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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N_ 2 3 0 5 i
109 8th Street Suite 303 Assessor's Parcel No.
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
PROPERTY
Owner's Name James 6 Florence Adams Present Address 795 Meadows Road, Aspen, C Pnone _ 925 -3388
System Location 0181 Harmony Road, Carbondale
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
/j ) 7 ) Septic Tank Capacity (gallon) Other
•
(- n • Percolation Rate (minutes/inch) Number of Bedrooms (or other) 3
Required Absorption Area - See Attached
Special Setback Requirements:
Date Inspector ~ ! .i ` ' -Ai„ - •,_ t ,. ,r /(„ a. -,
• FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
ti, `h / /
Call for Inspection (24 hours notice) Before Covering Installation
f l 17 poN /N..)t'r c l r /}
System Installer BB S.
Septic Tank Capacity f U '"/ /� r / /- /7 £ , ky -,i ,r if .0' 1
i
Septic Tank Manufacturer or Trade Name / 0 0 c r #0: T / // "l q fildfria -to F'
Septic Tank Access within 8" of surface , - . r, l o -- f& Ws (C/ F / /.), - �•'
Absorption Area /N f / t. / '1 /7)0( 14.-/ /f° ( 0/44 - .cr
Absorption Area Type and /or Manufacturer or Trade Name V /'/ 0 P ✓"77 7 0 4 /77,//r . '
. Adequate compliance with County and State regulations /requirements j &"t / C- " T• /1(1 I ti roil/-'4 ri ;1'
'
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 1984.
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con- w
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. ,
P 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 (8500.00 fine —8
g months in jail or both).
Applicant: Green Copy Department: Pink Copy
Application
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION Approval by
t-- - -T County Official:
OWNER cl+MEa % . t Q•agMS qaS 338$
ADDRESS 145 t-vaboax. Ap • + +7 11 PHONE ' _
CONTRACTOR I»d ht 1s , RoAPa Sc eRCAI
BI,dri ts thw .
ADDRESS _ _ . . ! , `6 S` , & SS ,_. %ILS9PHONEg2"T 9/3I„
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 Cawkeu
Near what Ci ty of Town ARVrutaAt.E. Lot Size D.. tS ArQEc
Legal Description Le," # L, ""r t„z a ,,, SubcuIistr 3 tca flrUe. is`.,R`ISat1I
�N4 'A •S"
F. � — ' c'* & '44Awa 0 ti Ph) , l 1sR1 - 24%- Al£_, Q
WASTES TYPE: ('—) Dwelling ( ) Transient Use
( ) Commercial or Institutional ( ) Non- domestic Wastes
( ) Other - Describe
BUILDING OR SERVICE TYPE: I Suw cc
Number of bedrooms i .Rc Number of persons Two
(A—) Garbage grinder (v) Automatic washer (d) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: (k-1 well ( ) spring ( ) stream or creek
Give depth of all wells within 180 feet of system: NONE
If supplied by community water, give name or supplier: 1411\
GROUND CONDITIONS:
Depth to bedrock: cL Ac \o ct-
Depth to first Ground Water Table: 1 Le 5 eca"
Percent ground slope: `t ° I..
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 4 1&
Was an effort made to connect to community system? No
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 DISCIHARGED DIRECTLY INTO WATERS OF TFIE STATE? No
•
, 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.
Nance, 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 permttis'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 ��.�,;.a
��`, �"1 �Q4� Signed_=\
PLEASE DRAW AND ACCURATE MAP TO YOUR PROPERTY
1.
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discharge well beyond the limits of all backfill. Splash blocks or downspout extensions
should be provided at all discharge locations.
PERCOLATION TESTS
We performed percolation tests In three (3) holes (P -1, P -2 and P -3) at locations
shown on Figure 1. Our test results varied significantly from hole to hole. The bottom
of our percolation hole P -2 was bottomed in gravel. Based on the test results we suggest
the percolation field be designed at a percolation rate of 60 minutes per inch. Because
of the varied test results, we suggest we view the soils that occur at the bottom of the
percolation field to verify that our recommended percolation rate Is appropriate. Test data
are shown on Figures 6, 7 and 8.
LIMITATIONS
Our test holes were spaced to obtain a reasonably accurate picture of the
subsurface. Variations in the subsurface conditions not Indicated by our test holes will
occur. We should be informed if soils different than anticipated from this report are found
In the excavation.
Our report was based on conditions disclosed by our test holes, results of
laboratory testing, engineering analysis, and our experience. Criteria presented reflects
the proposed building as we understand It. We should be advised if the final design
differs from our assumptions to permit us to re- evaluate our conclusions.
