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'~ -&'Vt; ~'Jh 35/t./ l : {) GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N: •,,, 3 6 1 7
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109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
' Assessor's Parcel N•.
' INDIVIDUAL SEWAGE DISPOSAL PERMIT
This does not constitute
a building or use permit.
PROPERTY
I A rt + /)/ . {.I .Pr#., lhi11 ' . . ,,;,,, Cl~
• Owner's Name ~er e J CY.' y fOi p",Jsent Address 03bl( ,f' r.,'.1°"ltfl'';/q(e._ Phone I '.3-)..5£'3
system Location OCf(?O f,1'.-IO? C'ar.ho,.J!ofe CD '/'fb,}_;
Legal Description of Assessor's Parcel No.-----------------------------------
' ' , SYSTEM DESIGN
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',
• • • i
______ Septic Tank Capacity (gallon) ______ O.ther
_____ Percolation Rate (minutes/inch) Number of Bedrooms (or other) ____ _ ]
Required Absorption Area • See Attached
Special Setback Requirements:
Date _____________ Inspector ___________________________ _
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
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 kc., 1JJ-'tfP,@ S-r~M
Date /?. -4 -() f Inspector ~.':X,=~M='/Yl-=-~.cf..~S~k~-b~~~P~m9~~~D1~~1...--'Y'~-=t~R.~----
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 office 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
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
O~R P~~\ ~~Q_·
ADDRESS <:f2bD C+~ 'R-o )0/
CONTRACTOR W~c~ ~~C-f>..V'?'h~
ADDRESS 'PO B IO OS-C~12bor,JL> \.z
PERMIT REQUEST FOR ( ) NEW INSTALLATION \I<) 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:
Near what City of Town ~rJ? )g Size of Lot 2oo f\C... •
Legal Description or Address 0°2'20 L±"'l Ro IO']
WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER-DESCRIBE. _______________ _
BUILDING OR SERVICE TYPE:__..-fi4 D"'--'-'l A'->......------------------
Number of Bedrooms __ ___, __________ _ Number of Persons __ q-_,_· ___ _
()<:> Dishwasher tj...) Garbage Grinder ( ) Automatic Washer
SQURCE AND TYPE OF WATER SUPPLY: l;X) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier: _______________ _
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:_'Z_~~vn ......... 1 /~«-'>~------
Was an effort made to connect to the Community System? _ __._N"-"D"'------------
A site plan ls required to be submitted that indicates the following MINIMUM distances;
Leach Field to Well: 100 feet
Sepdc Tank to Well: 50 feet
Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet
Sepdc 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._ ..... N.__-=O_.f\ ..... ~_,__ _________________ _
"2 "O
Percent Ground Slope. __ __,:J::...._-<-=----------------------
2
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TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
·~•SEPTIC TANK ( ) AERATION PLANT
( ) VAULT PRIVY ( ) COMPOSTING TOILET
( ) PIT PRIVY ( ) INCINERATION TOILET
( ) CHEMICAL TOILET ( ) OTHER -DESCRIBE
FINAL DISPOSAL BY:
~)
( )
ABSORPTION TRENCH, BED OR PIT
UNDERGROUND DISPERSAL
' ( ) VAULT
( ) RECYCLING, POT ABLE USE
( ) RECYCLING, OTHER USE
( ) EVAPOTRANSPIRATION
( ) SAND FILTER
( ) ABOVEGROUNDDISPERSAL ( ) WASTEWATERPOND
( ) OTHER-DESCRIBE. _____________________ _
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?_._N"-"0'------
PERCQLATION TEST RESULTS: (To be completed by Registered Professional Engineer, ifthe Engineer does the
Percolation Test)
Minutes. ____ -l'er inch in hole No. I Minutes ______ per inch in hole NO. 3
Minutes er inch in hole No. 2 Minutes er inch in hole NO.
Name, address and telephone ofRPE who made soil absorption tests: ______________ _
Name, address and telephone ofRPE responsible for design of the system: S cbl0b1A/",Rl2-. Q Dt2I>Dr'\..
