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HomeMy WebLinkAbout02547 p , v GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 254 7 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY Patrick Turcotte P.O. Box 3073, G.S. 876 -5740 Owner's Name Present Address Phone_ Odin Drive, Silt System Location Legal Description of Assessor's Parcel No. � 1 SYSTEM DESIGN / / / , Septic Tan C pa 1. on) 0 Other Percolati ate (min 14 Nu / r of Bedr o (or e 3 Required Absorption Area - See Attach; • 'l (/ Special Setback Requirements: I / / ,.—/�XU Date • / nspector ���// \/ , FINAL SYSTEM INSPECTION AND APPR' VAL (as installed) Call for Inspection (24 hours notice) Before Covering Jnhllation System Installer_ Septic Tank Capacity Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface Absorption Area Absorption Area Type and /or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other Date 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. Con- nection to or use with any dwelling or structures not approved by the Building and Zoning off ice shall automatically be a violation or 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 — 6 months in jail or both). White - APPLICANT Yellow - DEPARTMENT 1T17)IVIDUAL SEWAGE DISPOSAL SYSTEM .APPLICATION OWNER q l `r r c k I JA .r( citre_ ADDRESS C, i 0 r PHONE R'i & — T 7 '1 0 CONTRACTOR S l ADDRESS ? -n 3r�7S 64 s,oen\ 9'. PHONE PERMIT REQUEST FOR (fig. 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 !pies (See page 4). LOCATION OF PROPOSED FACILITY COUNTY �rrac t\i P t ri Near what City or Town s', 1 T Size of Lot Legal Description or Address 6 i T Q, " Arratc < �" WASTES TYPE: (X) DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: Number of Bedrooms 3 Number of Persons ( ) Garbage Grinder (X) Automatic Washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: 00 WELL ( ) SPRING ( ) STREAM OR CREEK Give depth of' all wells within 180 feet of system: Wn.ii e _ If supplied by Community Water, give name of supplier GROUND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table Percent Ground Slope DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Mr la Was an effort made to connect to community system? ( ) YES pQ NO TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (X) 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: (y,) 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? 4/n 2 PERCOLATION TAST R4S11I,TS: (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: 77e v, e G'.�,,ati 9s 5 T,n, //3 9 "`` Ye etz .S i4rc al y 1 a > yS /�i !� /en c n.S S Name, address and telephone of RPE responsible for design of the system: err, . a 6- .x ..,1na 14, 7 76 7 -9ys - a 5 Ajiplicant 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 pules 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 fiirther understand 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 perjury as provided by law. Signed Ile Date / —� — 74 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! r 7c' SPCC t \ ! R = 4 4 JEROME4MBA & ASSOCIATES, INC. CONSULTING ENGINEERS & LAND SURVEYORS 6 113 9TH STREET, SUITE 214 180. BOX 1458 GLENWOOD SPRINGS, COLORADO 816021458 PHONE: (970) 945-2550 FAX: (970)945 -1410 WOW/UM January 18, 1996 Patrick Turcotte 2573 Odin Dr. Silt, Colorado 81652 Re: Percolation Test Dear Mr. Turcotte: Jerome Gamba & Associates (JGA) has conducted the percolation tests as requested for the site located at 2573 Odin Dr. in Silt, Colorado. The tests were conducted in three separate holes with the bottom elevation of all three being 48 inches below the existing ground surface. All three were 10 inches in diameter. Along with the three test pits, an observation profile hole was dug being 7.5 feet deep by 4 feet wide and 8 feet long. The profile hole showed a 6 inch layer of topsoil and root zone. Below the topsoil was a 4 foot layer of silty sand material mixed with cobbles and boulders. The bottom 3 feet consisted of the same silty sand material mixed with pebbles. Based on the percolation tests performed by Jerome Gamba & Associates, we would recommend using a percolation rate of 27 minutes Der inch. This is within the satisfactory range set by the Garfield County Health Department of greater than 5 minutes per inch and less than 60 minutes per inch. The results of the percolation tests are shown on the attached sheet. If you have any questions or need any further information or services, please contact us. Sincerely, Jer : - - 'a & Associates, Inc. ' , 12 LZ� Jer -_ amba & 1 S:: •933.; Nathan Bell, Design Engineer R: \96468 \PERC- TST.WP6 i c°1 4 N o :;.:,..‘>)1 • A PERCOLATION TESTS TOLCOTTE RESIDENCE 4 2573 ODIN DRIVE SILT, COLORADO 81652 DATE: JANUARY 18, 1996 TEST HOLE #1 SOUTH HOLE TIME TIME MEAS. MEAS. PERCOLATION DIFF. DIFF. RATE (min.) (in.) (In.) (min. In.) 13:27 33 13:37 10.00 34 1.000 10.0 13:47 10.00 34 3/4 0/50 13.3 13:57 10.00 35 1/2 0/50 13.3 14:07 10.00 36 0.500 20.0 14:17 10,00 36 5/8 0.625 16.0 14:27 10.00 371/8 0.500 20.0 14:37 10.00 371/2 0.375 26.7 14:47 10.00 38 0.500 20.0 14:57 10.00 381/2 0.500 20.0 TEST HOLE 1 PERC. RATE = 20 min. /in. TEST HOLE #2 CENTER HOLE TIME TIME MEAS. MEAS. PERCOLATION DIFF. DIFF. RATE (min.) (In.) (In.) (min. In.) 13:28 32 3/4 13:38 1000 33 1/2 0/50 1a3 13:48 10.00 34 1/8 0.625 16.0 13:68 10.00 34 3/4 0.625 16.0 14:08 10.00 351/4 0.500 20.0 14:18 10.00 35 3/4 0.500 20.0 14:28 10.00 361/8 0.375 26.7 14:38 10.00 361/2 0.375 26.7 14:48 10.00 36 7/8 0.375 26.7 14:58 10.00 371/4 0.375 26.7 TEST HOLE 2 PERC. RATE = 27 minhin. TEST HOLE #3 NORTH HOLE TIME TIME MEAS. MEAS. PERCOLATION DIFF. DIFF. RATE (min.) (In.) (In.) (min. In.) 13:30 30 1/2 13:40 10.00 32 1/8 1.625 6.2 13:50 10.00 33 1/4 1.125 8.9 14:00 10.00 34 1/4 1.000 10.0 14:10 10.00 35 0350 13.3 14:20 10.00 35 7/8 0.875 11.4 14:30 10.00 36 1/2 0.625 16.0 14:40 10.00 37 0.500 20.0 14:50 10.00 371/2 0.500 20.0 16:00 10.00 38 0.500 20.0 TEST HOLE 3 PERC. RATE = 20 min. /in. AVERAGE OVERALL PERC. RATE: 22 RECOMMENDED PERC. RATE = 27 minjin.