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Home My WebLink AboutApplication.pdf4\ Garfield County Community Development Department bJ10 108 8th Street, Suite 401 ��'�.L Glenwood Springs, CO 81601 \a G (1,--;: coo ` (970) 945-8212 ,;\` - `j�`'••j1 www.garfield-county.com ONSITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT APPLICATION E OF CONSTRUCTION New Installation WASTE TYPE [a, Dwelling 0 Transient Use 0 Other Describe ,Q Alteration ❑ Repair 0 Comm/Industrial 0 Non -Domestic INVOLVED PARTIES Property Owner: C- t-1 \ilki.11c' c Q Phone: (f7() ),-37y- -C.))E, Mailing Address: /0 G� z, %,r c, ,' 4 , Contractor: 0 WNr Phone: ( Mailing Address: Engineer: d j C-7-, yr\ Phone: ( ) Mailing Address: PROJECT NAME AND LOCATION Job Address: /065 CI) eke/ o iWg i'0Q CO ?i6S 6 Assessor's Parcel Number: Sub. Lot Block Building or Service Type: #Bedrooms: LJ Garbage Grinder I Distance to Nearest Community Sewer System: Was an effort made to connect to the Community Sewer System: Type of OWTS f Septic Tank I D Aeration Plant ❑ Vault ❑ Vault Privy I 0 Composting Toilet ❑ Recycling, Potable Use 0 Recycling 0 Pit Privy 0 Incineration Toilet ❑ Chemical Toilet 0 Other Ground Conditions Depth to 15` Ground water table Percent Ground Slope Final Disposal by X Absorption trench, Bed or Pit 1 0 Underground Dispersal t Above Ground Dispersal ❑ Evapotranspiration 0 Wastewater Pond 0 Sand Filter 0 Other Water Source & Type AWell 0 Spring 0 Stream or Creek 0 Cistern ❑ Community Water System Name Effluent Will Effluent be discharged directly into waters of the State? 0 Yes k No CERTIFICATION Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test 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 legal action for perjury as provided by law. I hereby acknowledge that I have read and understand the Notice and Certification above as well as have provided the required information which is correct and accurate to the best of my knowledge. Property Owner Print and Sign Date OFFICIAL USE ONLY Special Conditions: J' C )pit -W at guy. 7 5 - /at 1 QL`/ /I ,vz, Permit Fee: 123 • up Perk Fee:Total Nla Fees: 12.3•6D Fees Paid: 123 . ov Building PermitSeptic Permit: Issue Date: Balance Due: I1 // )O2-0/ BLDG DIV: - , APPR AL DATE • i23•w)012.1 II-11-1'4- Gary Wallace P.O. Box 201 Rifle, CO 81650 6SGM www.sgm-inc.corn November 10, 2014 Re: OWTS Expansion, 1065 Gage Road, Garfield County, CO Dear Gary: The following recommendations are offered regarding the potential expansion of an Onsite Wastewater Treatment System (OWTS) for your property. The soil test pit excavated October 30, 2014 has resulted in a Soil Type 3 designation for use in the evaluation of the capacity of the existing disposal field'. Site investigation shows that the system is operating without issue and may be expanded, if necessary to accommodate the additional loadings from the 2 -bedroom employee residence and single bedroom above the garage. Design Criteria Total Number of Bedrooms: 6 (3 existing, 3 new LTAR: 0.35 gpd/SF t) Size Adjustment Factor 0.7 3 Results The above design criteria results in a septic tank size of 2,000 gallons (one existing 1,000 gallon tank; and one new 1,000 gallon two -chambered tank); The average daily design flow is 675 gallons per day; The total amount of absorption area required is 1,930 square feet; The reduced absorption area using chambers is 1,350 square feet; The total number of chambers (@ 15.9 SF/Chamber) required is 85. Therefore, the existing leach field consisting of eight lines with eleven EQ 36 Infiltrator Chambers in each line (88 total, 92' length per line) connected with a distribution box from the septic tank outlet tee. See attached Site Plan and system details. Sincerely, SGM 1 Design by Church & Associates, Inc., dated June 8, 2004 for the 3 -bedroom residence. 