solid pipe to tar
?AV "�= 'rave Cone .� ` 4" over K
CAP*, o p o i 4 pipe in � 4 hay or straw
i�S? r
n e°e avel rz, • • Gravel cor 1 ocz0o ,• •
po o cro o � 6" Gravel r F$
b a ° geo; under pipe * _' `a Concrete rings or - 4 6 � ; ° • D o � � cinder blocks
t, Cc as 1' of gravel in
Seepage Bed I f , A bottom
=' a =a'�A Drywell II
/z ' "ran under tee
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96 keep 940 Oak • j
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CnOLOV D0 \
L parcel of land situated in the St:; ,st %,SWA,St , of Section 2, Tau :whip
South Range 88 West of the Gth Principal Veric:ic: :; 1n 58 E, 47.00
=oetfron Section corner conz,:3 to ZcctiO:S 2,5,10 cz ....'_, o TU::r ":'ii) 8
..:.nth Rarlgc 88 Woot of the 6th P: ^inci ?r_.1 .._'.2._
� .; to Ci.i ^ LLr No. 2, O.
.:id tiarcol of land; which parc:;1 of 1 is d .;;i ^SL az io11c•. :3 : .
• aSi:aning at • Ciorner ilo. 2, thence a 62 iii , 56.C3 ft '-,,, to Corder No. 5;
'ce N 75 E, 57.00 foot, to Cox:..._ ..o.4; thw' co :. 74 L 54.00 foot to
.rnor No. 5; thence a 88 E, 121.00 ic.Ot to G .. 11).6; •., oa U 1 W
7 �
1.C.7 foot to Comer Lo. r • e5 ” V a
/ t CJ t;,� 1. , _ , ::v CO: No. 8;
.t_:ee 02 W , 144.00 feet, Co:,
...a. 1 t_ .,_. U; 264.00 _o .,
S o
. J C rer :Co. .. 2; tho point G_ D,:,, ___.. .
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L V0 :scribed par •cal of 7 _.0 c .. .ino ..,, ?/ . 1?) . _ 3 .
3 , _,. , or i
- } o n .- .
.._... ..3 1971 W.A. t!_t...W� -/
Fortor