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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N:. 2 0 8 2 i
109 8th Street Suite 303 Assessor's Parcel No. I{
Glenwood Springs, Colorado 81801
Phone (303) 945-8212
This does not constitute 1
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. f
PROPERTY # # #!
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Owner's Name Rod Poland Present Address 10 Crystal Rd, Carbondale Phone 963 -2148
System Location Lot 5, Teller Springs, Glenwood Springs
Legal Description of Assessor's Parcel No. h t 1
SYSTEM DESIGN f
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/OOC" Septic Tank Capacity (gallon) Other il
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1�, Percolation Rate (minutes/inch) Number of Bedrooms (or other) 3 It
Required Absorption Area - See Attached
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Special Setback Requirements: , 4
Date .6/4 Inspector 4 cizfi ri de 1 }
FINAL SYSTEM INSPECTION AND APPROVAL (as installed) 1
Call for Inspection (24 hours notice) Before Covering Installation i
System Installer^ik— )
Septic Tank Capacity 15 0 n
Septic Tank Manufacturer or Trade Name ( ¢P
Septic Tank Access within 8" of surface J.------- 1
3 -� re 4
Absorption Area dr' c.�
Absorption Area Type and /or Manufacturer or Trade Name ,, �ir�` ' tt r a —
Adequate compliance with County and State regulations /requirements I
Other
Date g -^ r— 73____. Inspector °I 6942)"FIACQ,
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.
9. Aypehoonetruot here iellsaniAdiyI •I Sws, ediaposalsyste annhlcha end materiel •
var rsonw lromthe o ter or gpeolfics contafn6 94' th e 6 O of perm coinmmma a erw O IAt* 1, P etty volv Offense akno ($500. fine -8 , o-
'P,' months In )pJI q( p*lb
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,r] ia., Applicant: Dr4 n., . y:""'gaPSrlavint: Pink Copy 4 0 ,.
Application
":' ' INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
— County Official:
OWNER /A00 PO4_9'/.tn D ' - nn
ADDRESS /9 Ce . 4 PFIONE 7'63 - 10'
CONTRACTOR ,f tt o _ Lf
ADDRESS ,tr 5` 7T412_e ,S',°/ft/r/l1 PHONE
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: County �,_ e.CJN L D
Near what City of Town (24 /C'6771/04/O9L6 Lot Size L/, Fr
Legal DescriptionSL neon /2 It /.3 s T 9S. / /r BY 4.4 0,c eC /» "'asp
WASTES TYPE: ('<) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE: 4 ?J' 'fp/ /1 /rr-t/
Number of bedrooms 3 Number of persons
()(,) Garbage grinder (/) Automatic washer (x) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (/) well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: 74 T/7 .r�/!rn /Gs /.-' t SyJ/hl
If supplied by community water, give name or supplier: -�
GROUND CONDITIONS:
Depth to bedrock: el/veil/ocdn/
Depth to first Ground Water Table: r/n! /Cn /crwm/
Percent ground slope: / a)n/ .sLnPe
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: // //)-
Was an effort made to connect to community system? 4/c/12/4" , 2wce__.a -ec4ir
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:
t)/4--Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Underground Dispersal ( ) Sand Filter
( ) Above Ground Dispersal ( ) Wastewater Pond
( ) Other - Describe:
WILL EFFLUENT BE DISCIHARGED DIRECTLY INTO WATERS OF THE STATE? //h
Pnnr 2
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SOIL PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer.)
Minutes per inch in hole No. 1 Minutes per inch in hole No. 3
Minutes per inch in hole No. 2 Minutes per inch in hole No.
Name, address and telephone of RPE who made soil absorption tests:
Name, address and telephone of RPE 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
purposes of the evaluation of the application; and the issuance of the permftis'subject to
such terms and conditions as deemed necessary to insure compliance with rules and regulations
adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies
that all statements 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 under-
stand 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 per -
jury as provided by law.
Date Signed # Z1_/'T
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
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Page 3
PLOT PLAN AND DESIGN FEATURES:
Include by measured distance location of wells, springs, potable water supply
lines, cisterns, buildings, property lines, subsoil drains, lake, water course,
stream, dry gulch and show location of proposed system by direction and distance
from dwelling or other fixed reference object, and additional submissions in
support of this application such as data, plans, specifications, statements and
commitments.
Page 4
Ch en€ Noithern,Inc. Consoling Login( Fs andSoenL51s
5080 Road 1
Glenwood Springs Colorado 01601
3039457450
103 945 2363 Laastmilo
April 26, 1990
Ross Jeffrey
2134 Lower River Road
Snowmass, CO 81654
Subject: Summary Letter, Geologic Conditions and Percolation
Test Results, Teller Springs, Garfield County,
Colorado.
