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Home My WebLink About20250762.tiffFrom: Kathy Naibauer <kathy@cwcwd.com> Subject: PRE23-0016 Assisted Living Facility 6045 CR 6 Date: November 21, 2023 at 1:19:45 PM MST To: "'mnader@weld.govm <mnader@weld.gov>, "jordangutierrez@me.connw <jordangutierrez(c�me.com> Max, I spoke with Jordan Gutierrez regarding his project to convert his home at 6045 CR 6 to a licensed assisted living facility. We discussed his plans for a tank and pump system to meet fire flow requirements. The District does not have an adequate water main size to accommodate fire hydrant installation in this location, however, if the servicing fire department approves the tank and pump system, we are not opposed to that method with appropriate backflow protection in place. We also discussed the additional water usage that will result from having up to 16 residents living there and should be able to work out an appropriate solution through additional raw water purchase or acceptance of related surcharges. CWCWD field staff will be contacting Jordan early in December to complete a backflow survey for existing and planned water usage practices . At this point the District has no immediate concerns that would prevent Jordan from moving forward with his application. We will review any changes that may occur during the application process and respond during the referral phase if any additional District requirements must be met. Please reach out with any questions or concerns. Thanks, Kathy Naibauer Central Weld County Water District 2235 2nd Ave Greeley, CO 80631 Office 970 352 1284 Cell 970 381 2897 Meter Readings Read Dates Account Number Description Previous Present Usage Read Code Previous Present 001944-01 1000 Gallons 3535 3574 39 Actual 01/23/2023 02/16/2023 Previous Balance Web Check Water Minimum Charge Water Usage Charge CBT Surcharge $628.68 —$628.68 $19.27 $106.50 $0.90 Total Current Charges $125.77 Total Amount Due $125.77 _alliim. Please write Account Number on all check payments. Auto Pay is deducted the 15th of each month if setup at www.cwcwd.com. Please return service line surveys with your payment. Water F MAMJJASONDJF EBill Bill ID 0432 00003434 Customer Jordan J & EMarie Gutierrez Service Address 6045 County Rd 6 Billing Date 02/22/2023 Due Date 03/15/2023 Account Number 001944-01 Amount Due $125.77 Annual Allocation YTD Usage 1 **Surcharges apply if Allocation is exceeded** 300 190 Central Weld County Water District 2235 2nd Avenue Greeley, CO 8031 970-352-1284 Scanning Cover Sheet for Septic Permits Permit # Permit Type: SP -0400266 Health / Residential / New Situs Street Address 6045 CR 6 Situs City, State, Zip SectTown/Range: 19-01 N -67W Parcel # (12 digits) 146919300067-R2934004 Owner Full Name: Owner Address: Contact Name: Contact Address: GUTIERREZ JORDAN 13850 FRANKLIN STREET BRIGHTON,CO 80602 Application Status: Finaled Application Date: 07/26/2004 Owner Phone #: 303-451-5131 STEVENS MARK CONST / CUSTOM HOME BUILDER LLC. 8720 EAST 127TH CT BRIGHTON,CO,80602 Contact Phone# 303-254-4,774 Information above has been Verified in Accela by employee noted below April 15, 2010 Processed by: Date Report ID: EHS00024v003 Page 1 of 1 Print Date -Time: 4/15/2010 9:24:47AM Permit #: Owner: Applicant: Permit Type: Parcel #: Location: •WrLD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, CO 80631 PHONE (970) 304-6415 FAX (970) 3046411 SP -0400266 Sec/Twn/Rng: 19 01 67 GUTIERREZ JORDAN STEVENS MARK CONST / CUSTOM HOME BUILDER LLC. RNEW C�oi�m.e�. _ ial, R=Residential + NEW, REPair, VauLT 1469-19-0-00-043 4.3 a a 3 Q eg- f (0045- C 