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Home My WebLink About20042020.tiff • WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW PROPERTY OWNER: Francisco Valencia PERMIT NO.: SP-9800264 - New LEGAL DESCRIPTION: PT: Section 33 Township 8 Range 67 SUBDIVISION: Black Hollow Estates Lot 11 SITE ADDRESS: 8675 WCR 86 Ft Collins FACILITY: Residential 5 bedroom home PERC RATE: 74.0 SOIL: Unsuitable WATER SUPPLY: Well LIMITING ZONE: At grade - silty clay ACRES: 29.0 Yes ENGINEER DESIGN (3.5) No EXPERIMENTAL DESIGN (3.14) ENGINEER: Church & Associates ADDRESS: ESTIMATED FLOW: 750 G.P.D. PRIMARY TREATMENT: Septic tank CAPACITY: (2) 1000 gallons DISPOSAL METHOD: Low Pressure Drip Bed SIZE: 6000 square feet REQUEST FOR VARIANCE: STAFF COMMENTS: The system is adequately sized for the proposed load. STAFF RECOMMENDATION: Approval ENVIRONMENTAL PROTECTION SPECIALIST: Pam Smith i, .�e P"e"el REVIEWED BY BOARD: _ April-27 . 99&.- t \y' .. c .B.O.H. 1 DECISION: APPROVED: DENIED:_ TABLED: aS.t .V\A__ c';- 1r- 1 q Ben Slater, Chairman Weld County Board of Health C 1PAM\ISDSI4-1.BOH 2004-2020 r- --, j""N° PUMP INSTALLATION ANA., PEST REPORT 'S•32 For Office Use only 94 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER WE)J. PERMIT NUMBER 213243 OWNER NAME(S) Francisco Valencia Mailing Address 401 N. Summit View #77 City, St. Zip Fort Collins, CO 80124 Phone ( 970) 493-6826 WELL LOCATION AS DRILLED: SW 1/4 SE 1/4, Sec. 33 Twp. 8 N , Range 67 W DISTANCES FROM SEC. LINES: 200 ft. from South Sec. line. and 1720 ft. from East Sec. line. (north or south) (east or west) SUBDIVISION: Black Hollow Acres LOT 11 BLOCK FILING(UNIT) 1 STREET ADDRESS AT WELL LOCATION: PUMP DATA: Type Suhmersih_e Installation Completed 03/24/99 Pump Manufacturer Sta a Rite _ Pump Model No. H0p40t1-03 Design GPM 10 `at RPM 3.4-50 , HP T�'-" , Volts 23° ,.Full Load Amps b •B Pump Intake Depth 220 Feet, Drop/Column Pipe Size 1 Inches, Kind PVC Sch. 80 . ADDITIONAL INFORMATION FOR PUMPS GREATER THAT 50 GPM: TURBINE DRIVER TYPE: ❑Electric Q Engine ❑Other Design Head feet, Number of Stages , Shaft size inches. OTHER EQUIPMENT: Airline Installed❑Yes®No, Orifice Depth ft. . Monitor Tube Installed ❑Yes El No, Depth ft. Flow '^`er Mfg. Meter Serial No. Meter readout❑Gallons,❑Thousand Gallons, ❑Acre feet,❑ Beginning Reading TEST DATA: ❑Check box if Test data is submitted on Supplemental Form. Date E1_ectricity may not have been available Total Well Depth 250 Time at time pf installation. See Static Level 40 Rate (GPM) driller ' s report for well production. Date Measured 3/19/99 Pumping LvI. DISINFECTION: Type Chlorine Amt. Used 1 00 ppm Water Quality analysis available. ❑Yes [ No Remarks • I have read the statements made herein and know the contents thereof, and that they are true to my knowledge. [Pursuant to Section 24-4-104 (13)(a) C.R.S., the making of false statements herein constitutes perjury in the second degree and is punishable as a class 1 misdemeanor.] )NTR ~OR Boulder Water Well Svc & Supply Phone (303 ) 442-1 91 1 Lic. No. 1330. tiling t--aress 2365 57th Street Boulder, CO 80301 ne/Title (Please type or print) Si Date • WELD COUNTY HEALTH DEPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 Permit # : SP-9800264 Sec/Twn/Rng: 33 08 67 PERMIT Permit Type : RNEW C=commercial, R=residential + NEW, REPair, VauLT Applied: 06/10/1998 Parcel No: 0555 33 401003 Expires : 06/05/1999 Location: 8675 WCR 86 33-8-67 Legal Desc : BH-11 L11 1ST BLACK HOLLOW ACRES APPLICANT VALENCIA FRANCISCO Phone : (970) 493-6826 401 N SUMMITVIEW #77, FT COLLINS CO 80524 OWNER VALENCIA FRANCISCO Phone : (970) 224-2772 401 N SUMMIT VIEW #77, FT COLLINS CO 80524 SEPT-ENGR FOUNDATION & SOILS ENGINEERING Phone : (970) 663-0138 5110 GRANITE STREET SUITE D, LOVELAND COLORADO 80538 Description: HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres : 29 . 00 Number of Persons : 3 Basement Plumbing _ (Y/N) : Y Number of Bedrooms : 4 Bathrooms-> Full : 3 3/4 : 1/2 : Water Public (Y/N) : N Utility Name : Water Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y . Water Permit No : Percolation Rate : 71 Limiting Zone :y 8 ft in Desc : Ground Slope : / Dir: C Soil Suitable (Y/N) : Engineer Design Req' d (Y/N) : y In 100 Yr Flood Plain (Y/N) : From the application information supplied and the on-site soil percolation data the following minimum installation specifications are required; Chambers Septic Tank: /060 gallons, Absorption Trench sq. ft . or Absorption Bed 35/6O sq. ft . In addition, this permit is subject to the following additional terms and conditions: /1// %4%/I Caa.4 /S/0f• .'c7L., /Jt#4.5 cyo,%-7 NOTICE This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Health Department for reasons set forth in the Weld County individual sewage disposal system regulations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. Th)yypermit is not transferable. Before issuing final approval of this permit the Weld County Health Department reserves the right t >ose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is contingent upon the final inspection of the completed system by the Weld County Health Department. X N4—'.��1.