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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT
109 6th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945-8212
INDIVIDUAL SEWAGE DI POSAL PERMIT
PROPERTY
Owner's Name V4 WIS
Cute.
Permit N2 3 9 6 9
Assessor's Parcel No.
This does not constitute
a building or use permit.
�7 0 ITo49 963–SO/
Present Address5 I Ptn\�"'� ij af0.i R Phone qt it -3 ?I -3'-z`
(I Lot Irinai trios- CAQ(2
,393 - (t -(u - 6S -3 so
System Location
Legal Description of Assessor's Parcel No
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
erk
(41
W'"
kt
FINAL SYSTEM INSPECTION AND APPROVAL (as installed)
Call for Inspection (24 hours notice) Before Covering Installation
System Installer
Septic Tank Capacity
Septic Tank Manufacturer or Trade Name
Septic Tank Access within 8" of surface
Absorption Area
Absorption Area Type and/or Manufacturer or Trade Name
Adequate compliance with County and State regulations/requirements
Other
Date Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTIO SITE
*CONDITIONS:
1. All installation must comply with all requirements of the Colorado State Board of Health In•'vidual Sewage Disposal Systems Chapter
25, Article 10 C.R.S. 1973, Revised 1984.
2. This permit is valido ty for connection to structures which have fully complied with County • ning and building requirements. Con-
nectiontoorusewi any dwelling or structures not approved by the Building and Zoning offi•• shall automatically beaviolation ora
requirement of th 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 mannerw ch involves a knowing and material
variation from the terms or specifications contained in the application of permit commits a Class 1, Petty Offense ($500.00 fine —6
months in jail or both).
White -APPLICANT Yellow - DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER B Ku Ce 1--1 a k -r -W g
ADDRESS _S(n7 Ewa Ve--260. ,gLk). PO,J4r o e/
CONTRACTOR 6Rf)E.A, ()Rn{ @()d Fes 610(
�
ADDRESS B la Ln C»' -i 4R dA IC'_ PHONE %3 _ CON r
379-8 3z
PERMIT REQUEST FOR (xf 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:
Near what City of Town R 6D/, -t kC 1' (Size of Lot 13 AC .
Legal Description or Address �Q e.0 P.� 1 t► ARI Til c� f s CK f ( -
WASTES TYPE: (1O DWELLING ( ) TRANSIENT USE
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER -DESCRIBE
BUILDING OR SERVICE TYPE: S M 9 I F 11-•
Number of Bedrooms / Numb of Persons 3
(A Garbage Grinder (j9 Automatic Washer (�) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: 90 WELL ( ) SPRING
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: ill i ICS
( ) STREAM OR CREEK
Was an effort made to connect to the Community System? MO
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 (septic tank & disposal field) 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 goo
Percent Ground Slope 1,55
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
SEPTIC TANK
VAULT PRIVY
PIT PRIVY
AERATION PLANT ( ) VAULT
COMPOSTING TOILET ( ) RECYCLING, POTABLE USE
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? MO
PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the
Percolation Test)
per inch in hole No. 1 Minutes Z-3 per inch in hole No. 3
Minutes 23
Minutes S3 per inch in hole No. 2 Minutes per inch in hole No.
Name, address and telephone of RPE who made soil absorption tests:
C-14-6/ 04 t4csa. (LA. alleAcceCa tri -7 7 y-iA
Name, address and telephone of RPE responsible for design of the system:
3/7 !
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 Date , 51 l (01 ey
PLEASE DRAW ACCURATE MAP TO YOUR PROPERTY!!
CHURCH & Associates, Inc.
ENGINEERS & GEOLOGISTS
April 16, 2004
Braebum Builders LTD
Attn: Doug Boyles
P.O Box 1247
Carbondale, Colorado 81623
Subject: Revised OWS Design, Proposed Hartwig Residence
Parcel 1, Hardy Hills
Garfield County, Colorado
Job No. 16303
Mr. Boyles,
As requested, we have prepared a revised onsite wastewater system (OWS) design for the proposed
residence. The revisions are based on a decrease in the number of bedrooms from our original design, dated
March 19, 2004. All previous designs should be discarded to avoid confusion. The subsurface investigation
was performed on March 5, 2004.
