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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N~ 3681
109 9th Street Suite 303 Assessor's Parcel No.
Glenwood Springs, Colorado 91601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
This does not constitute
a building or use permit.
PROPERTY g,_ p.LQ
' . 5444 e... ~
owner's Name ~l'i"\b~/ tCO n~ Present Address , ~ Phono91S4-0lJ[)
system Location d.KS '15 ~.vy LD i-J..l\ BI flv Cf&l-():505
Legal Description of Assessor's Parcel No. -----~-"---'Q....,.,_y=_.,C_~-'-'"'-\ ~·~1,,,__ __ ,.,Q.:;;;!l-re_,,,_e,....,i)w.~S_, ... 1 .... 1..$.hJ.J.•->£:k_1:>--,.i.t---
SYSTEM DESIGN ~ / 11)-/ / -/ 00 --:3?0
______ Septic Tank Capacity (gallon)
______ Percolation Rate (minutes/inch)
Required Absorption Area -See Attached
______ Other GR.ot>-WO w~
""loo 1i Number of Bedrooms (or other) _____ It; If
Special Setback Requirements:
Date ___________ Inspector --~=1i<i-J'4..µ.ILt-+f....{:..tZ""'""':u.._\_,__ _ _,.Ll'-'f!.tl."""...,L'-'T_.,,S_fu•utii:d1c=:<L!_JjS,.._'{7----
/J-. r. ~ rwntc. 1-/ $:.it ~~. FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
't/1/03 rnfll:rf£
{ .
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 ___________________________________________ _
Date _____________ lnspector ___________________________ _
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 1s 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 1n jail or both).
White -APPLICANT Yellow -DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER • Fp, flN A B-1: s h up l?o 11 -:i + e u c± i a AJ I VJc, ADD~ fa -6-d.3 12: {Le.,, Co PHONE 9-zo ~ cf cf t/-05 L>S
CONTRACTOR rR A-IJ k Bish 012 Gill. ~+ru J, ,) A J be....
ADDRESS J1r-r 1 6 'f d4 @·,{Lo CJ) PHONE _______ _
PERMIT REQUEST FOR (vJNEW 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).
NearwhatCityofTown~-~-R--~"'----------->Z~~~~--'-'!>..<Al"'-'-''-----
LegalDescription or Address _______________________ _
WASTES TYPE: ( ) DWELLING ( ) TRANSIENT USE
(V) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( )OTHER-DESCRIBE. _______________ _
BUILDING OR SERVICE TYPE:_...Cob'o""'Os""A,,___rt1=di""-'-'· (l;.,,~l,__--=S~b1'4>tJr----------T"""""'--
Number of Bedrooms ---'-'~YI /_,,4\-,__________ Number of Persons __,_,~'"+/_,_,tf~--
1
( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher
SQURCE AND TYPE OF WATER SUPPLY: Q".) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier: ______________ _
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ___________ _
Was an effort made to connect to the Community System? ______________ _
A site nlan 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: (septic tank &leach field )10 feet
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT
A SITE PLAN.
GROUND CONDffiONS:
Depth to first Ground Water Table _____________________ _
Percent Ground Slope _________________________ _
2
, TYPE OF~ SEWAGE DISPOSAL SYSTEM PROPOSED:
4-~ ( ) AERATIONPLANT ( ) VAULT
( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE
( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTIIER USE
(X:) CHEMICAL TOILET ( ) OTIIER-DESCRIBE ___________ _
FINAL~w· ~ ~o~ ~CH, BED OR'PID ( ) EVAPOTRANSPIRATION
~ ) UNDERGROUNDDISPERSAL ( ) SANDFILTER
( ) ABOVEGROUNDDISPERSAL ( ) WASTEWATER.POND
( ) OTIIER-DESCRIBE _____________________ ~
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?__,.A"'""·z-=--3 ___ _
PERCOLATION TEST RESULTS: (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 bole 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: ___________ _
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
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.
()_ J ;~, ;J'
Signed _ ____..,.I ~-cw~~--,_,~------s-J~-\~-i. Dme ___ .::...___::CKJ__.::._u~v-____ _
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
·'l
Designate North Arrow
Your Plot -Shape to Fit .
