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Permit N:'. 3704
I -T --'f · . 109 8th Street Suite 303 AaseHor'a Parcel No.
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f ~. 7GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
J / j Glenwood SprlnQ•• Colorado 81601 · -----------~ ···I j Phona (3!)'3) 945·8212
f INDIVIDUAL SEWAGE DISPOSAL PERMIT i PROPERTY
f Owner's Name-1.;,,.4'-.l;.!.L.L,_..t,J:!,lL~~--Present Address.P • Q.~
This does not constitute
a building or use permit.
System Location __ _J~f'.iS~~~~'[-~~~~~~~d~~~~rfJ_ ________________ _ :,
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Legal Description of Assessor's Parcel No.--------------------------------
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SYSTEM DESIGN '· \ \
_____ Septic Tank Capacity (gallon) ______ ,Other
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_____ Percolation Rate (minutes/inch) Number of Bedrooms (or other) ____ _
I Required Absorption Area • See Attached
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Special Setback Requirements: ;} iJ. )
Date Inspector ftjJ/l0()6() r;;y eKJe:i/AIEt~7l. 111-1~ oz.~ • •
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FINAL SYSTBM INSPECTION A~D'APP~OVAL (as Installed) [ e>IJ~f( CJ/!) 81fe fr OF /J/111J5 t
Call for Inspection (24 hours notice) Before Covering Installation.
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System Installer __________________________ ~-----------
Septic Tank Capacity ____________________________________ _
Septic Tank Manufacturer or Trade Name--------------------'-------------
Septic Tank Access within 8" o,.sUrface ~----------------------------
Absorption Area----------'-----------------------------
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Absorption Area Type and/or Manufacturer or Trade Name------------------------
Adequate compliance with County and State regulations/requirements ___ _,__ _______________ _
0th••---------------'--------------------------~
Date /-& · 0 :1 Inspector ___,,L:::.LJ..i,G,_/) _ _,,,/i"-'--"a"'-/.,..('f-'--','--------------
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
•CONDITIONS:
1. All Installation must comply wltfl'llllfequlrements 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 dwelllng or structures not approved by the Building and Zoning office shall automatlcally 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 -6
months In jail or both).
White. APPLICANT Yellow' DEPARTMENT
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER j)/)f<.£,0 E OLSON
PHONE s:J.<.j-0230 ADDRESS J/2J SUJe5wr-...1er u L<IT 8
CONTRACTOR_,.0~(..()<>=J.J=e~te.~-----------------------
ADDRESS _______________ ~ PHONE ________ _
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:
NearwhatCityofTown (ree!rfielc! SizeofLot l/,:?'f A<...
Legal Description or Address /12/ SIAJeeftvc._-/er t<.cJ. LoT J3
WASTES TYPE: ()q. DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER-DESCRIBE _______________ _
BUILDING OR SERVICE TYPE:~..S ........ (~E_D~li..)~t,.~l-(_i"-_'.:?'~--------------
Number of Bedrooms Number of Persons _.2...,.._ ____ _
t>c:'.) Garbage Grinder ( ) Automatic Washer J>4 Dishwasher
SQURCE AND TYPE OF WATER SUPPLY: ~WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:_,AJ~· A.......,_.-------------
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:~N"'-''!.J.A..i..:·---------
Was an effort made to connect to the Community System?~.._,_..!.------------
A site plan is required to be submitted that indicates the following MINIMUM distances:
Leach Field to Well: I 00 feet
Septic Tank to Well: SO feet
Leach Field to Irrigation Ditches, Stream or Water Course: SO 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 ______________________ _
Percent Ground Slope __________________________ _
2
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TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(;4 SEPTIC TANK ( ) AERATION PLANT ( ) VAULT
( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POT ABLE USE
( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE
( ) CHEMICAL TOILET ( ) OTHER -DESCRIBE
FINAL DISPOSAL BY:
('><) ABSORPTION TRENCH, BED OR PIT ( ) EV APOTRANSPIRATION
( ) UNDERGROUND DISPERSAL ( ) SAND FILTER
( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OTHER -DESCRIBE
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ______ _
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, ifthe Engineer does the
Percolation Test)
Minutes /3 per inch in hole No. I Minutes _i~(~(J ____ p,er inch in hole NO. 3
Minutes 'it per inch in hole No. 2 Minutes er inch in hole NO.
Name, address and telephone ofRPE who made soil absorption tests: H. e (s-eoTec..\,,.Nkc. (, rJJ<... >
N~e, address and telephone ofRPE responsible for design of the system: L. fs,? £N&11 ),/ee,•\'46, IkC·
.6. M Z.X-37 u~rd.s! (C) ?lt3'L 9ZtJ 9U-W>WY'
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 d.J~ ';/ ~
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Date 6--Dl/-02.
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
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Olson
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PARCEL 3
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9?05240230
APPROXIMATE SCALE
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------.._ I "-, 7310
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7290 - -" ' I ~~~~~/-.L~' ' ..... ...
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7300 ,--.._ .._ -' ---....... -......... ' ' ......... ' ' '-.. P2 --.. ' ' ...... ..__ ' ' ...... 6 ...... ' , ....._ PIT 1 , ,
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199 486
..__ ..__ p 3 ' ..__ ...... p \ ' ..... .... ~ ..... ' ' '~ ...... _ ...... ' ' --7290 ------>=------=..-->---/
HEPWORTH -PAWLAK
GEOTECHNICAL, INC.
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.._ i;--30' STREAM ._ <. ._ SETBACK LINE
LOCATION OF EXPLORATORY PIT
AND PERCOLATION TEST HOLES
Fig. 1
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PIT 1
ELEV. = 7298"
0 0
-" " "-+4=74
5
I -200=5 -J 5
..c -D.
