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• GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit 2 9 4 O
109 8th Street Suite 303 Assessor's Parcel No.
Glenwood Springs', Colorado 81801
Phone (303) 945-8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
PROPERTY p .1 A A.
Owner's Namev idol ekok le Sv L( t\ sent Address /3 5 Snow bunny Lane P one nja S
System Location R 5 5 Wooden . L e e R Rd . C Ail boncQale Cm • W6 A3
V
Legal Description of Assessor's Parcel No. GUAM s beeVC StAhr . Lilt
SYSTEM DESIGN
Septic Tank Capacity (gallon) Other •
fl
)e a `' 3
/ '" A 44 S Percolation Rake (minutes , ,,1, 4,3 ber_of Be , rooms (or other) , p
/44,4, 2 c�nt(M, 1�{ir...'""'`A C if , j „ Y t— g c ow l . 'f' 0 7p 0 .,, , .d { - �'f cl -eo. n. <,
Required Absorption Area - !! / / S e e Attached e i u/ r I( ,) 0 _ / / 1.9•41 5 = / / 3 if � 0 � ' r o c K 4- L e Ac H 8 a d
% 3
t210- �r� NS P /= o' .f.T tfl
N F/L4 Dms flw Di H es
Special Setback Requirements: V r H ,e S 4)n f 3 4 Z'" F' A r R A a R (�,, t
S f M ' G t" d
Date 4' 2 Inspector �7 1}l2t: 1 2 —14' . , - r ` -_ _ - _'
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
jr; r4 t...
1
System Installer
Septic Tank Capacity I 2 S 0
v ✓' C C
Septic Tank Manufacturer or Trade Name 1 ! j
Septic Tank Access within 8"/ 6 of surface V t : 6 �7'��
Absorption Area > (N (l f ■r f 1 5 rt. w 3 0 r ,I 6 -
Absorption Area Type and /or Manufacturer or Trade Name 1 I r f L i. n A r 0 K S
Adequate compliaricswith County and State regulations/requirements
Y65- ,
Other
Date 1 — 1 Q ( y Inspector A .- ,_rC
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION 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 Cully complied with County zoning and building requirements. Con-
nection to or use with any.dwelli ng 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 specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine — 6
months in (ail or both).
•
White - APPLICANT Yellow - DEPARTMENT
Feb -11 -98 1O:28A Stella Archuleta 970- 945 -7765 P..
I :
JP"' IS SEWAAGEE DISPOSAL SYSTEM APPLICATION
OWNER �aiIPS d c�ir !/G e / SP
—
ADDRESS /,305 swam y LM-e- PHONE 9a5' 753°
CONTRACTOR d e- ` — --
ADDRESS 5-.-t--a-- PHONE
PERMIT REQUEST FOR y) 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)
Near what City of Town 6-7, � J ._.. _ _maize ofls?t �.
Legal Description or Address I € S do oik n car � zi .
WASTES TYPE: 70 DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
O
BUILDING OR SERVICE TYPE: R rla t e4 OR E $m 7 t.$ fl se –e �I
Number of Bedrooms 3 Number of Persons oc
(o Garbage Grinder 00 Automatic Washer $ Dishwasher
$OIJRCE AND TYPE OF WATER SIMPLY. ( ) WELL ( / ) SP G ( STRE OR CREEK
If supplied by Community Water, give name of supplier: t4c4i .r /.0:/‘-- _ ,Cyr
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 1 navj✓ 5
Was an effort made to connect to the Community System?
I I 1 , 1 1 1 1 1a r 1 1' 11 I' 1 II I! u ►. 1 M distances:
Leach Field to Well: 100 feet
Septic Tank to Well: 50 feet
Leach Field to Irrigation Ditches, Stream or Water Coarse: 50 feet
Septic System to Property Lines: 10 feet
YOUR INDIVHDUTAE, SEWAG.F DISPOSAL. SYSTEM PERMIT Wi1,1. NOT RE ISSIJED
WITHOUT A SITE PLAN,
GROIN') CONDITIONS:
Depth to first Ground Water Table . 4' o<vV - ___
Percent Ground Slope = _ (A+t. i r S •
2
Feb -11 -98 10 :29A Stella Archuleta 970- 945 -7785 P.10
J
• TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
($) 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
(X) UNDERGROUND DISPERSAL ( ) SAND FILTER
( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND
( ) OTHER - DESCRIBE
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? I/O
PRRCOLAT101y TEST RESLII.TS• ( b ed by g}stered Professi a jr, if the Engineer does
the Percolation Test) .7E tar * /t/ , c
Minutes per inch in hole No. I Minutes per inch in hole NO. 3
Minutes per inch in hole No. 2 Minutes_ A . r inch in hole NO.
