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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N _ 2 2 6
109 8th Street Suite 303 Assessor's Parcel No.
Glenwood Springs,. Colorado 81601 k
Phone (303) 945-8212
This does not constitute $
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit. 1 0
PROPERTY
Summers Broomall 0082 Silveredo Dr., Basalt 927 -3658 11}
Owner's Name Present Address Phone_
System Location fr1 9 P 4— County Road 100, Carbondale
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN
Y
Septic Tank Capacity (gallon) Other 0
/ &I, ') Percolation Rate (minutes /inch) Number of Bedrooms (or other) 2
Required Absorption Area - See Attached
•
Special Setback Requirements:
Date_. "42 r7 _ e7 y Inspector / "-P�,.�. t l,4,a.r •�
I
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
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System m Installer_ -- r 1 " eirr"-) :. r
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CCAS dd
Septic Tank Capacity I J 0 D (/ 3
Septic Tank Manufacturer or Trade Name re e( » $ '
Septic Tank Access within 8" of surface )---" r 0
Absorption Area Z N -� , /� "''
S ) 1" F �,^�, r
Absorption Area Type and /or Manufacturer or Trade Name j2 6 C ti}�,,.- Cm' r t AZ Cr/
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Adequate compliance with County and State regulations /requirements
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Other
I 1 Date Jr.-.2 Inspector `+y - •-' -t nti
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS: 1 r
1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter p, ..
25, Article 10 C.R.S. 1973, Revised 1984. d i
2. This permit is valid only for connection to structures which have fully complied with County zoning and building requirements. Con - j. "
nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a 4. 1
requirement of the permit and cause for both legal action and revocation of the permit. t
3. Any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material y. � 7
variation from the terms or specifications contained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 y £
months in jail or both). i
Applicant: Green Copy Department: Pink Copy
'9 ./
Application
INDIVIDTJAI. SEWAGE DISPOSAI. SYSTEM APPT.ICATION Approval By
County Official
OWNER M EQ.S 'ors . '
ADDRESS 0082 C ,t_VE.QADn pR• k5AcT, Co - PHONE q27 -36 S k 0
ONTRACTOR 44.4 1-1-1 - C k IP Ac- LEtrVt,a
ADDRESS.Rok 1318 CARBaovaLt. CO PHONE - oii9
ERMIT REQUEST FOR: 04 New Installation ( ) Alteration ( ) Repair
Mach separate sheets or report showing entire area with respect to surrounding areas, topography of area,
abitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes
iee page 4).
OCATION OF PROPOSED FACILITY : County , GARPt&LG?
Tear what City or Town C- AAgoPJDAL6 Lot Size tl 1/4- Ac&6S
egal Description N W "4 S £ 1/4 S. +8 Os 7.87 W o6 &rn pm
VASTES TYPE : S) Dwelling () Transient Use
( ) Commercial or Institutional ( ) Non - domestic Wastes
( ) Other - Describe
SUILDING OR SERVICE TYPE: LO& {tor C
lumber of bedrooms a Number of persons a
$ Garbage grinder 90 Automatic Washer 9) Dishwasher
'.OI RCP. AND TYPE OF WATER SIMPLY: QO well () spring () stream or creek
live depth of all wells within 180 feet of system:
f supplied by community water, give name of supplier:
;ROI IND CONDITIONS:
)epth to bedrock: taowe V 1Si6t,L S 66 Pa la So ,Ls - r ct Pakjs
)epth to first Ground Water Table: Or)ti. vts i,e
'ercent ground slope: 6 % 4 ('t' c P.o uu 6o'
)ISTANCE TO NEAREST COMMUNITY SEWER SYSTEM _I - 8 t'^ -
Vas an effort made to connect to community system? N n
'YPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
00 Septic Tank ( ) Aeration Plant ( ) Vault
( ) Vault Privy ( ) Composting Toilet ( ) Recycling, potable use
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, other use
( ) Chemical Toilet ( ) Other - Describe:
?INAL DISPOSAL BY:
00 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? No
pi .OT PI AN AND DESIGN FEATI JARS
Include by measured distance location of wells, springs, potable water supply lines, cisterns, buildings,
property lines, subsoil drains, lake, water course, stream, dry gulch and show location of proposed system by
direction and distance from dwelling or other fixed reference object, and additional submissions in support
of this application such as data, plans, specifications statements and commitments.
;��
Pt_ AN Alt 1cM p
4
• : • . : • : (To be completed by Registered Professional Engineer)
,v1inutes 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. _
!me, address and telephone of RPE who made soil absorption tests: 14 -P G6orkaimicm- S c
1 4o KwyRa GwS CO. $/(,o
Eme, 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 purposes 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 adopted under Article 10, Title 25, C.R.S. 1973, as amended. The undersigned hereby
certifies that all statements 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. /�
Date S /9 - 9q Signed 6Z
PLEASE DRAW AN ACCI IRATE MAP TO YOI JR PROPERTY
HepworthPawlak Geotech TEL :303- 945 -8454 R•r 25 94 8 :27 No.001 P.01
200' set back line
■,%
\ \ \
\ Pitt
\ \l
I
• ' \ I
\
\ \
\ Proposed \ ' I \ I
N Residence 1
I 95
\ \ I (00
Leach Field
Area
P -1
N A -3
Pit 2 ■ o-^ Percolation kP
P -2 Holes (typ)
Approximate Scale
1 "
193 231 HEPWORTH PAWLAK
GEOTECHNICAL, Inc. Location of Exploratory Pits Fig. 1
HepiuorthPawlak Geotech TEL:303- 945 -8454 Apr, 25 94 8:28 No.001 P.02
HEPWORTH- PAWLAK GEOTECHNICAL, INC.
