HomeMy WebLinkAbout02759 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2759
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
Wayne Treadwell present Address Cherrywood Circle, phone 630 - 961 -1232
Naperville, ILL 60565
System Location 14 7 4 County Road 129, No Name, Glenwood Springs
Legal Description of Assessor's Parcel No.
r LC _ L cacti - f =reLL.1 6[7 +6.O(SP, > 7 S6
SYSTEM DESIGN 1 ( C 14 ANN 6C11S Ci Eb —3 L1 SY
tl
it Tmn- ENc 1 ; 1
g C c7 Septic Tank Capacity (gallon) Other 11
I r! G Mra
Percolation Rate (minutes/inch) Number of Bedrooms (or oth= 4
O✓t- Id' eFT' c pf A fx C5e,ty
Required Absorption Area - See Attached
( TVter
Special Setback Requirements: 'c�
G Fr /_1 PA f`2 'r
‘.2 Date — n ( -9 ') Inspector A Y ` t4v
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer_ \I es rot- /4 O oh ro (" r
Septic Tank Capacity i 2. S D
Septic Tank Manufacturer or Trade Name C o i9 t: L
Septic Tank Access within 8" of surface V C S
r
Absorption Area ( �� t S- 8 r i) CH AM a C/J / r`"� T 2 C
r- r N
Absorption Area Type and /or Manufacturer or Trade Name I F f T ti O J
Adequate compliance with County and State regulations /requirements Y CS
Other
Date l7 7 _ I a -9 r n
Inspector A
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.
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 1, Petty Offense ($500.00 fine — 6
months in )ail or both).
White - APPLICANT Yellow - DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER _ l ' f$%Ue- . __ 6^ e6'c coe7/
ADDRESS o to/A _ • . o/ i e/ y as PHONE ,3 ' &9?— ?9 /2.--
I
CONTRACTOR desir "id t ocir / fa f
ADDRESS C9. I'X 7i 3 5 d PHONE 9;3 - •;SY- 1 �o
PERMIT REQUEST FOR (KNEW 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 FFACILITY:
Near what City of Town /vd . 77 , frna Size of Lot - /IC/ PS
Legal Description or Address 4 /.ELvu-e6 Jkenir a/ J A-fine g
WASTES TYPE: a DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: c'.vs /e cvi 4
Number of Bedrooms __ 400ncs Number of Persons
( c) Garbage Grinder 04 Automatic Washer (k Dishwasher
SOIJRCE AND TYPE OF WATER SIJPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier: /l/ /l/x a.
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 2 /az-
Was an effort made to connect to the Community System? A
A site plan is required to be submitted that indicates the following MINIMUM distances:
Leach Field to Well: // 4./el7 100 feet
Septic Tank to Well: /Uo 50 feet
Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet
Septic System to Property Lines: 10 feet
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED
WITHOUT A SITE PLAN.
GROIJND CONDITIONS:
Depth to first Ground Water Table Sae 1 ' 'ej•"c 7 " '-& V,i / /C,'**
Percent Ground Slope SPe S /a /may '
2
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:
(k) 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? IVCJ
FERCOT.ATION TEST REST TITS: (To be completed by Registered Professional Engineer, if the Engineer does
the Percolation Test)
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 ooRPE who made soil absorption tests: ,/- no.4 -v - �i 4- fit-
•fl'. ,_.._` aS.. .r r 4 9 i I
Name, address and telephone of ' ' E responsible for design of the system: t rir i .._-1:....4
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 purposed 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
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 application and in legal action for perjury as provided by law.
r i � , -
Signed Date /�‘
PLEASE DRAW AN CCURATE MAP TO YOUR PROPERTY!!
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FEB-13 -1997 0648 FROM INTERACTIVE SVCS CHICAGO TO 197096306b9 I -%
Interactive Solutions Corporation
9 S412 F)odo a Rood Sidi A
Hinsdale, IL 60511
Fax Cover Sheet
DATE: 33A 7 TIME:
TO: 4 7Z/ Ava PHONE: C,
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FM: 7 — 96 3 - 066?
PROM: 4441 �.ad evict ZONE:
RE: SC- tr
Number of pages Including cover sheet
Massage
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r ' eoza Road 154 CO 51601
H voxra -Pwwt AK Gso r6cttNrrwi. INC. Glenwood Wass,
Fax 970 9634696
September 18.1996 Phalle 970 9654988
Wayne A. Treadwell
c/o Vicki Lee Green and Associa tes, Inc.
Attn: Mogli Fairbanks
930 Grand Avenue
Glenwood Springs, Colorado 81601 Job No. 196 380 -1
Subject: Results of Pcrcolaton Testing for Feasibility of Infiltration Septic System,
Parcel 2, Weaver Subdivision, No Name, Colorado.
Dear Ms. Fairbanks:
As requested, we determined the subsurface profile and performed percolation testing at
the subject site to evaluate the feasibility of an infiltration septic disposal system. The
work was conducted as verbally requested by you on September 9.1996.
A single family residence is planned on the parcel. A profile pit was excavated with a
backhoe near the designated
building area as shown on Fig. 1. Access was limited to the
tested area due to the thick vegetation.
The subsurface profile generally consisted of about 1 foot of topsoil overlying gravel,
cobbles and boulders in a silty sand matrix to the maximum depth explored of 8 feet. No
free water was encountered.
Percolation testing was performed in a shallow hole excavated adjacent the profile pit.
The results of percolation testing, presented in Table 1, indicate a percolation rate of 7
minutes per inch.
Based on the subsoil profile encountered, the percolation test results and our experience in
the area, an infiltration system for septic disposal should be feasible at the tested site. A
sand filter may be needed due to the relatively rapid percolation rate. Site specific testing
in accordance with Garfield County regulations should be made to design and size the
septic disposal system for the selected disposal area.
If you have any questions, or if we can be of further assistance. please contact our office.
Sincerely,
HEPWORTH- PAWLAK GEOTECHNICAL, INC.
t r 9Ta�
Steven L. Pawlak, • ; 152 2 2 i
SLP /ro ', , r' S syO NAI�.• • �
Atf . OF *p
attachments
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HEPWORTH - PAWLAK GEOTECHNICAL, INC.
TABLE 1
PERCOLATION TEST RESULTS JOB NO. 198 380 -1
HOLE NO. HOLE 0@T11 LENGTH OF WATER DEPTH WATER DEPTH DROP W4 AVERAGE
INCHES) INTERVAL AT START OF AT ENO OF WATER PERCOLATION
(MIN) INTERVAL INTERVAL LEVEL RATE
(INCHES) (INCHES) INCHES) IMIN.II NCH) ^
1 64 3(4 10 8 9/4 4 4 3/4
SINS 10114 8114 4
MIS 8114 8 114 2
nfhad 8 8 3/4 2 1/4
HANS 9 314 8 1/4 1 112
8 114 7 1 1/4
7 6 2
reined 81/2 83/4
Sled red 81/4 _ 7 1114
Note: Percolation hole was hand dug in the bottom of a backhoe pit and soaked on September
10, 1998. Percolation testing was conducted on September 11, 1996.
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