1p . Legal Description: 20004 PT S2SW4 19 1 67 S OF BULL CANAL & E OF #2 LATER4.,ALS Installer: O110Ail r/XCONI nc Fenaled. Status: ISSUED Applied: 07/26/2004 Issued: 08/27/2004 Finaled: a_(� _0(p Description: NEW CUSTOM HOME Commercial: N # of Persons: # of Bedrooms: Residential: Y Acres: 39.77 8 Basement Plumbing: Y 6 Bathrooms - Full: 6 3/4: 0 1/2: 1 Water Public: Y Water Source: CWCWD Water Private: N Cistern: N Well: N Well Permit #: N Percolation Rate: 77.3 Limiting Zone: Oft 0 in Description: CLAY % Ground Slope: 0 Dir: Soil Suitable: (Y/1) N Engineer Design Required: (Y/1) Y In 100 Year Flood Plain: (Y/1) N Minimum Installation Septic Tank: 1750 gallons Absorption Trench: 0 square feet or Absorption Bed: 4656 square feet Actual Installation Septic Tank: aeLnp gallons Absorption Trench: square feet Absorption Bed: gcoS(o square feet Design Type: chMrt)c, Chamber Model Chambers* 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 non transferable and non refundable, The Weld County Department of Public Health and Environment 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 Department of Public Health and Environment. a.s-OG tal Health Specialist Fonn: S FINAL Date i '10 \A OH 00 � High Plains Engineering 735 Denver Avenue • Fort Lupton CO 80821 Phone 303-857-9280 • Fax 303-857-9238 February 8, 2006 Jordan Guiterrez 13850 Franklin Street Brighton, CO 80602 RE: Observation of the septic system and lift pump for home site located on A Part of the SW 1/4 of Section 19, TIN, R67W of the 6`h P.M., Weld County, CO. Job # 04-4075 To Whom It May Concern: We made an observation on February 3, 2006 of the septic system at the above -described home site and found the septic system, including one 2000 gallon, 3 chamber septic tank with a Zoeller model 264 lift pump and 42 high capacity infiltrators, was constructed in an adequate manner. The topography of the site and septic design required a lift pump design. Sincerely, Todd M. Schroeder, P HPE 3 dgooa�ro /fly" h Plaids Engineering 735 Denver Avenue • Fort Lupton CO 80621 Phone 303-857-9280 • Fax 303-857-9238 February 8, 2006 Jordan Guiterrez 13850 Franklin Street Brighton, CO 80602 RECEIVED FEB 1 3 2006 EI1YIRMENTAL UM SERVICES RE: Observation of the septic system and lift pump for home site located on A Part of the SW1/4 of Section 19, T1N, R67W of the 6`h P.M., Weld County, CO. Job # 04-4075 To Whom It May Concern: We made an observation on February 3, 2006 of the septic system at the above -described home site and found the septic system, including one 2000 gallon, 3 chamber septic tank with a Zoeller model 264 lift pump and 42 high capacity infiltrators, was constructed in an adequate manner. The topography of the site and septic design required a lift pump design. Sincerely, Todd M. Schroeder, PE HPE 3 Owner. Location: FOR OFFICE USE ONLY 1SDS APPLICATION FLOW SHEET ` ixotct ' `/ Permit # ©yQ ('p Date B Legal Description: / g -©/ "4% Comments Parcel Number Received 17/410/44 reA— Information Form Complete f Authorization Form Received I. Map Drawing Received Flood Plain? Yes/No N _ Site Inspection Date ?IZd/tY-1" (� D Engineer Design? Yes/No Y"� Date Engineer Design Received Customer Notified? Yes/No Date Staff Approval Sent 71 tipcf`Y" Date Staff Approval Reed Perc Data Entered in Computer . R a(,0r MO Date of BOH Approval (g,gif COO Eng Approval Letter Sent (Letter, Permit. BOH Review) �,` o o my Date of Final Inspection a •q• a. 70t tic-) tr-, . "--,,,I,o,r� Eng Final Inspection Letter Reed Variances Needed? YesMo Sent Variance Staff Approval - , ,1:R eed Variance Staff Approval Variance BOH Approval