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HomeMy WebLinkAbout02238 r ..-..- i - f GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N. . 2 2 3 , v. - 109 8th Street Suite 303 Assessor's Parcel No. a Glenwood Springs, Colorado 81801 Phone (303) 945-8212 This does not constitulo ' INDIVIDUAL SEWAGE DISPOSAL PERMIT . a building or use permit.' PROPERTY Owner's Name Callen & Pamela Smith Present Address P.O Box 241 Snowfalls phone_ 927 -4216 4 System Location 0105 Cotton Hollow Lana, Lot 1, Carbondale Legal Description of Assessor's Parcel No. ' SYSTTEM DESIGN / re) Septic Tank Capacity (gallon) Other / 11/641 3 1 Percolation Rate (minutes/inch) Number of Bedrooms (or other) 2 p L 2 C , 7 D .2 1 = 2 ' /%o-c-9 + 1-. e cull g e.a..4 - - /-Z X S k'X 3' .S' ,, a Required Absorption Area - See Attached 4 a / 27 r - �. O - v .2 1 p. <.c.e..t4. Special Setback Requirements: /1) I Q' C � C'h'i 'x �� It Date a _ / 9 Inspector 49 0.-Q-- 4-4 FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer Rm .' nip i'tlftJ 9 049Sy,CPtZ2tl/tQ Septic Tank Capacity / ° SO Septic Tank Manufacturer or Trade Name w e4 rrwd — Septic Tank Access within 8" of surface 7) { t Absorption Area 4a 1 Q Absorption Area Type and /or Manufacturer or Trade Name 4/2/ q f G `D,rr USeg. 2 c /fci-C, • i 1 Adequate compliance with County and State regulations/requirements Other 9 q n Date 7 — v 7- 7 4 Inspector _. • s.- . t-» RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SIT' •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 — 8 months In jail or both). Applicant: Green Copy Department: Pink Copy • Application INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by County Official: OWNER 44/4/ 6. 9 /'. 77/eLA 17) s ADDRESS A o J O. �-5 /� ` i<fl GQ PHONE 7rfaij /�O' CONTRACTOR_ ADDRESS _ _ PHONE _ PERMIT REQUEST FOR: (X,) 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 Lest holes. (See page 4.) LOCATION OF PROPOSED FACILITY: County Q,C %EL/) Near what City of Town ernite M � EfC Lot Size lD / Legal Description L•ir WASTES TYPE: (K) Dwelling ( ) Transient Use ( ) Commercial or Institutional ( ) Non - domestic Wastes ( ) Other - Describe BUILDING OR SERVICE TYPE: Number of bedrooms • a Number of persons a.. OO Garbage grinder (x) Automatic washer (K) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (' / ) well ( ) spring ( ) stream or creek Give depth of all wells within 180 feet of system:__ ystem:_ __. If supplied by community water, give name or supplier:_A 1/44 GROUND CONDITIONS: Depth to bedrock: • Depth to first Ground Water Table: - _ ___ _ �_ Percent ground slope: _ DISTANCE 10 NEAREST COMMUNITY SEWER SYSTEM: 4)/,4 _ _— Was an effort made to connect to community system? 4 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: 06 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: (X) 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 1IIE STATE? 449, • Ilan , •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 Mo._ Name, address and telephone of P PE who made soil absorption tests:_ Name, address and telephone of RPE responsible for design of the system: Applicant acknowledges that the completeness of the applications is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be trade and furnished by the applicant or by the local health department for purposes of the evaluation of the application; and the issuance of the perMft,Is'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 trade, 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 fry knowledge and belief and are designed to be relied on by the local .departntent of health in evaluating the same for purposes of issuing the permit applied for herein. 