HomeMy WebLinkAbout4195~~;-
GARFIELD COUNTY BUILDING AND SAN ITATION DEPARTMENT
108 Eighth Street, Suite 201
Glenwood Springs, Coloradof 81601
Phone (970) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Legal Description of Assessor 's Parcel No.
SYSTEM DESIGN
______ Septic Tank Capacity (gallon)
______ Percolation Rate (minutes/inch)
Required Absorption Area -See Attached
Special Setbac k Requirements :
______ Other
Number of Bedrooms (or other) ____ _
Permit 4195
Assessor's Parcel No .
This does not constitute
a building or use permit.
Date _____________ Inspector ____________________________ _
FINAL SYSTEM INSPECTION AND A.PPROVAL (as installed)
Call for In spection (24 hours notice) Before Covering lnstallat io
Septic Tank Access w ithin 8" of s urface ----------''---------------------------
Abs orption Area -----------------------------------------
Absorpti on Area Type and/or Manufacturer or Trade Name --------------------------
Adequate c ompliance with County and State reg ulations/requirements. ______________________ _
RETAIN WITH RECEIPT RE C
*CONDITIONS: ~ ~. ~ ~ or;;uCTION SITE G'm _ 11 l!t 1 1 ()0
1. All installation must comply w ith all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter
25 , Arti cle 10 C.R.S. 1973, Revised 1984.
2. Thi s permit is valid o nly for connection to structures which have fully complied with Cou nty zoning and building requirements. Con-
n ection to o r use w ith any dwelling or stru c tures not approved by the Building and Zoning office shall automatically be a violation or a
requirement o f 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 syst em in a m anner whic h 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 jn jail or both).
White · APPLICANT Ye llow-DEPARTMENT
INDIViDUAL SEW AGE DISPOSAL SYSTEM APPLICATION
P ERMIT REQUEST FOR {)A. 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, so il percolation test holes, soil profiles in test holes (See page 4).
LOCATION OF PROPOSED FACILITY:
Near what City ofTown_J.P..;Hl~\'=f., ____________ Size of Lot \L \ 2...S3a_c \CS
Legal Description or Address (, OLA. V\ +J 'J2... 2.b")
WASTES TYPE: ~ DWELLIN"G ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER-DESCRIBE ______________________________ ___
BUILDING OR SERVICE TYPE: c£W\..p\o;,J--e.e \-\ouS, 1\._G\
Number of Bedrooms 2-' Numhe'r ofPersons 2 ----------
(/) Garbage Grinder ( /} Automatic Washer ( 1Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier: C _ ~'\ 0 ~ ~--~\€_.
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: .p(i £t. \9~ ~ \.
Was an effort made to connect to the Community System? ~Yf-'e-"'"-'S'--------------
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 (septic tank & disposal field) 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 hlD w A:4 {' \f\b...s Ob s e ( \(e d
PercentGroundSlope ~ CC\a.. ~\ vt\'-) \-\..cAl-w ~hA._ <1tV\.\-k._ S\o?.e r -S au_~""-ec~ +-
2
TYPE OF INDIVIDUAL SEW AGE DISPOSAL SYSTEM PROPOSED:
t><! 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:
C)() 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? ~}o
PERCOLATION TEST RESULTS: (To be completed by Registered Profess ional Engineer, if the Engineer does the
Percolation Test)
Minutes___,3 "'-'0"=!..-__ per inch in hole No. 1 Minutes ---=io'-D ____ per inch in hole No. 3
Minutes (a Q per inch in hole No. 2 Minutes\\)A per inch in hole No.
r
N arne, address and telephone of RPE who made soi l absorption tests: --------~-----
Name, address and telephone ofRPE responsible for design of the system: _________ _
Applicant acknowledges that the compl eteness 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 i ssuance 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 m y 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 any
fa l sification or misrepresentation may result in the denial of the application or revocation of any permit granted b ased
upon said applicati~e ·<>n for perjury as provided by law.
~-. Date -5~
TO YOUR PROPERTY!! .
3
~tech
HEPWORTH -PAWLAK GEOTECHNIC
March 20, 2007
Ryan and Elizabeth McKenzie
400 East Fifth Street
Rifle, Colorado 81650
Hepwo rth -Paw la k Geo tcc hnic,ll , In c.
P. 0 . Drawer I 887
Sll\'e n hnrne, Color.1d,1 80-1 98
Phon e: 970-46R-1989
Job No. 406 0460
Subject: As-Built Evaluation of Individual Sewage Disposal System, 527 County
Road 265 , Rifle, Garfield County, Colorado.