SITE CONDITIONS
The lot is located in a rural residential area in Garfield County, Colorado, where OWS are required. The
proposed drain field area has a 10% slope to the south-southeast. There is a moderate cover of native
grasses, sagebrush, and evergreen trees. Water is provided to the residence by a well located 250+ feet
south of the proposed drain field area.
PROPOSED CONSTRUCTION
A four-bedroom residence is proposed as indicated on Figure 1. In accordance with the Individual Sewage
Disposal System (ISDS) regulations, the average sewage loading for a four-bedroom residence is 600
Gallons Per Day (GPD) and 900 GPD with a 1.5 peaking factor. This loading includes a dishwasher, gar-
bage grinder, and washing machine.
If additional bedrooms in unfinished areas are possible, it is suggested the OWS be constructed to serve the
added loading. The installation of an engineered OWS to serve future build -out can be cost effective.
SUBSURFACE CONDITIONS
The subsurface investigation was performed by digging three percolation holes, 27 to 34 inches deep, and
one test pit at the locations indicated on Figure 2. Subsurface materials in the test pit consisted of 1 foot of
clayey sand underlain by silty, sandy clay with scattered cobbles to the maximum depth explored of 8.5 feet.
No ground water or bedrock was encountered. Percolation tests indicate percolation rates of 23 to 53
minutes per inch (MPI). The average percolation rate is 33 MPI. Percolation data is presented in Table 1.
DENVER 4501 Wadsworth Boulevard Wheat Ridge, CO 80033 www.geo-church.com
303.463.9917 Fax: 303.463.9921
Toll Free -1.877.248.3123
Revised OWS Design
Job No. 16303, 4/16/04
Page 2
RECOMMENDATIONS
The installation must include a septic tank and a gravelless chamber -trench drain field at the locations
presented on Figure 2. The OWS design is based on an average sewage load of 600 GPD and a
percolation rate of 33 MPI. The installation must include a 1500 -gallon, two-compartment, concrete
septic tank and four chamber -trenches. Each trench must have one row of nine chambers for a total of
36 chambers and 558 ft2 of infiltrative area. The trenches may be modified to conform to topography
and to preserve as much vegetation as possible. Installation of an effluent filter on the outlet of the
septic tank is optional and would serve to increase drain field longevity by minimizing the flow of
solids to the drain field. A flow splitter basin, or equivalent is required to distribute effluent to the
field.
Movement over the drain field trench during construction should be kept at a minimum to minimize
compaction of the receiving soils. The bottom of each trench must be scarified with a pick, shovel, or
backhoe bucket teeth prior to the addition of chambers.
The surface of the drain field should be seeded after installation of the system. A native seed mix from the
area available at seed stores should be used. These mixes do not require irrigation and develop a growth 10
to 15 inches high. No automatic sprinkler system should be installed over the field.
OPERATION AND MAINTENANCE
The owner must realize an OWS is different from public sewer service and must assume the responsibility
for maintenance of the OWS. The system is relatively maintenance free, but the owner must have the septic
tanks pumped. In the absence of a monitoring program, the septic tank should be pumped and the effluent
filter cleaned every two years. There are daily considerations, such as not putting plastic or other nonbiode-
gradable material into the OWS. Water use must be monitored so toilets are not allowed to run when seals
malfunction. To illustrate the point, a running toilet can consume in excess of 1000 GPD. A loading of 1000
GPD could flood and irreparably harm the OWS.
The loading from the backwash of a water softener may be harmful to the OWS. A separate drywell should
be constructed for the backwash waste, if a softener is installed. Chemically treated water from a swimming
pool or spas should not be introduced to the OWS.
