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Home My WebLink About03027 ,. k ir l ) „ U r ' "'a. GARFIELD COU BUILD AND SANITATION DEPARTMENT Permit N2 3 0 2 7 # , ■ )' • 109 0th Street Suite 303 Assessor's Parcel No, a , Glenwood Springs, Colorado 81601 d ; 4 z Phone (303) 945-8212 i l K T his does not constitute 1 O. INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. f E PROPERTY ei It • Owner's Name *I J s " , `r h r' ` r t 'resent Address � •" . 69K I g t, O lY 5 & &y O % _ 05��, f { i t '' t V System Location aaq(I oil' AJct ► tie L4 n-e 6 W5 co Ss I b o J ' • , a t ��aN K �1PSa H l; �� 9 tot Legal Description of Assessor's Parc& No. " ; 4 a 1 r . 4 1 i SYSTEM DESIGN ` d 4w ++ t 4,2 7O Septic Tank Capacity (gallon) Other ; r 1 / r Ant / ` p1 .,., y . Percolation Rate (minutes/inch) Number of Bedrooms (or other) ; y r s1 I. , Required Absorption Area - See Attached -) ; ' yr y , r i • k Special Setback Requirements: t�, .. i ) r C F Date 7- /c- 7,V Inspector /I ` P. P o fP r 2 i c .a J P. ,, 4 y M f y y FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation • • ( - ". System Installer --TON y SA/e Pn14A , a 7^ i Septid Tank Capacity /2 •s6 r+; :4 4 Sept Manufacturer or Trade Name Q 07 � d ; Septic Tank Access within 8" of surface Of 5 • f kt 1 Absorp Area ' J2 1 i l ' ±' /1. 42 VA, in .I )UF /tTRw7 ®Rs f . Absorption Area Type and /or Manufactu o T rade Name 7 r f • Adequate compliance with County and State regulations/requirements j't: $ • • e 4i Other '4 Date f f - on °41 Inspector „......441 00.11 r't t F I R ETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE 0 ` , i *CONDITIONS: lx i 1. All installation must comply with all requ of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter t 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- • I, nection to or use with any dwelling or structures not approved by the Building and Zoning office shiall automatically be a violation or a it requirement of the permit and cause for both legal action and revocation of the permit. \ 1 c L' 3. Any person whb constructs, alters, or Installs an individual sewage disposal system in a manner which Involves a knowing and material t , i variation from the terms or specifications contained In the application of permit commits a Class 1, Petty Offense (5500.00 fine — 8 b months in )ail or both). a ,!. ?, White APPLICANT Yellow - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION • • OWNER 3 oQ SAW Al ,474 -Sri( ADDRESS A, � x /o€1-0 (rD leil -tea- PHONE ?Z- Dy CONTRACTOR oWe7c 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 test holes (See page 4). LOCATION OF PROPOSRD FACILITY; Near what City of Town l / €- ..wn-.,A St.?,-/ te 5 Size of Lot / . ti sc ,z. s Legal Description or Address raac // O/A //mn 64e. WASTES TYPE: (A) DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: Number of Bedrooms Number of Persons ,J (x) Garbage Grinder (X) Automatic Washer (9 Dishwasher SOT TRCE ANT) TYPE. OF WATER SI TPPI .Y: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: G a--sr .R 4 /a 1 5 01 DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: sezv:« Was an effort made to connect to the Community System? sio A site plan is required to be submitted that indicates the following MINIMUM distances:. Leach Field to Well: 100 feet Septic Tank to Well: 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, ORO' IND CONDITIONS; Depth to first Ground Water Table Percent Ground Slope 2 . TYPET)F INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (A) 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: V.) 