(No Scale)
Your Neighbor's ;)... r:;..-.e.~
Name & Address \-& !'""'\ Your Neighbor's
r\ Name & Address
" ~
~~uLsA·,
r-...
A Du \:v; .s
"'"" 0. s SQ'J,. x,
'./\if
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Locate well, all streams, irrigation ditchs, and any water courses. Draw in your house,
septic tank & system, detached garages, and driveway.
If a change oflocation is necessary, you must submit a corrected drawing, before a
Certificate of Occupation will be issued.
County Road (Note the Road Number and Name) f4 IA) (A h -.! d <t
enc c.\wpmn60\wpdocs\pl0tloc
/iA)
, __ ~
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'RECEIVED
JUN :<, ll 2003
FAX TRANSMITTAL FORM
.IUPWORT.ll-PAWLAK GllOTECBNICAL, INC.
240Aanle-
P.0.-1887
su..rti-n.. co -Phone: "10-461-1'89
Fu: '7&-468-5891
•-111111: llPCt< 101•pteOt~ .......
TO: ffe<-6 ,). . .
COMPANY: 6v.fi4i ftt-o-~:4. 13,,.,._1.,d,,.a, 8·ef.
FAX NUMBER: /· q 70 -.3f"il -3'/7 0 J~ NUMBER:
FROM: c)u.n /i:rra!'~,_.,.
DATE: t,,,/3o/'t.llo ~ NUMBEROFPAGES: --~~.--'''-..--~---(1acbt4illg tbis page)
MFSSAGE:
The original of this transmittal will be sent by:
Ordinary Mail ...
Fax.Only ,..
,
!'.tt.CC rJ ·1 e W>'J.b
Overnight •
Other ...
The information contained in this facsimile message is confidential and intended for the sole
use of the individual named above. If you ,are not the int.ended recipient, received this
communication in error, or if problems occur with tnuwnission, please notify us at 970-468-
1989.
SENT BY:
•
June 30, 2003
Fnnk Bishop Construction, Inc.
P.O. Box !11 .
Slit, Colorado 81652
Hepwonn-Pawlak G•ocech..,.ca\, lnc.
P. 0. Draw<r 1887
Silv .... horno, Colorado 80496
Phone, 970..468°1989
Faic. 970-~68-5891
email. hpeeo4@hpgeomh.com
Job No. 403 21&
Subject: Individual Sew1p Diapo1a1 Sy1tem, Bmltilig Comnicn:ial Building,
Southeaslern Lot. Jlit1e Commetclal e.emer, Garfield c.ounty, Colorado.
Dear Mr. Bishop:
As~ Hepworth-Pawlak Geotedmical, Inc. (H-P Gcotech) has designed an
Individual Sewage Disposal Sysian (ISDS) for the proposed commcn:ial building on
the Southeastern Lot at tbe Rifle Commercial Centi:r loca&cd on H"ighway 6 and 24. We
understand that the COl1lD1l!rcia1 buildinc has one toilet and one sink, and will be used
by a~ of tell~-W.ier will be supplied to the building by a well
located on Lot 1. The lilUdy WIS conducted in IC001dancc with our agm:rncnt fur
enaineerin& aerYlccl to you daied June 2S, 2003. The clala obtained and our
~ ~on the existiua lilc conditions cni:ounteml aro ~~si rted in this
ISDS: Based on the site CV7611 linu IJlcl.ucHn& bigh ground.wmer, salW'ltcd clay wbh an
extremely slow percolation tale and the propoml COll8tnlclion, the area cast of the
Wlliiuerelal buildillg Is SIJitablc for an ISDS utilizing a vault for disposal of sewap
from die prupollld building. A Ille plan showing lhe coumieteial building, propeil.y
lines and the mininmm horimncal discmce re«harts arc sbDwn on Figwe I.
PU ,......, Tlltiq: Pr.n:oJation tests _..,conducted on June 19, 2003 to evaluate
the pm:olatian nle of the lllllllnl mils. Tbnle pcrcoladon boles were e:rcava&M at the
kil:aDons lbown on FiJIR 1. The 1e1t boles (nominal B to 9 incbcs in diamctiCr by 18
(
Fiank Bishop COllltruetion, Inc.
