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Home My WebLink About02635 b .4 GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2535 109 8th Street Suite 303 Assessor's Parcel No. Glenwood Springs, Colorado 81601 Phone (303) 945 -8212 This does not constitute INDIVIDUAL SEWAGE DISPOSAL. PERMIT a building or use permit. PROPERTY Owner's Name Don Whilldin Present Address 1106 Parkwood Lane, D.S. phone 928-9356 System Location 1094 Los Amigos Drive, Los Amigos, Lot 25, Glenwood Springs/ Legal Description of Assessor's Parcel No. SYSTEM DESIGN _42.56 Septic Tank Capacity (gallon) Other Percolation Rate (minutes /inch) Number of Bedrooms (or other) 3 Required Absorption Area - See Attached Special Setback Requirements: Date Inspector. FINAL SYSTEM INSPECTION AND APPROVAL (as installed) Call for Inspection (24 hours notice) Before Covering Installation System Installer k i ap ary gq prri.✓ ( 740 nti r C Septic Tank Capacity__Z.._e Septic Tank Manufacturer or Trade Name en Septic Tank Access within 8" of surface y ES Absorption Area "444-- >-( . • Absorption Area Type and /or Manufacturer or Trade Name 5 4 . 4 T , 4y/ ? 47GZa jO U N/ j-‘ Adequate compliance with County and State regulations /requirements Other Dat /0_A- Inspector hirer RETAIN WITH RECEIPT RECORDS AT CON TRUCTION SITE •CONDITIONS: 1. All installation must comply with all requirements 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 dwelling or structures not approved 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 specif ications 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 _ - INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER DflY1 k 7k1kkthn ADDRESS O - . an. . • � bk PHONE • • CONTRACTOR b l 4 ADDRESS ) 5142 �3f S PHONE ?J4 S' i 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 pr in test 11919 (See page 4). LOCATION OF PROPOSED FACILITY• ^^ COUNTY 0...P dC Near what City or Town es to Ltd t5() ct c Size of Lot c R 'r A n Legal Description or Address C A (4S� S -A-it t ∎5o S WASTES TYPE: (Yr DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: (S iQ 5Li> Number of Bedrooms Number of Persons cA "} ( 4 Grinder ( 4Automatic Washer ( Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRING ( ) STREAM OR CREEK Give depth of all wells within 180 feet of system: ^ If supplied by Community Water, give name of supplier 1-0,`" -t ^ T't r \ \S 0. S GROUND CONDITIONS; Depth to bedrock: Depth to first Ground Water Table Percent Ground Slope DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: Was an effort made to connect to community system? ( ) YES ( ) NO 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: (v<siBSORPTION 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? IVO 2 'PERCOLATION OLATION TEST RESULTS; (To be completed by Registered Professional Engineer) Minutes per inch in hole No. I Minutes per inch in hole No. 3 Minutes per inch in hole No. 2 Minutes per inch in bole 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 finished by the applicant or by the local health department for proposes 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. /� ...1l lb/ Date 4 —/ - I Signe t�_I� / PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 4 • HEPWORTH- PAWLAK GEOTECHNICAL, INC. 5020 Road 154 1 Glenwood Springs, CO 81601 May 16, 1994 Fax 303 945 -8454 Phone 303 945 -7988 Don Whilden 1910 Aspen Lane El Cajon, California 92019 Job No. 194 170 • Subject: Percolation Test, Lot 25, Los Amigos, Garfield County, Colorado. Dear Mr. Whilden: As requested, a percolation test was conducted at the subject site. The test holes and profile pit were excavated with a backhoe on April 30, 1994 at the approximate locations shown on Fig. 1. Practical refusal to digging on large boulders was encountered at 6 feet. The profile pit log is presented on Fig. 2. The percolation test results are presented in Table I. Based on our exploration and testing, the site should be suitable for a conventional infiltration septic disposal system. The system should be based in the upper soils encountered to a 5 foot depth. Additional profile pits may be desirable to verify adequate depth of suitable soils below the system. If you have any questions or need further assistance please call our office. Sincerely, HEPWORTH - PAWLAK GEOTECHNICAL, INC. Steven L. Pawlak, P E 1 ` 2- 2 2 ° x! SLP /ro f y y Attachments Not to Scale P -2 Lot 24 P -t p • Profile Pit P -3 Lot 25 Lot 26 Lot 20 194 170 HEPWORTH PAWLAK I Location of Percolation Holes I Fig. 1 t3EOTECHNICAL, Inc. • HEPWORTH- PAWLAK GEOTECHNICAL, INC. LOG OF EXPLORATORY PIT Job No: 194 170 Datum: Ground Surface Prepared By: LEE, H -P Geotech, Inc. Date: 04/30/94 Reviewed By: SLP, H -P Geotech, Inc. Date: 05/16/94 Type /Size of Hole: Backhoe • Pit No: Profile Location: Leach Field Area Center of Lot Behind Dead Tree Depth,Ft. Visual Description of Depth,Ft. Visual Description of Class. Material Class. Material 0 - 3/4 OL Topsoil; organic sandy silt. 3/4 - 5 ML -GM Silt and Gravel: sandy, stiff, slightly moist, light brown, calcareous. 5 - 6 GM Gravel, Cobbles and Boulders: sandy silt matrix, dense, slightly moist, light brown, calcareous. Bottom of Pit @ 6 feet Practical refusal to digging with 416 Cat rubber tired backhoe at 6 feet. No free water. Fig. 2 i HEPWORTH - PAWLAK GEOTECHNICAL, INC. TABLE I PERCOLATION TEST RESULTS JOB NO. 194 170 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 50 15 13 11 2 11 10 1 10 8 1/2 1 1/2 8 1/2 7 1/2 1 7 1/2 6 1/4 1 1/4 6 1/4 4 3/4 1 1/2 refill 121/2 101/2 2 101/2 91/2 1 12 P -2 52 15 13 11 1/2 1 1/2 11 1/2 10 1/2 1 10 1/2 9 1 1/2 9 7 3/4 1 1/4 7 3/4 6 1/2 1 1/4 6 1/2 5 1 1/2 refill 12 9 3/4 2 1/4 9 3/4 8 1/2 1 1/4 11 P -3 47 15 10 1/2 8 1/2 2 8 1/2 7 1 1/2 7 5 2 refill 101/2 81/2 2 8 7 1/4 1 1/4 7 1/4 5 1/2 1 3/4 5 1/2 3 1/2 2 1 1/7 2 1/4 1 1/4 10 Note: Percolation holes were soaked on May 12 and the tests run on May 13, 1994.