HomeMy WebLinkAbout02290 .-. -- i
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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit P_ 2 2 9 7 S t
109 8th Street Suite 303 Assessor's Parcel No.
Glenwood Springs, Colorado 81601
Phone (303) 945 -8212
F
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL. PERMIT a building or use permit.
PROPERTY • 1
Mark Von II/take 67 R8
gke 625 Walnut Ridge Rd, Heartland, WI 41 - 3-4
Owner's Name Present Address Phone_ 4
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System Location County Road 112, Hardy Hills, Parcel 1, Carbondale
Legal Description of Assessor's Parcel No g
SYSTEM DESIGN f
Septic Tank Capacity (gallon) Other t
Percolation Rate (minutes /inch) -
Number of Bedrooms (or other) 4
4
Required Absorption Area - See Attached
Special Setback Requirements:
Date Inspector
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FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer_ '
Septic Tank Capacity
i
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface
Absorption Area
il
Absorption Area Type and /or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements s
Other. i
1
, Date Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS: i 5
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- «1
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a 'k
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 S
variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 i,
months in jail or both). 5
Applicant: Green Copy Department: Pink Copy{
..
Application
INDIVIDTJAT. SEWAGE DISPOSAT , SYSTEM APPT.ICATION Approval By
1
� // I / County Official
OWNER MAO44 Vont - 6(C
ADDRESS 62-5 (A) Flt.Ntier (2- psis ve -. PHONE yiq 307 8b81 ' 60, a-9
CONTRACTOR -r a LP CCCoNS ` c, • ;, 01(05
ADDRESS Il.0aI Lout+ rLwv/._.p_ hp, SfTh.3Mk$S O PHONE lz3 - 06 i
PERMIT REQUEST FOR: Jj( 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 6A ex l £ LP
Near what City or Town C AMW t n P') Lot Size 3 5 9(M2
Legal Description 1- *29Y f{1LCS S0,6n i v /510
WASTES TYPE • )4 Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non - domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE:
Number of bedrooms - f- -- 6>Ug- Number of persons — n 0 L'
1 Garbage grinder Automatic Washer 4 Dishwasher
,SOTJRCE AND TYPE OF WATER STJPPT,Y: well () spring () stream or creek
Give depth of all wells within 180 feet of system: N�/1
If supplied by community water, give name of supplier:
CTROT JND CONDITIONS:
Depth to bedrock:
Depth to first Ground Water Table: 2)1
Percent ground slope:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEML_1 Iti i c, CS
Was an effort made to connect to community system? N'
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?
SOT!, PERCOLATION TEST RESIJT,TS: (To be completed by Registered Professional Engineer)
Minutes I "6 per inch in hole No.-1 Minutes 1 per inch in Hole No,‘ a
Minutes 7 per inch in hole No./ 7 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; t1 1 l D 1 Kv D
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 permit 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 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 ap • lication and in legal
action for perjury as provided by law.
Date 5-31 —917 Signed � % 9 / r
.iotJ EfACKT_
PLEASE DRAW AN ACM JRATE MAP TO YOT JR PROPERTY
•
CheneNorthern,InL. Cr, S 4 En
• • • 5080 Road 154
a. Glenwood Springs Colorado 8160'
February 23, 1994 303945.7458 303 7 `Y 7(
303 945 -2363 Facspmee
Mr. Mark von Hagke
625 Walnut Ridge Drive, Suite 101
Heartland WI 53029
Subject: Percolation Testing, Proposed Residence, 35 Acre Parcel, County Road 112,
Garfield County, Colorado
Job No. 4 191 94
Dear Mr. von Hagke:
As requested, we have performed percolation testing at the subject site. The work was done in
accordance with our agreement for geotechnical engineering services with you dated February
11, 1994.
Percolation testing was performed at two sites on the subject property at the locations shown on
Fig. 1. One 4 -inch diameter profile boring and 3 or 4 6 -inch diameter percolation test borings
. were drilled at each site. The logs of the borings are shown graphically on Fig. 2. The subsoils
encountered in the profile borings consist of silty clay and sandy clay with varying gravel
content to the full depth of exploration, 10 feet. A large boulder or displaced block of sandstone
was encountered in Boring 5. Groundwater was not encoutnered in the borings at the time of
drilling.
•
The percolation testing was performed in three pre - soaked borings at each site. The results of
the percolation tests are presented on Table I (north site) and Table II (south site). The
percolation rates vary from 7 to 13 minutes per inch at the north site and from 12 to 21 minutes
per inch at the south site. These percolation rates are suitable for a conventional infiltration
septic disposal system.
If you have any questions or if we can be of further assistance, please contact our office.
Sincerely,
op CHEN -NO HERt AS R E G � S ti' r
2830
co
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• €50/ �W n CS C� C 0`J f j
2 23 ' o� 5
Thomas L. Allen, 'y / /iilll0
lliti\E��
FEB 281994 I'
Rev. By: FRC 11
TLA /Ir
Attachments
cc: Carol Dopkin
A member d McIHna] group of comparocs
PROPERTY BOUNDARIES
NOT TO SCALE
BORING 5 •
BORING 9 • • BORING 7
• B.M. BORING 7
BORING 6 • BORING 8 ASSUMED
ELEV. 100.0'
PARCEL 1
•
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pQ
I 2'
1
GATE
,` e .
