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Home My WebLink About03004 .r / F yerTV. ♦.R^Y'T[?- +.r^. .., 45u. ; ' Mr . ' } \I : P= 0 fn� yyy 4 + k I GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N_ ; : 109 8t Street Suite 303 Assessor's Parcel No. li 1 t Glenwood Springs, Colorado 81801 /. ' t 1 Phone (303) 945-8212 ' or ,' This does not constitute w INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. PROPERTY t r JLn RP1 1 t ' j . T O k ✓ 1 Present Address — 1 b✓ Et /TOPKI ns Apia &h6' gas -a 33y f 4 t± Owner's Nam `I I ' la � 3 Sj + Go 8 /65c'. j, II j System Location � r• 13 c(e Rft(k Esittle s L0± A5 a ) v Legal Description of Assessor's Parcel No. #. '' a i 1 SYSTEM DESIGN ; ; S eptic Tank Capacity (gallon) Other '.8 o r i 4 1 A y Percolation Rate (minutes /inch) Number of Bedrooms (or other) i .. c A 1, ! ) Required Absorption Area - See Attached f ' 4 t f y . "' Special Setback Requirements: i Date - I Inspector % ' j ii (v I y FINAL SYSTEM INSPECTION AND APPROVAL (as installed) 1 Call for Inspection (24 hours notice) Before Covering Installation i, 1; y System Installer S t (\. o N G 1 — & &A 6 c K — x ? Septic Tank Capacity 1 0 b O I y • Septic Tank Manufacturer or Trade Name ; • a , ? Y ,; Septic Tank Access within 8" of surface �i E� s ' I l i , 1 Z FT $ 2. 0 FT 1-! rtoWS OF .3 U &II?f A bsorption Area fl ' 4� 4` 1 F1 X 11 - 'f'41 ( R Absorption Area Type and /or Manufacturer or Trade Name / f F I. Adequate compliance with County and State regulations/requirements ' ` Other V 1 (- L o k/ e 0157. f� o X 4 tY r Y Date T `-' � � - � Inspect ): , l RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 1 a , ! *CONDITIONS: 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter :. 4 25, Article 10 C.R.S. 1973, Revised 1984. s: ' 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- , l nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a i r requirement of the permit and cause for both legal action and revocation of the permit. ; f 3. Any person who constructs, alters, or installs an individual sewage disposal system In a manner which Involves a knowing and material , 'i variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine — 8 J' r Z It months In Jail or both). 4 • ,� ""~' White - APPLICANT Yellow - DEPARTMENT . I DIVIDIJAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER . CC, -d/ - -- i et V/ H/g ADDRESS 3/3 / PHONE _ CONTRACTOR S 51 at z 2-337 ADDRESS / 1 , e, i .i . Ls PHONE Q ?D S ISD-ew/ - o KM4 PERMIT REQUEST FOR yi 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). J .00ATION OF PROPOSED FACIJ,ITY Near what City of Town S l ' Size of Lot y6 Ai a c' V. F`£ NA) 1. e_ ASks 4 cis P� 3 l Legal Description or Address A/0 7 ` 1 O - C 0 A - 1 - WASTES TYPE: t.) DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: 3e,..,5rnn I SC) wt ME CZ OSF Number of Bedrooms Q A E- Number of Persons 2 3 ( ) Garbage Grinder F4 ts, ( ) Au tomatic Washer ( ) Dishwasher SOITRCE AND TYPE OF ATER SUPPLY: ()g WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: A/A DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /0 - d!7 vv.; Ie 5 Was an effort made to connect to the Community System? A/ 0 A site plan is required to be submitted that indicates the following MINIMUM distances: Leach Field to Well: 100 feet Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROI