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Home My WebLink About02392 • , GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit` • N.. 2 3 9 2 109 8th '& eet Suite 303 Assessor's Parcel No. G� Glenwood Springs, Colorado ditJ Phone (303) 945 -8212 i t This does not constitute If INDIVIDUAL SEWAGE DISPOSAL PERMIT 1 a building or use permit. " 1: PROPERTY r Owner's Name Belinda Brownell Present Address 5372 CR 100. Gatrbondal Phone 963 -8683 : f System Location 5372 County Road. 100. ;Y • Legal Description of Assessor's Parcel No. i - ?' SYSTEM DESIGN l i t ;' Septic Tank Capacity (gallon) Other "' / Percolation Rate (minutes/1nch) ';,,umber. of Bedrooms (or other) q _ t A Required Absorption Area - See Attached r, , , i ' r ` ^ ! j 1 ., , ,- , 1 /, / it t; Special Setback Requirements: �' C ^r bI / r Date // / r / / `� Inspector } 7 ..r, 1 ( #( '.f. +l r - Al _, FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer /.*mow 74,,,A.pn C nw)67. 4 3 • Septic Tank Capacity Jig D Septic Tank Manufacturer or Trade Name aped -. .t( ■ Septic Tank Access within 8" of surface Y/CS {+ q q f3 0't Absorption Area d Q g k Absorption Area Type and /or Manufacturer or Trade Na me Lb r b 777, (7�a".S ,/ G �dC s • I >r Adequate compliance with County and State regulations /requirements 4 a 1 ( Other { h S ` �t T r Date 9- is S Inspector -� - $ 1 RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE M *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- 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 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 r months in jail or both). Applicant: Green Copy Department: Pink Copy ." JNDIVIDI JAi. SEWAGE D!SPOSAI. SYSTEM APPLICATION I� OWNER �\V1aCk- AQ l>ap l\ ADDRESS SSR - e (eo cdale- PHONE 9, 3 f&f CONTRACTOR QF.r CQ t ctir∎ ADDRESS MCInkfle f W PHONE W62 27J,2 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). Se Pk kC. 1 - r(' I I.00ATION OF PROPOSED FACILITY: COUNTY C9(J, r•l�`IGI Near what City or Town Cane n 00 Lot Legal Description WASTES TYPE: ( ) Dwelling ( ) Transient Use ( ) Commercial or Indus rial ( ) Non - domestic Wastes I_' ( ) Other - Describe -Alm I liC� iAl Y�G�,iN Online (Gr✓t✓in BUILDING OR SERVICE TYPE: Number of bedrooms: t7 Number of persons ( ) Garbage Grinder NO ( ) Automatic Washer NO ( ) Dishwasher n! 0 SOI IRCF AND TYPE OF WATER SI IPPLY: (t.)' WELL () SPRING ( ) STREAM OR CREEK Give depth of all wells within 180 feet of system: Ilene If supplied by communtiy water, give name of supplier: — GROI JND CONDITIONS: Depth to bedrock: Depth to first Ground Water Table: T Percent Ground Slope: '- ° % DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 7 Was an effort made to connect to community system? TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (j 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? /U0 PERCOLATION TEST RESI1iNS: (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: Ce4 ft.Ph Name, address and telephone of RPE responsible for design of the system: Applicant acknowledges that the completeness of the appliction 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 inusre compliance with , rules and regulations adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby certifies that all statements make, 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 bre relied on by the local department of health in evluating the same fro 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. r� e� Signed 1) .. JS !_h i . • Lo Date 2 3 " / J PLEASE DRAW AN ACCT IRATE MAP TO YOTJR PROPERTY • .4 HEPWORTH- PAWLAK GEOTECHNICAL, INC. 5020 Road 159 r Glenwood Springs, CO 81601 �'y -- September 14, 1995 Faz 970 p[9��(( 1� K►�p /7 • Phone {� F 5.7 e. /., ` 1 t i Belinda Brownell k `i. ' 1995 i , 5372 County Road 100 • •, R . t ; I i , : Y 4 Carbondale, Colorado 81623 . Job. No. 194 462 Subject: Percolation Testing, Near Existing Riding Arena, 5372 County Road 100, Garfield County, Colorado Dear Ms. Brownell: As requested by Joe Zamora, Hepworth - Pawlak Geotechnical performed percolation testing at the subject site on September 13, 1995. The findings of our work are presented in this report. A subsoil study for foundation excavation for the riding arena was performed and recommendations provided in a report dated October 26, 1994, Job. No 194 462. Three percolation test holes were excavated and soaked by others prior to our site visit. The percolation holes were dug with a 12 -inch diameter post hole digger to depths of 28 to 35 inches. The percolation holes were not cleaned out prior to performing the percolation tests. There was no profile hole in the percolation test area. The pits excavated as part of our previous study at the riding arena about 100 feet north of the percolation test holes showed sandy clay and silt down to the bottom of the pits, about 8 feet. No free water was observed in those pits. The results of percolation tests conducted at the site are presented in Table I. The percolation rates averaged about 40 minutes per inch. Based on our findings, the tested site is suitable for a conventional infiltration septic disposal system. If we can be of further assistance, please do not hesitate to call our office. Sincerely, HEPWORTH- PAWLAK COOdt INC. Daniel E. Har in, P. _= 24443 2 , t ,o: q�'y(9f J DEH /kmk s,� o r.. � `' ` attachment ''ayi,FSS%6NM. t3A \ te` cc: Garfield County Buil ent - Attn: Stella Joe Zamora 4‘ -. HEPWORTH- PAWLAK GEOTECHNICAL, INC. TABLE I . PERCOLATION TEST RESULTS JOB NO. 194 462 HOLE NO. HOLE DEPTH LENGTH OF WATER DEPTH WATER DEPTH DROP IN AVERAGE (INCHES) INTERVAL AT START OF AT END OF WATER PERCOLATION (MIN) INTERVAL INTERVAL LEVEL RATE (INCHES) (INCHES) (INCHES) (MIN. /INCH) P -1 28 10 10 1/2 10 1/4 1/4 101/4 10 1/4 10 9 3/4 1/4 • 9 3/4 9 1/2 1/4 9 1/2 9 1/2 9 8 3/4 1/4 40 8 3/4 8 1/2 1/4 P -2 32 10 10 1/4 9 3/4 1/2 9 3/4 9 1/2 1/4 9 1/2 9 1/2 9 8 1/2 1/2 8 1/2 8 1/4 1/4 8 1/4 8 1/4 40 8 7 3/4 1/4 P -3 35 10 11 1 /4 10 3/4 1/2 10 3/4 10 1/4 1/2 10 1/4 9 3/4 1/2 9 3/4 9 1/2 1/4 9 1/2 9 1/2 9 8 3/4 1/4 40 8 3/4 8 1/2 1/4 3 0 0 (r tV Wit. LA7-.