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A $ r +� GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N 1 "
', , 109 8th Street Suite 303 Assessor's Parcel No. 1 4
/ Glenwood Springs, Colorado 81601 t
_ :1 Phone (303) 945 -8212
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This does not constitute ,
L INDIVIDUAL SEWAGE DISPOSAL PERMIT a building or use permit.
: O\PERTY C//� �^{
h �r mq . t $ & G. Present Address��x � I / "Rhone r /q* �P it 1' f
F ' 31 ±0 M k LCthQ C� t tk CO .
'' � System DFetlon ( ( k i
Legal Deacriplipp of Assessor's Parcel No.
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SYSTEM DESIG •
• 6 n 6 • 0 Septic Tank Capacity (gallon) Other
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t 1 / .y,,er, \
-,rr i y 7 Percolation Rate (minutes/inch) Number of Bedrooms (or other) � Y
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�( Required Absorption Area - See Attached d K `e , / e 1 15-1÷ / D n Cr r •
9 / ' -tcrRq Sm�j�Cva�e 'WI -f �o<�L i
s g Special Setback Requirements: 3 s— e a:4-4c, x na �) �4Y �' C4 8 a' ' '
s .a M1v "-a" t -r ev k
Dat h / o D I r Inspector D e - ` n (. _ .., f 11 .
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1 FINAL SYSTEM INSPECTION AND APPROVAL (as installed) IL
y i r:
, , Call for Inspection (24 hours notice) Before Covering Installation f
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' v, System Installer t
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/ } Septic Tank Capaci
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r. Septic Tank Manufacturer or Trade Name Q0 O- (044 d -
f; t�
11 0
'+ b S eptic Tank Access within 8" of surface '
`. Absorption Area :
P„
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` Absorption Area Type end /or Manufacturer or Trade Name / A p
g'. (//24 +
` ? Adequet�C pliance with County and State regulations/requirements
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Other
t l J �- l I nspector hhI Yv'^ c 0-44(/I lo t
Date
y' RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE f t
f K *CONDITIONS: J
,. ; 1. All installation must comply with all requirements of the Colorado State Board of Health Individual Sewage Disposal Systems Chapter r
a 25, Article 10 C.R.S. 1973, Revised 1984.
4 2. This permit is valid only for c onnection to s tructures which have fully complied with County zoning and building requirements. Con- r.
-.4. nection to or use with any dwelling or structures not approved by the Building and Zoning office shall automatically be a violation or a c
t ' 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 e
p i
! , variation from the terms or specifications contained in the application of permit commits a Class I, - Petty Offense ($500.00 fine — 8 t
s '; months In Jail or both). .
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White - APPLICANT Yellow - DEPARTMENT v
...o.. w.. n .- as, „ nut. UwrvanL at J , rai Arrr.H "1 JUN
OWNER .__ STEvE - '‘ SGOr,k
MESS (fox I S IJEt4 C/1 TTL6 CO. ' /L'/7 PHONE `f7 93'y.:2Gr/L
CONTRACTOR S R M E
ADDRESS PHONE
PERMIT REQUEST FOR ($) 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 FACIt _ITY
Neu what City of Town SILT Size of Lot a (909 A G
Legal Description or Address Lot 9 t?Fit l/ALLCY AC2ES 372 Pf=it LA ,J[
WASTES TYPE ()C) DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE
BUILDING OR SERVICE TYPE. 1 r■• y L t: FA i L Y 0
Number of Bedrooms 3 Number of Persons �2
(
, Garbage Grinder Q() Automatic Washer O() Dishwasher
SCHa AND TYPE QF WATE;R SUPPLY: Q() WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier: I VA I I C Y A CAC S
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ' ne l LC 5
Was an effort made to connect to the Community System? N 0
Leaeb Field to Well: 100 feet
Septic Took to WeU: SO feet
Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet
Septic System to Property Lines: 10 feet
YOUR INDIVIDIUAL SEW.f:F: DISPOSA]. SYSTEM PERMIT WUIL NOT BE IISSIIF.I)
WITROI IT A SITE PIA N,
GROUND CONDITIONS.
