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GARFIELD COUNT � LOING AND SANITATION DEPARTMENT Permit 2972
109 Street Suite 303 Assessor's Parcel No.
Glenwood Springs, Colorado 81601 '
Phone (303) 945-8212
This does not constitute
INDIVIDUAL SEWAGE DISPOSAL PERMIT r e building or use permit.
PROPERTY
1� 112 r'erta
c /loll �G�f
Owner's Name I Cd / Q' d P� Present Address / �� I ` v 0 S a) Phone £ -fag / - a wp
5 CO1,� �� Vi L. We �rbdi J $Jo Many (0
System Location
Legal Description of Assessor's Parcel No.
SYSTEM DESIGN - � -
o Septic Tank Capacity (gallon) _Other
Percolation Rate (minutes/inch) Number of Bedrooms (or other)
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 11 1 PP v 1
Septic Tank Capacity
Septic Tank Manufacturer or Trade Name C O P E c. A N Q _
Septic Tank Access within 8" of surface Y C S
Absorption Area ,
ea. (IN/? S 1 N `3) Tn. Ent lc/CS 7 1 7 �T £4
Absorption Area Type and /or Manufacturer or Trade Name 14 - 1 L 1' et- A T CJ f- 1 C 2 tx 7 ‘)t
4
Adequate compliance with County and State regulations/requirements ✓
Other ] S? L n
Date � ( 7- 1 V Inspector 1 V� ft r
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 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 off ice 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 ($500.00 fine —
months In Jail or both).
White - AWLICANT Fellow- DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER /l Q o /o% a7 /� triri S' / )�s✓,'4z s AK?/the g/)
ADDRESS 9S 02 f?oa7d deb ,St Vc, ?G( 6oS2 -/ PHONE C3o -fl7 - 2 5/05/0-) v
CONTRACTOR /Iio'Vet( der to GsP' i�ie � O /c��v)4< '.PG9r)iva-C
ADDRESS /"iJ. /14 3393 .C/.N /1100 JtvCf act PHONE / p 4 70 — 9S0 - /.225
8/60/
PERMIT REQUEST FOR ( IEW 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 (fitaroas) ,G/34'v J - /1/a (vprt %n of Lot /74BCtrF
Legal Description or Address /4eca 1 LtMA&f .-Cu d!)/uhf et / Ain Amine, CoGafi 4) O
WASTES TYPE: (v<WELLING ( ) TRANSIENT USE
( ) CONLVIERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE: Zn)o gf.M4'IPdne.. 076 / /.Yg / 6,4 Atordez.) a &' mt6L
Number of Bedrooms 7 Number of Persons ( 2
(14Garbage Grinder (yutomatic Washer (✓Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) WELL ( ) SPRUNG ( ) STREAM / OR CREEK
If supplied by Community Water, give name of supplier: /b0 /vat 7 �!,frogi7Y
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /La/t/,
Was an effort made to connect to the Community System? /2/7 ,lVd /(14
A site plan 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 RE ISSUED
WITHOUT A SITE PLAN
•
GROIJND CONDITIONS: 6 4,04 c. o N si?C
Depth to first Ground Water Table N 6. to u� c 4o u
� Na 404 o f Sc 'Pt
Percent Ground Slope S / A7 75 /
S-dt<' 2)10 ° /e7 7S4 A /d7nc t
2
•
TYT 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 t6AC4' `aa /N6a.to,Z,,J d)•97
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? AO
pERCOT,ATION TEST REST TITS: (To be completed by Registered P ofessional Engineer, if the Engineer does
the Percolation Test) �y s yZif / trc c1J A71.4C10
Minutes D 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. _
Name, address and telephone of RPE who made soil absorption tests: Ste ✓dr✓ 6 40 Iv LA t /. 1-
go 20 4.) 4V eavlvuaadYtx's h'iwo/ 97o - 716'- 7Pd}'
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 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 Z, , / Date s S /1.oAri
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
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•
HEPWORTH- PAWLAK GEOTECHNICAL, INC. Glenwood Springs, C081601
September 18, 1996 Fax 970945-8451
Phone 970 9455-7988
Robert A. Bidese and Daniel G. Howard
c/o Vicki Lee Green and Associates, Inc.
Attn: Mogli Fairbanks
930 Grand Avenue
Glenwood Springs, Colorado 81601 Job No. 196 380
Subject: Results of Percolation Testing for Feasibility of Infiltration Septic System,
Parcel 1, Weaver Subdivision, No Name, Colorado.
