Loading...
HomeMy WebLinkAbout03152 1 111 ; • • ti , ' r s ` S , GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N2 31 2 t l i 109 8th Street Suite 303 Assessor's Parcel No. 1'! a i l Glenwood Springs, Colorado 81601 y 4, ! Phone (303) 945 -8212 . . • T his does not constitute ! ' t INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. i 4 i�' PROPERTY ■ + I t f chs � r Q �nM� , If, " Owner's Name / L b i i •� ii Present Address 1 `J , V was 1 idr) ,Phone 1 f'03 . 9 I 6 F ' 4 1 / I i. System Location ( lia0o en j ^ Legal Description of Assessor Parcel No. p + i; CePC h _ C AR � CSe.& nc 0 J G U M 1 11 ' i SYSTEM DESIGN C' ! i . Septic Tank Capacity (gallon) Other t A I , / / ( 1 ?.. 0 Percolation Rate (minutes /inch) Number of Bedrooms (or other) r ` il t. Required Absorp Area - See Attached 1 t� I • 1 r + 1 f Special SetbackI ,Requlrp n ,. SQL /r� �/ y 1 t Date [�L \ 1 1 �' N 0 Inspector ti;, 5+ C' FINAL SYSTEM INSPECTION AND APPROVAL (as installed) 1 1 Call for Inspection (24 hours notice) Before Covering Installation t a' r System Installer / c-/ s r L? t /3 c/ /4A /,4"t' t Septic Tank Capacity / 2 S r G _ 1 i, ; X < c ✓ l e/ Septic Tank Manufacturer or Trade Name � e F - e I I- .6 ' S i > Septic Tank Access within r of surface U Pc t / ; • Absorption Area - 3 ea Vh 4- S 1 n h to c/ a IJYII lt S /Do\ N x (/l'II fS t., //lie � a . r y J it X Nf'efI- -- 4( 1 /C /t / 0A' + Absorption Area Type end /or Manufacturer or Trade Neme r ( r� i, : 0n �. h Adequate compliance with County and State regulations/requirements 4i' , Other rick ;77. b A s0C, /e/ / Pr f o r / a i 0 L ti 4/JR ,t „it l tt 1, ✓ Date / ! / r/9 g Inspector l h 114 M C m Li A' E i 41. RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE t f *CONDITIONS: ,:': ' 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter 1 25, Article 10 C.R.S. 1973, Revised 1984. f? 2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con - rC i nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a ;i requirement of the permit and cause for both legal action and revocation of the permit. ' y 3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material 6 ? (? variation from the terms or specifications contained In the application of permit commits a Class I, Petty Offense ($500.00 fine — 6 F' months In Jail or both). 9 White - APPLICANT Yellow - DEPARTMENT • INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION 1 OWNER W ∎ � � ( Awi A - -t '' ADDRESS I / If' ©S ) A"C C4e7 I t /e- - PHONE X3 - 29 G t l tae, ( t& 7 r TS t CONTRACTOR 1 I ►'v1 ` `I � 2 ADDRESS ZOO 1-4A-12-(‘ Cr L. A11 t ' PHONE 7/ 3 -- 21 9 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: Near what City of Town Size of Lot 2 ' 002.- tic Legal Description or Address / ,T A . TO to c- / I WASTES TYPE: ( DWELLING ( ) TRANSIENT USE ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: Number of Bedrooms � Number of Persons V ( ) Gra G� finder (j<) Automatic Washer 9Q Dishwasher SOT TRCE AND TYPE OF WATER SUPPLY: eG- WELL ( ) SIR ING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: / / v 4- DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ?DolJt ■ i V2C Was an effort made to connect to the Community System? 1E5 A site plan is reuuired to be submitted that indicates the followine MINIMUM distances: Leach Field to Well: 100 feet A<( Septic Tank to Well: 50 feet Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: r- 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS: i Depth to first Ground Water Table 70'a Percent Ground Slope o • 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (IS- 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: tip ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION ( ) UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER - DESCRIBE 5a Pauh g WILL EFFLUENT BE DISCHARGED DIRECTLY Ee0 WATERS OF THE STATE? �0 . PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) ! / // r Re5u / 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 4o made soil absorption tests: GA kv■ 4 r Sc>0 Name, address and telephone of RPE responsible for design of the system: C9A -gn t n - 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. Signed �� Date C > PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 1 7 October 23, 1996 Mr. Bob Zanko 13 Lancelot Lane Hawthorne Woods, IL 60047 -8856 Subject: Percolation Test Results Lot A, Jowell Subdivision Garfield County, Colorado Job No. GS -2011 Gentlemen: As requested, we performed percolation tests at lot A, Jowell Subdivision in Garfield County. Percolation tests were performed by our registered professional engineer, Mr. John Mechling, P.E. This letter describes the soils penetrated by our profile and percolation borings and presents the results of our percolation tests. We drilled five (5) percolation borings to approximately 4 feet deep and one (1) profile boring to approximately 9 feet deep. Locations of our borings are shown on Figure 1. Our profile and percolation borings penetrated 0.5 feet of organic silty sands underlain by dense to very dense, silty to sandy gravels with cobbles and boulders to a maximum drilled depth of 9.0 feet. No free groundwater was found In our borings during our field investigation. Summary logs of the soils penetrated by our borings are shown on Figure 2. Results of our percolation tests are shown on Figure 3. We recommend a design percolation rate of 20 min /Inch. We appreciate the opportunity to work with you on this project. If you have questions, please call at your convenience. Very truly yours, CT V PS / . /bY • Wilson L. "Liv" Bowden iIr q P.rE: r.'. , ' .,.;; Engineering Geologist Branc, anager LB:JM:cd (3 copies sent) CTL /THOMPSON, INC. CONSULTING ENGINEERS 234 CENTER DRIVE • GLENWOOD SPRINGS. COLORADO 81601 • (970) 945 -28u9 LOT A, JOWELL SUBDIVISION To ^° 8 Highway 82 El Jebel , GARFIELD COUNTY, COLORADO g ° <° R SITE V ' Vicinity Map No Scale Ikehnity z Pin h e Road P -1 • • b • 04 Profile • P -4 •P -2 Cc P -S • 1 P -3 0 0 0 Scale: 1 " =00' LOCATION OF PERCOLATION BORINGS Job No. GS -2011 Fig. Profile P -1 P -2 — 0 _ 9 W — t a _5 j — 10 LEGEND: © Organic silty sands, loose, moist, dark brown. (OL) FA Gravels, silty to sandy with cobbles and boulders, dense to very dense, moist, brown. (GM,GP) Indicates auger refusal. Multiple symbols indicate more than one boring at the same location. SUMMARY LOGS OF Job No. GS - 2011 P -3 P -4 P -5 rm 0 — fee Fe; to 5 = o o 10 — NOTES: 1. Percolation borings were drilled on October 18, 1998 with a four inch diameter continuous flight power auger. 2. Free groundwater was not found in our percolation or profile borings during our field investigation. 3. These borings are subject to the explanations, limitations and conclusions as contained in this report. ERCOLATION BORINGS Fig. 2 , , SATURATION AND PREPARATION PERCOLATION TEST i DATE: 10/18/96 DATE: 10/22/96 TIME AT START OF SATURATION: 2:O0prn WATER IN BORING AFTER 24 HOURS ■ _ YES X NO � PERCOLATION TEST RESULTS DEPTH TO WATER HOLE DEPTH TIME AT TIME CHANGE PERCOLA- NUMBER (INCHES) START OF INTERVAL IN WATER TION RATE INTERVAL (MINUTES) START OF END OF DEPTH (MIN /INCH) INTERVAL INTERVAL (INCHES) (INCHES) (INCHES) P -1 39 11:35 30 24,5 25.5 1.0 30 12:05 30 25.5 27.0 1.5 20 12:35 30 27.0 28.5 1.5 20 1:05 30 28.5 30.5 2.0 15 P -2 45 11:35 30 19.0 21.5 2.5 12 12:05 30 21.5 24.0 2.5 12 12:35 30 24.0 26.0 2.0 15 1:05 30 26.0 28.0 2.0 15 P -3 38 11:35 30 20.0 24.5 4.5 7 12:05 30 24.5 27.5 3.0 10 12:35 30 27.5 30.0 2.5 15 1:05 30 30.0 33.0 3.0 10 P -4 40 11:35 30 22.0 25.0 3.0 10 12:05 30 25.0 27.0 2.0 15 12:35 30 27.0 30.0 3.0 10 1:05 30 30.0 33.0 3.0 10 P -5 42 11:35 30 22.5 24.0 1.5 20 12:05 30 24.0 25.0 1.0 30 12:35 30 25.0 28.0 3.0 10 1:05 30 28.0 30.5 2.5 15 Job No. GS -2011 Fig. 3