HomeMy WebLinkAbout03200 / GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N2 ' 3 Z 0 0
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 I'' - 4
Owner's Name /tDRvl th, Address' 7 (/ W /� ��KLn' PoneS&( -995 0
1
System Location • _ OA 4L4 • oeS bA • ✓, boono( aI' C - 06A
Legal Description of Assessor's Parcel No. Lot c ( 1 Los Mohe5 Sk t l ( 1/i
SYSTEM DESIGN
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 -4 '/, 10 4 - --
Septic Tank Capacity z20' - - --
Septic Tank Manufacturer or Trade Name et,rz. 4 it-ri
Septic Tank Access within 8" of rface E-
• r / 6 ! ,s << . ��
Absorption Area ± .- % ia iu � Ld ...if �
Absorption Area Type and /o / anufacturer or Trade Name
ior
Adequate compliance with County and State regulations /requirements
Other
Date 7 Inspector
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 Chap ter
25, Article 10 C.R.S. 1973, Revised 1984.
2. This permit is valid only tor 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 specifications 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 DI POSAL SYSTEM APPLICATION
OWNER �N 7O (P SEWAGE 4/ 3°
ADDRESS I op 4 .s a i' / PHINE 94.2 ct C 6 'mil
CONTRACTOR .. I ' . .I ' , ��I ' � if AD d L ,yam
ADDRESS CWZ 64) 7/ t j f ; / 1 6 PHONE b?
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 FACILITY: 1
Near what City of Town ee li deg i-C, p Size of Lot . C / e
Legal Description or Address d �1 L—C� . Add bes ,91 •
WASTES TYPE: kl DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES
( ) OTHER - DESCRIBE )) � , »J r
BUILDING OR SERVICE TYPE: �� l
Number of Bedrooms Number of Persons 3
( ) Garbage Grinder ( ) Automatic Washer ('Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: pcz WELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to the Community System?
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 BE ISSUED WITHOUT
A SITE PLAN.
GROUND CONDITIONS:
Depth to first Ground Water Table
Percent Ground Slope
2
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(d 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:
(f3) 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 RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the
Percolation Test) V AAIAA
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:
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 ' issuing the permit applied for herein. I further understand that any
falsification or misrepresentation may resul the denial of the application or revocation of any permit granted based
upon said application and in legal actio or perjury as provided by law.
/ fir ,
Signed I ,. i/. a d /./ - Date 7 — 9 --9
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!!
3
H2pworthPawlak Geotech TEL :970 -945 -8454 Jul 08 99 11 :27 No.005 P.O1
Ilt',worlh Geuuclmlrnl, Inc.
Geotech < IenNOOd aprint Color• do 81601
Phone: 978 -94 .5•7958 Q
Fox: 970.945 -x454 1
hpacoG^hpgeolcch.com
July 7, 1999
Ken Thorne •
5254 Windsor Park Drive
Boca Raton, Florida 33496 Job No. 198 697
Subject: Percolation Test Results, Proposed Residence, Lot 2, Los Adobes,
Garfield County, Colorado.
Dear Mr. Thorne:
As requested, we have conducted percolation testing at the subject site to evaluate the
feasibility of an infiltration septic disposal system at the site. The results of our work
are presented in this report. Hepworth - Pawlak Geotechnical, Inc. previously performed
a subsoil study at the site and presented our findings in a report dated October 27. 1998,
Job No. 198 697.
A profile pit and three shallow backhoc pits had been excavated in the southeast corner
of the building envelope as shown on Fig. 1. Percolation test holes had been hand dug
in the bottom of the shallow backhoe pits prior to our arrival on -site. The test holes
were soaked on July 1, 1999. The profile pit had been excavated at thc time of the
previous study. The soils exposed in the percolation holes and profile pit consist of
sandy clay and silt with scattered fragments of siltstone and sandstone to the profile pit
depth of 9 1/2 feet. No free water was encountered in the pits and thc subsoils were
slightly moist.
Percolation tests were performed on July 2, 1999 by a representative of Hepworth -
Pawlak Geotechnical, Inc. The percolation test results are presented on 'fable 1. The
percolation test results indicate an infiltration rate between 24 and 40 minutes per inch
with an average rate at 31 minutes per inch. Based on the subsurface conditions
encountered and the percolation test results, the tested area should be suitable for a
conventional infiltration septic disposal system.