Dear Ms. Fairbanks:
As requested, we determined the subsurface profile and performed percolation testing at
the subject site to evaluate the feasibility of an infiltration septic disposal system. The
work was conducted as verbally requested by you on September 9. 1996.
A single family residence is planned on the parcel. A profile pit was excavated with a
backhoe near the designated building area as shown on Fig. 1. Access was limited to the
tested area due to the thick vegetation.
The subsurface profile generally consisted of about I foot of topsoil overlying gravel,
cobbles and boulders in a silty sand matrix to the maximum depth explored of 8 feet. No
free water was encountered. A gradation analysis was performed on a sample of the
material finer than about 3 inches, see Fig. 2. At least half of the subsoils are larger than 3
inches.
Percolation testing was performed in a shallow hole excavated adjacent the profile pit.
The results of percolation testing, presented in Table I, indicate a percolation rate of 8
minutes per inch.
Based on the subsoil profile encountered, the percolation test results and our experience in
the area an infiltration system for septic disposal should be feasible at the tested site. A
sand filter may be needed due to the relatively rapid percolation rate. Site specific testing
in accordance with Garfield County regulations should be made to design and size the
septic disposal system for the selected disposal area.
If you have any questions, or if we can be of further assistance, please contact our office.
Sincerely,
HEPWORTH- PAWLA.__ - CHNICAL, INC.
L. F
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attachments
•
/ / / /
/ PARCEL. 3 1
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1 1 1 PROPOSED I
' 1 .-I- -- BUILDING
AREA
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2/ I PARCEL. 2
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HOLE lip PARCEL 1 I 11 \ 1
�` PROPOSED BUILDING AREA
Y
APPROXIMATE SCALE
I" s 100
1
196 3A0 1 HEPWORTH - PAWLAK GEOTECHNICAL, INC. I LOCATION OF PERCOLATION TEST HOLE I PIG- I
•
•
N7000MEIE1I ANAI.Y616 1 61EVE ANKY66 I
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S. 710. I NM1
6E MX 16 MN. 90 MN. 19 PAN. 61*1. 12.1 0200 1100 MO 19 016 M k N 10' W 11? 7 6'9' 0
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DIAMETER OF PARTICLES IN MILLIMETERS
CLAY YO St7 1 F11E I MAMBA I C0AKSE 1 ANE GRAVEL
I mMliP 1 WB0LE6
GRAVEL 39 % SAND 46 % SILT AND CLAY 15 %
LIQUID LIMIT % PLASTICITY INDEX %
SAMPLE OF: Silty Sand and Gravel FROM: Profile Pit 1 at 3 Feet thru 5 Feet
196 380 I HEPWORTH - PAWLAK GRADATION TEST RESULTS I Fig. 2
GEOTECHNICAL, INC.
•
HEPWORTH - PAWLAK GEOTECHNICAL, INC.
TABLE I
PERCOLATION TEST RESULTS JOB NO. 196 380
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)
1 58 1/2 10 9 1/2 8 1/4 1 1/4
8 1/4 6 3/4 1 1/2
refilled
8 1/2 7 1/4 1 1/4
7 1/4 6 1/2 3/4
refilled 9 81/4 3/4
8 1/4 7 1 1/4
refilled 9 3/4 8 1/2 1 1/4
8 1/2 7 1 1/2
refilled 81/2 71/4 11/4 I 0
Note: Percolation hole was hand dug in the bottom of a backhoe pit and soaked on September
0, 1996. Percolation testing was conducted on September 11, 1996.
• • HEPWORTH- PAWLAK GEOTECHNICAL, INC. 5020 Road 154
Glenwood Springs, CO 81601
Fax 970 945 -8454
Phone 970 945-7988
Robert A. Bidese and Daniel G. Howard Invoice No. 3447GS
c/o Vicki Lee Green and Associates Job No. 196 380
Attn: Mogli Fairbanks September 19,1996
930 Grand Avenue
Glenwood Springs, Colorado 81601
INVOICE FOR PROFESSIONAL SERVICES
RE: RESULTS OF PERCOLATION TESTING FOR FEASIBILITY OF
INFILTRATION SEPTIC SYSTEM, PARCEL 1, WEAVER SUBDIVISION,
NO NAME, COLORADO.
$ 250.00
Total Due $ 250.00
Thank you
Steven L. Pawlak, P.E.
fro
Please pay from this invoice. Total due upon receipt. Interest charge of one and one -half percent
(PA %) per month due after 30 days.