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HomeMy WebLinkAbout01920 . ' . j: A 1' !{Rtlbr, sq , here r mr isr , , pa `r' a! 9 4' r sa 1 % , ^ : • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT " ' 109 8th Street Suite 303 • Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT ;'®J 1920 a building or use permit. Owner C.R. 112 Pinyon Peaks Carbondale System Location Katherine A. Soden Licensed Installer __ Art Gur Gurule Conditional Construction approval is hereby granted for a ,fi2 0 0 gallon U 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 (�i 7 sq. ft. of absorption area per bedroom. (� �" Therefore the no. of bedrooms 3 x / r sq. ft. minimum requirement = a total of • 1 C.ff!6sq ft of absorption area. fi"167) rt Clafavc° /L(9 ( 2).2 r S C S, y 7c r May we suggest: r U E V i ( K [i: �� �,. {�rr'l,.r Date_ '/ . Inspector ' ' ' r (! ,' FINAL APPROVAL OF SYSTEM: (_-/ ( / i 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. V 6 1 n n 6 Septic Tank access for inspection and cleaning within 12" of ground surface or aerated access ports above ground !/, surface. Proper materials and assembly. a Trade name of septic tank or aerated treatment unit. t f#42 3 loo k� -4 - 1 -s' - y'dTf / 7 `� Adequate absorption (or dipersal) area. —_ Adequate compliance with permit requirements. �` Adequate compliance with County and State regulations /requirements. _ Other Date 1 n "// —9/ __ Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION 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 I n the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 months In (ail or both.). Applicant: Green Copy Department: Pink Copy Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by ,/ 1 County Official: 014NER Kom Ra oDfs i- #E�E /k, S nl � (, ( 11 ADDRESS 1$'Z C7�.UE.WAL'a a.rE. , G1" .5,;Ot nt." PHONE (to3-9 Z7e X4,4 � e 91 11 ( a / CONTRACTO l' e f C, ADDRESS _ PHONE PERMIT REQUEST FOR: (y) 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 G A 2F - 6 Llll Near what City of Town CatRZO IVtig Lot SizejQ,09 4tas Legal Description RI ncyunl o9hKS SOISD NIS toAl , Lo—r 0 _ sgc -r10N H I - % P o%- K/tNbE gd wCST WASTES TYPE: ( )() Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: REStray. -s Number of bedrooms 3 Number of persons 2 ( ) Garbage grinder (X) Automatic washer (Al Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( y well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: NONE If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: JNKNOW4 Depth to first Ground Water Table: Ug,,`Kbv,S Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Sc%1 RkL rl LES Was an effort made to connect to community system? No TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (>c 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: ( ¥) 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? 1 0 i 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. SEE ,j'ri kc to IPusT PagP 4 SEE /{TTIcH LCTTE' . 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 C - StLY/ 1 1 Signed PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY t (, l n1 L.LOOD V LOT g . $ At l LS F2o»l. INTE2SEctiu4 OF «04 D5 u 3 ANSI) 112. 20 2. • RD wt. z Cg213otabn hD �U3 , r N eftV 650.0 °a B ` xVID S re OF 3 at 7 c L SYSf'EA " . House \\9; . g APPROX. 3D FT FR p nn 1.r.cn 7 '/ ; '., Ift)Ji� . lo, oq ^ce a" ' Well • 41 ' 1 I V \ t • "'N t - • \ 14 i40 nb____ / It %X e - 200' -'_ \ \ ,, • • /SCNMU GORDON MEYER INC. %� ���� 1001 Grand Avenue, Suite 2•E AN /, Glenwood Springs, Colorado 81601 at Pahl (303) 9451004 (303) 9256501 u • ■mn Fax (303) 9455948 an ti S of CONSULTING ENGINEERS S SURVEYORS/ October 1, 1990 Ms. Katie Soden 782 Cleveland Carbondale, CO 81623 RE: Percolation Test For Lot 17 pinyon Peaks Subdivision. Garfield County Dear Katie: This letter is intended to serve as a report regarding the percolation test performed on Lot 17, Pinyon Peaks, Garfield County, Colorado, on September 27 and 28, 1990. Three percolation holes were dug, pre- soaked and percolated. The results are as follows: 1. Hole No. 1 - 7 minutes per inch. 2. Hole No. 2 - 6 minutes per inch. 3.. Hole No. 3 - 6 minutes per inch. As I indicated to you by phone earlier, this percolation test is only a part of the soils test required for the design of an individual sewage disposal system (ISDS) Based upon the results, it appears that it will be possible to install a percolation type system. Please note that because a profile hole was not excavated, we do not know the depth to groundwater nor 0.edrock. TherfloYe; we cannot provide a conclusive design for this property. Possible options at this point in time would include a Wisconsin mound type system, sand filter or a standard type system. I hope this information serves its intended purpose. If you have any questions. or comments, please do not hesitate to call. Sincerely, SCHMUESER GORDON MEYER, INC. Jet -r y S. monson, P.E. - 1 c/90211