- - -- HP GEOTECH
Ht:pworthPawlak Geotech TEL :970 -945 -8454 Jul 08 99 11:28 No.005 P.02
Ken Thorne
July 7, 1999
Page 2
If you have any questions or if we can be of further assistance, please call our office.
Sincerely,
IIEPWORTH- PAWLAK GEOTECHNICAL, INC.
Jordy Z. Adamson, Jr., P.E.
Rev. By: DEH
JZA/sd
attachments
cc: High County Engineers - Attn: Roger Neal
._....� _..._ .. `• "... _.... H-P GEO1 kCH
,
" F{epworthPawlak Geotech TEL :970- 945 -8454 Jul 08 99 11 :28 No.005 P.03
APPROXIMATE SCALE
I "� 50'
i i
.0" to re •••• 990
V& i EXISTING ,/
i{ DRIVEWAY /
/
- i/ 980
i
.09 ..- / �'1
/
/ �/
/ //
/ �/
/ p i
970
/ /
/ ''. / P 3 /
990 J ! A P 2
r _1_ --�f � PROFILE l
980 /.0 PIT I
L- /
r - r
970 .-^ � � --- - 960
960
LOT 2
LOT
BOUNDARIES
198 697 I H WO TH — AWLAK I LOCATION OF PERCOLATION TEST HOLES Fig. 1
E
' HepworthPawlak Geotech TEL:970- 945 -8454 Jul 08 99 11:29 No.005 P.04
HEPWORTH- PAWLAK GEOTECHNICAL, INC.
TABLE I
PERCOLATION TEST RESULTS JOB NO. 198 697
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 54 15 9 7 3/4 1 1/4
7 3/4 7 � 3/4 -
7 8 1/4 3/4
81/4 81/2 3/4
6 1/2 5 1/2
5 4 3/4 1/4
4 3/4 4 1/4 1/2
4 1/4 3 3/4 1/2 30
P - 84 15 8 1/2 6 3/4 3/4
6 3/4 5 3/4
6 41/2 1/2
4 1/2 4 1/2
4 3 3/4 1/4
3 3/4 3 1/2 1/4
31/2 3 1/2
3 2 3/4 1/4 40
P•3 55 16 9 3/4 8 1 3/4
8 8 3/4 1 1/4
8 3/4 5 1/2 . 1 1/4
51/2 41/2 1
4 1/2 3 3/4 3/4
' 3 3/4 3 3/4
3 2 1/2 1/2
? 1/2 _ 1 4/A Am 24
NOTE: Percolation test holes ware hand dug In the bottom of beckhoe Gila by the client. Tho test holes were soaked on
July 1, 1999. Percolation testa were conducted on July 2, 1999. The average percolation rate was based on the lest two
readings or each test.
i
1
aaoo
co�NT� RECEIVE JUL 1 8 2000
NG /NEEifWG
t
July 17, 2000
Garfield County Building & Planning
109 Eighth Street, Third Floor
Glenwood Springs, CO 81601
Re: Thorne ISDS — HCE No.99004.21
0324 Los Adobes, Garfield County, CO
To Whom It May Concem:
On July 13, 2000, High Country Engineering (HCE) personnel inspected the construction of the
ISDS located at 0324 Los Adobes in Garfield County, Colorado. At the time of inspection, the
contractor had installed the sewer main, one cleanout at the house, one 2000- gallon septic tank,
and a chamber absorption field. The septic tank was exposed, but the absorption field and much
of the sewer main had been backfilled. No inspection wells were evident. According to County
Staff, the absorption field and tank were inspected by your office prior to backfilling. It was also
observed that the sewer main did not contain cleanouts at all bends. Therefore, the contractor
was advised to install an additional cleanout at the 45° bend before the tank. The cleanout
should be installed so as to provide access towards the house. The contractor has agreed to
install the missing component prior to completion of backfill. Otherwise, the installation of the
system was in conformance with the intent of the design.
If you have any questions, or need additional information, please contact us.
Sincerely,
HIGH COUN RY ENGINEERING, INC.
00 REG/s ‘
�QfOtR O. yO 1
c r Roger D. Neal, P.E. 29975
Project Engineer t cc i
RDN /djw t�O •...NA��.?�'
1
Cc: Ken Thorne
923 Cooper Avenue 14 Inverness Drive East, Ste B -144
Glenwood Springs, CO 81601 Englewood, CO 80112
phone 970 945 -8676 • fax 970 945 -2555 phone 303 925 -0544 • fax 303 925 -0547