Depth to first Ground Water Table g' 2 - 5 F G E T
Jr
Percent Ground Slope 6' YN SO
2
•
TYPE'OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
•
(x 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
(X) 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'
PERCOLATION TEST REM R JS: (To be completed by Registered Professional Engineer, if the Engineer does
the Percolation Test)
Minutes 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: Ei C i' W o rtX H - PA W L A k
GCO-rte,
Hie.AI. 7N C, made
EE fi i-TAeH Et) "
IK...ne, address and telephone of RPE responsible for design of the system: ' I Same a s a eve
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. 1 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
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Signed ���iL�Ze/ Date 9- y- 9 7
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY+!
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.0••••• (.1..invoned Siring.. l Il nlblll
March 26, 1997
1.i. nrn , u; 14.1•,4
11 • '17ti •u ;..•..,:
Steve and Neva Hiscock
P.O. Box 158
New Castle, Colorado 81647 Job Nu. 197 192
Subject: Percolation Testing, Proposed Residence, Lot 9. Peach Valley Acres, Garfield
('aunty. Colorado
Dear Mr. and Mrs Hiscock:
As requested, we have conducted percolation testing at the subject site to evaluate the
fi:;cib!li!;• ..ri
:in infiltration septic disposal system. The work was done based on your request
of March 17, 1997.
An 8 toot deep profile pit and two shallow backhoe pits were dug on March 18, 1997 at the
locations shown on Fig. 1. Percolation test holes were hand dug (about I foot deep by I foot
in diameter) at the bottom of the shallow backhoe pits. The test holes had been soaked and
protected from freezing with insulation overnight. The client had dug and set -up the two tests
prior to our arrival on site. A third test hole (P -2) was hand dug and tested on March 19,
1997. The subsoils observed in the profile pit consisted of about I foot of topsoil and 5 feet of
silty sand overlying sandy silty clay to the maximum depth explored, 81/2 feet. Groundwater
r•, was encountered in the profile pit at a depth of 8'% feet and the subsoils were moist to very
moist.
Percolation tests were performed in the silty sands on March 19, 1997 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 1. The percolation test results
indicate an infiltration rate between 15 and 50 minutes per inch with an average of about 35
minutes per inch Ibr the silty sand soils.
Based on the subsurface conditions encountered and percolation test results, the tested site
appears suitable for a conventional infiltration septic disposal system. The system should be
relatively shallow and based in the silty sand subsoils above the clay and groundwater.
If you have any questions or if we can be of further nssimance. plme call our o' Ice.
Sincerely,
HIiPW(3RTH PAWLAK GEOTHCHNIC'AI., IN(:.
s'o � a p0 RF Cis ) ,
' �] i ( 29707 it
l ur y /j t 1a msol P. .. o t ,
Re /kw: 1 ll I I9��FSS � /� •N � :
• attachments 1 `Al �-r
APPROXIMATE SCALE
1 M B 100
` ... PEACH VALLEY ACRES ROAD
LOT
BOUNDARIES
LOT 8 LOT 9 LOT 10
PROPOSED
RESIDENCE
1 APS
1 1
I 1 6 P2 P1A
•
PROFILE
- -- -- PIT
AUGMENTATION
POND EASEMENT
L
UTILITY EASEMENT
197 192 HE OrECII - PAWLAK LOCATION OF PERCOLATION TEST HOLES! Fig. 1
CEOTfC11NICAL, INC. ! 8
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-
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' HEPWORTH- PAWLAK OEOTECHNICAL. INC.
TABLE 1
PERCOLATION TEST RESULTS JOB NO. 197 192
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) IMIN. /INCH)
P•1 68 15 8% 9 %
8 7 1
7 61/4 Ya
6A 6% A
6'A 6 Y. 60
P.2 34 15 107, 8% 1%
8% 7a 1
7% 6% 1
6% 5% 1
water added 9 8 1 15
P 3 57 15 10 9 1
9 8 Y. Y.
8% 77. i4
715 7 Si
7 6 Y, Y, 30
/
NOTE: Percolation test holes were hand dug in the bottom of backhoe pits end soaked on March 19. 1997. The hobs were
covered with insulation to protect against (rowing overnight. Percolation tests were conducted on March 20. 1997.