Dear Mr. and Mrs. McKenzie:
Hepworth-Pawlak Geotechnical, Inc. has observed the installation of the Individual
Sewage Disposal System (ISDS) for the two bedroom residence on the project site. The
ISDS components observed include : septic tank, sewer pipe, effluent pipe, cleanout,
manifold pipes, Infiltrator chambers, inspection ports, distribution box and the locations
of all components. We performed our site visit on March 19, 2007. Based on field
conditions, minor modifications were made to the layout of the Infiltrator trenches in the
ISDS design dated December 6, 2006. The modifications are shown on the ISDS As-
Built Plan View, Figure 1. It is our opinion that the modifications to the design will not
affect the performance of the system and do es not encroach on any of the Colorado State
Board ofHealth's required setbacks.
Please feel free to contact us if you ha ve any questions regarding this letter.
Sincerely,
HEPWORTH -PAWLAK GEOTECHNICAL, INC.
~A~
Jason A. Deem
Project Geologist
Reviewed by :
Ronald J. Uhle, P .E., C.C.E .
As sociate
Attachment:
cc: Rick Himeisen-Anytime Sewer and Drain Company
Garfield County Building and Sanitation Department
G le nwoo d S prings 970-945-7 988 • Park er 303-8 41 -7 119 • Co lor ad o S pr ings 7 19-633-5562
APPROXIMATE SCALE:
1 INCH -60 FEET
EXISllNG
RESIDENCE
~,J
CLEANOUT-9 '-. -COPELAND CONCRETE SINGLE
2.__1.r---PIECE, 1,000 GAL., TWO CHAMBER
AB.D TO:
25'
135'
PROPERTY UNES
TANK
HOUSE
WATER UNES
SURFACE WATER
DRY DITCHES
¥ruS
IRRIGATION DITCH
EXISllNG FIElDS
CUT BANKS
, •. •• 20' ,..
50' •
25' •
100' •
50' •
20'
SEPTIC TANK WITH EFFLUENT
FILTER.
ldlNJMUM HORIZONTAL DISTANCES
TANK TO:
HOUSE 5'
WAD UNES 10'
SURFACE WATER 50'
DRY DITCHES 10'
WELlS 50'
PROPERTY UNES 10'
'""""'""
• ADD 8 FT. FOR
EACH 100 GAl.. /
DAY DESIGN FlOW
OVER 1.000
GAL I DAY.
4X \IERT. CUT HEIGHT WELlS: UNES ~:
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406 0460 ~tech 527 COUNTY ROAD 265
ISDS AS-BUILT PLAN VIEW FIGURE 1
HEPWORTH-PAWLAK GEOTECHNICAL
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APPROXIMATE SCALE:
t" = too·
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PROPERTY I
BOUNDARY
~
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BENCH MARK : GROUND
P-1
~
PIT 2 SURFACE AT CORNER STAKE·
• ELEV . = 1 00 .0', ASSUMED . ,
{~ ([)
/
/
/ PROFILE PIT. PROPOSED ,_I.J
BUILDING
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N
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105 968 ~tech
HEPWORTH·PAWLAK GEOTEC HNICAL
~
P-2 • PIT1
P-3 ~ ~
~ P-5
P-4
RIFLE ANIMAL SHELTER
LOCATION OF EXPLORATORY PITS AND
PERCOLATION TEST HOLES
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~ z :::>
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LU :::> z
LU
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LU z
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LU a:
0...
FIGURE 1
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0
0
5
PIT 1
ELEV.=96.6'
WC=4.5
DD=94
b~ WC=3.9
DD=107
-200=23
PIT2
ELEV.=102.1'
WC=11.8
DD=95
WC=6.1
DD=103
-200=79
PROFILE PIT
ELEV.=99.4'
0
5
10
LEGEND:
10
TOPSOIL; silty sand and clay, root zone, soft, moist, brown.
ClAY AND SILT (CL-ML); sandy, very stiff to hard, slightly moist, light brown, slightly calcareous and porous.
SAND AND ClAY (SC-CL); with shale fragments, stratified, dense/very stiff, slightly moist, light brown to
greenish brown. Pit 2 only.
SAND (SM); silty, with shale fragments, medium dense to dense, slightly moist, light brown, possible
weathered bedrock.
GRAVEL (GM); sandy, silty, dense, slightly moist, light brown, rocks consist mainly of shale fragments. Pit 2
only. Weathered Bedrock.
2" Diameter hand driven liner sample.
Practical digging refusal.
NOTES:
1. Exploratory pits were excavated on October 31, 2005 with a backhoe.
2. Locations of exploratory pits were measured approximately by pacing from features shown on the site plan provided.
3. Elevations of exploratory pits were measured by instrument level and refer to the Bench Mark shown on Figure 1.
4. The exploratory pit locations and elevations should be considered accurate only to the degree implied by the method
used.
5. The lines between materials shown on the exploratory pit logs represent the approximate boundaries between material
types and transitions may be gradual.
6. No free water was observed at the time of excavation. Fluctuations in water level may occur with time.
7. Laboratory Testing Results:
WC = Water Content ( % )
DD = Dry Density ( pcf )
-200 = Percent passing No. 200 sieve
.c
15.
