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HomeMy WebLinkAboutApplication- PermitGARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 112 313 8 Assessor's Parcel No. 109 8th Street Suite 303 Glenwood Springs, Colorado 81801 Phone (303) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY �( Owner's Name K( J tnel System Location peps/ Legal Description of Assessor's P Present Address (%SSReey KZ/49e. 5uhei. CCea(e Cd This does not constitute a building or use permit. Phone gh 3— OVC7 cel No. SYSTEM DESIGN f 0 00 Septic Tank Capacity (gallon) Other Percolation Rate (minutes/inch) Number of Bedrooms (or other) (5-e.41 Required Absorption Area - See Attached mite f �T !i ATa 1 1 N A 6 e d =•4I�'tR c --eq_ '(H 3+P etc c 1`41i„.v. Special Setback Requirements: Date Inspector FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Can for Inspection (24 hours notice) Before Covering Installation System installer a Z.- Septic Tank Capacity Bbb Septic Tank Manufacturer or Trade Name / 000 Septic Tank Access within 8" of surface 04- 4n4 Absorption Area ' r /11 Adequate compliance with County and State regulations/requirem r n/ ' \40.747 Absorption Area Type and/or Manufacturer or Trade Name Other Date *CONDITIONS: 1. All installation must comply with all requirements of the Colorado Stale 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 complieel with County zoning and building requirements. Con- nection to or use with any dwelling or structures not approvyed 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 (6500.00 fine — 6 months in Jail or both). Inspector ETAIN WITH RECEIPT RECORDS AT CON TRUCTION SITE White - APPLICANT Yellow - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER .11 V-'� -Zu , ADDRESS 76 v-9-7, L rap'G CONTRACTOR V-- 3 CO►`)ST( GT I taP =NL - ADDRESS 11q LUG) -=ib %Lri . PERMIT REQUEST FOR PHONE %�� - 0/407 PHONE I %G I 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 aA�� a /1b Size of Lgt 3 a . Legal Description or Address 4, I i 1 .Q1�► Ut ii 6:161J WASTES TYPE: 94. DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER - DESCRIBE Fay" BUILDING OR SERVICE TYPE: 1►J 6\--L' Fay" J 1r I Number of Bedrooms 3 `1/4C. L 'C1-0'1 () " Garbage Grinder (4 Automatic Washer SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL If supplied by Community Water, give name of supplier: Number of Persons (g) Dishwasher ( ) SPRING ( ) STREAM OR CREEK H DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to the Community System? A site nlan 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. GROUND CONDITIONS: Depth to first Ground Water Table PA Percent Ground Slope /2 cd 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: ( ) 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? iJ 0 PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) P.* m K 4D e / ' / M' N / N J3 My, CJS. P) G e C, Minutes `4/0 _per inch in hole No, 1 Minutes 3t) per inch in hole NO. 3 Minutes 3 C> per inch in hole No. 2 Ivfinutes per inch in hole NO. Name, addr ss and telephone af RPE who made soil abso tion 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 misrepresentatio y result in the denial of the application or revocation of any permit granted based upon said application and ' , gal action for perjury as provided by law. Signed PLEASE D ACCURATE MAP TO YOUR PROPERTY!! 3 Huhwolrrlt-PAWLAl( GEOTECHNICAL, INC. December 9, 1998 Jim Jenkins 76 Surrey Street Carbondale, Colorado 81623 51)20 (toad 154 Clcnw indl Springs, CO 81601 Fair 970 945-8454 I'hunc 970 945-7988 Job No. 198 776 Subject: Subsoil Study for Foundation Design and Percolation Test, Proposed Residence, Lot 4, Hawkridge Subdivision, Deer Path Road, Garfield County, Colorado Dear Mr. Jenkins: As requested, Hepworth-Pawlak Geotechnical, Inc. performed a subsoil study and percolation test for foundation and septic disposal designs at the subject site. The study was conducted in accordance with our agreement for geotechnical engineering services to you dated November 3, 1998. The data obtained and our recommendations based on the proposed construction and subsurface conditions encountered are presented in this report. Proposed Construction: The proposed residence will be a one story wood frame structure