LOG OF EXPLORATORY PITS
Job No: 193 231
Datum: Ground Surface Preparod By: DEH /H -P Geotech, Inc. Date: 10/14/93
Reviewed By: SLP /H -P Geotech, Inc. Date: 11/19/93
Type /Size of Hole: Backhoe Pit
Pit No, 1 Elevation: 101 feet Pit No. 2 Elevation: 99 feet
Location: North side of Residence Location: Profile Pit Leach Field
Depth,Ft. Visual Description of Depth,Ft. Visual Description of
Class. Material Class. Materiel
0 - 1/2 OL root zone, silty sandy clay, 0 - 1/2 OL Root zone, silty sandy clay,
brown. brown.
1/2 - 8 1/2 CL clay; silty, slightly sandy to 1/2 - 8 CL clay; silty, slightly sandy to
sandy, stiff to very stiff, sandy, stiff to very stiff,
moist, brown, slightly moist, brown, slightly
calcaroous and porous. Calcareous.
8 1/2 - 11 CL clay; slightly sandy, silty, No Free Water
very stiff to hard, slightly
moist, light brown, Bottom of Pit @ 8 feet
moderately calcareous.
No Free Water
Bottom of Pit @ 11 feet
$ample$;
2 CL Hand Driven Liner
4 1/2 CL Hand Drivon Linor;
Disturbed bulk.
6 1/2 CL Hand Drivon Linor
9 CL Hand Driven Liner
Fig. 2
HepworthPawlak Geotech TEL :303- 945 -8454 Rpr 25 94 8 :29 No.001 P.03
n I I Moisture Content • 13.7 percent
Dry Unit Weight • 92 p0(
Ssmpwa silty sandy clay
U
From: Pit 1 @ 4 1/2 feet
D
bit
11' Compression
w l Upon Wetting
v)
' 3 . — e
1}
4 - •
g ., ,.0 10 :00
APPLIED PRESSURE — ksf
`•./ I Moisture Content • 16.0 percent
Dry Unit Weight • 95 pct
Sampieou slightly sandy
1 silty clay
From. Pit 1 @ 6 1/2 feet
1
0 2 Compress
N Wetting
1 ion
Upon Wet
IT 3 1 i
g
H 111
4 , I 1
5 ,
HI loo
., ,.0 1. APPLIED PRESSURE — ksf
193 231 HEPWORTH-PAWLAK I S
GEOTECHNICAL, Inc. l WELL-CONSOLIDATION TEST RESULTS i Fig. 3
HepworthPawlak Geotech TEL :303 -945 -8454 Rpr 25 94 8 :29 No.001 P.04
Moisture Content • 12.5 percent
Dry Unit Weight • 1 D3 pcf .
swim. of: slightly sandy silty
clay
■-,, From: Pit 1 @ 9 feet
1I II
1 1 __
Compression
IA `"'" -- Upon Wetting
2 .
N
1 I I II —. tJ 1 it _ _,
th
cu L) a
I 1
III I r
1 1 1
1HL II
I I I
I I I II I____. I I II I II I I I_
1111 1 111
___....
Mill 1 111 I I I
I I IIII I I 1 Ito 11 1
v.,...." U.1 1.0
APPLIED PRESSURE -- kst
F 193 23 HEPWORTH PAWLAK SWELL - CONSOLIDATION TEST RESULTS ri 4
GEOTECHNICAL, Inc. _____
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SO 'd 100 °N 02 :8 ,B SZ Jdu ,S,8 -S,6- 202 :131 gaaioae 4«Ieea 1.0,uomdaH
HepworthPawlak Geotech TEL:303- 945 -8454 Rpr 25 94 8 :30 No.001 P.06
HEPWORTH•PAWLAK QEOTECHNICAL, INC.
TABLE II
PERCOLATION TEST RESULTS JOB NO. 193 231
HOLE NO. HOLE DEPTH LENGTH OF WATER DEPTH WATER DEPTH DROP IN WATER AVERAGE
(Inches) INTERVAL (MIN) AT START OF AT END OF LEVEL (INCHES) PERCOLATION RATE
INTERVAL INTERVAL IMINJINCH)
(INCHES) (INCHES)
P -1 40 20 12 1/4 10 1/2 1 3/4
10 1/2 9 1/2 1
9 1/2 8 1/2 1
8 1/2 8 1/2
8 7 1/4 3/4
7 1/4 6 1/2 3/4 27
14-4 36 20 16 13 1/2 2 1/2
13 1/2 12 1/4 1 1/4
12 1/4 10 1/4 2
10 1/4 9 1/4 1
9 1/4 8 1/4 1
8 1/4 7 1/4 1 20
P -3 38 20 12 3/4 11 1/2 1 1/4
11 1/2 10 3/4 3/4
10 3/4 10 1/4 1/2
10 1/4 9 3/4 1/2
9 3/4 9 1/4 1/2
9 1/4 8 3/4 1/2 40
Note: Percolation taste were conducted 10/15/93 In 7" to 11" diameter auger holes that were
soaked on 10/14/93.
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