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 any
fillsification 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 Jaw.
Signed u JJ,.µv-. Date 11-2-£> -0 \
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
APPROXIMA'TE SCALE
,. = 200'
PROPERTY
BOUNDARIE:S
'.u .... , ........
' I (' j.;,A.ll-"'' _,..... \~ )'12, P> \12.(H•"' TO RESIDENCE
,r"\-~ 2 '-__ JI-II eo l!'-.--4'1w .. 1. l ISd
EXISTING PROFILE /"_ -k \.-BARN PIT \fl.-0 ,.,.._, I ;::.V) /---
EXISTING
DRIVEWAY
TO COUNTY ROAD 107
\
101 258 HEPWORTH-PAWLAK
GEOTECHNICAL, INC. LOCATION OF PERCOLATION TEST HOLES Fig. 1
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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945·8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
-..
Permit N: 3 5 1 /J • Assessor's Parcel No.
This does not constitute
a building or use permit.
l ~ ~' 1 o r · -.J f jfu -A:n" -"),-, 1 0 c K, v'i -' r J r v(' ;i,,i ,-\ Owner's Name /2.'--5tCTS I 1 V\• I 1 () :+ Present Address _v:__-1...:11 _____ c:_l _:~:__:::•t:l...:1c:: -e;_. "'= •b;__:__ --Phone v'1 (;;, < -255 ;,,
r.Q, ') (~"' •1\1 ·,,"· r_. '(,-'·7 ~-r I /--I, -, System Location V • 'O~· v ~ v <J' -I _,., '1 l-· "'°' "-\'. ,_,,_, ls G c>--)-,
Legal Description of Assessor's Parcel No,--------------------------------
SYSTEM DESIGN
-----Septic Tank Capacity (gallon) ______ •Other
_____ Percolation Rate (minutes/inch) Number of Bedrooms (or other) ____ _
Required Absorption Area • See Attached
Special Setback Requirements:
Date ____________ Inspector _________________________ _
FINAL SYSTEM INSPECTION AND APPROVAL (as Installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer _____________________________________ _
Septic Tank Capacity•------------------------------------
Septic Tank Manufacturer or Trade Name---------.------------------------.._--.,
Septic Tank Access within 8" of surface -~.)..::..+li-"'l'f ___ -1'-'_,___\_,_ri,_,__--,,,J___,t~f'-'-{-"fi):::i--"'------1-'fl.....,-·.,,,,L, 1"''"'-'-'±{<=Lf.::t·::J-i1>o-;;.i)'-------..-
Absorption Area Type and/or Manufacturer or Trade Name------------------------
Adequate compliance with County and State reQulatlons/requlrements ___________________ _
0th••-----------------------------------------
Date_...:lv:::_-__ ,__\,__i ----=['-) -1-{ _____ Inspector ~s.-_ l"kh J.I C~p:( (;""" i)Hi ""j{ F->.-;:.1(
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
•CONDITIONS:
1, All Installation must oomply with all requirements olthe 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 dwell Ing 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.
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),
Whhe -APPLICANT Yellow -DEPARTMENT
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GLENWOOD SPRINGS ASPEN CRESTED llUTTI:
I ! 8 .w. eTH, SUITE 200 P.O. aox z 155 P.O. aox 3088
GLENWOOD SPRINGS, co 8160 I ASPEN, co 81 et z CRESTEO BUTTE. co e 1224
Q70-Q45-1004 Q?O-Q25-6727 Q70-349-5335
F'X: Q70-945·5948 F"X: 970-925-4157 n:: 970-34Q·5358
December 4, 2001
MarkBean
109 .W. 8th Street
Glenwood Springs, CO 81601
Mark,
The purpose of this letter is to provide documentation of installation of an engineered
Individual Sewage Disposal System (ISDS) pursuant to the requirements of Garfield
County for an Accessory Dwelling Unit (ADU) atthe Lacerte property 0960 CR 107,
Carbondale. It is understood that installation of the ISDS was approved without issuance
of the Special Use Permit for the ADU. The existing system capacity at the Lacerte barn
was found to be insufficient for an ADU and it was recommended that a new drywell,
identical in dimension to the first, be placed in accordance with the attached drawings in
order to meet county ISDS requirements. ISDS installation was observed on November
30, 2001.
