HomeMy WebLinkAbout03933GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N~ 3 9 3 3
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
Assessor's Parcel No.
This does not constitute
a building or use permit.
PROPERTY . . . • ;J_t{fi'-folf1-7f.,/f7
Owner's NamJl_ls-nQv;{JJ_ofl mlfk1r& f'resent Addres&@Ann Pc& (1) ~llWtif,~ [Vi, Phone tf !13 ··¥:933
System Location /::;}({,,(?!JO.Pr /tJi/( /)v, 0'C0S · h ¢~
Legal Description of Assessor's Parcel No. @37-;;;::5Q-Ol/ -()~ V~1q-'1
SYSTEM DESIGN
/'}, 5'0willl) Septic Tank Capacity (gallon) ______ Other
fil",_,_ ___ Percolation Rate (minutes/inch) Number of Bedrooms (or other) -~4~---
Required Absorption Area -See Attached
Special Se.tback Rejuirements:
6·/~·D"f D~ lns~ctor
t/i[C/L L~ oF .:Jy.FfVW/
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
-/Rii-KtCt-/ pyr.;! ) ~ k,
Biz:..o 2. Y. 6
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 -----------~Inspector ___________________________ _
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 1gs4.
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
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
PERMIT REQUEST FOR ( ~EW 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 ~r\;,6~ a.le._ Size of Lot 3 7 A q.-e.5
Legal Description or Address I ot :::Ji: ,Jb / Af(j 1'. /tef!m Ranc.-b {)ver I eek j_) !'\ \}-(__,
WASTES TYPE: (t.-YJ5WELLING ( ) TRANSIENT USE
( ) NON-DOMESTIC WASTES ( ) COMMERCIAL OR INDUSTRIAL
()OTHER-DESCRIBE~~~~~~~~~~~~~~~~
BUILDING OR SERVICE TYPE: le f1Je11±1q) { S1~t:-fu VlA-j / yJ ? ? ~
Number of Bedrooms -3 J)AJl>!-flt&#! . Number of Persons ;L-
( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher
SOURCEANDTYPEOFWATERSUPPLY: (.,.f'WELL ( )SPRING ( )STREAMORCREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: jj /Jl/1/c5 --+-·~--~~-~------
Was an effort made to connect to the Community System? ---------------
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 ______________________ _
Percent Ground Slope __________________________ _
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(~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:
( ) 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? J)o
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 er inch in hole No. 2 Minutes per inch in hole No. _
Narne, address and telephone ofRPE who made soil absorption tests:--------------
Narne, 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.
Date f-;;2 0 ~o ~
TE MAP TO YOUR PROPERTY!!
5. Impervious plastic membranes should not be used to cover the
ground surface immediately surrounding the residence. These
membranes tend to trap moisture and prevent normal evaporation
from occurring. Geotextile fabrics can be used to control weed
growth and allow some evaporation to occur.
PERCOLATION TESTING
We performed percolation testing in the area of the planned percolation field.
A profile boring and three percolation borings were drilled at the approximate
locations shown on Figure 1. Graphic logs of the soils encountered in the borings
are shown on Figures 3 and 4. Our representative performed percolation testing in
the borings on August 22, 2002. Percolation test results are presented on Figures
6 through 8. We recommend a design percolation rate of 40 minutes per inch.
LIMITATIONS
Our exploratory borings were located to obtain a reasonably accurate picture
of subsurface conditions. Variations in the subsurface conditions not indicated by
our borings will occur. We should observe the completed foundation excavation to
confirm the native clay soils are exposed and suitable for support of the footings as
designed.
Our report was based on conditions disclosed by our exploratory borings,
laboratory testing, engineering analysis and our experience. The recommendations
contained in this report were developed based on conceptual plans. When final
plans are developed we should be informed so that we can check that our
recommendations and design criteria are appropriate and make revisions as
needed.
MARK & MEME KISTNER
LOT 26, HIGH ASPEN RANCH
CTUT JOB NO. GS-3708 10
This investigation was conducted in a manner consistent with that level of
care and skill ordinarily exercised by engineering geologists and geotechnical
engineers currently practicing under similar conditions in the locality of this project.
No other warranty, express or implied, is made. If we can be of further service in
discussing the contents of this report or in the analysis of the influence of the
subsoil conditions on th design of the structure, please call.
Bran
LB:J
MARK & MEME KISTNER
LOT 26, HIGH ASPEN RANCH
CTL/l JOB NO. GS-3708 11
KISTNER RESIDENCE
LOT 26, HIGH ASPEN RANCH
GARFIELD COUNTY, COLORADO
Job No. GS-3708
Rebar Ith R~
Plusiic Cop L
Rebar i
Plastic
Scale: 1 "=40'
Fig. 1
-• ~
c
c
0 :;: o· > • id
Job No. GS-3708
8540
8535
8530
8525
8520
8515
8510
8505
TH-1
EL-8538
18/12
. 20/12
50/12
P-3
EL=8522
8540
8535
8530
8525
8520
8515
8510
8505
~
QI < .Q = -o
:::J
5'
.....