Job No. 4 338 90
Dear Mr. Jeffrey:
As requested, Chen - Northern, Inc. has conducted a geologic
reconnaissance and performed percolation tests for the proposed
subdivision. The field work was performed on April 24 and 25,
1990.
The geology and topography across the property is varied. The
upper three lots (Lots 1, 2 and 3) are situated on an alluvial
fan that could be impacted by minor debris flow. The primary
development area, Lots 4 through 18, are situated on a gravel
terrace that has been partly overridden by the alluvial fan.
Eleven of these lots are near the edge of the terrace overlooking
the flat pasture /common open space. Lot 19 is located on a
narrow bench below the pasture and just above the 100 year flood
plain limit. The property is underlain by the Eagle Valley
Evaporite which contains gypsum beds and solution related
sinkholes. A fairly large sinkhole is located at the north end
of the pasture which was once a small pond. Other small
sinkholes were observed at the south end of the pasture.
Four percolation tests were conducted, one on Lots 2, 5, 9 and 16
near the proposed building envelopes. The percolation rates
measured were between 20 and 60 minutes per inch. No free water
was encountered to the profile pit depth of 8 feet.
Based on our findings, the proposed residential development
should be feasible from a geologic viewpoint. Infiltration
septic disposal systems should be acceptable. The most
significant geologic feature is the potential for sinkhole
development, primarily within the lower part of the site where
residences are not proposed. The feasibility of pond
construction in the pasture area should be evaluated by
subsurface exploration. We also recommend subsurface exploration
for residential design on Lot 19 due to the potential for
sinkhole development. Potential geologic impacts in the middle
and upper parts of the site are relatively low.
Coyly re co/A y
n »*- ',4,,...0 l.c l7IIQ•.(.up
Ross Jeffrey
April 26, 1990
Page 2
Detailed results and recommendations for planning and preliminary
design of the subdivision will be presented under separate cover
when completed. If you have any questions regarding the
information provided, please call.
Sincerely,
CHEN - NORTHERN, INC.
Steven L. Pawlak, P.E.
SLP /lr
cc: High Countyy Engineering, Attn: Tim Beck
Land Design Partnership, Attn: Ron Liston
(
Ch en €Northern, I nc. ConsulIrIg B gle:0 , and Sc ie 4 515
5000 {toad 154
Glenwood Swings, Colorado 81601
303945.7458
303 945 2363 (30s mile
May 4, 1990
Ross Jeffery
2134 Lower River Road
Snuomass CO 81654
Subject: Percolation Test Results, Proposed Teller Springs Subdivision, County
Road 109, Garfield County, Colorado.
Job No. 4 338 90
Dear Mr. Jeffery:
As requested, (lien- Northern , Inc., conducted percolation testing at the subject
site. The tests were conducted in accordance with our agreement for geotechnical
engineering services letter to you, dated April 20, 1990.
The logs of the backhoe pit excavations and percolation test results are
presented on Tables I and II, respectively. The profile and percolation pits
were excavated on April 24 and the percolation tests were performed on April 25,
1990. The results indicate conventional infiltration. septic systems are
acceptable at the site. We recr mnend percolation tests be performed at each lot
as part of their design level development plans.
Results of the geologic reconnaissance will be sent to you under separate cover
when cwnpleted.
If you have any questions or if we can of further assistance, please let us
kncx4.
Sincerely,
CIIEN -NORTI ERN, INC.
By
Louis E. Eller, CEP
IRE/ec
Rev. By: SLP
Attachments
cc: High Country Engineering, Attn: Tim Beck
Land Design Partnership, Attn: Ron Liston
Job No. 4 338 90 (ABLE I Log of Percolation Profile Pits
Page 1 of 2
Datum Ground Surface Prepared By JR /C -N., Inc. Date 4 -24 -90
Excavation Equipment Be oe Reviewed By LEE /C -N., Inc. Date 5 -1 -90
Pit N0. 1 Elev Pit N0. 2 Elevation
Location Lot 2 Building Ar . Location Lot 5 Building Area
Depth, Ft. I Class. Desert. Materials Depth. Ft. Class. Description of Materials 0-1.5 OL Topsoil; sil >and, dry, 0 -1 OL Topsoil; silty sand, dry,
light brown. Light brown.
1.5 -7 CL Clay; silty, ightly sandy, 1 -3.5 CL Clay; silty, sandy, moist,
moist, light own. light brown.