Variance BOH Approval Sent (Variance, BOH Review) Additional CorlmentT MAENVIRONMENTAL HEALTH SERVICEASEPTIC►FLOWSHEET WELD. COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 NORTH 17TH AVENUE GREELEY, COLORADO 80631 PHONE (970) 304-6415 FAX (970) 304-6411 Permit #: SP -0400266 Sec/Twn/Rng: 19 01 67 Owner: GUITERREZ JORDAN Applicant: STEVENS MARK CONST / CUSTOM HOME BUILDER LLC. Permit Type: RNEW C=Commercial, R=Residential + NEW, REPair, VauLT Parcel #: 1469-19-0-00-043 Location: TBA NE CORNER OF WCR 13 & WCR 6 HWY 85 S Legal Desc: 20004 PT S2SW4 19 1 67 S OF BULL CANAL & E OF #2 LATERAL ALS PERMIT Applied: 07/26/2004 Description: NEW CUSTOM HOME Commercial: N Residential: Y # of Persons: 8 Basement Plumbing: Y # of Bedrooms: 6 Bathrooms - Full: 6 3/4: 0 1/2: 1 Acres: 39.77 Water Public: Y Water Source: CWCWD Water Private: N Cistern: N Well: N Well Permit Number: N Percolation Rate 77-, 3 Limiting Zone () ft r) in Description % Ground Slope Direction — Soil Suitable (Y/N) �I Engineer Design Required (Y/N) y In 100 Year Flood Plain (Y/N) �( From the application information supplied and the on -site soil percolation data the following minimum installation specifications are required: Septic Tank 1"3-50 gallons, Absorption Trench square feet Chambers or Absorption Bed y(D(..4, square feet 1-4a In addition, this permit is subject to the following additional terms and conditions: CalSyi2« � ACC,o�� t1c Terra 1Fiu1,_— "2"1�-=Sic-.�� v ,-f-�U_ .S-)C�1-r7 f��k d� a 1S NOTICE This permit is granted temporarily to allow construction to commence. This permit may be revoked or suspended by the Weld County Department of Public Health and Environment 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 This permit is non transferable and non refundable. Before issuing final approval of this permit the Weld County Department of Public Health and Environment reserves the right to impose 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 Department of Public Health and Environment. Form: S_PERMIT'N `�o ental Health S ecialist Date P COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 N 17TH AVE GREELEY, CO 80631 WEBSITE: www.co.weld.co.us ADMINISTRATION (970) 304-6410 FAX (970) 304-6412 PUBLIC HEALTH EDUCATION AND NURSING (970) 304-6420 FAX (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES (970) 304-6415 FAX (970) 304-6411 August 25, 2004 Jordan Gutierrez 13850 Franklin Street Brighton, Colorado 80602 RE: Individual Sewage Disposal System Permit No.: SP -0400266 Location: County Road 13 and County Road 6 Dear Mr. Gutierrez: 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. PLEASE NOTE THAT THE SYSTEM MUST BE INSPECTED BY A REPRESENTATIVE OF THIS DEPARTMENT AND BY THE DESIGNING ENGINEER, BEFORE THE SYSTEM CAN BE APPROVED FOR OPERATION. THE ENGINEER MUST CERTIFY TO THIS DEPARTMENT, IN WRITING, THAT THE SYSTEM HAS BEEN INSTALLED ACCORDING TO HIS/HER SPECIFICATIONS. Should you have any questions regarding your septic system, please contact this office at your earliest convenience at (970) 304-6415. Sincerely, Stephen J. Wiatrowski Environmental Health Specialist SJW/ms cc: High Plains Engineering Engineer Job No.: 04-4075 WELD COUNTY BOARD OF HEALTH ENGINEER DESIGNED SYSTEM REVIEW PROPERTY OWNER: Jordan Guiterrez PERMIT NO.: SP -0400266 (RNEW) LEGAL DESCRIPTION: PT: SECTION: 19 TOWNSHIP: 1 RANGE: 67 SUBDIVISION: LOT: BLOCK: FILING: SITE ADDRESS: TBD WCR 6 and WCR 13 FACILITY: Residential 6 Bedroom home ACRES: 39.777 PERC RATE: 77.3 SOIL: Unsuitable WATER SUPPLY: CWCWD LIMITING ZONE: 0' 0" clay XXX ENGINEER DESIGN (3.5) EXPERIMENTAL DESIGN (3.14) ENGINEER: