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HomeMy WebLinkAbout02101 ;e ,." 1t K GARFIELD COUNTY BUILDI 0 AND SANITATION DEPARTMENT Permit N :. 2 1 0 r 109 8th "'0 , et Sulte 808 Assessor's Parcel No. 1 Glenwood Spi�nde, Coloredo 81801 2391- 333- 00-002 Merle ($016 945.8212 A t This does not constitute t $ INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. 41 PROPERTY 1 r Owner's Name Janes E• Lonaetretb Present AddN as ; SOX 28025, El Jebel, CO Phone 963 -2205 System Location 17694 Highway Ste ` Carbondale Legal Description of Assessor's Parcel No. t . SYSTEM DESIGN Septic Tank Capacity (gallon) Other tr. Percolation Rate (minutesAnoh) Ntber of Bedrooms (or other) 3 ; M Required Absorption Area '• See Attached • Special Setback Requirements: A Date Inspector W FINAL SYSTEM INSPECTION AND APPROVAL. ( as Installed) m Call for Inspection (24 hours notice) Before Covering Installation 1 a r System Installer !� 7 nem,/ `' Septic Tank Capacity 112. 5 O Septic Tank Manufacturer or Trade Name /•^0-*✓ft ,m1.44.--eit 9� ; I Septic Tank Access within 8" of surface 4....--... I. Absorption Area 4_ 4 e` "te ' Q (i ,.�/ a I i Absorption Area Type and/or Manufacturer or Trade Name ... rtt / � _k r C j 5 ;�(rif �c�4' ;t.i'll: c O CJ p t Adequate compliance with County and State regulations/requirements I 9 Other r ki I Date (r C/ 2. 73 Inspector rCri -}t- h � . RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE •CONDITIONS: 1. All Installation must comply with all requirements of theColorado State Board of Health Individual Sewage Disposal Systems Chapter r 25, Article 10 C.R.S. 1973, Revised 1984. ' 2. This permit Is valid only for connection to structures whlol) have fully complied with County zoning and building requirements. Con- k nection to or use with any dwelling or structures not a)fproVed by the Building and Zoning office *hall automatically be a violation or e requirement of the permit and cause for both 1eg4100 and revocation of the permit. A 3. Any person who constructs, alters, or installs an individualse iage disposal system Inc manner which lnvolvesa knowing and material variation from the ferns or Specifications contained In the application of permit commits a Clara 1, Petty Offense ($500.00 fine — 8 months In Jell or both). I F I Applicant: Green Copy Department: Pink Copy t I AUG 21'41 's °'" GARFIELD COUFflY High Country Engineering, Inc. 923 Cooper Avenue Glenwood Springs, CO 81601 303. 945.8676 • FAX 303-945-2555 TO f Sr*r'4'41J K • DATE /e 7-e 3 • �3 a v r I I » s srenfiee,,lion SUBJECT hol, 5*9'etii 2 s - S. ATTN tarm r' cnonS JOB NO. 9300 y O y FAX NO Sheet —of— We are sending the fo ❑ Herewith ❑ Under separate cover ❑ Photocopies )4 Prints ❑ Documents ❑ Mylars ❑ Shop Drawings 0 NO. OF LATEST REM COPIES REM DATED REMARKS /cr 7_' S A 5 !live. /i.>c, 5v7. 9 3 Pre re..... +.ct o f /76,y 1 8Z 4k41 yet/yr Cer Ala 4 s re, f Cie/ , r tt.frn ptiry ciiq rIG'C 0.+ O'sc /sf .Sells" rr orris 4 p ,X t cv4ra' ma "We 'fir /y' cant 4 JIior c/ rnd% If material received is not listed above, kindly notify us at once. Transmitted by: ❑ First class mail ❑ U.P.S. Next Day Air ❑ Federal Express By , j „ ❑ U.S. Express Mail ❑ U.P.S. Std. Service Messenger ❑ Pickup ❑ FAX Ch enONorthern,Inc. Consoling Engineors end &lenlists 5060 Road 154 Glenwood Springs, Colorado 61601 303945-7458 303 945 -2363 Facsimile April 12, 1993 n .spptL PA.trr-z 2 /o/ Jim Longstreth 7 P. 0. Box 28029 El Jebel CO 81628 Subject: - Percolation Testing, Proposed