�_ /a r_ .9 g WELD COUNTY HEALTH DEPARTMENT _ 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 Permit # : SP-9800264 Sec/Twn/Rng: 33 08 67 PERMIT Permit Type : RNEW c=commercial, a=residential. i NEW, REPair, VauLT Applied: 06/10/1998 Parcel No : 0555 33 401003 Expires: 06/05/1999 Location: 8675 WCR 86 33-8-67 Legal Desc : BH-11 L11 1ST BLACK HOLLOW ACRES SITUS : 8675 86 C 8675 86 CR FORT COLLI APPLICANT VALENCIA FRANCISCO Phone : ( 970) 493 -6826 401 N SUMMITVIEW #77, FT COLLINS CO 80524 OWNER VALENCIA FRANCISCO Phone : (970) 224-2772 401 N SUMMIT VIEW #77, FT COLLINS CO 80524 SEPT-ENGR CHURCH & ASSOCIATES INC Phone : (303) 463-9317 4501 WADSWORTH BLVD, WHEAT RIDGE COLORADO 80033 Description: HOUSE • Commercial (Y/N) : N Residential (Y/N) : Y Acres : 29 . 00 Number of Persons : 3 Basement Plumbing (Y/N) : Y Number of Bedrooms : 5 Bathrooms-> Full : 3 3/4 : 1/2 : Water Public (Y/N) : N Utility Name : Water Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No : Percolation Rate : '4`0 Limiting Zone : 0 ft in Desc : ; 1LI� ''{ Ground Slope : -- Dir: Soil Suitable (Y/N) : r'✓ Engineer Design Req' d (Y/N) : 'H In 100 Yr Flood Plain (Y/N) : Pk' From the application information supplied and the on-site soil percolation data the following minimum installation specifications • are required: Chambers Septic Tank:,.- ' gallons, Absorption Trench -- sq. ft . or Absorption Bed h(V sq. ft . In addition, this permit is subject to the following additional terms and conditions : ( Yt5 ant (A2 'i ,114 ( ��i� ' ft Nit •V��rl' r ,iFV-- Il idct ' j.)(;)11i e NOTICE This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Health Department for reasons set forth in the Weld County individual sewage disposal system regulations including failure to meet any term or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute assumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. 1'jyLs permit is not transferable. Before issuing final approval of this permit the Weld County Health Department reserves the right mpose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is contingent upon the final inspection of the completed system by the Weld County Health Department. This permit expires one year from the signature date. • • WELD COUNTY HEALTH D ARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 rmit # : SP-9800264 Sec/Twn/Rng: 33 08 67 Status : ISSUED Permit Type : RNEW C=commercial, R-residentiak + NEW, REPair, VauLT Applied: 06/10/1998 Parcel No: 0555 33 401003 Issued: 10/08/1998 Finaled: Location: 8675 WCR 86 33-8-67 Legal Desc: BH-11 L11 1ST BLACK HOLLOW ACRES SITUS : 8675 86 C 8675 86 CR FORT COLLI APPLICANT VALENCIA FRANCISCO Phone : (970) 493-6826 401 N SUMMITVIEW #77, FT COLLINS CO 80524 OWNER VALENCIA FRANCISCO Phone : (970) 224-2772 401 N SUMMIT VIEW #77, FT COLLINS CO 80524 SEPT-ENGR CHURCH & ASSOCIATES INC Phone : (303) 463-9317 4501 WADSWORTH BLVD, WHEAT RIDGE COLORADO 80033 SEPT-INSTL FARRER EXCAVATING INC Phone : (303) 828-3522 3739 WCR 7, ERIE CO 80516 Description: HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres : 29 . 00 Number of Persons : 3 Basement Plumbing (Y/N) : Y Number of Bedrooms : 5 Bathrooms-> Full : 3 3/4 : 1/2 : Water Public (Y/N) : N Utility Name : Wa. 'r Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No : Percolation Rate : 74 . 0 Limiting Zone : 00 ft 00 in Desc : SILTY CLAY Ground Slope : 1 Dir: E Soil Suitable (Y/N) : Y Engineer Design Req' d (Y/N) : N In 100 Yr Flood Plain (Y/N) : N Minimum Installation Septic Tank : ,1.A.91 gal Absorption Trench: sq. ft . Absorption Bed: , sq. ft . Actual Installation Septic Tank: 2...cx., gal Absorption Trench: sq. ft . Absorption Bed: '?-c, sq. f t . Design Type : 6(T NOTICE The issuance of this permit does not imply compliance with other state, county or local regulatory or building requirements, nor shall it act to certify that the subject system will operate in compliance with applicable state, county and local regulations adopted persuant to Article 10, Title 25, CRS as amended, except for the purpose of establishing final approval of installed system for issuance of a local occupancy permit persuant to CRS 1973 25-10-111 (2). This permit is not transferable. The Weld County Health Department reserves the right to impose additional terms and conditions required to meet our regulations on a continuing basis. Final permit approval was contingent upon the final inspection of the completed system by the Weld County Health Department. Envi onhi ntal Specialist Date • • WELD COUNTY HEALTH DEPARTMENT 1517 16TH AVENUE COURT, GREELEY, CO 80631 (970) 353-0635 EXT 2225 FAX (970) 356-4966 Permit # : SP-9800264 Sec/Twn/Rng: 33 08 67 PERMIT Permit Type : RNEW C=commercial, R=residential + NEW, REPair, VauLT Parcel No: 0555 33 401003 Applied: 06/10/1998 Expires: 06/05/1999 Location: 8675 WCR 86 33-8-67 Legal Desc: BH-11 L11 1ST BLACK HOLLOW ACRES SITUS: 8675 86 C 8675 86 CR FORT COLLI APPLICANT VALENCIA FRANCISCO Phone : (970) 493-6826 401 N SUMMITVIEW #77, FT COLLINS CO 80524 OWNER VALENCIA FRANCISCO Phone: (970) 224-2772 401 N SUMMIT VIEW #77, FT COLLINS CO 80524 SEPT-ENGR CHURCH & ASSOCIATES INC Phone : (303) 463-9317 4501 WADSWORTH BLVD, WHEAT RIDGE COLORADO 80033 Description : HOUSE Commercial (Y/N) : N Residential (Y/N) : Y Acres : 29 . 