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Home My WebLink About02400 -IF ,in rr TvA - wierw ri- Rr.ilewerasi_gworpr rn."T ... -.,- -_. .,,, -, _... t • GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N 2 4 0 0 109 8th Street Suite 303 A is Parcel No. Glenwood Springs, Colorado 81801 +( a Phone (303) 945-8212 1 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. 1 '1 PROPERTY # Rick Bertolini 5923 CR 233, Silt 876 -5600 Owner's Name Present Address Phone System Location 5923 County Road 233 Sil t. i { Legal Description of Assessor's Parcel No. pip i } SYSTEM DESIGN • Septic Tank Capacity (gallon) Other k Percolation Rate (minutes /inch) Number of Bedrooms (or other) BARB ) Required Absorption Area - See Attached Special Setback Requirements: M Date Inspector -' FINAL SYSTEM INSPECTION AND APPROVAL (as installed) z Call for Inspection (24 hours notice) Before Covering Installation • I"'CZ (' ' • System Installer / ' / '' E " Septic Tank Capac �'�` 1 kt x Septic Tank Manufacturer or Trade Name C DIY < -) c.r L Septic Tank Access within 8" of surface c - t; L-I 8 P. Absorption Area "J(' G #)[ Absorption Area Type and /or Manufacturer or Trade Name 7 -///.19 f," ? j ! !: 1) {7? Adequate compliance with County and State regulations/requirements ? ( < .. Other r . ) 1 F. . .k:. . ../ // Date ' � i-- Inspector r. i - 1 . RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE b *CONDITIONS: I 1. All installation must comply with all requirements of the State Board of Health Individual Sewage Disposal Systems Chapter , 25, Article 10 C.R.S. 1973, Revised 1984, ,,, i ' ' I 2. This permit is valid only for connectionlo structures which have fully complied with County zoning and building requirements. Con - t nection to or use with any dyollingor structures not approved by the Building and Zoning office shall automatically be a violation or a k requirement of the permit incrdeuie for both legal action and revocation of the permit. e 3. Any person who constructs, altp�rs, or installs an Individual sewage disposal system in a manner which involves a knowing and material variation from the terms or spec¢ifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine — 8 , months in jail or both). \. r Applicant: Green Copy Department: Pink Copy t : t Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: OWNER RiGK BEtrbLlIJ 1 ADDRESS 59 7.?3 C C., 7i 33 .) Icr. PHONE.Wno-,57tW 4,' • CONTRACTOR G} �v _ /� ADDRESS / PHONE PERMIT REQUEST FOR: (r/f'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 CI A l n Near what City of Town SILT' Lot Size ( * Pe F22 Legal Description J� terici3 35 To r s444v 5 Sca-A- U WASTES TYPE: (‘--'1 Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non- domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: P)ftir•F Number of bedrooms - oPJ t Number of persons ( ) 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: 200 '1 . If supplied by community water, give name or supplier: GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: Percent ground slope: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ,3 m tt, Was an effort made to connect to community system? 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: 9 WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? Piar 2 • 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 Mo. Name, address and telephone of RPE who made soil absorption tests: Syrnrn is ro !f 2 grG4•lita,re. 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 i5 27 RQC Signed . i : �.. PLEASE DRAW AND ACCURATE MAP TO YOUR PR9PERTY 51 2 3 C,t, 233 • • W£ 3'7� 1LT z •1 spy rn r tIA Page 3 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 connitments. 4 i , £ 4 e � Z� fl %Wb Ceti- c � r e f fit ' Yi e tr t 6 ' � 7 woo D " 1 £u , BP I , Page 4 V 9709233640 PU1 tan' i,wner i� NG,yrCC.!//G e7-26 •�j S 'Pa roc w'/Tirt ,fi err HZ N .ic site •o 4 ibrdirTO AA trJ'.t1 yr ?wit July 10, 1995 � � . 