JND CONDITIONS: Depth to first Ground Water Table 7 0 Percent Ground Slope V - a lo 2 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: ( )- 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? A/ l'7 pF.RCOJ.ATION TEST RFSI H,TS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) 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 purposed 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 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 understand that y falsification or 'srepresentation may result in the denial oft e applicat' •n or revocation of any permit grante ased orb s ad appli ation and in legal action for perjury as pr. 'ded by .w. Signed ��`��- -k Date ♦ 11 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 >om: Paul Currier To: Don Dale: 5/28/99 Time: 1:28:04 PM Page 2 of 5 A WATER RESOURCE CONSULTANTS, LLC MEMORANDUM TO: Don Garfield County Building and Planning Fax (970) 946 -7785 FROM: Paul Currier, P.E. PH (970) 625 -5433 CC: George Strong Fax (970) 963 -0671 DATE: May 26, 1999 RE: ISDS Application, John Warning Cabin, East Divide Creek Attached is a completed ISDS application and design. This is for John Weming's cabin that George Strong is building on East Divide Creek. The cabin Is a one bedroom putt) cabin. I designed the ISDS for 4 people, although it Is anticipated that usage will be Considerable less than 4, and intermittent at best. We went with a mound system because of a fairly uniform layer of virtually impermeable clay at 2 feet. Should you have any questions, please feel free to call. Sincerely, WATER RESOURCE CONSULTANTS, LLC ,a Paul C. Currier, P.E. 244 Hutton Ave., Rifle, CO 81650 PH / Fax (970) 625 -5433 e-mail: ocunrler wrc iuno.COm From: Paul Currier To: Don Date: 5126/00 Time: 1:28:04 PM Page 5 of 5 12 x 20' MOUNDED • ABSORBTION FIELD WITH 3H:1V SIDE SLOPES. • • C . • c'a l I 1 TAO ¢ _ CABIN ■ U . • G 1 . SEPTIC TANK -- - WATER WELL to ¢ . ca 1 w w q Q • x, ¢ a V 100 so 0 100 c.5 -- 1•. too. VO TES; 1) 750 GAL. DOSI SEPTIC TANK 2) PLACE MINIMUM OF 2 FEET OF RIVER SAND OVER EXISTING TOPSOIL. LEVEL SAND AND PLACE 4 ROWS Or 3 INF IL ! TRATOR CHAMBERS (12 CHAMBERS TOTAi.). TAKE CARE DURING PLACEMENT OF SAND TO INSURE EXISTING TOPSOIL (5 NOT COMPACTED BY EQUIPMENT. 3) PLACE INFILTRATORS IN ACCORDANCE WITH MANUFACTURERS RECOMMENDATIONS. 4) BACKF INFILTRATOR CHAMBERS WITH NAT I'✓E TOPSOIL. COMPACT TOPSOIL TO A MAXIMUM OF 85% STD. PROCTOR DENSITY. SLI TAMPING AND WALK ON SOIL SHOULD CREATE SUFFI 5) PLACE A MINIMUM OF TWO (2) FEET OF TOPSOIL OVER TOP OF 1NF ILTRATOR CHAMBER. L I GHTLY COMPACT 70 NO MORE THAN 85Z STD. PROCTOR DENSITY. 6) GRADE TOP OF MOUND 70 DRAIN, APPROX. 1 "/3'. GRADE SIDE SLOPES OF MOUfC' 3H:?V. 7) REVEGE TAT WITH INDIGENOUS PASTURE GRASSES. 8) PIPING: INSTALL CLEANOUTS AT AL BENDS 9) INSPECTION VENT: INSTALL INSPECT 10N 4" INSPECTION VENT AT 80TH ENDS OF INFILTRATOR CHAMBER. 10) BURY PIPE MINIMUM OF 4' BELOW GRADE TO MINIM1ZE FREE ZI NG POTENTIAL. — 1 DATE : 25 -PE Y -99 • JOHN WERNINC CABIN r11E : 2 0 1 I W RF- SOURCE CONSULTANTS, the GARFIELD COUNTY, CO. ow; : 272-1 .0 'SOS . DWG OF 2441-1.11on Aye. . Rile, CO. 81650 -- ISDS LAYOUT BY : °Lr 9 1 ____ _ /Fax (970) 5414 __. - ... _ _ - 011040 . FCC • r 2 • ,„ a ?( ■n,d - 4wg OM 1 t`( 3(Y) 453 1 k0 t cAC0 51,n C 1 �� 2tre eE --� s�T T fl <: L to l S