7 -8 GC Gravel; cla sandy, 3.5 -8 GM Gravel; sandy, cobbles,
cobbles, mo light brown. slightly silty, moist, brown.
• I •
Bottom of P tt 8 feet. Bottom of Pit at 8 feet.
No free wat No free water.
)06No. 4 338 90 TABLE I Log of Percolation Profile Pits
Page 2 of 2
Datum Ground Surface Prepared By JB /C -N., Inc. Date 4 -24 -90
•.:cavation Equipment Backhoe Reviewed By LEE /C -N., Inc. Date 5 -1 -90
Pit No. 3 Elevation Pit No 4. Elevation
Location Lots 9 and 10, midway between Location Lot 16 Building Area
building areas
Depth. Ft. Class. Description or Materials Depth. Ft. Class. ( Description oI Materials
0 -1 OL Topsoil; silt, sandy, dry 0 -1.5 OL Topsoil; silt, sandy, dry,
light brown. light brown.
1 -3 CL Clay; sandy, slightly silty, 1 -8 GM Gravel, sandy, cobbles, very
moist, brown. silty, moist, light. brown.
3 -8 GM Gravel; sandy, cobbles,
slightly silty, moist, brown.
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Bottom of Pit at 8 feet. Bottom of Pit at 8 feet
No free water. No free water.
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TABLE 1I 4 338 90
PERCOLATION TEST RESULTS
4 -25 -90
LENGTH WATER DEPTH WATER DEPTH AVERAGE
HOLE OF AT START AT END DROP IN PERCOLATION
HOLE DEPTH INTERVAL OF INTERVAL OF INTERVAL WATER LEVEL RATE
N0. (In.) (Min.) (Inches) (Inches) (Inches) (Min. /Inch)
P -1 48 30 6 5 1
30 6 5 1/4 3/4
30 6 5 1/2 1/2
30 6 5 1/2 1/2
30 6 5 1/2 1/2 60/1
P -2 48 5 6 5 3/4 1/4
5 6 5 7/8 1/8
5 6 5 1/2 1/2
5 6 5 3/4 1/4
5 6 5 3/4 1/4
5 6 5 3/4 1/4
5 6 5 3/4 1/4
5 6 5 3/4 1/4 '
5 6 5 3/4 1/4
5 6 5 3/4 1/4 20/1
P -3 48 10 6 5 3/4 1/4
10 6 5 3/4 1/4
10 6 5 3/4 1/4
10 6 5 3/4 1/4
10 6 5 3/4 1/4
10 6 5 3/4 1/4
10 6 5 3/4 1/4
10 6 5 3/4 1/4 40/1
P -4 48 10 6 5 1/4 3/4
10 6 5 1/2 1/2
10 6 5 5/8 3/8
10 6 5 5/8 3/8
10 6 5 3/4 1/4
10 6 5 3/4 1/4
10 6 5 3/4 1/4
10 6 5 3/4 1/4 40/1
•
u• TELLER SPRINGS
6. LOT SETBACKS ARE: 25 FT. FRONT
25 FT. BACK
10 FT. SIDE
7. LAND USE SUMMARY:
EXISTING ZONE: AGRICULTURAL /RESIDENTIAL -RURAL DENSITY.
ROAD R.O.W. IS 1.953 ACRES MORE OR LESS.
OPEN SPACE IS 31.409 ACRES MORE OR LESS.
TOTAL LOTS IS 141.904 ACRES MORE OR LESS
TOTAL DEVELOPMENT IS 175.266 ACRES MORE OR LESS.
TOTAL NUMBER OF LOTS 21.
8. EASEMENT HOLDERS OF RECORD:
MOUNTAIN STATES TELEPHONE 6 TELEGRAPH COMPANY
931 14T11 STREET
DENVER, CO 80202
ROCKY MOUNTAIN NATURAL GAS CO.
2517 GRAND AVENUE
GLENWOOD SPRINGS, CO 81601
GARFIELD COUNTY (ROAD 109)
109 8T11 STREET
GLENWOOD SPRINGS, CO 81601
9. THE 60 FT. GAS, TELEPHONE AND WATER EASEMENT IS AN ENLARGEMENT OF AN EXISTING 50 FT. GAS EASEMENT.
ROCKY MOUNTAIN NATURAL GAS WILL ALLOW THE TELEPHONE AND WATER LINES TO PARALLEL THE EXISTING GAS
LINE, HOWEVER, THEY SHALL BE LOCATED ON TIIE EAST SIDE OF THE PIPELINE AND SWILL BE NO CLOSER THAN
15 FT. TO THE PIPELINE.
10. PRIOR TO ANY EXCAVATIONS„ ALL UTILITY COMPANIES SHALL BE NOTIFIED FOR A FIELD LOCATION OF THEIR
RESPECTIVE UTILITY.