over a walkout basement level located on the site as shown on Fig. 1. Ground floors will be slab -on -grade. Cut depths are expected to range up to about 8 feet. Foundation loadings for this type of construction are assumed to be relatively light and typical of the proposed type of construction. The septic disposal system is proposed to be located about 140 feet downhill to the west of the proposed residence. If building conditions or foundation loadings are significantly different froin those described above, we should be notified to re-evaluate the recommendations presented in this report. Site Conditions: The site is located in a previous irrigated field and was vacant at the time of our field work. The ground surface in the building arca slopes strongly down to the southwest at grades between about 10% and 15%. There is about 10 to 12 feet of elevation difference across the building site and 20 to 25 feet across the lot. Abandoned irrigation ditches cross on the property. The lot is vegetated with grass and weeds. Pinon trees and oakbrush are on the ridge to the east. Subsurface Conditions: The subsurface conditions at the site were evaluated by excavating two exploratory pits in the building area and one profile pit in the septic disposal area at the approximate locations shown on Fig. 1. The logs of the pits are Jim Jenkins December 9, 1998 Page 4 Proctor density in landscape areas. Free -draining wall backfill should be capped with about 2 feet of the.on-site clayey soils to reduce surface water infiltration. 2 3) The ground surface surrounding the exterior of the building should be sloped to drain away from the foundation in all directions. We recommend a minimum slope of 12 inches in the first 10 feet in unpaved areas and a minimum slope of 3 inches in the first 10 feet in pavement and walkway areas. 4) Roof downspouts and drains should discharge well beyond the limits of all backfill. 5) Landscaping which requires regular heavy irrigation should be located at least 10 feet from the building. Percolation Testing: Percolation tests were conducted on November 24, 1998 to evaluate the feasibility of an infiltration septic disposal system at the site. One profile pit and three percolation holes were dug at the locations shown on Fig. 1. The test holes (nominal 12 inch diameter by 12 inch deep) were hand dug at the bottom of shallow backhoe pits and were soaked with water one day prior to testing. The holes were covered with rigid foam insulation to protect against freezing overnight. The soils exposed in the percolation holes are similar to those exposed in the Profile Pit shown on Fig. 2 and consist of about 1 foot of topsoil and 2 feet of stiff sandy clay overlying clayey sand with scattered gravel and cobbles to the pit depth, of 8 feet. The percolation test results are presented in Table 1I. The percolation test results indicate an infiltration rate between 30 and 40 minutes per inch with an ave of 33 minutes per inch. Based on the subsurface conditions encountered and the percolation test results, the tested area should be suitable for a conventional infiltration septic disposal system. Limitations: This study has been conducted in accordance with generally accepted geotechnical engineering principles and practices in this area at this time. We make no warranty either expressed or implied. The conclusions and reconunendations submitted in this report are based upon the data obtained from the exploratory pits excavated at the locations indicated on Fig. 1, the proposed type of construction and our,experience in the area. Our findings include interpolation and extrapolation of the subsurface conditions identified at the exploratory pits and variations in the subsurface conditions may not become evident until excavation is performed. If conditions encountered H -P GEOTECH HEPWORTH-PAWLAK GEOTECHNICAL, INC. TABLE II PERCOLATION TEST RESULTS JOB NO. 198 776 WATER DEPTH AT START OF INTERVAL (INCHES) WATER DEPTH AT END OF INTERVAL (INCHES) 1998. The pits average pd rsoaked rates were based on19 the 9. NOTE: Per colation teat moles were hand dug in the bottom of backhoe pits and soaked on November 23, 199 Pscolation fasts were performed on November . last two readings of each test.