Todd M. Schroeder ADDRESS: ESTIMATED FLOW: G.P.D. 900 PRIMARY TREATMENT: Standard tank CAPACITY: 1750 gallons DISPOSAL METHOD: Absorption/ET bed SIZE: 4656 square feet REQUEST FOR VARIANCE: STAFF COMMENTS: The system is adequately sized for the proposed load. STAFF RECOMMENDATION: Approval ENVIRONMENTAL PROTECTION SPECIALIST: Steve Wiatrowski REVIEWED BY BOARD: 8/24/04 B.O.H. DECISION:APPROVED: K DENIED: TABLED: Chairman Weld County Board of Health ' * AU6-02-2004 M0N 04152 PR ENVIRON HEALTH SERVIOES 8703048411. P. 02 Wig DEPARTMENT OF PUBLIC WEALTH AND ENVIRONMENT 1668 N 17TH AVE GREELEY, CO 80831 WtEBSITE: www.co.weld.co.us ADMINISTRATION (No) 3044410 FAX (970) 3044412 PUBLIC HEALTH EDUCATION AND NURSING (870) 304-0420 FAX (674) 8044416 ENVIRONMENTAL HEALTH SERVICES (070) 3044415 FAX (070) 304 8411 STAFF APPROVAL OF ENGINEER.DESIONED SYSTEM Owner Name; ,Jordan Gult rrez Location Address; TBD WCR 13 and WCR 6 The engineekesigned Individual Sewage Dleposel System proposed for the above property, and designed by Todd M. Schroeder _ is hereby approved subject to the following conditions: Conetruot eocord)rlg b the engineer design. All Weld County !BPS regulations apply. I, _. , ownedappllcanl far 1.8,D.S. Permit No.SP-0400288 under the provlslon of the Weld County Individual Sewage Disposal System Regulutlons, do herby understand and agree that after approval by the Director of Heelfh Protection SeMew, 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 ta disapprove arty or all parts of the system design when It considers my application. I understand and agree than I proceed at my awn risk and that I may be required by the Board to remove any or all of the systern Installed prior to Board of Health oonalderatlgn of my applloatlon. • ti4.?Yf Date or/Applicant B 'I° `Of - Dale T•d XUd 13Cd3SU-1 dH WU82 c T T 0002 OT 2nd WELD COUNTY DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 NORTH 17TH AVENUE, GREELEY, CO 80631 PHONE: (970) 304-6415 FAX: (970) 304-6411 WEBSITE: WWW.CO.WELD.CO.US APPLICATION / RECEIPT Initials: RM Permit Number: SP -0400266 Receipt Number: HAP -04269 07-26-2004 Amount: $400.00 Payment Method: Check Notation: 4275 Owner Name: GUITERREZ JORDAN. Applicant Name: STEVENS MARK CONST / CUSTOM HOME BUILDER LLC. Parcel Number: 146919000043 Location: TBA NE CORNER OF WCR 13 & WCR 6 HWY 85 S Account Code 2560-41400-4221-4203 2560-41400-4221-4203 2560-41400-4221-4203 2560-41400-4221-4203 Description New Septic Permit Repair Septic Permit Vault Permit Variance Request Description: NEW CUSTOM HOME Commercial: (Y/1) N Residential: (Y/1) Y Acres: 39.77 Number of Persons: 8 Basement Plumbing: (Y/1) Y Number of Bedrooms: 6 Bathrooms: Full - 6 3/4: 0 1/2: 1 Water Public: (Y/1) Y Water Supply: CWCWD Water Private: (Y/1) N Cistern: (Y/1) N Well: (Y/1) N Amount $400.00 $0.00 $0.00 $0.00 Well Permit Number: N TERMS AND CONDITIONS A permit fee, as set by separate ordinance of the Board of Weld County Commissioners, shall be required of applicants for new individual sewage disposal systems (ISDS), payable at time of application. Permit fees are non-refundable; permit applications are non -transferable. If both a building permit and an ISDS are issued for the same property and construction is not commenced prior to the expiration date of the building permit, the ISDS permit shall expire at the same time as the building permit. If an ISDS permit is issued for a property that does not require a building permit, the ISDS permit shall expire one year after its issuance if construction on the septic system has not commenced. Any change in plans or specifications