00 Number of Persons : 3 Basement Plumbing (Y/N) : Y Number of Bedrooms : 5 Bathrooms-> Full : 3 3/4 : 1/2 : Water Public (Y/N) : N Utility Name : later Private (Y/N) : Y Cistern (Y/N) : Well (Y/N) : Y Water Permit No: P'�,olation Rate : Ai � J O Limiting Zone: 0 ft in Desc : AAI 1 uOt& 96. Ground Slope : P1)0Dir: Soil Suitable (Y/N) : � ;ngineer Design Req'd (Y/N) : t4.1) In 100 Yr Flood Plain (Y/N) : )1.O rom the application information supplied and the on-site soil percolation data the following minimum installation specifications re required: 111I Septic Tank: l�l.b(rr� gallons, Absorption Trench `- sq. ft . Chambers or Absorption Bed G(DD sq. f t . n addition, this permit ispsubject to the following additional terms and ,. onditions: �"'�1`�t� tfl('} �(��l'1_ell.� ��0 I Lk_ f )1 Ct2 ( �`�irrl�• (,,IA11c12 31- 1/1 NOTICE As permit is granted temporarily to allow construction to commence. This permit may he revoked or suspended by the Weld County alth Department for reasons set forth in the Weld County individual sewage disposal system regulations including failure to meet y term or condition imposed thereon during temporary or final approval. The issuance of this permit does not constitute sumption by the department or its employees of liability for the failure or inadequacy of the sewage disposal system. is permit is not transferable. Before issuing final approval of this permit the Weld County Health Department reserves the right impos. ".dditional terms and conditions required to meet our regulations on a continuing basis. Final permit approval is sting, ipon the final inspection of the completed system by the Weld County Health Department. This permit expires one year om the signature date. ' I`M DEPARENTOF pl,..�IC HEALTH AND ENVIRONMENT 1556 N, 171"AVENUE GREELEY,COLCRADg60631 i . ,._ . , , , (970)304-6410 PUBLIC HEALTH EDUCATION AND NURSIING(970)304-6420 u '2 i FAX(970)304-6416 '0 ENVIRONMENTAL HEALTH SERVICES{970)304-6415 t �, FAX(970)304-6411 Juste , 1999 Francisco Valencia 401 North Summltview#77 Fort Collins,;Colorado 80524 RE: Individual Sewage Disposal':System Permit No.: SP-8800284 Location: 8675 Weld County Road 86 Dear Mr.Valencia: This IS to Inform you that your Engineer Designed Septic System has been reviewed by the Weld County Board of Health and approved. A copy Of the Weld County Board of Health I.S.D.S. Review Form-and your I.S.D.S. Permit are enclosed. Should you have any questions regarding your septic system, please contact this office at your earliest convenience at 304-6415. Sincerely, Pam Smith Environmental Protection Specialist PS/rb•0445 cc: Church &Associates, Inc„Joseph C. kordzeii ‘ "Ile; DEPARTMENT OF HEALTH 1517 16TH AVENUE COURT GREELEY, CO 80631 Wiipe ADMINISTRATION (970) 353-0586 HEALTH PROTECTION (970) 353-0635 COLORADO COMMUNITY HEALTH (970) 353-0639 • FAX (970)356-4966 STAFF APPROVAL OF ENGINEER-DESIGNED SYSTEM • Owner Name: Francisco Valencia Location Address: Black Hollow Estates Lot 11 The engineer-designed Individual Sewage Disposal System proposed for the above property, and designed by Church &Associates is hereby approved subject to the following conditions: Construct according to the engineer design I, ke-ti }4Weeti - , owner/applicant for I.S.D.S. Permit No.: SP-9800264 under the provision of the Weld County Individual Sewage Disposal System Regulations, do hereby understand and agree that after approval by the Director of Health Protection Services, I may proceed with the construction of my engineer-designed sewage disposal system prior to approval by the Weld County Board of Health, but that the Board of Health reserves the right to disapprove any or all parts of the system design when it considers my application. I understand and agree that I proceed at my own risk and that I may be required by the Board to remove any or all of the system installed prior to Board of Health consideration of my ap lication. Environmental Protection Specialist Owner/Applicant Date Date FOUNDATION II Engineering, AND SOILS Inc. July 2, 1998 Commission No.: 4512-01-01-01.A Mr. Francisco Vallencia P.O. Box 670 La Porte, Colorado 80535 RE: Septic System Design for Lot 11, Black Hollow Acres, Weld County, Colorado Gentlemen: We have designed a septic system for the site referenced above. It is our understanding that the proposed septic system is to service a three (3)bedroom residence. This design was based on a subsurface and percolation investigation conducted by our firm ( # 4512-01-01-01, dated July 2, 1998). The site is located east of Fort Collins, west of Weld County Road No. 19 on Weld County Road No. 86. The building site on the 29± acre parcel is relatively flat to gently sloping to the east and is vegetated with grasses and weeds. Black Hollow Reservoir is located more than 1/4 mile to the east of the property. The percolation investigation indicates percolation rates of 120, 60, 80, 60, 80 and 48 minutes per inch with an average percolation rate of 74 minutes per inch. The subsurface conditions consist of slightly silty clay to the depths explored. Laboratory tests indicate that the clays exhibit a very high swell