0 w/Pn �2 TO •so it. Rick Mila rg wise Note Box 584 Silt, CO 81652 y � Re: Individual Sewage Disposal System - 5923 County Road 233 HCE File Number 95004.20 Dear Mr. Bertolini: This ra tter is r y o u up nn hop/apartment re cent locat individual ed at 5923 County Road'2. We understand that system (1SDS) for e I5D5 for th main a hoouse wi ll be a separate system and will be built at a later date. that thhin huse will We also understand that the percolation rate at the site is negligible. Therefore, we are proposing an evapotranspiration field. The field will be located on the westerly side of the riding arena. The design flow will be based on the requirements for a one bedroom apartment. Therefore. the average tlow will be 150 gallons per day, and the design flow will be 1.5 times the average. or 225 gallons per day. We recommend a 1000 gallon septic tank. A smaller tank would be adequate, however, the 1000 gallon size is probably the smallest available, and 750 gallon is the smallest allowed by regulation. The area required for the evapotranspiration field, per the Colorado Department of Health and Garfield County Regulations is 3995 square feet. We have enclosed two options for construe The field should be constructed level, and the perimeter graded to exclude any su of rface on the field area- required because of the negligible yurtace drainage from entering the field area. No liner will be req percolation rate. 923 Cooper lah Avenue 3 - 94 F X: 303-94e-2555 81601 is 9709233640 P02 Mr. Bertolini Page 2 July 10, 1995 If you have any questions or need additional t nfpnnation, please contact us. Sincerely, HIGH COUNTRY ENGINEERING, INC. Ti ' 1 :: Engineer RUG -07 -1995 11:20 HIGH COUNTRY ENGINEERING P.01 • Post -it' Fax Note 7671 Date 9/7 lA es∎ 3.. AGM To /2 From 7? NGWGaR/NG Fax n F a s i s ir T Ph C �c # ^� p�Of Phone x 24 s 7 /_ q 5 Q S (X/ Fax # July 10, 1995 Revised July 26, 1995 Rick Bertolini Box 584 Silt, CO 81652 Re: individual Sewage Disposal System - 5923 County Road 233 HCE File Number 95004.20 Dear Mr. Bertolini: This letter is to follow up on our recent conversation regarding an individual sewage disposal system (ISDS) for your barn/shop located at 5923 County Road 233. We understand that the ISDS for the main house will be a separate system and will he built at a later date. We also understand that the percolation rate at the site is negligible. Therefore, we are proposing an evapotranspiration field. The field will be located on the westerly side of the riding arena. Since the use of the barn/shop will be intermittent and even then not likely to he for a full day, the design flow will be based on the requirements for one office or factory type worker. Therefore, the average flow will he 15 gallons per day, and the design flow will be 1.5 times the average, or 22.5 gallons per day. We recommend a 1000 gallon septic tank. A smaller tank would be adequate, however, the 1000 gallon size is probably the smallest available, and 750 gallon is the smallest allowed by regulation. The area required for the evapotranspiration field, per the Colorado Department of Health and Garfield County Regulations is 400 square feet. We have enclosed two options for construction of the field area. The field should be constructed level, and the perimeter graded to exclude any surface drainage from entering the field area. No liner will be required because of the negligible percolation rate. 923 Cooper Avenue • Glenwood Springs, CO 81601 Telephone: 303 - 945.8676 • FAX: 303 -945 -2555 RUG -07-1995 11:21 HIGH COUNTRY ENGINEERING P.02 Mr. Bertolini Page 2 July 10, 1995 (Revised July 26, 1995) If you have any questions or need additional information, please contact us. Sincerely, HIGH COUNTRY ENGINEERING, INC. I ip. litctavit Ty P. Beck, P.E. Pal Engineer TPB /soe AUG -07 -1995 11 21 HIGH COUNTRY ENGINEERING P.03 • REMOVABLE CAP 4 - 1 /2'0 HOLES \ \� '/\ SOLID PIPE CROSS PLACED ON ... DISTRIBUTION PIPE SOUO GAP FOR SUPPORT 0 BOTTOM 0 PERFORATED PIPE OF TRENCH OR BED 0 • COMBINATION AIR VENT & INSPECTION WELL DETAIL N.T.S. L i4k4(A1C) �� 6Q4 AUG -07 -1995 11:22 HIGH COUNTRY ENGINEERING P.04 I. ' t;1 r b i i i X Ai Iv 1 s / I b 3' III ,tiv : / I bi , . . sM u CO z 2es t i l l \ S n o Z Z Z 1.1 X A , m i la � i / \ \ Qt Al g 0 1 . 1 RE 1 II /4 FA F • 1a) w 0 ..mmil TOTAL P.04