June 30, 2003
Page2
inches deep) were hand dug and were soaked a minimum of 8 hours prior to testing.
The soils exposed in the Profile Pit consist of a Andy ID vmy sandy, stiff to medium
stiff, moist, brown clay. The soils eiqiosed in lhc pen:olation test holes were similar to
those elll>Osed in the Profile Pit. The percolation tests were pedonned at depths
ranging from 19 IO 22 inches below ground surface. The percolation holes were filled
on Jwie 19, 2003 and allowed to soalt for approximalely 24 hours prior to the n:tum of
our field peflOIUlel to begin the percolation tests. The water level in the holes dropped
slightly durini that 24 hour lime period. The percolalioll tests wen: abandoned after
om hour and no Waler level decrease was ddected. Groundwater was observed at 2.5
feet below ground surface. The day soil does oot appear to accept waaer from the
percolation test due to -the very slow percoJation rare and nearly salllrlted. swe.
Sewage VaUlt: A concrete single chambervalt with a niininwm volume of 1,000
gallons will be uaed for storage of sewage from the proposed commercial buildinc. The
tank will be equipped with two floall wiled to a control panel which should be located
on or in the propoted buildinc wbae it will be readily sem and heard. The lower float
should be sec to activaae the high waacr alatm in the ~ntrol panel when the vault is
115$ full. The high float will be used to signal the control panel ta shut off the water
supply valve to the .residence when the vailt is 9't; full.
A vault with a volume greater dian 1,000 gallons should be ~red. We understand
the occupancy of the building during bulineu hours may be between 1 IOd 10
employees. We have estimaSed that each employee will genetate approximately 15
pllons of Wl5leWltel' per penon per day. As shown In Table 1, a l,<XX) gallon tank
could 611 in as little u 7 days. We recommend the use of a J ,SOO gallon &in&le
compartment aepdc raalc followed by a sec:ond 1, ~gallon single conyaib11t11t tank
wtlich colllains a hich water float alarm sysran.
403 218
cNC• ••
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Frank Bishop Construction, Inc.
June 30, 2003
Page3
Table l
Estimau:d Dunlion To Fill Tmik
(pllons) (days)
l,000 7
1,250 8
l,SOO 10
two 1,SOO pl. cants 20
(days)
33
42
so
100
s.ptic Tallk Buoyaacr. Due to shallow groundwater about 2.S feet below ground
surface, the vault may bttA>me buoyant whm pumped. We Wlderstand ~ you prefer
to use Copeland Concrete Inc. products. They offer two typeS of septic tank lids, a S
inch thick lid, and an 8 inch thick traffic rated lid. Use of the heavier traffic rated lid
decn res the depl.b of soil b3ckfill requited above the septic tank lid to counteract the
buoyallt fon:e of grouadwaler on the tank. The tank should be installed such thlll the
inlet of the tank is above groundwarer. Sqil ll10llJlded above the tank should be sloped
at 3 horizontal to 1 vertical (3H: 1 V) to prevent 10i1 erosion. Table 2 provides soil
cover depths for 1he Qipebnd Concrete Inc. septic tanks available.
Table 2
Soll Cover Dqitbs
'
403218
G6Sts:::l 1
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Frank Bilhop CooltructiDn, Inc.
lune 30, 2003
Page4
Collttal PIDel: A CUt10D1 control panel Crom Omlco SySlCms lihould be used to
activate the high water aodiolvisual alarm and the water st.It-off valve. The control
panel will include a transfonncr which will convert the llS volt power signal to a 24
volt sipal which will be sem to a relay. The relay will control a Jandy VJMl .
moiotb.ed val'fC which will be used to shut off the 'Wlfel' 111pply when the vault is 9S ~
full. The. aiMliolvisual high water alarm should be activa&ed by the control panel when
the vault is 8S1' full. In addition, a manual ball valve should be installed in the main
water lllpply pipe. The mamial ball valve should be closed befo~ employees close the
buildini for elltendcd periods. This will prevent a leaking toilet or other leaking fixture
from filling the vauk while the building is vacant for holidays or slow periods. The
float swirches, CCICllRll panel, and Jandy VJM2. motorized valve are available from SCG
Enlerprises.