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? do pERCO! .ATION TEST RESIJI.TS (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 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 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. Signe. Date Fr070 PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 H S3Ecc. 2 GS( OGMct - L C A o'-61 - P (cc 1� SE PT le- TANK 12 S d GAL. FAIN. O 2oCK- LG -Ack- (=POLO I 098/ao°/ o 1 31y a c- eAcK- CHAM - acpp z 4 2_ VNlTs-'-- 79G Ta C/.fCaES . 3S UNITS --• Gs- b% � 6'� l p G c a tt c g :: „,. :L . T ..„, �_°�z//e� 3 / C4 3 emen - (*15/ c. 4 cfrohnes 7a194 1 •A% d e/erases hzo. �4MI O / 497 <.. -' 3 d' \ I • . - ' / 98 I all � 11 E�0sS i I L. MG- tdse et. / 457 3 / / , 701,5 � � \ ft" ' I p b ob ' \ , _it p v, v g / \ / h H..,_ nt n':a d?a.m.% /s 4t o Co 00 LAv :Ov+ E /IAis 6.Lmt4f*%to!h >. riwmk 4.1/ .s.-,..+7-..c., 64`'cva'Ad. E4ra1�[wrs �,r /. ycf ■ CO arr ' / e HEPWORTH- PAWLAK GEOTECHNICAL, INC. 5020 Road 154 Glenwood Springs, CO 81601 August 31, 1998 Fax 970 945 -8454 Phone 970 945 -7988 John Hassel P.O. Box 1081 Glenwood Springs, Colorado 81602 Job No. 198 464 Subject: Percolation Testing, Lot 53, Westbank Mesa, Garfield County, Colorado. Dear Mr. Hassel: As requested by you, Hepworth - Pawlak Geotechnical, Inc. performed percolation testing at the subject site. The work was done in addition to our agreement for professional services to you, dated July 6, 1998. We previously provided a subsoil study for foundation design at the site in a report dated July 15, 1998 under Job No. 198 464. A profile pit and percolation test pits were excavated on August 26, 1998 at the locations shown on Fig. 1. The soils exposed in the profile pit consisted of about 1' feet of topsoil overlying slightly silty sandy gravel with cobbles to the bottom depth of 8 feet. No free water was observed in the pit and the soils were slightly moist to moist. Percolation test holes (nominal 12 inch diameter by 12 inch deep) were hand dug and soaked with water by Mr. Hassel on August 26, 1998. Percolation testing was performed on August 27, 1998. The test results are presented on Table I. Based on the subsurface conditions encountered and the percolation test results, the tested area should be suitable for a conventional infiltration septic disposal system. If you have any questions or require further assistance, please call our office. Sincerely, HEPWORTH-PAWLAK GEOTECHNICAL, INC. G Louis E Eller ��r n� 0 amok, . Rev. by: DEH 4 , ° 44 2 2 v • LEE /ro �.•• 9 i 4, attachments 4i ,N/ONrtt NOT TO SCALE NP� 11'4E- O� n 4- 610' P 3 LOT 52 9 , P 2 • PROFILE PIT 14' 16' 10' A P 1 X LOT 24 LOT 53 LOT BOUNDARIES OPEN SPACE HEPWORTH - PAWLAK 198 464 I GEOTECHNICAL, INC. I PEERCO HO RATORY PIT AND I Fig. 1 • . HEPWORTH- PAWLAK GEOTECHNICAL, INC. TABLE I PERCOLATION TEST RESULTS JOB NO. 198 464 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 44 15 61/2 51/4 11/4 51/4 41/4 1 water added 7 1/2 6 1/2 1 6 1/2 5 3/4 3/4 5 3/4 4 3/4 1 water added 7 6 1/4 3/4 6 1/4 5 1/2 3/4 5 1/2 4 3/4 3/4 20 P -2 52 15 8 61/2 11/2 water added 8 6 2 water added 10 9 1 9 8 1 8 7 1/4 3/4 71/4 61/4 1 6 1/4 5 1/2 3/4 5 1/2 4 3/4 3/4 18 P -3 47 15 6 4 1/2 1 1/2 water added 7 5 1/2 1 1/2 water added 7 1/4 6 1 1/4 6 5 1/4 3/4 51/4 41/2 3/4 water added 7 1/4 6 1/4 1 6 1/4 5 1/2 3/4 51/2 5 1/2 . Note: Average percolation rate is based on the last three readings of each test.