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Home My WebLink About03861GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N~ 386~ ; 109 8th Street Suite 303 Glenwood Springs, Coloredo 81801 Phone (303) 945-8212 l INDIVIDUAL SEWAGE DISPOSAL PERMIT ' Assessor's Parcel No. This does not constitute a building or use permit. • l • . ! PROPERTY A 1,., " a.lt:l }\ s~ \ (\ ~ Q/(o-~(;(S~ Owner's Nemefi (0\1;') ;::)(bf lj f\ Of}Q Bo'esent Addres~33 I '>~ Joct-l U(1 Phone ?iJ9 -po lri.. : System Location auo.3 et<aGO Sr Qf: 0$5'D Rl\W\ Lf\. . Legal Description of Assessor's Parcel No. ______ _,,cX""-'-L./."'(3"'""'_.3'_,__-_.,~_,,""-,,_<-.L---'CQ'""'"""'---'/c.<..J?iL1-/ _______ _ I SYSTEM DESIGN • • ·. _,../_)~SI~{?~-Septic T'nk Capacity. (,gallon) 1_ . Other -(' ~ f/tV.j.~ y T~s-+-~ I-IP 6,eo-e&\ s-{,. ·o? ~ · 1 ; __ 3~0~_ Percolation Rate (minutes/inch) Number of Bedrooms (or other) L (,, f'/ o ;j //" f, c· "_,_./:_ ~ -~ 'J (..,,~;.,__,•: (';., a ft 1-4- i/ J_ "; t/J "'' br £_ ~ </</ ?'i. G. V>c/. J et-.S;2 ?Y&' iJ,j. Required Absorption Area -See Attached l Special Setback Requirements: ! Date_....!.-:C:_--'J'-1-=o_<f _____ Inspector _ _,,£).u'-""""""'h.L·.«/:_· --'-}Ju-.c:""-"tCCJ.£""'· ~------------- ., ; FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation Septic Tank Manufacturer or Trade Name -~C~-"'~'-1"""""2'-'u"'"'Cl-'---,i'-"~--------------------- Septic Tank Access within 8" of surface -.l.l-='------!----~------------------ 1 I . Absorption Area ~;,-7 ""'tJiilivi:,.._ 1;w~J... (IL\. I' -er) Absorption Area Type and/or ~anufacturer or Trade Name _ _;·-._.~._1 '-'~"'!"'~'-i"'-'("-/\:.J>d,_.t ... ==~--'~----1 _,\:)'---------- \ Adequate compliance with County and State regulations/requirements __ ,~J"l.f,,_.'/=----------------- Other_~---------------~---~----~--------------Date_d-_q~-Q_,_L~{ __ Inspector ~{J><=~=-"-"IJ--11 ,)-'-' 1 /1...._.RL=/f"--, _____ _ 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 appllcation of permit commits a Class I, Petty Offense ($500.00 fine-6 months In jail or both). White -APPLICANT Yellow -DEPARTMENT • • INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER :5 GO ff or A p If) IE Jl r= Au' E ADDRESS f//£3 CoWtwiy /(J_,,µpJ SJJ.1--PHONE fl/p ~;?25'Y coNTRAcTo~ Sr .If ADDRESS 33S 1),~t.Jol!c! De sdt-PHONE J-71a -~ I PERMIT REQUEST FOR !)() NEW INSTALLATION ( )ALTERATION ( ) REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4). LOCATION OF PROPOSED FACILITY: Near what City of Town Si /f Size of Lot ID /Jc:;.;'(c.B Legal Description or Address g l lj> 3 Cmw a4 ~, J;S"O . .$ • \ f. Co t>.Jla ,~ ':L WASTES TYPE: ()() DWELLING CS"<S'o t\.<tl/V\. (., ~ ' ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER-DESCRIBE _______________ _ BUILDING OR SERVICE TYPE:._'"'J/-'-+'-o'-"u-....'>c=~=-------------------- Number ofBedrooms / q~llf{btk l.). NumberofPersons._..,._2....,_, __ _ ( ) Garbage Grinder ( ) Automatic Washer bQ Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (X) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:,.----'3~m~·i~'~~S~----- Was an effort made to connect to the Community System? ----'-~_o ___________ _ A site plan is required to be submitted that indicates the followini: 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 ______________________ _ Percent Ground Slope 7 I'~{ rv-/:;c:. fuJ.- .feA I~ TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: K) SEPTIC TANK ( ) AERATION PLANT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) CHEMICAL TOILET( ) OTHER-DESCRIBE FINAL DISPOSAL BY: W ABSORPTION TRENCH, BED OR PIT ( ) UNDERGROUND DISPERSAL ( ) ABOVE GROUND DISPERSAL ( ) VAULT ( ) RECYCLING, POTABLE USE ( ) RECYCLING, OTHER USE ( ) EV APOTRANSPIRATION ( ) SAND FILTER ( ) WASTEWATER POND ( ) OTHER-DESCRIBE. _______ ~~~~~~~~~~~~~~~~~ WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? lln 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 _____ .,,er 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:---------- 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 applic tion and in legal action for perjury as provided by law. Date ~ 9/;/ /68' WAN ACCURATE MAP TO YOUR PROPERTY!! ·.. Scott Harvey May 15, 2003 Page4 granular material used in the underdrain system should contain less than 2% passing the No. 200 sieve, less than SO% passing the No. 4 sieve and have a maximum size of 2 inches. The drain gravel backfill should be at least 1 ~ feet deep. Surface Drainage: The following drainage precautions should be observed during construction and maintained at all times after the residence has been completed: 1) Inundation of the foundation excavations and underslab areas should be avoided during construction. Drying could increase the expansion potential of the clay soils. 