Leach Field, 17694 Highway 82, Eagle County, Colorado Job No. 4 306 93 Dear Mr. Longstreth: As requested by you, Chen - Northern, Inc. performed percolation testing on April 9, 1993 in three shallow pits located in the proposed leach field area at 17694 Highway 82, Eagle County, Colorado. The work was performed based on agreement for geotechnical services letter to you dated April 7, 1993. We understand a profile pit was observed by Don Owens of Eagle County prior to our site visit. At the time of our site visit, the percolation holes were excavated west of the profile pit (which had been bacicfilled) and spaced in a rough triangle about 20 feet on each side. The percolation tests were performed in general accordance with the requirements of Eagle County. The test results are shown on Table I. The tests were performed in sandy gravel, with cobbles and the test results were variable (2 1/2 to 10 minutes /inch). The average percolation rate is close to 5 minutes per inch. Due to the relatively fast percolation rate, Eagle County may require a sand filter below the leach field. If you have any question, please call our office. Sincerely, o tsomurr, \ ��oso0 Rfc/ 4 . CHEN - NORTHERN, INC. a 4,.A �� E. ;hie Z /' = O 24443 ; y/ /U /s Daniel E. Hardin, P. E. $ or.. k`" , / NA i � Nea DEH /lr Attachment A mender oI Ihe (Mil )group of companies Job No. 4 306 93 TABLE I PERCOLATION TEST RESULTS WATER WATER LENGTH DEPTH AT DEPTH AT DROP IN AVERAGE - HOLE OF START OF END OF WATER PERCOLATION HOLE DEPTH INTERVAL INTERVAL INTERVAL LEVEL RATE NO. (In.) ( Min.) (Inches) (Inches) (Inches) (Min. /Inch) P -1 48 5 9 7 3/4 1 1/4 7 3/4 6 3/4 1 6 3/4 6 3/4 6 5 1 5 4 1 4 3 1/2 1/2 5 P -2 48 5 8 7 1/4 3/4 7 1/4 6 1/2 3/4 6 1/2 6 1/2 6 5 1/2 1/2 5 1/2 5 1/2 5 4 3/4 1/4 10 P -3 48 5 8 1/2 6 2 1/2 6 4 2 4 2 1/2 1 1/2 2 1/2 Note: Percolation tests were performed on April 9, 1993. The percolation pits were spaced about 20 feet apart in a triangle 40 feet west of the profile pit. The profile pit had been backfilled at the time of our site visit. We understand that the profile pit was observed by Don Owens of Eagle County. Ch enONorthern, Inc. Cwrsulling Engineersana Scnennsis `0 Application ` I INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: OWNER ` J 4 n e3 E AJCaJ f'2CTh' ADDRESS Rot aox z mo2i a Jti% ( PHONE n3 art S CONTRACTOR Cj rArn C ADDRESS PHONE PERMIT REQUEST FOR: ( ,-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 4 A-2FZEL b Near what City of Town CA Lot Size 2. / olc-QC Legal Description 1 "L9i/ NI4hii.✓ti et.. C»S4•nfpt4S WASTES TYPE: ( ✓." Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Plumber of bedrooms 3 Number of persons 1 ( ) Garbage grinder ( ,'Automatic washer ( ea-Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( LA - well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system: 4 /6 ". If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: — Depth to first Ground Water Table: 6. Percent ground slope: -- f -- DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: / h9.LE U ✓ Was an effort made to connect to community system? Ad r, TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( .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? d'/ e) 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 pernittis 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. 1 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 l / /y /113 Signed #? a9s2 r r..Z a PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY Page 3