QI
QI -
Fig. 2
Job No. GS-3708
LEGEND:
NOTES:
Organic sandy cloy "topsoil", moist,
brown. (OL)
Cloy, silty to gravelly, with silty to
clayey sand lenses, stiff to very stiff,
moist, brown. (CL. SM, SC)
Weathered claystone bedrock,
medium hard, moist, greenish gray.
Drive sample. The symbol 18/12
indicates that 18 blows of a 140
pound hammer foiling 30 Inches
were required to drive a 2.5 inch
O.D. sampler 12 inches.
1. Exploratory borings were drilled on
August 12, 2002 with 6-inch diameter,
continuous flight auger and a
truck-mounted drill rig.
2. No free ground water was found In
our exploratory borings during drilling
operations.
3. Elevations of exploratory borings were
obtained from topographic mapping
prepared by High Country Engineering,
Inc. and ore approximate.
4. These exploratory borings ore subject
to the explanations, limitations and
conclusions as contained in this report.
SUMMARY LOGS OF EXPLORATORY BORINGS
F"tg. 3
SATURATION AND PREPARATION
DATE: 08/21/02
I TIME AT START OF SATURATION: 3:00pm
PERCOLATION TEST
DATE: 08/22/02
WATER IN BORING AFTER 24 HOURS
YES X NO
PERCOLATION TEST RES UL TS
DEPTH TO WATER
HOLE DEPTH TIME AT TIME CHANGE
NUMBER (INCHES) START OF INTERVAL IN WATER
INTERVAL (MINUTES) START OF END OF DEPTH
INTERVAL INTERVAL (INCHES)
(INCHES) (INCHES)
P-1 33 3:00 15 10.25 13.25 3.25
3:15 15 13.25 14.75 1.5
3:30 15 14.75 16.0 1.25
3:45 15 16.0 16.75 0.75
4:00 15 16.75 17.5 0.75
4:15 15 7.75 10.0 2.25
4:30 15 10.0 11.0 1.0
4:45 15 11.0 11.75 0.75
5:00 15 11.75 12.5 0.75
5:15 15 12.5 13.5 1.0
5:30 15 13.5 14.25 0.75
5:45 15 14.25 15.0 0.75
6:00 15 15.0 16.0 1.0
Job No. GS-3708
PERCOLA-
TION RATE
(MIN/INCH)
5
10
12
20
20.
7
15
20
20
15
20
20
15
Fig. 6
SATURATION AND PREPARATION PERCOLATION TEST
DATE: 08/21102 DA TE: 08/22/02
TIME AT START OF SATURATION: 3:00pm WATER IN BORING AFTER 24 HOURS
.X YES NO
PERCOLATION TEST RES UL TS
-
DEPTH TO WATER
HOLE DEPTH TIME AT TIME CHANGE PERCOLA-
NUMBER (INCHES) START OF INTERVAL IN WATER TION RATE
INTERVAL (MINUTES) START OF END OF DEPTH (MIN/INCH)
INTERVAL INTERVAL (INCHES)
(INCHES) (INCHES)
P-2 30 3:00 15 9.0 11.5 2.5 6
3:15 15 11.5 13.5 2.0 8
3:30 15 13.5 15.5 2.0 8
3:45 15 15.5 16.5 1.0 15
4:00 15 16.5 17.5 1.0 15
4:15 15 9.25 12.25 3.0 5
4:30 15 12.25 14.0 1.75 9
4:45 15 14.0 15.5 1.5 10
5:00 15 15.5 16.5 1.0 15
5:15 15 16.5 17.5 1.0 15
5:30 15 17.5 18.75 1.25 12
.
5:45 15 18.75 19.75 1.0 15
6:00 15 19.75 20.75 1.0 15
.lnb No_ GS-3708 Fig. 7
SATURATION AND PREPARATION PERCOLATION TEST
DATE: 08121/02 DATE: 08122102
I TIME AT START OF SATURATION: 3:00pm WATER IN BORING AFTER 24 HOURS
LYES NO
PERCOLATION TEST RESULTS
DEPTH TO WATER
HOLE DEPTH TIME AT TIME CHANGE PERCOLA-
NUMBER (INCHES) START OF INTERVAL IN WATER TION RATE
INTERVAL (MINUTES) START OF END OF DEPTH (MIN/INCH)
INTERVAL INTERVAL (INCHES)
(INCHES) (INCHES)
P-3 28 3:00 15 8.25 9.5 1.25 12
3:15 15 9.5 11.0 1.5 10
3:30 15 11.0 12.75 1.75 9
3:45 15 12.75 13.75 1.0 15
4:00 15 13.75 14.25 0.5 8
4:15 15 8.75 9.75 1.0 15
4:30 15 9.75 10.5 0.75 20
4:45 15 10.5 11.5 1.0 15
5:00 15 11.5 12.75 1.25 12
5:15 15 12.75 13.75 1.0 15
5:30 15 13.75 14.5 0.75 20
5:45 15 14.5 15.25 0.75 20
6:00 15 15.25 16.25 1 15
I .
Job No. GS-3708 Fig. 8