2) Exterior backfill should be adjusted to near optimum moisture and compacted to at least 95% of the maximum standard Proctor density in pavement and slab areas and to at least 90% of the maximum standard Proctor density in landscape areas. Free-draining wall backfill should be capped with about 2 feet of the on-site, finer graded soils to reduce surface water infiltration. 3) The ground surface surrounding the exterior of the building should be sloped to drain away from the foundation in all directions. We recommend a minimum slope of 12 inches in the first 10 feet in unpaved areas and a minimum slope of 3 inches in the first 10 feet in pavement and walkway areas. 4) Roof downspouts and drains should discharge well beyond the limits of all backfill. S) Irrigation sprinkler beads and landscaping which requires regular heavy irrigation, such as sod, should be located at least S feet from foundation walls. Percolation Testing: Percolation tests were conducted on May 6, 2003 to evaluate the feasibility of an infiltration septic disposal system at the site. Three percolation holes had been dug by the client at the locations shown on Figure 1. The test holes had been Job#103 264 c~~bect• Scott Harvey May 15, 2003 Pages dug at the bottom of shallow backhoe pits and soaked with water by the client prior to our testing. The soils exposed in the percolation holes are similar to those exposed in the Pit 1 located about 80 feet to the north and consist of about 1 foot of topsoil and 6V2 feet of stiff sandy silty clay overlying silty sandy gravel with cobbles to the pit depth of 11 feet. The percolation test results are presented in Table 1. The percolation test results indicate an average infiltration rate of 30 minutes per inch. Based on the subsurface conditions encountered and the percolation test results, the tested area should be suitable for a conventional infiltration septic disposal system. Limitations: This study has been conducted in accordance with generally accepted geotechnical engineering principles and practices in this area at this time. We make no warranty either expressed or implied. The conclusions and recommendations submitted in this report are based upon the data obtained from the exploratory pit excavated at the location indicated on Figure l, the proposed type of construction and our experience in the area. Our findings include extrapolation of the subsurface conditions identified at the exploratory pits and variations in the subsurface conditions may not become evident until excavation is performed. H conditions encountered during construction appear different from those described in this report, we should be notified at once so re- evaluation of the recommendations may be made. This report has been prepared for the exclusive use by our client for design purposes. We are not responsible for technical interpretations by others of our information. As the project evolves, we should provide continued consultation and field services during construction to review and monitor the implementation of our recommendations, and to verify that the recommendations have been appropriately interpreted. Significant design changes may require additional analysis or modifications to the recommendations presented herein. We recommend on-site observation of excavations and foundation Job#103 264 I ;;· / . ' . . -. Scott Harvey May 15, 2003 Page 6 bearing strata and testing of structural fill by a representative of the geotechnical engineer. If you have any questions or if we may be of further assistance, please let us know. Sincerely, HEPWORTH -PAWLAK GEOTECHNICAL, INC. Reviewed by: Daniel E. Hardin, P.E. JZAJksw attachments Figure 1 -Location of Exploratory Pit and Percolation Test Holes Figure 2 -Log of Exploratory Pit Figure 3 -Swell Consolidation Test Results Figure 4 -Gradation Test Results Table 1 -Percolation Test Results cc: John Chromy Job#103264