potential. For water balance calculations, we have assigned an absorption rate of 0.1 gallons/ft2/day due to the swell potential of the soils. Free groundwater was not encountered in the borings. Due to the slow percolation rates and high swell characteristics an engineered septic system will be required for these conditions. Based on a three (3) bedroom residence, the conditions described above the ISDSR for Weld County, we recommend a 1000 gallon septic tank be followed by an evapotranspiration/absorption (ETA)bed of at least 3400 square feet. We recommend that Hi- capacity Infiltrator chambers be used in place of the typical gravel mounds. A total of 56 Hi- capacity Infiltrator units(868 square feet inside footprint area) will have an inside area of 25.5% 5110 Granite Street, Suite D •515 Main Street, Suite veland,Colorado 80538 • (970)C • Longmont, Colorado 80501663• (970) 663-1660 (303) 702-0661 August 2, 1998 Commission No.: 4512-01-01-01 Page 2 of the total bed area. We recommend that an effluent filter be installed in or after the septic tank to prolong the life of the system. Refer to the ISDSR for the County, component manufacturer, Figure Nos. I and 2 of this report, and other readily available literature for system maintenance requirements. We recommend that the ETA bed be located at least fifty (50) feet away from the house. This is to minimize the effects of wetting the potentially swelling soils at the foundation for the house. This percolation investigation was conducted in compliance with local statutes and guidelines and to cut-rent accepted industry standards for this region. The test results are based on those standards. The locations and elevations tested were controlled by those statutes, site conditions and/or the client's preference. The contractor and/or owner must carefully plan the elevations of the structures if gravity flow of the wastewater to the septic system is desired. We recommend that the top of the bed or trenches be at least one (1) foot below any floor level with gravity sewer. Otherwise, a pump system will be required. The profile hole drilled indicates the subsurface conditions at that location and has limited access to visual observation which may not allow the detection of some soil layers. We recommend that a test pit be excavated prior to construction, inspected by the Health Department or Engineer to determine if these conditions exist. Subsurface conditions described from the borings may vary from visual observations of the test pits and may necessitate changes in the designed system. The Engineer shall be notified if any conditions observed in the field vary from those described in this report. Soil percolation is not an exact science. The minimum number of percolation holes required by state and county statutes often provides general indications or tendencies of the soil absorptive capacities, but do not provide an adequate statistical average for scientific analysis. Septic systems occasionally fail prematurely due to often undetermined causes. All existing and future owners of the property shall accept responsibility for maintaining the system and outcomes of a poorly maintained or abused system. The county health department has final acceptance over these test results and referenced system. All construction shall be in compliance with the septic system permit. The Engineer shall be notified 24 hours in advance to inspect the bed and wicking material prior to covering the Infiltrator chambers. �^ 1 -- If you have any questions, please feel free to call. Respectfully, IcC.-- Thomas W)nley, Engineering eologist 1Aoti43lili".i ukfigt, evi wed by: �r•�[sG RC ,`'m', ar.bYt J James A. Cherry, 4)41. i 1 FOUNDATION It. S ENGINES G, INC. 7 TWF/jle 4r`'0 A wwqua APPENDIX B INDIVIDUAL SEWAGE DISPOSAL SYSTEM DESIGN SUMMARY I. System Type - Evapo-Transpiration/Absorption (ETA) Field with Chambers II. Design Criteria A. Number of bedrooms as stated by owner/builder - 3 B. Design for 2 residents/bedroom - 6 persons C. Percolation-Rate - 74 min./inch (0.1 GPD due to high swell potential) D. Evapo-transpiration Rate - see water balance spread sheet III. Calculations Refer to the Water Balance Spread Sheet Bed Area to be 3400 ft2 IV. Construction Notes A. Hi-cap Infiltrators - 56 Hi-capacity Infiltrators are to be used in place of the typical gravel mounds. B. Wicking Material - The wicking material transfers liquids from the gravel storage to the vegetative cover for evaporation and plant transpiration. The wicking material shall be clean, fine sand such as wash tailings from a gravel plant. Wash tailings may need to be amended with concrete sand to meet state specifications. Material must be tested and approved by Engineer prior to purchase. C. Sodding or seeding - Transfer of liquids to the atmosphere by vegetative transpiration is an integral part of the design. The top surface of the ETA field(s) must be sodded or seeded with a moderate water use, drought resistant grass such as a tall fescue. Sod with heavy clay shall not be used. The sodded or seeded grass cover must be established prior to use of the system. D. Septic tank and distribution boxes - Shall be installed on a stable