" 0
10 10
LEGEND:
NOTES:
TOPSOIL; slightly clayey silty send with grovel and cobbles. organics, medium dense. dork brown.
GRAVEL. COBBLES. AND BOULDERS(GP-GM); in a silty sand matrix, medium dense to dense,
grayish brown, boulders up ta about 3 feet in size, subangulor to subrounded rock.
Disturbed bulk sample.
1. The exploratory pit was excavated on June 22, 1999 with a backhoe.
2. Location of the explorotory pit was measured approximately by pacing from features shown on the
site plan provided.
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3. Elevation of the exploratory pit was obtained by interpolation between contours on the site pion provided.
Log is drown to depth.
4. The exploratory pit location and elevation should be considered accurate only to the degree
implied by the method used.
5. The lines between materials shown on the exploratory pit log represent the approximate
boundaries between material types end transitions may be gradual.
6. No free water was encountered in the pit ot the time of excavating.
Fluctuations In water level may occur with time.
7. Laboratory Testing Results:
+4 = Percent retained on the No. 4 sieve
-200 = Percent passing No. 200 sieve
199 486
HEPWORTH -PAWLAK
GEOTECHNICAL, INC. LOG OF EXPLORATORY PIT Fig. 2
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I nwt READINGS 1
2~ HR. 7 HR
ol!I MIN. 15 MIN. 60 MIN.1SI a,llN. 4 MN, 1 Mlfll. flOO
100
70
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U.S. STANOAAO SERIES
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70
90
100
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.001 .oos .<109 ,010 .037 ,07.t .150 .:xx: .eoo 1. 1 e 2.Ja "· 1s &.!.12_5 19.0 J7.S 76.2 152 20J
199 486
127
DIAMETER OF PARTICLES IN MILLIMETERS
a..AY TO SILT fl Ni !coA& I I COOOl.£S
GRAVEL 74 % SAND 21
LIQUID LIMIT %
SAMPLE OF: Slightly Silty Sandy Grovel
with Cobbles
7. SILT AND CLAY 5
PLASTICITY INDEX 7.
FROM: Pit 1 at 3 thru 5 Feet
HEPWORTH -PAWLAK
GEOTECHNICAL. INC.
GRADATION TEST RESULTS
7.
Fig. 3
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HOLE NO. HOLE DEPTH
(INCHES I
P·1 75
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P·2 48
p.3 46
Olson 9705240230 p.5
HEPWORTH-PAWLAK GEOTECHNICAL, INC.
TABLE I
PERCOLATION TEST RESULTS
LENGTH OF WATER DEPTH WATER
INTERVAL AT START OF DEPTH AT
(MIN) INTERVAL ENO OF
(INCHES) INTERVAL
(INCHES}
5 10 6 112
6 1/2 5
5 4
4 3
water added 10 114 8 114
B 1/4 7 314
7 3/4 7 1/4
7 114 6 314
6 3/4 6 112
6 112 G
5 9 112 8
8 7 114
7 114 6 112
6 112 G
6 5 1/4
water added 9 8 1/2
s 1/2 7 314
7 314 1
7 G 1/2
6 112 5 314
5 8 112 8
8 7 114
7 1/4 7 114
7 114 7
7 7
7 6 3/4
6 3/4 6 314
6 314 6 112
G 1/2 G 112
6 112 6 114
JOB NO 199 486
DROP IN AVERAGE
WATER PERCOLATION
LEVEL RATE
(INCHES) (MIN.llNCHl
3 112
1 112
1
1
2
1/2
112
112
114
1 /2 13
1 1/2
314
314
1/2
314
112
314
3/4
112
314 8
112
3/4
0
314
0
1/4
0
1/4
0
1/4 40
NOTE: Percolation test holes were dug In the bottom of backhoe pits end soaked on June 22, 1999. The test holes were r1so11ked on June
23, 1999. The percolation test1 were conducted on June 24, 1999, The average percolation rate was based on the last two readings
of each test. lhere was topsoil to 44" deep In P·J.
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10:43 9709269089 LKP ENGINEERING INC PAGE 02/02
Engineering, Inc.
CIVILIGEOTI!CHNICAL
October l, 2002
Mr. Daren E. Olson
P.O. Box 3398
Eagle, CO 8163 l
RJ:: Inspection of Septic System Installation
Lot 2, Olson Exemption Plat
I J 21 B Sweetwater Road
Garfield County, Colorado
Project No. 02066-ISDS Permit No. 84-22
Dear Daren;
At your request, on July 30, 2002, we visited the construction site on Lot 2, Olson Exemption
Plat, 112\B Sweetwater Road, Garfield County, Colorado. The purpose of our site visit was to
inspect the installation of the septic system.
They installed the system in overall compliance with the septic system design, Drawing No.
02066SD.DWG, dated May 24, 2002. They installed a 1000-gallon, two compartments, a precast,
concrete septic tank. A cleanout was installed between the house and the septic tank.
TI1irty, Standard Infiltrator Chambers were .installed in a bed configuration with 5 rows of 6
infiltrators. The infiltrators were connected with serial distribution. Jn the last infiltrator of each row,
inspection ports were installed. The effluent line was SDRJ5 PVC
111e ditch was enclosed in a 18-iuch culven. The detention (landscaping) po.nd wilt J\OI be
constructed.
If you have a11y questions, please do not hesitate 10 call.
cc: Garfield County Building and Sanitation Department, fax: 970-384-3470
C:IWPIO·LKP\02066051.wpd