Approved rillers should be installed oa lhe nult access port to allow easy acuss to the
floats for maintenance and pumping. The vault mu lid should be inlulated to provide
frost procecdon and we recomniml that a miDimnn of 2.S feet of soil backfill be
placed oiet lhe &up of lhe vmJt for frost prutection.
Sewer and Diiuent l'lp'1lat The SNer lire from the residence to the nult should not
be less than the diamefer of the bui1c1iJw drain and.not ie. than 4 inches in diameter.
The sewer lire should be sloped bet9ieen l flO 4%. Can-out pipe should be installed
in. the sewer lire adjacent ID the fmmdaticm, where the line bends at 45 degJWS or more
and at last every 100 liatar feet of pipe llU'oUghout the length of the line. Sewer pipe
should imet ASTM 03034 wUb. ID SDR of 3S or less. Balds in the sewer pipe should
be limited to 45 degr= ells or long-sweep quarter bends. If 90 degree bends cannot be
avoided dien two 45 ~ ells should be used. The top of lhe sewer pipe should be
installed a minimum of 18 lncbeS below the proposed finished grade.
403 218
o!iStacl 1
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Fank Bilhop Construction, Inc.
June 30, 2003
}>age S
Malnt••9Cf: The vault should be pumped when the vault is 85% full and the high
waier alarm is ai:livaled. Jn addition, the high and low float switches should be
checla:d to ensure that ~ are working properly Olll:C a year.
I J.'Whims Tllil delicn has been concklcted in~ with generally lllCCpled
~neerlag principles and pncliect in this lUQ at dlis time. We make no Wamnty
either e~ or implied. The cooc1uslons and mcommeiuofations submitted in this
repon BR! based upon !be proposed type of COllSlluetion and our experiencc in the ~a.
If conditions encounteied durinr conscruction appear differmt from thOse described in
this report we should be nolified at once so re-evaluation of the recommendations may
be made.
Based on site reconnaissance, it is our opinion that the desianed location Of the ISDS
does not viol.are any setback requireml:nts en.ablished by the Colorado Department of
Health Guidelines on Individual Sew11c Disposal System Regulations Revised 2000.
We mxlllllMllll !hat the position of the Yllllt, Jocalion of the irrigalion ditch, eldsdnc
building and 8elbal.:k ""IUirements be verifu:d in the field by a Professional Land
Surveyor liceneed Jn the Slate of Colorado.
This rcpon has been prepared for the exclusive use by our client for the ISDS permit
process. We arc not reapxisible for technical interpretations by others of our
infomwion. As the project evolva, we should. provide eontiiwed consultation and
field scrvic:el during ISDS coastructioa liO re\'lew and monitor the iqikmmtation of
our recommmdalions. and IO verify that the recomnw.darions have been appropriately
intel]>reled. We recommend on-site observation of the pipe and vault imtallatioa by a
rq>re&elllative of rbe ceotecbnical enpnccr. Any field oblervatiom of the installa&ion or
other out of scope services will be provided at additional cost.
403 218
G5'Sktc:t I
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Frank Bishop Construction, Inc.
June 30, 2003.
Page6
Pleue oontact us for any neeesary mlsions or diacuasion after review of this report by
the Garfield County Environmental Health Depanmmt. If you have any questions or if
we may be of further assistance, please let us know.
Slncetely,
HEPWORTH· PAWLAK GEODCBNICAL, INC.
J~ ~A,.\""~
Jean Emstberaer, E.I.
Reviewed By:
Ronald 1. Uhle, P.E.
Associate
JE:rsn
Attachment: Fi&Uie 1
403 21&
cnMeci.
' '• .. "
5,380' ~J. ,-
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1
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I APPROXIMATE SCALE I 1" = 100'
I
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I 5,J75' ..... l.
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EXISTING WELL (LOT 1) I
0
-......
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5,370'
\
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\
/i',
I ' ' J ' I ' ...... -I ..... ......