base and shall be level. E. Size of septic tank recommended - 1000 gallons with effluent filter. F. Trees or shrubs - Shall not be planted within ten feet of the field(s)without submittal to Engineer for approval of species and location. H. Underground lawn irrigation systems shall not be placed within ten (10) feet of any septic system components. Irrigation over the bed should be limited so that the water does not penetrate more than ten(10) inches. I. Component grades and elevations - The building sewer to the septic tank shall be laid with a minimum fall of 1/8 inch per foot (1/4 inch fall per foot is recommended). The grade of the Infiltrators shall be level. The top of the ETA bed shall be at least one foot below the lowest floor with gravity sewer. The wastewater must bepumped to the bed if the minimum grade cannot be met. J. Drainage - Drainage swales or berms shall be constructed as shown or as necessary to prevent any run-off from flooding the field(s). The field(s) shall have a 1% to 2% surface cross slope to promote drainage and air flow. V. Additional System Requirements A. Vehicular traffic or other heavy loadings - Shall be prohibited over the field(s). B. Animal traffic and point loads - Hoofed animal traffic over the field(s) shall be prohibited. Other point loads which would indent the field(s) surface shall be prohibited. C. Grass cover - The specified grass cover is essential to proper functioning of the system. Grazing animals, gardens, or any use which would disturb the established grass cover on the field(s) is prohibited. The grass shall be mowed as short as the grass will endure during the winter months to provide the maximum possible surface evaporation during that period. D. The surface of the bed and surrounding area shall be maintained so that surface waters will not pool or flow onto the bed surface. ) j IsleS1 3 Bedroomsapttc lark L/ --- house effluent niter NOTES O ORAL �' „' Distribution network Design based on: %iaw 4 inch I or more boxes as Parc rate of: 14 mpl solid pipe Bedrooms or ay Ca ti .C------ ETA bed to p Pe required O SEPTIC TANK be at least Required capacity: Res gallons Sr from �j Tark to be water-tight (Incl. lids) and located a min.of 6' from bed i 1 - Tare to meet ISDSR requirements O 19EP Plater)EVAPOrRMRMRAT1OWACeORPtIal MIA) Excavation to be dug with no wheel loads - - -I - L - produced in the excavation bottom This is to minimize smearing and compaction 2 r 4-\ _ - - - W which could impede percolation. J O SUPPLY LINE 56 High Capacity Ur Supply lines to be PVC SDR 35 or - -' - equivalent laid with a minimum fall of l4-inch Infiltrator Units (P per foot (le- Inch preferred) - - - _ ,., -I Cleanouts required every lot Feet of pipe between house and tare Compact baekflli to reduce settlement 5 rest M c O INFILTRATORS re- High Capacity Infiltrators to be used in place - - - -. - \-, of distribution lines and gravel O COVER - - - - - - - Cover to consist of: wicking sand Vegetation cover to consist of drought resistant grass such as, tall fescue Design flows and bed area based on 68' Water Balance Calculations ) AREA OF BED TO BE AT LEAST 3400 SQUARE FEET with 56 High-Cap Infiltrators ALL CONSTRUCTION TO COMPLY WITH THE SEPTIC SYSTEM PERMIT NOT TO SCALE Client: vALLENCIA Location: Lot 10 Plan View of Black Hollow Acres Septic System Weld County, Colorado FOUNDATION 4 SOILS ENGINEERING JOB NO. 4512-01-01-01A FIGURE NO. 1 j ) High Capacity infiltrators (see below) 0 Access port with security cap 1% cross slope to be maintained for drainage Original grade for monitoring g Q 4 pumping \ Drought resistant grass to be VI r maintained over bed / 0 1O' to Approved Widvng Sand_ Z 28' to% I6' f. N / / 11 LLL • 4 t 1 r N 24' 3618 festi 171 / Z 0 z fii M NOTES Al Z o Wicking sand to be approved by the Engineer o vehicle and hooved animal traffic (l prior to placement. to be prohibited from over top of bed. o Access port recommended to allow monitoring o ,4 drought resistant grass, such as a tall fescue, -11 of effluent levels 4 pumping on high demand is recommended for a final cover. Any tall 0 days (parties, house guests, etcJ. Port to grass shall be kept short during Winter months. consist of 6' perforated pipe with security cap. 0 0 p p p See report and Figure No. 1 for additional ro- o Site drainage shall preclude water runoff information regarding recommendations for z 11 over bed and pending within 10' of bed. this design. C IX N M a o e N Client: Location: Lot 11 Cross-section of MOUNDED VALLENCIA Black Hollow Acres EVAPOTRANSPIRATION/ Weld County, Colorado ABSORPTION (ETA) BED ETA WATER BALANCE SPREAD SHEET ) Month Days/mo. Precip. Precip. Avg. Flow Avg. Flow Bed Area Effluent ET Rate ET Rate Absorp. Absorp. Water Balance rate rate 3 BR 3 BR loading rate Rate Rate in. G/Mo/S.F. GPD G/Mo. S.F. G/Mo./S.F. in./mo. G/Mo./S.F. G/DIS.F. G/Mo./S.F. G/Mo./S.F. Aug. 31.00 1.31 0.82 450 13950 3400 4.10 6.65 4.15 0.10 3.10 -2.33 Sept. 30.00 1.86 1.16 450 13500 3400 3.97 4.81 3.00 0.10 3.00 -0.87 Oct. 31.00 1.27 0.79 450 13950 3400 4.10 3.49 2.18 0.10 3.10 -0.38 Nov. 30.00 1.07 0.67 450 13500 3400 3.97 1.96 1.22 0.10 3.00 0.42 Dec. 31.00 0.78 0.49 450 13950 3400 4.10 1.61 1.00 0.10 3.10 0.49 Jan. 31.00 0.59 0.37 450 13950 3400 4.10 1.61 1.00 0.10 3.10 0.37 Feb. 28.00 0.72 0.45 450 12600 3400 3.71 1.70 1.06 0.10 2.80 0.29 Mar. 31.00 1.63 1.02 450 13950 3400 4.10 2.80 1.75 0.10 3.10 0.27 April 30.00 2.16 1.35 450 13500 3400 3.97 4.16 2.59 0.10 3.00 -0.28 May 31.00 3.00 1.87 450 13950 3400 4.10 5.42 3.38 0.10 3.10 -0.51 June 30.00 2.22 1.38 450 13500 3400 3.97 6.54 4.08 0.10 3.00 -1.72 Jul 31.00 1.97 1.23 450 13950 3400 4.10 7.15 4.46 0.10 3.10 -2.23 -6.47 Bed Ht. Bed Vol. Effluent ft. 2 C.F. 6800 vol.