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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT 108 Eighth Street, Suite 201 Glenwood Springs, Coloradof 81601 Phone (970) 945-8212 INDIVIDUAL SEWAGE DISPOSAL PERMIT PROPERTY Owner's NameG5r j .1)0.-1A Present Address Cpm +f Parcel No a) System Location Legat Description of Assessor's SYSTEM DESIGN Permit 4 1 6 8 Assessor's Parcel No. This does not constitute a building or use permit. Phone - J379 ENG 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 Septic Tank Capacity ACX'/. Z ddC / ZS -P-0 f 431°220 &4C . L57777,44J Septic Tank Manufacturer or Trade Name Septic Tank Access within 8" of surface Absorption Area 3.s~� stp. i * -_ ( 4/u/ cv 1 riOtAt2r,eles Absorption Area Type and/or Manufacturer or Trade Name Adequate compliance with County and State regulations/requirements Other J�p� 17/C"/ 'r� Date Inspector /r1 5,"'€4S�• fJ c 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 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 (ail or both). White - APPLICANT Yellow - DEPARTMENT INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION OWNER -bail') GWQ S ADDRESS L -M90 C.14 >Di ( Nfw C�S�IfPHONE 7 -D3-) CONTRACTOR ADDRESS PHONE OY'41,1\MIIP' PERMIT REQUEST FOR } NEW INSTAiMON (-ALTERATION ( ) REPAIR Attach separate sheets or repotk 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 Size of Lot, 1 a R Legal Description or Address WASTES TYPE: 00 DWELLING ( ) TRANSIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES ( ) OTHER - DESCRIBE BUILDING OR SERVICE TYPE: Number of Bedrooms 3 Number of Persons y (' Garbage Grinder (Automatic Washer (v Dishwasher SOURCE AND TYPE OF WATER SUPPLY: (4WELL ( ) 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: Septic Tank to Well: Leach Field to Irrigation Ditches, Stream or Water Course: Septic System (septic tank & disposal field) to Property Lines: 100 feet 50 feet 50 feet 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: (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: 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? IU0 PERCOLATION TEST RESULTS: (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: 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 i Date y c)y^06„, PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY!! 3 PO Box 2844 Glenwood 5prfngs,C081602 Ph 970-618-5033 Fax 303-216-2796 April 14, 2006 Project No. 1173 Dan Gross 4660 County Road 311 Newcastle, Colorado 81647 Subsurface Investigation and Repair Onsite Wastewater System Design, Existing Residence 4660 County Road 311 Garfield County, Colorado Dan, ALL SERVICE septic, LLC performed a percolation test and a repair onsite wastewater system (OWS) design for the subject residence. The property is located along Divide Creek, in Garfield County, in an area where OWS and wells are necessary. SITE CONDITIONS There is an existing 3 -bedroom residence, with several barns, on the subject property. The present drain field has been experiencing problems and will be abandoned. The existing septic tank and sewer line is in good condition and will be incorporated into new OWS. All other components of OWS should be replaced. SUBSURFACE The subsurface was investigated by observing the soils along a `cut' and those encountered in the original tank excavation. Three percolation holes were dug. The observations indicated the site has a 6 - inch root zone, underlain sandy clay, with scattered gravel to 8 feet. Groundwater or bedrock was not encountered. Percolation rates ranged from 20 to 40 minutes per inch (MPI). A 27 MPI rate will be used to design the OWS. A test pit will be required prior to drain field construction. DESIGN SPECIFICATIONS The OWS design is based on 3 -bedrooms