I ' I
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...... __ ,
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I EXISTING
I IRRIGATION
I DITCH
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1 1 I
I I I
I I I
--t-~~ ...... I l
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....,
I I .....
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I EXISTING \ I
I SINGLE \
I ~~\ 1 i-I METAL . \
BU1LDINC I
1 ffi I I ~I a .6. F:\2 I
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s,Jeo·
PROFILE
PIT
PRoirOSElf"/-
SEWMle"
VAULT
LOCATION
\
\
\
' ' 5,375'
PERCOLA T\ON
lrSTS
403 218 HEPWORTH-PAWLAK
GEOT£CHNICAL, INC.
SE LOT, RIFLE COMMERCIAL CENTER
SITE PLAN FIGURE 1
•·
RECEIVED
. St-f' , , 1mn
GARFIELD COUNTY
BUILDING & PLANNING.--!-IP
. ~tech
Hepworth~Pawlal:; Geotechnical, lnc.
!' o. 0ra ... , 1887
Silverthorne, Colorado 80198
Phone· 970-'168-1989
HEPWORTH-PAWLAK GEOl'ECHN!CAL
August 7, 2003
Frank Bishop Construction, Inc.
P.O. Box S47
New Castle, Colorado 81647
Fax, 970-468-5891
emait hpgta4@hpgeoteoh.com
Job No. 403 218
Subject: Individual Sewage Disposal System Installation Observation, Existing
Conunercial Building, Southeastern Lot, Rifle Commercial Center, Garfield
County, Colorado.
Dear Mr. Bishop:
As requested, Hcpwonh-Pawlak Geoteclmical, Inc. (H-P Geotech) has observed the
Installation of the Individual Sewage Disposal System at the subject site on July 24,
2003. The design of the system was presented in our report dated June 30, 2003, Job
No. 403 218.
Indiviclual Sewage Disposal System Components: Insrallation of the system includes
a concrete single chamber lSOO-gallon sewage vault followed by a second concrete
single chamber !,~gallon sewage vault. The second tank was equipped with two
floats wired to an Orenco Syste:ns control panel which is located in the bathroom of the
building where it can be readily seen and heard. The lower float has been set to
activate the high water allUlll in the control panel when the vault is approximately 8.S %
full. The high float is used to signal the control panel to activate a Jandy VJM2
motorized valve to shut off the water supply when the vault is 95% full. A manual ball
valve was in.stalled in lhe main water supply pipe.
Septic Tank Buoyancy: Shallow groundwater was observed in the tank excavation on
lune 19, 2003 by a representative of H-P Geoteeh at about 2.S feet below ground
surface. We 'Understand ihat groundwater was a1 a seasonal hi&h due to flooding of the
irrigation ditch adjacent ui' the site at the time of our visit. The tanks have been
Glenwood Springs 970-945-7988 • Pa:ker 303-841-7119 • Colorado Springs 719-633-5562
l d 66~Q·ON D31038 dH ~dlO S SOOl v d 9S
•
•
Fnnk Bishop Construction, Inc.
August 7, 2003
~e2
installed with the top of the lid at irade and wlll have 2 feet of soil cover over them
when site grading is completed. We did not observe any soil cover over lhe tanks at the
time of our visit. Our calculations indicate that 2 feet of soil cover is adequate to
reduce the risk of the vault becoming buoyant when pumped. Soil mounded above the
tank should be sloped at 3 horizontal to 1 vertical (3H: 1 V) to prevent soil erosion.
Without the soil cover, a 11,400 pound deficit (per tanlc) exists. Concrete dcadmcn
could also be used ID make up this deficit
Based on our observation, it is our opinion that the system has been installed in
accordance with Colorado Department of Health Guidelines on Individual Sewage
Disposal System Regulations Revised 2000 and our design.
If you have any questions or if we may be of further assistance, please let us know.
Sinceiely,
HEPWORTH· PAWLAK GEOTECHNICAL, INC.
Jean Emstberier, E.I.
Reviewed By:
Ronald J. Uhle, P.E.
Associate
JE:rsn
cc: Andy Schwaller -Garfield County Building Department
403 218