-gal. 4010.81 Porosity Porosity Storage of sand 0.3 of gravel 0.35 capacity of bed gal. 4409.8 ) 3 Bedroom Perc=120-200 mpi(0.1 GPD/S.F.); Weld County, Colorado ProJec.,, No. 4512-01-01-0l ,L IS'.I 1 403 Cps P0.v Gw ?Y c, Ho. SL 111Ni Lot II Black Hollow Acres ortl'1 Lorimer County, Colorado 1' = 100' BORING LOCATION MAF i FOUNDATION 4 SOILS ENGINEERING FIGURE NO. I 1 ) ) fil r NO.1 NO.2 NO3 (Perc Area) r m 1 - 100 FT. 100 FT. D b -►- ---- ---- . -> -< th ail 95 FT. 1,4 / 95 FT. O 2>I2 —.-- 4.12 4 a>1290 FT. 90 FT_ 0 85 FT. ✓i 1• 'qi� Vi* 85 FT. Sm FT. 8m Fr. - /y) CLAY, el. ellty, el. moist to moist, hard, brown to dk brown l ) 15 FT. 15 FT. drilled 6/24/98 All eoil and/or rock contacts shown are approximate. CLIENT: VALLENCIA LOCATION: Lot II Slack kollow Acre8 I LOG OF 3OR(NGS Weld County, Colorado 1 FOUNpATION 4 SOILS ENGINEERING JOB NO. 4512-01-01-0I FIGURE NO. 3 P UUNL)ATiON 4 W-Iii.O cimK.aliN=MK1NK3 F rc Teat Form Client: •-las '4$ licdok-617,--- Location: /.>-I/ 13441,46v Aatt, Teated by:Pg Date of Teel: h'?-`i Date or preeoak: ‘")elf Project No. -y S-/a:- Note diameter: l;t Nola depthe(Avg.): g.3o/ Gravel packedl Cysa)6 Pipe diarneta^r: Correction factor: / 1"!ea 9urernent from fixed rererence point ( In.) Area of Taos Hole No. Area or Toe'_ Note No. [1_,' ::..-atton , . 1 Ttme s, Note No. Nola No. Hole No. 1-1.01.9 No, 1-;oia Ho. I-lobe No. 3 17/e . rs 7 'ys is-. %y ? .Y8 16 1313 '07` `6 % { 75411b7 18 i L ,/o, ys 1 ' .7 / , e/e + 7/ f ,'6 ' 1 �% i �y ,y � .; y � ; y r7 yy - , ., , I ,b /z a7, I1 �3 • 7 l • 11 • `./5- 116 'Ai / q /9 1g&. i7 // JTh 18 /a'' 5- 1 / 7 11137 I 1 1 5/ 1 173// Iii 18 1 � I 11,,,) y5 117 xi g0/7 17 /$ 1 ( Y/I, )-o76 17 /6 I 1 . I._r____"Dr Crarget y y a t erd G //Ai/ /A - ye x Pert rata p �3a Igo( /O mpr I �3 O mpi1 , 8 aril C�rcorr� ` � mp 1 60 m i � p 1 � i IC�or- ;! mpt "F"' 1 rpti • rc ! mp`1 mpt ave.; 1 a'/d: Corr 1 . k � 'a Facno pr-r tt�CPi.r`-h., l /4 � � C�dla. o►' r�ols (�,rt or u:a er tr, can A dte. or pipe r'.rt. or wa:.Jr to can 15 a rter pot;r'rC 'ue•.ar from AfRto C rr tion fav=or( = Gravel r7Ite l B G .p; ('O' ri'CJ() ene :. i 3 :o 'r:-...'r:-... eq�:a� e�_� - V:-Ur NO. Cl? . r 5" ' 1 4 COLORADO DIVISION OF WATER RESOURCES O .-G —'i' DEPARTMENT OF NATURAL RESOURCES 1313 SHERMAN ST.,RM.818,DENVER CO 80203 gbQne - info: (303) 866-3587 main: (303) 866-3581 .W HOUSEHOLD USE ONLY Water Well Permit Application Review instructions prior to completing form Must be completed in black ink or typed 1.APPUCANT INFORMATION 6. USE OF WELL Name of applicent„ FRANCISCO, / i CC i - r _. t r G �VaA. ,, -c,., ORDINARY HOUSEHOLD PURPOSES INSIDE ONE Maine Address SINGLE FAMILY DWELLING `!O I N . Sii.m.fj ut, ii 7 7 (NO OUTSIDE USE) City State zip code (li (a I Co &C Std V � 7.WELL DATA Telephoner Number(include area code) MAXIMUM PRODUCTION RATE OF THE WELL 5 70 - Lilt (O g a 6 'WILL NOT EXCEED 15 GPM 2. TYPE OF APPLICATION 8. TYPE OF RESIDENTIAL SEWAGE SYSTEM CONSTRUCT A NEW HOUSEHOLD USE ONLY gl Septic tank / absorption leach field WELL ON LESS THAN 35 ACRES O Central system District name: 3. REFER TO (if applicable': O Vault Monitoring hole acknowledgment• Location sewage to be hauled to: MH- ❑ Other (attach copy of engineering design) 4. LOCATION OF WELL _ S f l 9. PROPOSED WELL DRILLER (optional) / 1 County Quarter/Vuerter Quarter Name - license number —.Section Gnic Goat,�JdQ.P.� 1/4 t/4 __i Section Township N or S e E or W Principal Meridian 10. SIGNATURE of applicant(s) or authorized agent 33 !) © a tV7❑ ❑ The making of false statements herein constitutes perjury Distance of well from section lines in the second degree,which is punishable as a class 1 mis- demeanor pursuant to C.R.S. 24-4-104(131(a). I have read /1/19 ft.from❑ N ❑s ft.tram 0 E ❑w the statements herein, know the contents thereof and state C5(..,,75.- Wcation address,if different from applicant address(ii applicable) that they are true to my knowledge. U rI V`r L[ �-�M f\t'/ !p ( � \,‘ `'�14 (O 11V yy�I Must be original signature , 5. TRACT ON WHICI-I WELL WILL BE LOCATED i lc-,__z_z_c,c o liL1C/ A. You must check one of the following-see instructions Trtle Date El Subdivision: Name C3! nc <tiOLt u ) (1c2�5 � k0i.1ce c? L4.hn9 A G6 /-R 5k tt 0 fice Lie Only DWR Map No. l Lot S (. _Block I Filing/UnitlI ❑ County Exemption loopy of ooumty.ppovM&swwy rn{pt fx.cucnedl vi- rt. Exempt. name/S Tract C _ OLIViirt ❑ Mining claim Wise.copy of deed or yirvey'� 1 ✓✓1Claim name/# 1DIV ❑ Other (attach legal description to application) a\?, 8. STATE PARCEL. CO ID# top io, il: S T Al E (Y (ow R./1/40O _. C. S of saes in tract C 'ND lei _ 'cPt,.3 _ — G BA THIS WILL BE THE ONLY WELL ON THfS TRACT ) r USE MD Form GWS-49(12/95) BONA.