11. 15 FT. UTILITY EASEMENT ON ALL LOT LINES AND EXTERIOR BOUNDARY LINES, 7.5 FT. EACH SIDE OF COMMON
LINES UNLESS OTHERWISE NOTED.
12. DEBRIS FLOW HAZARDS MAY EXIST ON LOTS 1, 2, 3, AND 4. STRUCTURAL HAZARD MITIGATION MEASURES ON
THESE LOTS STALL BE DESIGNED AND CERTIFIED BY A QUALIFIED ENGINEERING GEOLOGIST AND ALL IMPROVEMENTS
ON LOTS 1, 2, 3 AND 4 STALL BE CONSTRUCTED IN ACCORDANCE WITH SUCH MEASURES WHICH STALL BE A
CONDITION OF THE BUILDING PERMIT.
13. PRIOR TO ISSUANCE OF A BUILDING PERMIT, THE OWNER OF EACH LOT STALL PREPARE AND SUBMIT A SOILS AND
FOUNDATION REPORT FOR SUCH LOT AND THE I.S.D.S. TO BE INSTALLED AND A GRADING AND DRAINAGE PLAN
PREPARED AND CERTIFIED BY A PROFESSIONAL ENGINEER AND ALL IMPROVEMENTS STALL BE CONSTRUCTED IN
ACCORDANCE WITH SUCH MEASURES WHICH SHALL BE A CONDITION OF THE BUILDING PERMIT.
14. PRIOR TO THE ISSUANCE OF A BUILDING PERMIT FOR LOT 21 AND IN ADDITION TO TIIE REQUIREMENT OF PLAT
NOTE 2, THE OWNER SHALL SUBMIT FOUNDATION PLANS PREPARED AND CERTIFIED BY A PROFESSIONAL ENGINEER
BASED ON A SITE SPECIFIC SUBSURFACE STUDY, WHICH STALL ALSO ADDRESS TIIE GROUND WATER LEVEL,
FLOODPLAIN AND RISE OF FLOODING FROM THE ROBERTSON DITCHI AND ALL IMPROVEMENTS ON LOT 21 SHALL BE
CONSTRUCTED IN ACCORDANCE WITH SUCH MEASURES WIIICII SHALL BE A CONDITION OF THE BUILDING PERMIT.
15. THE RECOMMENDATIONS OF TIIE COLORADO STATE FORESTER AND U.S.F.S. WILDFIRE PREVENTION GUIDELINES SHALL
BE FOLLOWED IN THE CONSTRUCTION OF ALL STRUCTURES.
16. T11IS SUBDIVISION IS SUBJECT TO PRESCRIPTIVE EASEMENTS AND RIGHTS -OF -WAY FOR THE ROBERTSON DITCH AND
THE O'NEILL SPRING AND PIPELINE.
17. THE SUBDIVISION MAY EXPERIENCE ADVERSE NOISE, DUST AND TRAFFIC IMPACTS BY VIRTUE OF THE OPERATION
OF A GRAVEL PIT, AN ASPHALT BATCH PLANT AND A CONCRETE BATCH PLANT LOCATED IMMEDIATELY SOUTH OF TIIE
SUBDIVISION.
18. DATES OF SURVEY: MAY, 1990 AND JULY, 1991.
19. 20 FOOT DITCH EASEMENT ON LOTS 5 - 20, 10 FEET ON EACH SIDE OF TIIE CENTERLINE OF TIIE MAIN
IRRIGATION SUPPLY DITCH WIIICII RUNS APPROXIMATELY PARALLEL TO COUNTY ROAD 109 /ND TIIE GRAVEL PIT ROAD
WHICH WAS EXISTING IN PLACE AT THE TIME OF PLAT APPROVAL.
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May 4, 1993
To: Rodney and Donna Poland
As required by the Declaration of Covenants, Conditions,
Restrictions and Easements for Teller Springs Subdivision
Article 6, Section 6.7 the design committee has met to
review the proposed plans and specifications for improve-
ments to Lot 5 of the Teller Springs Subdivision.
After review the committee voted unanimously to approve
1. the plans and specifications as proposed.
Thank u for our cooperation.
R ss D. Jfery/
eller Sp ing omeowners Association Design Requirements
a Committee Chy rman
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