This investigation was conducted In a manner consistent with the level of care and
skill ordinarily exercised by members of our profession currently practicing under similar
conditions in the locality of this project. No other warranty, express or implied, is made.
6
•
JOSEPH'S MEADOW SUBDIVISION
.CARFIELD COUNTY, COLORADO CATHERINE'S
STORE
ROAD C.R. 102
•
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Basalt.
moo
M�S !!WY
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Carbondale
VICINITY MAP
No Scale
C.P. 102
LEGEND:
TH -141 INDICATES TEST
HOLE LOCATION
P -1 • INDICATES PERCOLATION
HOLE LOCATION
UNDERGROUND BARN UNDER
WATER STORAGE CONSTRUCTION
TANK LOCATION
TH - 1•
BUILDING
ENVELOPE
•TH -2 P -I SCALE 1" = 200'
P -2•
P -3
LOT 1 LOT 2
LOT 3
Job No. GS 1291 LOCATIONS OF TEST HOLES Fig. 1
t
T if PERCOLATION TEST
1 SATURATION AND PREPARATION
DATE: 6/16/94
DATE: 6/15/94
WATER IN BORINGS AFTER 24 HOURS
TIME AT START OF SATURATION: 9t30AM LJYES [ HO .'
_ 4
I ( PERCOLATION TEST RESULTS
TIME AT TIME 'DEPTH TO WATER CHANGE PERCOLA
HOLE DEPTH START OF END OF IN WATER TION RATE
START OF INTERVAL INTERVAL INTERVAL
NUMBER (INCHES) INTERVAL (MINUTES) DEPTH (MIN /INCH)
(INCHES) (INCHES) (INCHES)
P-1 32 1:10 30 12.0 _ 13.0 1.0 30
1:40 30 13.0 13.5 0.5 60
—
2 :10 30 13.5 13.75 0.25 120
T 2140 30 13.75 14.0 0.25 120
3.10 30 14.0 14.25 0.25 120
_ t
3140 30 14.25 14.50 0.25 120
4:10
w — 1
JOB NO. GS -1291 FIG. 6
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° PERCOLATION TEST
SATURATION AND PREPARATION
DATE: 6/16/94
DATE: 6/15/94
WATER IN BORINGS AFTER 24 HOURS
(
TIME AT START OF SATURATION: 9:3OAM YES r
l a I t
PERCOLATION TEST RESULTS
I TIME AT TIME DEPTH TO WATER CHANGE PERGOLA —
HOLE DEPTH START OF END OF IN WATER TION RATE iI
START OF INTERVAL INTERVAL INTERVAL
NUMBER (INCHES) INTERVAL (MINUTES) DEPTH (MIN /INCH)
(INCHES) (INCHES) (INCHES)
--
13.5 17.5 4.0 7.5
I P -2 __22_______1110 30 -- I
I 1:40 30 17.5 21.0 3.5 8.6
2:10 30 21.0 23.0 2.0 15.0 { I
2:40 30 23.0 26.0 3.0 10.0 Y,
I
3:10 30 19.0 21.0 3.0 10.0
I t
,
3:40 30 21.0 24.0 3.0 10.0
1
4:10
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FIG.7
JOB NO. GS -1291
PERCOLATION TEST
SATUATION AND P REPARATION
DATE:
6/16/94
i. DATE R 6/15/94
WATER IN BORINGS AFTER 24 HOURS
T I M E A T START OF S A I U I I A T I O N : 9 t3OAM [ __]YES MHO
PERCOLATION TEST RESULTS
T IME AT TIME DEPTH TO WATER CHANGE PERCOLA
HOLE DEPTH START OF END OF
START OF INTERVAL IN WATER TION RATE
NUMBER (INCHES) INTERVAL (MINUTES) INTERVAL INTERVAL DEPTH (MIN /INCH)
(INCHES) (INCHES) (INCHES)
P -3 30 1110 __ ___ 30 __ 13.5 _ _ 14.5 1.00 30
1 _ _ _ 1:40 30 14_,Q_ 1_5_,(L._
0.50 60
_ _ _ _ 2110 30 15.00 15.25 0.25 120
_ 2:40 30 15.25 15.75 0.50 60 I;
li 3110 30 15.75 16.25 0.50 60 I'
?' __ _ _ _ 3:40 30 16.25_ 16.75 0.50 60
4110
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' JOB NO. GS -1291 FIG. $
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