Name dress and / tel hone of RPE who made soil absorption tests: ti . - . -/ r _ - s * 1
, -
dZ 'a aa� arts 4 715 e 6t
Name, address and telephone,o(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 misrepresentation may result in the denial of'the application or revocation of any
permit granted based upon said ap lication d in legal action for perjury as piovided by law.
Signed 1 Date - 1/ 7 1)
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!'
3
Febr11 -98 1O:29A Stella Archuleta 970 -945 -7785 P.11
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I PAWLAK GEOTECHNICAL, INC. 5020 Road 154
Glenwood Springs, CO 81601
4 • Fax 970 945 -8454
April 3, 1998 Phone 970 945 -7988
Chuck Vidal
c/o Real Estate Affiliates
P.O. Box 3159
Aspen, Colorado 81612 Job No. 198 207
Subject: Percolation Testing, Proposed Residence, Lot 4, Wooden Deer, Garfield
County, Colorado
Dear Mr. Vidal:
As requested, we conducted percolation testing at the subject site to evaluate the
feasibility of an infiltration septic disposal system. The work was done as requested by
Bill Dorais on March 23, 1998.
A profile pit and three shallow percolation pits that had been dug with a backhoe were
observed on March 23, 1998. Due to snow melt runoff, the percolation tests could not
be started until April 1. Percolation test holes were hand dug (about 1 foot deep by 1
foot in diameter) at the bottom of the shallow percolation pits. The test holes were
soaked and protected from freezing with insulation overnight. The subsoils observed in
the profile pit and percolation pits consist of about 1 foot of topsoil overlying basalt
rock in a silt and clay matrix. Groundwater was not encountered to the profile pit
depth of 8 feet:
Percolation tests were performed on April 2, 1998 by a representative of Hepworth -
Pawlak Geotechnical, Inc. At the time of the tests, no frost was observed in the test
holes. The percolation test results are summarized on Table I. The percolation test
results indicate an infiltration rate between 10 and 60 minutes per inch with an average
of about 25 minutes per inch.
Based on the subsurface conditions encountered and percolation test results, the tested
site appears suitable for a conventional infiltration septic disposal system. The test
locations should be shown on the site plan of the lot development.
If you have any questions or if we can be of further assistance, please call our office.
Sincerely,
HEPWORTH - PA -'A G • ,, CAL, INC.
r/ 4
Eri
%e 2 IA'''. Steven L. Pawlak, ; .a , to� /of • •
SLP /kmk if OP CO���
attachment ...'
cc: Dorais Excavating, Inc. - Attn: Bill Dorais
HEPWORTH- PAWLAK GEOTECHNICAL, INC.
TABLE I
PERCOLATION TEST RESULTS JOB NO. 198 207
HOLE NO. HOLE DEPTH LENGTH OF WATER WATER DEPTH DROP IN AVERAGE
(INCHES) INTERVAL DEPTH AT AT END OF WATER PERCOLATION
(MIN) START OF INTERVAL LEVEL RATE
INTERVAL (INCHES) (INCHES) (MIN. /INCH)
(INCHES)
P -1 64 15 10 8 2
8 61/4 1 3/4
water added 10 3/4 8 3/4 2
8 3/4 6 3/4 2
water added 11 9 2
9 7 1/4 1 3/4
water added 9 1/2 7 3/4 1 3/4
7 3/4 6 1/4 1 1/2 10 —
P -2 42 15 9 8 1/2 1/2
8 1/2 8 1/4 1/4
8 1/4 8 1/4
8 7 1/2 1/2 .
water added 9 1/2 9 1/2
9 8 3/4 1/4 i
8 3/4 8 1/2 1/4
8 1/2 8 1/4 1/4 60
P -3 52 15 8 6 2
6 5 1
water added 8 1/2 6 1/2 2
water added 8 3/4 6 3/4 — 2
water added 8 3/4 7 1 3/4
water added 8 6 1/4 1 3/4
water added 7 1/2 6 3/4 1 3/4
5 3/4 4 1/4 1 1/2 10
Note: Percolation holes were hand dug in bottom of baCkhoe pits and soaked on April 1. Percolation tests were performed on
April 2, 1998.