and an average sewage load of 450 GPD. The installation must include the existing 1250 -gallon, two-compartment, precast concrete septic tank, with the addition of a pump and filter in the second compartment. Tank alternatives may be considered. Three graveliess chamber trenches must be installed as indicated on Figure 1. Three rows of 12 `Quick 4' chambers, for a total of 36 chambers, and 356 square feet (SF) of infiltrative area, is required. A distribution box should be used to distribute effluent. Construction must be according to the county ISDS regulations, the septic permit provided by Garfield County Environmental Health Department, and this design. Repair OWS Design Project No. 1173 4/14106 Page 2 OPERATION INFORMATION AND MAINTENANCE The surface of the drain field should be seeded upon completion. Vegetation is an important factor in drain field performance. Geo -fabrics or plastics should not be used over the drain field. Livestock should not graze on the drain field. Plumbing fixtures should be checked to ensure that no additional water is being discharged to OWS. For Example, a running toilet or leaky faucet can discharge hundreds of gallons of water a day and harm a drain field. The homeowner should pump the septic tank every two years and clean the effluent filter as needed. Garbage disposal use should be minimized, and non -biodegradable materials should not be placed into the OWS. Grease should not be placed in household drains. Loading from a water softener should not be discharged into the OWS. No hazardous wastes should be directed into the OWS. Mechanical room drains should not discharge into the OWS. The OWS is engineered for domestic waste only. ADDITIONAL CONSTRUCTION NOTES If design includes a pump, air release valves and weep holes should be installed to allow pump lines to drain to minimize risk of freezing. Excavation equipment must not drive in excavation of drain field due to the potential to compact soil. Extensions should be placed on all septic tank components to allow access to them from existing grade. Precast concrete tanks and distribution boxes should be used, unless plastic or fiberglass is required. Septic tank risers should extend to grade. Access to all tank compartments and distribution devices is optimal. INSTALLATION OBSERVATIONS ALL SERVICE septic, LLC, and the county must view the OWS during construction. The OWS observation should be performed before backfill, after placement of chambers and distribution pipes. Septic tanks, distribution devices, pumps, dosing siphons, and other plumbing, as applicable, must also be observed. ALL SERVICE septic, LLC should be notified 48 hours in advance to observe the installation. LIMITS: The design is based on information submitted. If soil conditions encountered are different from conditions described in report, ALL SERVICE septic, LLC should be notified. All OWS construction must be according to the county regulations. Requirements not specified in this report must follow county regulations. The installer should have documented and demonstrated knowledge of the requirements and regulations of the county in which they are working. Please call with questions. Sincerely, ALL SERVICE septic, LLC Timothy R. Petz 3 copies SITE PLAN, LOCATION OF PERCOLATION HOLES, AND LOCATION OF PROPOSED OWS 2" PUMP LINE. MUST DRAIN AFTER EACH DOSE EXISTING 1250 -GALLON SEPTIC TANK. ADD BIOTUBE PUMP VAULT. p'OP LINA SCALE - 1" = 50' WELL DITCH DISTRIBUTION BOX 356 SF OF INFILTRATIVE AREA IN THREE GRAVELLESS CHAMBER -TRENCHES USING 'QUICK -4' CHAMBERS. EACH TRENCH MUST HAVE 12 CHAMBERS FOR A TOTAL OF 36 CHAMBERS. ADD CLEANOUT IF NOT EXISTING 100' • ADD OBSER ATION ORTS. CUT TO GRADE AND INSTALL BENEATH 8" ROUND