LIMITATIONS
An OWS design requires installation by a licensed contractor. Our investigation, layout, design and recom-
mendations are based on data submitted. If conditions different from those described in this report are
encountered, we should be notified to evaluate the effect on the proposed OWS. If the health department
modifies this design, we should be contacted to evaluate the impact on the performance of the OWS.
All construction is to be in accordance with the ISDS regulations. Pipe type and size, burial requirements,
septic tank construction, and other specifications, which are not depicted in our report, are to conform to
the requirements of the ISDS regulations. The installer of the system is to have demonstrated knowledge of
the ISDS regulations and requirements.
If there are questions or if we can be of further service, please call.
CHURCH & Associates Inc.
Reviewed bv:
Eric Bums Edward urc P.E
Design Technician
Revised OWS Design
Job No. 16303, 4/16/04
Page 3
EOC/erb
3 copies sent hand delivered
±13.67 ACRES
PARCEL 1, HARDY HILLS
GARFIELD COUNTY, COLORADO
PARCEL I
APPROXIMATE LOCATION
OF PROPOSED
4 -BEDROOM RESIDENCE
EXISTING DIRT DRIVE
VICINITY SITE PLAN
JOB NO. 16303
SCALE
1" = 200'
REVISED
FIGURE 1
±13.67 ACRES
PARCEL 1, HARDY HILLS
GARFIELD COUNTY, COLORADO
•
%t
SCALE
1"=30'
1500 -GALLON, TWO-COMPARTMEN
CONCRETE SEPTIC TANK
4" PVC EFFLUENT LINE
FLOW SPLITTER BASIN
(OR EQUIVALENT)
558 SF OF INFILTRATIVE AREA
FOUR GRAVELLESS CHAMBER -
EACH TRENCH MUST HAVE I RC
CHAMBERS FOR A TOTAL OF 3
P-3
LEVEL 4" MANIFOLDS
NOTE:
NO WELLS LOCATED WITHIN
100' FEET OF DRAIN FIELD
ST
PIT
OBSERVATIC
PIPES (TYP.:
EXISTING DIRT DRIVE
LOCATION OF PERCOLATION HOLES
JOB NO. 16303 AND PROPOSED OWS
IN
RENCHES.
W OF 9
CHAMBERS.
N/VENT
REVISED
FIGURE 2
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Profile:
TABLE 1 - PERCOLATION TEST RESULTS
Parcel 1, Hardy Hills
Garfield County, Colorado
feet descrlptlon
DATE OF TEST: 3/5/04
0 - 1
Sand, clayey, root zone, dark brown
1 - 8.5
Clay, silty, sandy, stiff, moist, brown, calcareous, occasional
5.75
cobbles up to 12" diameter
9
NO GROUND WATER WAS ENCOUNTERED WITHIN THE EXCAVATION
AVG.
HOLE DEPTH TIME DEPTH DEPTH CHANGEINTERVAL HOLE
NUMBER OF HOLE, INTERVAL START, END, (INCHES), PERC PERC.
(INCHES) (MINUTES) (INCHES) (INCHES) RATE (MPI) RATE,
(MPI)
1
34
20
3.50
5.75
2.25
9
20
3.38
4.63
1.25
16
20
3.13
4.38
1.25
16
20
2.88
4.25
1.38
15
20
2.75
3.88
1.13
18
20
2.88
3.75
0.88
23
23
2
30
20
3.00
4.38
1.38
15
20
3.25
3.88
0.63
32
20
3.13
3.75
0.63
32
20
2.63
3.38
0.75
27
20
3.00
3.50
0.50
40
20
3.00
3.38
0.38
53
53
3
27
20
3.75
7.25
3.50
6
20
7.25
9.50
2.25
9
20
3.63
5.25
1.63
12
20
3.63
5.13
1.50
13
20
3.13
4.25
1.13
18
20
3.00
3.88
0.88
23
23
Job No. 16303