2 Soil Test Pit results: The underlying soils are sandy silty clay loam, unconsolidated, Type 3 per Table 10-1, Soil Treatment Area Long Term Acceptance Rates, Regulation #43. 3 Table 10-3, For Chambers, Regulation #43. 1:\201412014-498-Wallace1001-OW TS\B_Calcs1W al lace.docx GLENWOOD SPRINGS 1 18 West Sixth St, Suite 200 1 Glenwood Springs, CO 81601 1 970.945.1004 0 rn Or d Q 0 Pel ,' as 0_ to N cu N 0) 0 0 4, 0 0 a J J Q rn c -Y L 0 0 CD 0) A XI Jn 0 0 0) 0$ 6 a 014\2014-498 r • Graphic Scale 0 20 40 EX/STING 1000 GAL SEPTIC TANK 0 .0*; EXIST/NG WELL • *.4 1 y kyr/ 4� y:t / � k`.- J�m' ;11+ _STORAGE TANK •� & PUMP STATION ys Y • ;1 TEST PIT 2—BR EMP HOME 04,8 silts - / / / // ,, / 'r~ ,Y ♦ s \ / / / / / / / *,, .,; +r +i.t , / //// / // / / / / / / / / / / /////////////// Y / / / / V / // //'/ \/ / /// U / / \/ / \/ EX/ST/NG FIELD CONSISTING OF 88 EQ -36 CHAMBERS; 1404.9 SF PER CHURCH & ASSOCIATES DESIGN DATED JUNE 8, 2004, 100 SETBICK INTERCEPT EXIST/NG 4," EFFLUENT LINE WITH WYE ABOVE D—BOX 4" SDR35 PVC EFFLUENT NEW 1000 GAL SEPTIC TANK Preliminary Not For Construction wf /0;7 6SGM 118 West Sixth Street, Suite 200 Glenwood Springs, CO 81601 970.945.1004 www.sgminc.com Gary Wallace 1065 Gage Road, Garfield County, CO r Revision • y j,r .•i.. + r# "tit- f Date By Site Plan 4410 Jo6 No. 2014498.001 pawn by RWP Dote 11/10/2014 oc wa PE RWP File: 1 00 Garfield County AGRICULTURAL EMPLOYEE AFFIDAVIT FOR EMPLOYEE HOUSING I, eAr y lAd , state that the residential structure described below will be occupied solely as an agricultural employee dwelling unit without rent provided to an individual and related family member who is/are employed in an agricultural use, including farms, garden, greenhouse, nursery, orchard, ranch, small animal farm for production of poultry, fish, furbearing or other small animals, as prescribed in the Garfield County Unified Land Use Resolution of 2008. I further state that the residential structure is located on Agricultural Land defined in Article 16 of the Garfield County Unified Land Use Resolution of 2008. It is agreed that proof of employment, in the form of Internal Revenue Service Forms W-2 or 1099 for each person employed as described above will be submitted to the Garfield County Community Development Department upon request by the county. Failure to provide this information for each year the unit is occupied will result in a code violation, revocation of this status, and fines allowed by law. It is agreed that this property will not be sold to another party without representing that the agricultural employee dwelling structure is for agricultural employees only and may not be used for any other purpose. Property and Building Description: Address /O( C9eAri Q t 'R 4 e (' e ?1„,5 C5 Assessors Parcel Number 2-11-1-,353 001-1-e,9" Building Description Building Square Feet Habitable Building Permit Number ISDS (Septic) Permit Number $ J PT -11- PA- `3' 5 7 Owner WO -Cat P Owner Address Date (1-16 Witness (Signature) This form will be recorded with the Garfield County Clerk and Recorders office as reference for any future title searches. State of Colorado County'of lTQ (`'tTt ss) On this day of NOue rv\ b'2C 20 / L before me the undersigned notary public, personally appeared Oar',U0c ((n e Q. personally known or proved to me through satisfactory evidence of identification, to be the person(s) whose name(s) is/are signed on the preceding or attached document and acknowledged to ma that hela a they signed i volarily for its stated purpose. ubhc ignature BRENDA LILLY QUINTY STATE NOTARY PUBLIC OFOLORADO NOTARY ID #20144008881 My Commission Expires February 28, 2018