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GARFIELD COUNTY BUILDING AND SANITATION DEPARTMENT Permit N- 3987
109 8th Street Suite 303
Glenwood Springs, Colorado 81601
Phone (303) 945.8212
INDIVIDUAL SEWAGE DISPOSAL PERMIT
PROPERTY
Owner's Name
9 s? Nano
Assessor's Parcel No.
This does not constitute
a building or use permit.
eporucumg
Address _isae Phone 3R-
4443�
C
System Location
Legal Description of Assessor's Parcel N
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
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
P
S
Other
Date /0/720/41----
Inspector_
ORDSI U
RETAIN WITH RECEIPT RE S AT CONSTRUCTION
*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. 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 Jail or both).
White - APPLICANT Yellow - DEPARTMENT
INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION
OWNER Uri4" t S Iwec, Eo her
ADDRESS 9 Sex /.5:2 %eawao/ ads Co $/Cot. PHONE gr/ 8-Y6 Y3 01.,3
CONTRACTOR Qin 60.1f
ADDRESS Sa.. c PHONE 876 - 516 V7 e..es
PERMIT REQUEST FOR (k) 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 Glenwood Set , CUlib Size of Lot 90 (in
Legal Description or Address Let 4. i 44orskj Es/w/es ,fielmagriti 4(33 Act, meS+ea
WASTES TYPE: (k) DWELLING ( ) TRANSIENT USE /tit
( ) COMMERCIAL OR INDUSTRIAL ( ) NON-DOMESTIC WASTES
( ) OTHER -DESCRIBE
BUILDING OR SERVICE TYPE: AbaG,lei i 44.4,:y wA 3. S h f&s
Number of Bedrooms 3 Number of Persons .2
(?) Garbage Grinder ( ) Automatic Washer
( ) Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: freQIWELL ( ) SPRING ( ) STREAM OR CREEK
If supplied by Community Water, give name of supplier:
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: /0 AA)
Was an effort made to connect to the Community System? Na
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
Percent Ground Slope
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
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? NO
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 famished 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 C /O�" Date 72 /00'-/
PLEASE DRAW AN ACCURATE MAP TO YOUR PROPERTY'
01/27/2006 12:18 970-704-0313
SOPRIS ENGINEERING PAGE 01
October 20, 2005
Brian Boettcher
P.O. Box 1524
Glenwood Springs, CO 81602
RE: As -Built OWS System, Lot 1.6, Homestead Estates, Homestead Road,
Garfield, CO
SE Job No. 25159.01
Dear Brian:
Pursuant to County Regulations, this letter provides documentation that the new OWS system recently
installed is in general compliance with the permitted design. Sopris Engineering has performed site visits
to measure, inspect, and document the as built conditions of the constructed system. The system was
inspected prior to backfilling and after all installations were completed. The as -built conditions and
installation of the new OWS components is in compliance with the permitted design specifications for the
system.
The septic tank, distribution pipe, and absorption field installations are in accordance with Canfield County
Regulations, the design presented in the Sopris Engineering design drawing, dated July 1, 2005. A 1250
gallon dual compartment concrete septic tank was installed with 4" tee baffles and an effluent filter. The
absorption field was constructed with a total of 72 Quick -4 Infiltrator leaching chambers in a trench
configuration with (3) 98' long trenches containing 24 chambers each. The chambers were backfilled with
native soil and/or screened rock to the top of the chambers, and backfilled to the finished surface grade
with native soil. Each trench was installed level. Inspection ports were installed on each end chamber.
The chambers were installed in the native clay and gravel soils over 6" of concrete sand consistent across
the field. Each row of ct ambers was installed with a 4" perforated distribution pipe running the length of
the trench. The field has individual distribution lines, from a concrete distribution box, connected to the
head of each trench. The distribution box was installed level on cr_mpacted ground at an invert above the
to of the chambers. The minimum setback distances have been maintained. The 3 trenches have a
separation distance of approximately 6 feet and are installed approximately 2 to 3.5 feet deep relative to the
existing grades. Additional observations of the soils within the field were performed during construction
indicating that the soils are consistent with the reported descriptions. A minimum 6 inches of sand was
placed in the trenches to mitigate the presence of cobbles and enhance treatment of the effluent. No ground
water was encountered in any of the excavations on site.
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SonRIS ENGINEERING • RRC
cirii cosi.JItants
01/27122005 12:18 970-704-0313
SOPRIS ENGINEERING PAGE 02
Brian Boettcher
SE Job No. 25159.01
Octet& 20. 2005
Page 2
OWS Operation auQ t1llaintenance
The owner shall periodical{y inspect the OWS, perform any mamtenance tequired and periodically putnp
the septic tank as necessar54 to ensure that the system is in good operating condition and performing as
designed, The OWS should require minimal mainter.snce. Several factors influencing the system's health,
longevity and need for maihtenance include: actual wastewater flows versus design flows, the volume of
kitchenidomestic waste (excluding human waste and toilet paper), excessive use of household chemicals,
extra strength laundry detergents and other toxic liquids. The tank, sanitary tees and effluent filter should
be visually inspected bi-anirually for clogging debris, damage or leaks. In general, for a properly utilized
system, septic tanks should be pumped and inspected every 2 - 4 years. The effluent filter should be
cleaned every six months and at the time of pumping. Absorption fields should be maintained with
Suitable vegetative cover and kept free of root invasive plants. Positive surface drainage away from the
absorption field should be maintained.
If you have any question of need any additional information, please call.
Sincerely,
SOPRIS ENGINEERING,iILLC
Field Report of Structural Observations
Project Boettcher Residence
4338 I lomestcad Rd.
Glenwood Springs. CO. 81601
Date of Report August 31. 2005
Present Brian Boettcher
I srndnn Anderson. P.F.
Field Ohwervauons:
1. The subject project was observed on Satnrda)' Jul- 2, 2005. Foundation concrete
was complete and hacklilled. framing was 95% complete and log wall
construction was 100% complete.
2. .A walk through was done and all exposed framing appeared to be constructed in
accordance with the plans and specifications. No discrepancies were noted.
3. Log wall construction was noted to be true and plumb and in accordance with the
plans and specifications.
4. An alternate support system was discussed with the contractor for the loft floor
support beam. Removal of the support post was approved and shall be replaced
with an inverted Simpson 11C*1.US hanger supported off the fireplace header. The
header is then supported by a 4" thk. steel bracket bolted to n (4) 2 x 6 column
with (8)'W' dia. M.H.
5 Finish grading was not completed at the time of the site visit. Proper drainage in
accordance with soils report recommendations VMS discussed with contractor.