*It GNC Proposal# yy.-111:5 titer % ell Dear i'rancisco. Valencia 401 N. Summit View #77 Fort Collins. Co. !(0524 Home: (970) 229-0570 The following estimate is fig the installation of a submersible pump and pressure system. Included is the following: 10 gpm, 3/411.P.. submersible water well pump. Franklin Electric 314 hp. horsepower, 230 volt, 3 wire, submersible motor. Up to 220'feet of 1 inch Sch. 80 PVC well pipe threaded with brass couplings. lip to 240' feet of 11'3 with ground double jacketed submersibles pump cable. 1:p to 7t) fret of 12/3 with ground direct burial cable. Up to S5' feet of I inch 160 PSI poly pipe(Nisi approved for potable water). .Fused diseonnec.t(2 pole 30 amp, max rating). Franklin Electric 3/4 hp. control box. Pressure switch, pressure gauge. drain valve, pressure relief and tank manituld. Pr—sure tank with—32 gallon capacity and•..10 gallon drawdown. (13-203) 4►. .„pest llick.en I..l.)S-1.0 standard duty brass pidess adapter. 1 1..4" Mn 'T :: 1" 1YT check valve, 1" I'PI•x .1" EP•1'check valve t x2x4 outdoor junction box Miscellaneous pltnnbing, electrical and labor to install the above materials The above may be accomplished for $ 301.3.401 fitr a total of These prices do not include excavation, concrete drilling for service enhance of watcrielectrtc;al lines or pt nit fees unless otherwise noted. At time of installation, proper electric power must be available in the tip's where.the tutted disconnect will be mounted, TERMS ARE 50% DOWN WV.1111 BA 1.,A.NE'E DUE UPON ('t).NiPu'i'JoN OF WORK, if this project will not be completed within 10 days we will bill and payment i due on portion of work done to date. 2%per month will be charged from date of invoice. Cost of coileetion and attorney fees will he chatted on all delinquent accounts. Any additional service trips other than the complete installation desctibed above will be done at a separate charge of$60.t)()per hour. 0..)l'•1'iON: Pump'l'ech well pump protection devi=ce (automatic resetting) add $235.00 Please slot one copy and return with your deposit. Sincerely. i.. .'''.troimiuis1 .. ........... .. Signature of Acceptance 1:)ate Corporate Offices: 2365 57th Street, Boulder, CO 80301 Phone (303)442-1911 Fax (303)442-8961 Form No,- -- OFFICE OF THE,S.TATE ENGINEER GWS-25 COLORADO DIV. JN OF WATER RESOURCES 818 Centennial Bldg., 1313 Sherman St., Denver,Colorado 80203 (303) 866-3581 1299 WELL PERMIT NUMBER 21;1243 - - APPLICANT DIV. 1 CNTY. 62 WD 3 DES. BASIN MD Lot: 11 Block: Filing: 1 Subdiv: BLACK HOLLOW ACRES APPROVED WELL LOCATION WELD COUNTY FRANCISCO VALENCIA SW 1/4 SE 1/4 Section 33 401 N SUMMIT VIEW #77 Twp 8 N RANGE 67 W 6th P.M. FORT COLLINS CO 80524- DISTANCES FROM SECTION LINES (970)493-6826 200 Ft. from South Section Line PERMIT TO CONSTRUCT A WELL 1720 Ft. from East Section Line ISSUANCE OF THIS PERMIT DOES NOT CONFER A WATER RIGHT CONDITIONS OF APPROVAL 1) This well shall be used in such a way as to cause no material injury to existing water rights. The issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 2) The construction of this well shall be in compliance with the Water Well Construction Rules 2 CCR 402-2, unless approval of a variance has been granted by the State Board of Examiners of Water Well Construction and Pump Installation Contractors in accordance with Rule 18. 3) Approved pursuant to CRS 37-92-602(3)(b)(II)(A) as the only well on a residential site of 29.32 acres described as lot 11, filing 1, Black Hollow Acres Subdivision, Weld County. 4) The use of ground water from this well is limited to ordinary household purposes inside a single family dwelling. The ground water shall not be used for irrigation or other purposes. 5) The maximum pumping rate shall not exceed 15 GPM. 6) The return flow from the use of the well must be through an individual waste water disposal system of the non-evaporative type where the water is returned to the same stream system in which the well is located. 7) This well shall be constructed not more than 200 feet from the location specified on this permit. • io/,1/sb • • APPROVED �J JSG �t;C State Engineer 0 e j 2 0 1988 By 0CT �� Receipt No. 0431377 DATE ISSUED EXPIRATION DATE .1 ) ) n..;r,C 'lr.G=��#- n r.:,r ,- .•.{.:.;._ :.:::e:=g:ep:r_ Permit N:IBCN-O:i0043 �;_'₹.�_ :.x�«a�G!• =s�,K��.�';_, , _ �. •�� ... _ _ ` . .� r k Status: ISSUED Sec Item Id Description Appr R eq (tend Action: '�. • . Arid F„ ' i it r ` Date: 02-Inr03 . ' Item .- r ;, _ _'�__ 1012 '.SEPTIC No 0 0 '`' f" i-i,�� f �� } . rl p-A, [1:::11, 1013 ROUGH IN ELECTRIC Yes 10 { 3 ' AP Insert ,, y 1015 I ROUGH-IN PLUMBING 'Yes 0 ! 2 : Ap lien �- Dese 'd� Green ;fie.� 1016 i ROUGH HEATING !No 0 0 ₹ r � �:: �-�� - 4 1017 'GAS TEST i No E 0 0 Remora r " .3 1022 !FINAL ELECTRIC I No-10 2 ; CO 1 Item Y.4-1---...,,,, ,r,-. . — 1023 FINAL PLUMBING I No 10 1 = CO s '•r .;:: tt F ErrbnesiorItern:1011 • SEWER SERVICE -.__.. 1.- - «-'_' u • t5 I Action(Comments 1 Byr; (Da e x:s r gilVittittitidd ,. ....rill.._.,_.....?..gtif,-ttiiRtgiii..s.furill:i!tli:tIttillti: AP 'GEORGE !09/30/2003 ,ii_:: :,.iti-ouiP ₹:t° ₹:os m 1-11±.. -Vie=:"=_ =c'- CO I CORRECTIONS MUST BE MADE BEFORE GEROG E 1i i:'0 3/2UIJ3 ll€;ti t i'`er: :E€? ==n I -:_ • AP GEORGE 01/21/2044 _..