1 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 c21-, Signed PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY • • • Page 3 - - -- - -- . . • r; • , — -----.... r- Soil Sample S 6-',2k4-:./ (6-A7) Test. No. 5j (CLATer) Pr o ject aretad H.. ,S6:v Voot s PR. ,Cc. Sample Location 7 a ty- '2..„ //: ..._ T eLyti by GRAVEL SAND arse 1 100 SILT TO CLAY _Co Fine Cc). 'Medium I Eine Nonplastic to Plastic _ , T - F - in ii I I 7 Ern 90.7 , i ,,_,, , L i.,!,__ . a NC 4 _ L , _ lb: _1 __ BO 1 11 1 IT ,!,, .if,T ,; 1 ,,, LL4_,L,Hr_-_, . re P II I Hi 1 11 r.11 ql! '4-4- " PI °II II . I ' Hil, i, ,, , 1 ,1 i, ■ 50 01111 IL_ 1 , - jil "ni t W ci. e :: 40 I pi i _.._ _ l ' - -41 HIL lid I I • M -1 . 30 '.. -.4. --J--i--2..- 444-11_ 1 Lk! I _i PIM I 1 1 i ; I i ...-. I 1 , I II _.._ ' i t ' MU , - I *' ' 1 : M- - . :: 1- 1 1---11-r ' -1-- I TH I ' I t-- 0 111111111111 --- I L di '1. I . .,.../...., ..._....ti. ........... 1 . 4...1.u....,.......L...J.,_ ! . no 1 1 .o II 1 0 , 1 1 Diameler-(nrir I 11/2" '34° . . p4 4t10 v2n 4 4t10) 41200- Sir.,ve No, Sieve Size % Passing Sample No. 5 0.1 Trir No. Specific Gravity 1" Moisture Content 1/2. 9' Effective Size 4 - 10 344- Cu 20_ 26,1t- 40 ag.../ . Cc 100 200 /35 Fineness Modulus -- .0200 71 / ci ti BEARING _ _psf Sulfmtes Pim ... . -- LINC0LN-DeVORE TESTING LABORATORY GRAIN SIZE ANALYSIS COLORADO SPR1NGS, COLORADO __ _ — e --- _ _44.44._. -.. 4.4___4 4_.. _44__4__4.- -- ---' - -- -- ._.- - - ---- SUMMARY SIIi_:1 Soil Somple__Z. !'AN C.G r (C4) Test I'io . „5 rw Locotianr & /4Y..Sv_6, Gr/EYA4_52* , n . Co. I;.:Iu //-/4-A3 77'''' Boring No. T77'''' 1 _ Depth � 3fy_ _'_$'_____ — Somple No. . So ii___Z 17.747_._/Vo...¢.___..__ Tesi Ty_.TQ.fl Natural Water Content (w)__.___.____.__` :, Specific Gravity (Gs)__ In Elute [tensity (r'o)__ _ _ -. pcf SIEVE ANALYSIS: T Sieve No. TO Passing PIucTic. limit P.L,_ 22, % Liquid Limit L. L.__ -_3_ I /2" - ------ -- -___- -- ___ Plasticity Index P.I. /3 •2 % 1 - _ ------ ---- _ /QQ.___..__. -- I Sill inkagc Limit_._ -% 3/4" ___94.2 - .__. -_.__- Flow Index _ 1 - _____�Z____.-.-__- Shrinkage ltotio_ _% 4 - 9_..0.-- -- -___ ... Volumetric Change % 10 ______- _9 8_ --_ - Lineal Shrinkage_ _% 20 .1P. -r 40 _- __ .-- 8642._ -_ _._.___ 1 100 __226._. 200 _ - 7.2,(1_. 1.iUISi DENSITY: ASTM METHOD ._ - 4444 __.__ r ,' lr.iorn Arbisture Content - wo ___% 1 ;,',.,Kimura Cary Density - ad___._- _ -_ -pcf ._ :fcr!-io Bearing Ratio (av)____-__. -% ✓ Swell :_____... __Days_ -- % ! HYDROMETER ANALYSE: S',n it againstizo_psf Wo gain /R.�% !! • I d; =93.e Pc.F r,/ / u.7 io • ▪ Grain size (mm) r ;i s ' - Ic f..AR I NG : 0. 02 �. 1'.• 0 __.. _.._ iiouv:;! Penetrometer (av� sf --p r 0.005 2} / - -... - - _ 1 Unconfined Compression (qu) psf ___ _ Note - ..__- -- -- Inr.he+s Settlement - - - -- _— Consolidation % under psf I'f.Rfv1EABILI fY: K (it 20 °C)- - -- void katiu . Sulfates ppm• SOIL ANALYSIS LINCOLN- DeVORE TESTING LABORATORY COLORADO SPRINGS COLORADO ' •' — I Job No.. LD _So53�_ TEST HOLE No• TFST _ply te 3 — re.S-T Pi T ELEVATION 5 of < or.77 LOT °• 2 — — ro2SoeL i? r- y >r — CLAYEY C-RAV6L�G[� - Tbf'so/L - ?"x __ - c gCL3ovLL;RS - DAR /C SR � kLi - :r o36 ^ D/ v. S 5/.47 CLAY W' Y L�AN CLAY (CO G % /7NGvLNR To SB, vo.vL: -,L.4' QW.c o° OGd, ORAVGL ® =1 B.9 . 5 C //P y MA *R /x — I@ O A t DRK ORv ' r, 5_ L /l.HrBA own, H. GL/ /io,s7LR6 CiASALT,c Rce ^O -9. j 5iLTY(rR?✓EL. (5M — -- 7 S. P. AST, c — - — 'bm.� ''ss I . Dov L DE Rs To 6o "D/ ' © e,2o.71R— o. N,G-N r,.,sreec__ - - I 7: a Re ['QS Ai oa NEt Ti" ' — — 8ocZoeRS . - — — 15 — - 15-- - —20 i -- 20— I T __ L 1 i —25 — - .1 — 25-1 -- _ _ _ I — —.30 — 301 -- w w _ —35 _ — 35 — — - z I -- — --40 - .!_ _ 40 -- a _. .- - .- ~ LINCOLN COLORADO: COLORADO SPRINGS , —1 DRILLING LOGS D DeVORE GRAND JUNCTION , PUEBLO, ENGINEERS• GLENWOOD SPRINGS GEOLOGISTS WYOMING: EVANSTON