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HomeMy WebLinkAbout02470 aI t f . GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit t4_ 2 4 7 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81801 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY k James M. Stokes 3057 Crystal Springs,Road 963 -0168 Owner's Name Present Address f l System Location 3057 Cyprbs11 Springs Road, Carbondale Legal Description of Assessor's Parcel No. • SYSTEM DESIGN / i c. / . ., y c''... - !,...•., - .. '/ ,/ , H ...✓. Q , , , . 1' / Y ), 00 (/ Septic Tank Capacity (gallon) Other ')` /- & L' r! ( Percolation Rate (minutes /inch) Number of Bedrooms (or other) 3 t Required Absorption Area - See Attached / /. i r m " , 1 , /, t ,. ,, 2 0 -?,/,' ' ' Y "�; i Special Setback Requirements: / > Date Inspector t t 1 FINAL SYSTEM INSPECTION AND APPROVAL (83 installed) Call for Inspection (24 hours notice) Before Covering Installation 1 r; System Installer_ C .1 , A ,I r.' ..A ' i.n 1 : -- / tF • . . s " ( y Septic Tank Capacity : tir � .. , r C. : a r ,r r . ,. •'i . r. 1 Septic Tank Manufacturer or Trade Name { I Septic Tank Access within 8" of surface 4 Absorption Area t r Absorption Area Type and /or Manufacturer or Trade Name rr; • Adequate compliance with County and State regulations /requirements ' It Other it Date Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: t i 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. yy$ 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- 7 nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a requirement of the permit and cause for both legal action and revocation of the permit. r 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material $ t variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine —6 I ;4 months in jail or both). rI • t Applicant: Green Copy Department: Pink Copy R fso I INDI VI DUALSEWAG r?ISI_OSAL_SYS_TENLAP_PLICATION OWNER r it' S ..c!.s, , F, ADDRESS � An ^I, r PI ' e —0 1 . CONTRACTOR l „•, 0 . '' IN b , . ADDRESS wr . I r.l. a :. ::. 2.2in ,at► PHONE 9425- Z PERMIT REQUEST FOR ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4). C j LO�'A1'ION�IL PI�OP4S ; 17 "r Lri'Y: COUNTY w, 1 Near what City or Town d.11its t' ” l.ot Legal Description i ' . ' a . 4 2- *LA :tin, .:..'.', L. , 4 WAS"LLS 7YP_E: ( Dwelling (✓ Transient Use ( ) Commercial or Industrial ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: I:.a a t:..! IL , VA- Number of bedrooms: 3 Number of persons 19 ' ' V01119$ ( ) Garbage Grinder ( �) Autonra1ic Washer (N6Dis'washer SOURCE_ANLf_Y_PEOIL Wr1 ER_SUPPLY_: (A WELL () SPRING () STREAM OR CREEK Give depth of all wells within 1811 feet of system: [ S & P ' . If supplied by comn water, give name of supplier: MA GROUND bedrock: 1IOWS Depth to bedrock: \A Wat 1 f Depth In first Ground Water "fable: ' Percent Ground Slope: ' Qtr., VA DISTANCE TO NEAREST •MM UNITY SEWER SYSTFM: *5 Flee, , Was an effort made to connect to community system? Or TYPE Oy INDIVIDIJAI. SEWAGE DISPOSAI. SYSTEM PR P�) OSED: (V) Septic Tank ( ) Aeration Plant ( ) Vault ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use ( ) Chemical Toilet ( ) Other - Describe: FINAL DAPOSAL BY: ( ■Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Underground Dispersal ( ) Sand Filter ( ) Above Ground Dispersal ( ) Wastewater Pond ( ) Other - Describe: WILL EFFLUENT BE DISCI IARGED 1)112NC1'LY INTO WATERS OF THE STATE? Vit •--'_I RC_O_LATIONTT:S1_RL'SLLIS: (To he completed by Registered Professional engineer) I Minutes per inch in hole No. 1 Minutes per inch in FIole No. 3 Minutes per inch ' It le,p��& per inch in Hole No. Name address and tele Rhone of RP 's who n ade soil absorption tests: T►>.'►Sttt. 1 Reek .n. ei, st - /....tea; .. Ofsn. , e Name, address and telephone of RPri responsible for design of the system: :i4rite 41 4 'L 6449 Applicant acknowledges that thecompleteness of the appliction is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to he 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 inusrecotrtpliance with • rules and regulalions adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements make, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to he Irtie and correct to the best of my knowledge and belief and are designed to hre relied on by the local department of health in evlualing the same fro purposes of issuing the permit applied for herein. 1 further understand that any falsification or misrepresentation may result in the denial of (het plication or revocation of any permit granted based upon said application and in legal action for perjur lis provided by law. II Signed _ Date o(tfrices PLEASE al CCLRAI7iMAPT4 YOUR_PRDP1:R:IY it 4,44 4 lap, PL411LANAN1? DES1GN1?EAlill?,IiS Include by measured distance location of wells, springs, potable water supply lines, cisterns, buildings, property lines, subsoil drains, lake, watercourse, 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. Set 5Mir/p(an' • /GH OUNTRY NGWEER/NG June 14, 1995 Jim and Mary Stokes 3057 Crystal Springs Road Carbondale, CO 81623 Re: ISDS at 3057 Crystal Springs Road, Carbondale, CO HCE File number 95004.19 Dear Mr. and Mrs. Stokes: This letter is to follow up on our meeting this morning regarding the individual sewage disposal system for the second home on the lot referenced above. Our recommendations are based on the percolation test we conducted, and our site visit. The percolation testing was performed at a depth of approximately three feet and in an area northerly of the proposed residence. The percolation rate recommended for design was 40 minutes per inch. We recommend that standard absorption trenches be utilized, and that they be placed as shallow as reasonable, to avoid the large rocks found at greater depth. One possible layout would be three parallel trenches separated by ten to twelve feet. The trenches should run along the contour of the land. We understand that this ISDS would serve .a single family residence with three bedrooms. Therefore, the estimated average wastewater flow would be 400 gallons per day. The design flow, per regulation, is 1.5 times the average, or 675 gallons per day. 923 Cooper Avenue • Glenwood Springs, CO 81601 Telephone: 303- 945 -8676 • FAX: 303-945-2555 Stokes June 14, 1995 Page 2 The required standard absorption area (based on 40 minutes per inch) is 854 square feet. Less 40% for using "Infiltrator" units in trenches would give 427 square feet. At 18.75 square feet per unit, 23 units would be required. We understand that you intend to install 30 units. The minimum size of septic tank required is 1000 gallon, however, we recommend 1250 gallon. We recommend a distribution box be utilized to equalize the flows to the trenches. If you have any questions or need additional information, please contact us. Sincerely, HIGH COUNTRY ENGINEERING, INC. '' Tii othy P. Beck, P.E. cipal Engineer TPB /soe