Q)
0
105 968 ~tech LOGS OF EXPLORATORY PITS FIGURE 2
HEPWORTH-PAWLAK GEOTECHNICAL
Moisture Content = 4.5 percent
Dry Density = 94 pel
Sample of: Sandy Clay and Silt
From: Pit 1 at 2 Feet
0
~ 1 ---......._
* -~ ' r--.. z " 0 I (i'j 2 (/) \ f'\ Compression w a: upon n..
~ 3 '\ wetting 0
0 \ I
i\ I
4 I
0.1 1.0 10 100
APPLIED PRESSURE ( ksf)
I
Moisture Content = 11.8 percent
1 Dry Density = 95 pel
Expansion Sample of: Sandy Clay with Shale Fragments
upon '-.... From: Pit 2 at 1 1/2 Feet
0 wetting
~
!-----__
-----" ,J
* 1---....._ ~ -1 -.... z ·~ 0
(i'j z
<{ 2 n..
I
X \ w
I ' z 3 0
(i'j \
(/) 1\ w a: 4 n..
~
0 I\ 0
5 I
\
D
6
0.1 1.0 10 100
APPLIED PRESSURE ( ksf)
105 968 ~tech SWELL-CONSOLIDATION TEST RESULTS FIGURE 3
HEPWORTH-PAWLAK GEOTECHNICAL
Moisture Content = 6.1 percent
Dry Density = 103 pel
Sample of: Sandy Clay with Shale Fragments
From: Pit 2 at 5 1/2 Feet
1
Expansion
~ upon ........_ ?fl. !'---~ 0 wetting z I' 0 ~ U5 -r--z
<( 1 (L
X ~ w
' z 2 0
U5 '\ Cf) w !\ I cr: 3 I (L
2
0 u
4
0.1 1.0 10 100
APPLIED PRESSURE ( ksf)
105 968 ~tech SWELL-CONSOLIDATION TEST RESULTS FIGURE 4
HEPWORTH-PAWLAK GEOTECHNICAL
HEPWORTH-PAWLAK GEOTECHNICAL, INC.
TABLE 1 Job No. 1 05 968
SUMMARY OF LABORATORY TEST RESULTS
SAMPLE LOCATION NATURAL NATURAL GRADATION PERCENT ATTERBERG LIMITS UNCONFINED
PIT MOISTURE DRY GRAVEL SAND PASSING LIQUID PLASTIC COMPRESSIVE SOIL
NO. DEPTH CONTENT DENSITY NO. 200 LIMIT INDEX STRENGTH TYPE (%) (%) SIEVE
(It) (%) (ocfl (%) (%) (PSFl
1 2 4.5 94 Sandy silt and clay
' 4 1/2 3.9 107 23 Silty sand
2 Ph 11.8 95 Sandy clay with shale
fragments
51/2 6.1 103 79 Sandy clay with shale
fragments
HOLE NO.
P-1
P-2
P-3
HEPWORTH-PAWLAK GEOTECHNICAL, INC.
HOLE
DEPTH
(INCHES)
41
35
30
TABLE 2
PERCOLATION TEST RESULTS
PAGE 1 of2
LENGTH OF WATER WATER
INTERVAL DEPTH AT DEPTH AT
(MIN) START OF END OF
INTERVAL INTERVAL
(INCHES) (INCHES)
15 8% 7
7 6
6 5%
5% 5
5 4%
4% 4
15 6% 6
6 5%
5% 5%
5% 5%
5% 5
5 4%
15 7 6%
6% 6%
6% 6%
6% 6
6 5%
5% 5%
DROP IN
WATER
LEVEL
(INCHES)
1%
1
%
'lz
%
%
%
%
%
%
%
%
%
%
%
%
%
%
JOB NO. 105 968
AVERAGE
PERCOLATION
RATE
(MIN./INCH)
30
60
60
Note: Percolation test holes were hand dug in the bottom of backhoe pits and soaked
on October 31, 2005. Percolation tests were conducted on November 1, 2005.
The average percolation rates were based on the last three readings of each
test.
I
HOLE NO.
P-4
P-5
HEPWORTH-PAWLAK GEOTECHNICAL, INC.
HOLE
DEPTH
(INCHES)
39
33
TABLE 2
PERCOLATION TEST RESULTS
PAGE 2 of2
LENGTH OF WATER WATER
INTERVAL DEPTH AT DEPTH AT
(MIN) START OF END OF
INTERVAL INTERVAL
(INCHES) (INCHES)
15 9 8
8 7
7 6%
6% 5%
5% 5%
5% 4%
15 8 7
7 6
6 5
5 4%
4% 3%
3% 3
DROP IN
WATER
LEVEL
(INCHES)
1
1
%
%
%
%
1
1
1
%
%
%
JOB NO. 105 968
AVERAGE
PERCOLATION
RATE
(MIN./INCH)
30
23
Note: Percolation test holes were hand dug in the bottom of backhoe pits and soaked
on October 31, 2005. Percolation tests were conducted on November 1, 2005.
The average percolation rates were based on the last three readings of each
test.