O�
BORING 3 •
BORING 4 • •
BORING 1 • \•Sp B.M. BORING 1
BORING 2 \t/p ASSUMED
ELEV. 100.0'
4 191 94 I Chen0Northern,Inc LOCATION OF EXPLORATORY BORINGS FIg. 1
. 1333 - 1-1.1d30 N
1 1 1 1 I 1 I 1 I 1 1 1 I 1 I 1 1 1 I 11 1 1 1 1
. O YI O H N N Si
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1333 - H1d30 °
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J FGEND
Topsoil; Silty Cloy with gravel, moist, dark brown.
CLAY (CL); Silty with gravel, moist, dark brown.
CLAY (CL); Sandy with gravel, moist, dark brown.
Weathered Sandstone Bedrock or large sandstone boulder, hard,
slightly moist, brown.
NOTES
1. Exploratory borings were drilled on February 15, 1994 with o 6 —inch
diameter continuous flight power auger.
2. Locations of exploratory borings were measured approximately by pacing
from features shown on the site plan provided.
3. Elevations of exploratory borings were measured by hand level and
refer to the benchmark on Fig. 1
4. The exploratory boring locations and elevations should be considered
accurate only to the degree implied by the method used.
5. The lines between materials shown on the exploratory boring logs represent
the approximate boundaries between material types and the transitions may
be gradual.
6. Ground water was not encountered in the borings at the time of drilling.
4 191 94 Chen0Northern,Inc 1 LEGEND AND NOTES Fig. 3
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11AY 31 '94 09 :40RM MCFLYNN & PICKETT P• 0 4 • ...m•.. .•.+niww►.l�•w.�L• :� eV 4 f i •o or ' .1 ' i 1)ti it Wow ' re.
1 & M PUMP COMPAN Y post -It" brand fax transmittal memo 7671
pse •t+ nova :es
q..rownoo en imaa. CO e:een _ y ��
,30319454150 Q 7
August 17. 1991
rotor Welly
720 E. Durant St.
Aspen, Co. 81611
Attn: Peter.
A four hour well teat vas performed by J & M Pump Co.
on the property located on Missouri Heights. Th following
information was obtained:
Well: S00'
Water Level: 212' (begining of test)
214' (end of test)
Sustained Yeild: 15 GPM (production greater than
15 gpm)
Hardness: 18 Grains
Iron 0 PPM
PH: 7.0
A rebate of 150.00 is offered by J & M Pump Co.
providing the system be installed by this company. If
you have any questions, please feel free to call 945 -6159.
Thank You.
J & M PUMP CO.
-. ke /g
Lic. Wo 1196
MAY-31-1994 09:36 303 925 2442 _ P.01 _.
MAY 31 '94 09: 401111 MCFLYNN & PICKETT P.2
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7.t II ii WI II'.
I' irVATOAMOLES T['r `I0If°
•19.4e4/1// �/ rrl/I'r / I r 0 000n 1 f if
P.O. DON 1059
DASALT, COLORADO 8162f
927 -4182 Invoice l C -511
Name Pater Kelley Date D7/23/91
_
c/o - --� Pereti t ! 15„7 „�.....
Ar{d.renn. 'T. 1 u.pt.Y_Pilig r 7�ocation Crys. t a l_ppi' jt -.. . .
city. st. zip ..CeI)on aim, _C'a... 1,l6
Phone t ,( 303 } -9663
i! ;In S .;--- - 17;pth lYpq Casing lD Coming OD Pea+ -T. Perforated Ft _60 _ •__
Estimated GPM
____9_,_0 - �_3 �1e . ___ —4_ 5 l • p 0 -3Q _ 15' •
6 300 VC 5.0 $ �0- 30.Q__ Static Level 73Q�_...
Total Drilled _3.00____,
Recommended Pump Set Depth . 290 ft. pi aping -„ 15 gple .
For pump installation ve recommend : J & if Pump Co. 945 -6159 (Rick Rolub)
Special Instructions :
Price Par Foot : 300 Feet 0 $ 27.00 Pet Poot a t 8100.00
Feet p 8 Per Foot e 8
Total • • , . - • . .9 8100.00
Conditions of payment If paid by 8/3/91 deduct 95 p/f pay Total 8 660000
• VD strongly recommend a valid peep test be conducted by a licensed pump
installer to deternite the actual well production end rater quality. This
should establish the actual well parameters which ee cannot determine
while drilling.
on Konitorinaiobservetlon toles (test holes( It le the customer's reeponslbllity to obtain the proper
r "rnit boinrn the veil in put to beneficial use (within 1 yenrl or the Stetn way rsquirn the hole to 1'-
plvdoed end ehendannd, We will be happy to •nslst you whenever ponelbtw In tilling nut thn epptnprintn
wn11 nrIalentlmt.
Thd lendovnnr In 'ltlantely rnnpanelbin for the plugging and abnedonlnq of dry hales nt rnpineed
unite. err..nMlnn rn ntntn rnInn end regulntlona. Plnnne neatect u■ int detetly and /nr prIMn
•
AU zns dye.ntI t �oa1_+1e1 iD rdavtl of 41MialiStte_ Teas
prior _o ataseaenta. ntn.sade_ L1 - 62 hnnff 1i eg t+. ge ■ter aenth atz bt-
added__1.5.. days spa Lire t bi 1 Ling -
?loose call us if you have arty cuesticns.
MAY -31 -1994. 09:37 303 925 2442 P.02
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