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t w lJrll tI1J 7 E-1 G � ILD COUNTY BUILDING AND SANITATION DEPARTMENT P ermit N2 y
( b �- ^ /���y,, 109 8th Street Suite 303 Assessor's Parcel No. i'4
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` /\ ,M� 1 Glenwood Springs, Colorado 81601
R Phone (303) 945-8212
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This does not constitute
• INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. ),
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Owner's Name t t 4vit Present Address (5 At 4onalESPhone ! G�
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System Location /n5R'W 141. $erg Qt 1.J a S fltz t
Legal Description of Assessor's Parcel No.
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SYSTEM DESIGN a4zc 1 cra Oc,.» ipc. Witt C gr r— ss, ,E(-Q, t d
' ) Capacity gallon) Other
t 1 Percolation Rate (minutes /inch) Number of Bedrooms (or other)
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Required Absorption Area - See Attached
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f Special Setback Requirements: • ,,
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Date Inspector
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r FINAL SYSTEM INSPECTION AND APPROVAL (as Installed)
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k Call for Inspection (24 hours notice) Before Covering Installation `
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,) System Installer
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t Septic Tank Capacity
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Septic Tank Manufacturer or Trade Name + i r
Septic Tank Access within 8" of surface k
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Absorption Area
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Absorption Area Type and /or Manufacturer or Trade Name t
Adequate compliance with County and State regulations/re uirements • f t
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•) Date ID' " � Inspector ':� �_ _ ♦ ' `
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{ RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
is 4 'CONDITIONS: d
• 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chap ter
25, Article 10 C.R.S. 1973, Revised 1984.
1 2. This permit Is valid only for connection to structures which have fully complied with County zoning and building requirements. Con - .` •
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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 Ville permit and cause for both legal action and revocation of the permit.
! r 3. Any person %Oho constructs, alters, or installs an individual sewage disposal system in a manner which Involves a knowing and material "''
li variation from the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine -6
y months In )ail or both). k
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White - APPLICANT Yellow - DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER ail CI Le.
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ADDRESS !ter & A, i P) Q e V= _ pi a71t PHONE '970
CONTRACTOR ®k..A�it/.cc. M/ laietl to /
ADDRESS nr - / 6 est - ' PHONE 970 —963— $
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: _
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Near what City of Town 5.43,.�.r. Size of Lot ,4 7 /
Legal Description or Address 6 `� i /74 ., a P2 �T�Ci wwv�.r�Syv
WASTES TYPE: 0 DWELLING ( ) TRANSIENT USE
( \) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: /7 n e
Number of Bedrooms 3 Number of Persons
( ) Garbage Grinder (>6 Automatic Washer 0 Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: 90 WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier: A ' - . ne.
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to the Community System? fro
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.
GROUND CONDITIONS:_
Depth to first Ground Water Table
Percent Ground Slope
2
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ISDS Maintenance
Page 2 of 4
INDIVIDUAL SEWAGE DISPOSAL SYSTEM
OPERATION AND MAINTENANCE
The following tips and suggestions are intended to increase the useful life of your engineered
sewage disposal system and to prevent disposal system failure due to neglect and abuse. The
design of this system is designed for a minimum number of persons occupying the stated
structures.
A larger occupancy rate than the design rate may result in an overload of the septic system
and cause immediate system failure or a reduction of the life span of the leaching area.
MINIMIZE THE LIQUIDS
Wastewater that enters the system can be minimized by practicing water conservation
practices within your home. The less wastewater you produce, the less wastewater there will
be to treat and dispose.
1. Repair leaky fixtures. Check the toilet by dropping food coloring dye in the tank
and see if it shows up in the bow/ prior to flushing.
2. Wash clothes only when you have a full load.
3. Take short showers instead of baths. Don't turn on the shower all the way and
turn it off while lathering.
4. Install and use water saving fixtures and devices in your bathrooms, laundry
rooms and kitchens.
5. Do not let the water run while washing, shaving, brushing teeth, rinsing
vegetables, dishes, etc. Use a stoppered basin where possible.
6. Provide adequate drainage around the engineered system area to divert surface
runoff from higher ground during storms or winter snowme /t.
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ISDS Maintenance
Page 3 of 4
MINIMIZE THE SOLIDS
Septic systems are "anaerobic" treatment systems. Digestion of solid materials is very slow
and requires air or "aerobic" conditions to "disappear ". The less material you put into the
system, the less often it will require pumping. A good rule to follow is:
"Don't use your septic system for anything that can be disposed of in some
other way"
1. Avoid using a garbage disposal. Throw out scraps and other garbage with the
trash.
2. Collect grease in a container rather than pouring it down the sink.
3. Minimize the disposal of paper products into the system. Nondegradable items
such as disposable diapers, sanitary napkins, tissues, cigarette butts and paper
towe /s are especially harmful to the system.
4. Only three things should go into the septic tank:
Human Wastes;
Toilet Paper; and
Water.
5. Ordinary household chemicals (bleaches, detergents & soaps) will not hurt the
bacteria in your system when not used in excessive amounts.
6. DO NOT DISPOSE OILS, PAINTS, THINNERS, FILM DEVELOPMENT CHEMICALS
OR OTHER TOXIC LIQUIDS INTO YOUR SYSTEM.
SEPTIC TANK ADDITIVES
Advertised chemical additives, bacteria, enzymes, etc. do not help solids breakdown in the
septic tank and should not be used to reduce the need for pumping the septic tank.
This report has been conducted in accordance with generally accepted engineering principles and
practices. The recommendation in this report is based upon the data obtained from the
percolation testing. If conditions encountered during construction appear to differ from those
described in this report, we should be notified at one to evaluate these soil conditions.
If you have any further questions regarding the percolation testing, please contact us.
Sincerely,
Jerome Gamba &As Inc.
04 0 i �/'t/ � Z
Chris Strouse
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Robert W. Pennington, P.E. t�� `OL
� E� _ j.
Bagen Residence Soil Investigation
G:1001641GE0_TECH..doc JEROME GAMBA & ASSOCIATES, INC.
Page 2 of 2 CONSULTING ENGINEERS & LAND SURVEYORS