SPRINKLER BOXES 3 -BEDROOM RESIDENCE 4660 COUNTY ROAD 311 GARFIELD COUNTY, COLORADO ALL SERVICE SEPTIC, LLC 970-618-5033 Pro. No. 1173 FIGURE 1 DESIGN 3 -BEDROOM RESIDENCE LOADING = q = 450 GALLONS PER DAY PERCOLATION RATE = 27 MUTES PER INCH (MPI) CALCULATED AREA • {{1.5 X q) X sqd 27) / 5 = 702 SF REDUCTION OF 50% USING CHAMBERS = 351 SF PROPOSED DRAIN FIELD AREA = 356 SF DRAIN FIELD CROSS SECTION - TYP. 4" PVC OBERVATIQN PIPE 2,5' MAX LIMIT OF EXCAVATION GRAVELLESS 'QUICK -4' CHAMBER (48" x 341 ' MIN �--- 6' MIN -70,- SCARIFY SURFACE TRENCH SPECIFICATIONS WIDTH OF TRENCHES = 3 FEET = 1 CHAMBERS LENGTH OF TRENCHES ■ 48 FEET = 12 CHAMBERS TOTAL NUMBER OF 'QUICK -4` CHAMBERS = 36 TOTAL INFILTRATIVE AREA = 356 SF THREE TOTAL TRENCHES IIVFILTRATOR[R) QUiCK4(TM) CUT SHEET PLAN VIEW - TYP. OBSERVATION PIPE GRAVELLESS'QUICK-4' INFILTRATOR (TM)CHAMBEfj, 34 INCHES 1 6 FEET MIN -f PROJECT Na 1173 0 48 FEET TRENCHES INSTALLED LEVEL 1 1 1 4" PVC LINES FROM DISTRGUT1ON BOX FIGURE 2 Effluent Pumping System - 2 -Compartment Fiberglass or concrete riser Slope Ground Away from Riser Inlet Tee PVC Riser with Grommet(s) (bond to tank adapter with recommended adhesive) Fiberglass Gosketed Lid with Stainless Steel Bolts Conduit to -- Control Panel Conduit Seal Tank Adapter (cast or bolted) Liquid Level ❑ Baffle Wall Port Patents # 4,439,323 & 5,492,635 Foreign Patents Pending © 2002, Orenco Systems, Inc. PVC Splice Box with Cord Grips Discharge Assembly Flexible Hose Effluent Discharge Level Control Float Assembly Check Valve (optional) Vault inlet Ports Orenco Effluent Pump Filter Cartridge Drain Port Biotubee Pump Vault v.� Ori Orenco Systems Incorporated 814 AIRWAY AVENUE SIl1HERLlN, OREGON 9 7479-901 2 TELEPHONE: (541) 459-4449 FACSIMILE: (541) 459-2884 Project No. 1173 GARFIELD COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Percolation Test and Soils Data Form - TABLE 1 - PROJECT 1173 Cut` and Tank Excavation 0 - 6" Topsoil, Root Zone, Sandy 6" - 8` Sandy Clay, with gravel, Stiff, Moist, TanlBrovvn to Light Brown Date of Test: 4-10-06 No Groundwater or Bedrock was Encountered Hob Hole Interval tvleasurernent at Measurement at Change (in.) Percolation Rate No. Depth (in.) (min.) Start of Interval End of Interval (min./in.) MPI (in.) (in.) 1 34 10 28.00 29.00 10 29.00 29.75 10 29.75 30.50 10 30.50 31.00 10 31.00 31.50 10 31.50 32.00 1.00 0.75 0,75 0.50 0.50 0.50 2 35 10 27.00 28.00 1.00 10 28.00 29.00 1.00 10 29.00 29.75 0.75 10 29.75 31.00 1.25 10 31.00 31.25 0.25 10 31.25 31.75 0.50 3 34 10 29.00 30.00 1.00 10 30.00 30.50 0.50 10 30.50 31.00 0.50 10 31.00 31.50 0.50 10 31.50 32.00 0.50 10 32.00 32.50 0.50 AVERAGE = 27 MPI 20 40 20 PO Box 2844 Glenwood Springs, CO 61602 Ph 970-618-5033 Fax 303-216-2796 May 26, 2006 Project No. 1173 Dan Gross 4660 County Road 311 Newcastle, Colorado 81647 Installation Observation, Existing Residence 4660 County Road 311 Garfield County, Colorado Mr. Gross, ALL SERVICE septic, LLC performed an installation observation on May 10th, 2006 for the subject property. The installation included the existing 1250 -gallon, two-compartment precast concrete septic tank with the addition of a 500 -gallon, concrete lift station and a BiotubeThs pump vault. Three rows of 12 `Quick -4' chambers, for a total area of 356 square feet (SF), was installed. A distribution box was installed to distribute effluent_ The OWS was installed according to specifications. This observation is not a guarantee of workmanship and/or parts and materials. ALL SERVICE septic, LLC should be notified if changes are made to the OWS. Please call with questions. Sincerely, ALL SERVICE septic, LLC Timothy R. Petz Reviewed By: 2 copies sent Copy sent to Garfield County Building and Planning