The original review of the system assumed the barn was a work area only and it was
assumed that 4 workers would each use 30 gallons per day (120 gpd Design Flow). The
proposed ADU was analyzed with the assumption of 3.5 occupants each using 75 gallons
per day (262.5 gpd). The composite design flow with assumed workers and apartment
occupants is 382.5 gallons per day. This flow requires an absorption area of726 square
feet. The effective area of the existing drywell seepage bed is 585 square feet. The
recommended placement of a second drywell of identical dimensions would increase the
total effective seepage area to 1,170 square feet. This is an area 60% greater than is
required for the proposed use.
Upon arrival at the construction site, the trench and drywell pit were open and pipes were
run from the junction box to the drywell. The drywell pit was filled with gravel to a level
of 5-6 feet with 1-112 inch rock. The installed pit was measured at l 7'xl 6'. The greater
size of the pit was due to removal oflarge rocks in attempts to meet the 15' minimum set
forth by the drawings. No observation could be made of the base of the drywell seepage
I . - -1 --: --1 -: -1.-5-·;. ·: ---+--I -. I . , •
i,· -. f · · btjd as it was alreadybackfil1ed with rock. The installation of the final two rings of
dryweU manhole, fabric laydown, and backfill was observed. The construction of the
ISDS appeared to be in general conformance with the design drawings based upon our
spot observations.
Respectfully, A
,_ '· )'~/!/ __ rl'r•>/7/ ~1 r-u-r ~v j./
~ickey Kav augh, BIT
Schmueser Gordon Meyer, Inc.
Cc: Rick Lawrence, Lawrence Construction
Tod Welch, Welch Excavating
Patty Ann Lacerte
BARN
4" SOR 26 GASKETED
PVC DRAIN W/ 4"
CLEANOUT
4" SOR 26 GASKETED
PVC DRAIN LINE
/ · I 15.oo·
J...L--fo , 1---------L---------+~~~ ~-,.)l
16.00' --+---i
1,250 GALLON
SEPTIC TANK
---106.00' ---·---
4' DIAMETER DRYWELL IN J
1.5" SCREENED ROCK
SEEPAGE PIT 12' DEEP
EXISTING SYSTEM
NOT TO SCALE
BARN
16.00' --+-~--i
1,250 GALLON
SEPTIC TANK
NEW 4" SOR 26 PVC
DRAIN SLOPE @ 1%
4" SOR 26 GASKETED
PVC DRAIN W/ 4"
CLEAN OUT
NEW 4' DIAMETER
DRYWELL 12' DEEP
W/ 15'x15' SEEPAGE
BED
i-1 ·-+--1 15.00'
CUT IN NEW
DISTRIBUTION
BOX
i---t-15.00'
liii!!i15~.00 J
EXISTING 4' DI.A.METER
DRYWELL IN 1.5"
SCREENED ROCK
SEEPAGE PIT 12'
DEEP
PROPOSED SYSTEM
NOT TO SCALE
<
" NOTE: DRYWELL BEDS SHALL BE SEPARATED BY DISTANCE EQUAL TO DEPTH OF DRYWELL OR 70' WHICHEVER IS CREA TER
•
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PRECAST PERFORATED
CONCRETE DRYWELL
RINGS
!NV. IN
1 1/2" SCREENED
ROCK
6.00'
l
FILL
DEPTH
WI TH ROCK TO A
2" ABOVE" TOP OF
INLET PIPE
15.00'
CEOTEXTILE FABRIC
CEOTEXTILE FABRIC
MIRAFI 140N OR EOUAL
15.00'