`" r ; Action: (CO J. By:'GEROGE ( Dee: 10/03/2003 I,Beg n Time: 1 ( End•T,me:1. ( OR:EIapsed T cL ( r. -.r Mdeage: 0•i r : ( �I $. •;.i,:::.:!:;::;;;.:7:::i:..: Violations: ; I Comments; 1. FLOOR DRAIN IN A SHOP CANNOT TIE INTO Er>try SEPTIC SYSTEM -MUST 1. BE DISCONNECTED AND : : .....Odell!' SE 2. RUN INTO SAND PARATION DEVICE ntry .. Entered Date:110/O6.2003 1 ' Entered By;lEtJ1+�it ctf E I Refresh .::_':''.'_::-I • f_ • Too�3xOrdtt SelectMultipie F I1 1'I 'i Back Exit 'PERMITS'Plus®32-Bit ©2001-Arcela,Inc.All Rights Reserved I Licensee:Weld County-Co .Serial Number: 5157 U set s 025 Version:v.4/.18 'Start ill ®M iicr...f `y1Lkrr...I jJ Des. 1 'PE,.. 1 w'WEI...I ii Desktop '...f. My Docurr '' .1 _'i , , rA (D!�c2®4J,.• 9:36 AM!- ) ti`3 ype PEPTIC Vers:9sa1 �ep[rc Fermat 5u6 Type:) RNIEW(Activity) - - -gala - - .gym.-,?. ^_+Mjp,r. a 17'r"ilc 3.1"k5a f .'i { ' . I i {tuAtt"ISP9000264 tin _ 7 11 { Of dMt VALENCIA FRANCISCO S. FINALED lea n i 06/ ■ Specrai Alerks For 9P-9813°26'4 �I 244��ry s . [ 'rj.Lrt, u ...u�'.. +'.�a'+ `reu. vr1�" k t s,>f i I�I �y �{'�_:....i r 6 .ag.'' ''` T" ee"'. hr .-L ,,,. r-J' + .,,,: s a ean, , J SP 9600264 Notice Owner has added a shop for 16 construction employees to the septic cyst 3 ie It -- ▪ +'�+YIF:- • celete g: L Xst b - <. r . I r t i�e• . s } rte, "'mss^, . ', a �s t r us?.* s S'... :;11; t .*:• xk"L•,.'y' »f'. s Sx"' ^ �C 41: '€r4`ax-s '� 4m' -Nr 57{ B to a fed by ' e rreri I z tie F Nonce � ..K " ' ' ""� � Owner has added a shop for 16 construction employees to the Septic system(which has not t een i'l V„--4.- ' 3 r evaluated by an engineerj. I told her we needed a letter that the septic system is adequate far the i4 additional use of 16 employees. TI-.e shop also has a floor drain that Ms.Valencia thinks is connected to? - `` " the septic system(she's not surej. I told Her that if that is the case,it must be disconnected(EPA e vi•olation I will contact Geor a Carroll to find out floor drain situation Will inspect the new building T ' E IBS j ,.fmr..�.. , :a .y"' P ,fie ;'ay+ +< e xe' "'"'E ' '^'` 'L EH. E eetrve 9!tel 3012003 �� 12/31/2020 , � I M ;' 4k (, - , 'e-;3 L s . _ A,.*:( tie fsksz otrit i.7 rP.: ', c' , .d" E . Iu 2,1 N'�f � a, « r-- ., �-i ,r'-'44:1* 1 rthenl�n e,Ap[iorts ��:fleQ BC al'l7, 7�r eF ,; -, 4 ',, a ,.� ' `a'.4.- .t �7 ,_ t x ; aa' , . �' ` �≥'•. [01@CI§I her lt LHNfri `^r „�T wtt_ Ft£fate alt h"°t+x 'R - a T': &: x-:er- _ 'PERMITS t p1re3,2-$it ©2001-'nccelays„, 7 xiglits'Reaenrea n Lice saeItZed u`t4 y w -, : '_ ISenalHum6er6151'Nsersl112.5!:.LVerin 471,8 j „">"�.t . *' "r� c icro _ -+�N+6T-;Prnt�.�, . �sC5®GxO� - '224 PM'�i 5[ait t + at C3 IfT .� �Documentli ( f ERMIT5 Pkls_. ,--,-,72 ( [ -.vr C4 — ,� CfC 03/16/2004 13:12 6866969 UALEICIA:CONSTRUCTIN PAGE 02/02 ACONCHURCH & Associates, Inc. ENGINEERS&GEOLOGISTS October 13, 2003 Frank and Loraine Valencia 8675 Weld County Road 86 Fort Coffins, Colorado 80524 • Subject: OWS Evaluation,Existing Residence and Proposed Pole Barn 8675 Weld County Road 86 Lot 11,Blast Hollow Acres. Weld County,Colorado • Job No. 16048-L Mr.and Mrs. Valencia, As requested, the existing onsite wastewater system(OWS)was evaluated on October 3, 2003. The purpose of the evaluation was to determine ifthe system is suitable for servicing an additional connection from the pole barn that will have a toilet,lavatory and sink.In our previous letter dated October 3,2003, it was understood that there would be no additional persons than in the residence to utilize the facilities in the barn.Later we were informed that 3 employees may utilize the facilities in the barn during equipment delivery and pick up but not on a daily basis.This letter provides a revision based on the additional usage. The 6000 square foot low-pressure drip-irrigation system was constructed in 1999 for the 5-btdtuoni residence with an average sewage loading of 750 gallons per day(GPD)and a maximum sewage load of 1125(GPD)for 10 occupants.There we ctntently 4 occupants in the 5-beroom residence.The drain field was oversized for construction convenience and calculations indicate the drain field should accommodate an average flow of 769 GPD.The facilities in the pole barn will be available for 3 employees during pick up and delivery of equipment-The additional usage from the pole barn is estimated to be no more than 18 CaPD based at 2 toilet and lavatory usages for 3 persons per day. Based on the current conditions ofthe drain field and=rent and anticipated fixture sewage loading from the pole barn,it is suitable to connect the pole ham to the existing OWS.In the event wastewater flows exceed those anticipated in this report,the drain field area should be increased and our office should be contacted to mate rearamendationt for modifying the OWS. If there are questions or if we may be of further service,please call the Loveland office at 970-663-2124. Sincerely, • . , r. P1ot 1.1 L3,1199�. L Edward O.Church,P.E. `. EOC/twf,2 copies sent Far WCDPHE,Attn:Pam Smith, (Ax)970-304-6411 DENVER 4001 Wedmore%Boulevard Wheat Ridge,CO SI033 www.aaerehewah.aom 303.403.9377 FM:3W.MaJ l Tea Fns-1arr3Ma3123 Hello