after the permit has been issued invalidates the permit unless approval is secured from the Health Officer or his/her designated agent. Expired permits can be renewed by payment of the permit fee only if: A. There has been no change in the plans and specifications of the proposed system as set out in the original application or such change is reviewed and approved by a Division Representative. B. The surrounding land, its use or zoning has not changed so -as -to cause the original application not to be acceptable under these regulations. NOTICE The completeness of this application is conditional upon further mandatory and additional tests and reports as may be required by the Weld County Department of Public Health and Environment (WCDPHE). The issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations adopted under article 10 title 25, CRS as amended. The applicant certifies that the proposed system . will not be located within 400 feet of a community sewage system. The undersigned certifies that all statements made, information and reports submitted herewith are, or Will be, represented to be true and correct to the best of his/her knowledge and are designed to be relied on by the WCDPRE for evaluation for purpo s of issuing the permit applied for herein. Applicant further understands that falsification or misrepresentation may result in the d al Of the eahofr6l revocation of any permit granted, and in legal action of perjury as provided by law. X wner"/Applicant Form: RT_HAPP 7 -27 - Date MID 0 • COLORADO PARCEL NO.: 1 if -6 71 990 ©© 1-2 (12 DIGIT NUMBER) CAN BE OBTAINED FROM THE ASSESSOR'S OFFICE AT (970) 353-3845 EXT 3650 PROPERTY OWNER: 674-4.1 Cy{/ T r EIQ)q �- MAILING ADDRESS: 13 g SO FjV141/ SiL,, CITY B r fclMoA STLth ZIP V662.V662.HOME PHONE: (3 es) y -x/31 WORK PHONE (720) ©-IT* FAX (39,3) F9.6--7745- APPLICANT NAME: tie 45- 9�hS �,t9j1 S!� C'�S j f?'1 pole Aiidd MAILING ADDRESS: 3 720 6, Cr, CITY .��`�` Oh STS ZIP V,�j' 0 Z HOME PHONE: ( a) 2s4 - 9.77f WORK PHONE c3,9393) -220FAx (363) 2.51 ' 839.3 LEGAL DESCRIPTION PT SW PT Vq- SEC , TWN 71 N RNG RUW ACRES ,.717 SUBDIVISION LOT BLOCK - FILING - DESCRIPTION OF BUILDING (Ex: HOUSE, MOBILE HOME, MODULAR, SHOP, OFFICE) ✓ CI1) G(.Q� �©/n� SITE ADDRESS Ng c Q tRiog-R ®-p Loco. is rt (�(c('l A DIRECTIONS TO SITE 1,4{,0y g S So -0.6,. -6D R OI /6 Lof� l , --et) l� � i ,3 y NEW PERMIT x REPAIR PERMIT VAULT PERMIT SEPTIC INFORMATION FORM To obtain an I.S.D.S. permit, one must file an "application for Individual Sewage Disposal System" at the Weld County Environmental Health Services office and pay the application fee. A "repair" fee shall be charged for the expansion, replacement, or repair of an existing system. The following information must be provided on the septic information form. 400 $ 400 $ 150 IF OBTAINING A REPAIR PERMIT, PLEASE LIST PREVIOUS OWNERS OF THE PROPERTY: FLOOD PLAIN RESIDENTIAL NUMBER OF PERSONS 8 NUMBER OF BEDROOMS'-- WATER SUPPLY: PUBLIC CENSUS TRACT COMMERICAL YES / NO BASEMENT PLUMBING BATHROOMS: FULL 1�2 NAME Cf rte, i W Qi PRIVATE YES / NO CISTERN YES / NO WELL YES / NO WELL PERMIT # PERC HOLES MARKED FOR INSPECTION BY SPECIALIST i Wi�Pc. COLORADO DEPARTMENT OF PUBLIC HEALTH & ENVIRONMENT 1555 N. 17th Avenue • Greeley, CO 80631 VVEBSITE: wN% .co.eld.co.us ADMINISTRATION: (970) 304-6410 FAX: (970) 304-6412 PUBLIC HEALTH EDUCATION & NURSING: (970) 304-6420 FAX: (970) 304-6416 ENVIRONMENTAL HEALTH SERVICES: (970) 304-6415 FAX: (970) 304-6411 AUTHORIZATION FORM RE: JZ: PERMIT APPLICATION I.S.D.S. EVALUATION n SALE OF PROPERTY n WATER SAMPLE I / v"k SLe,ttaS represent .J(9rr1 Cv/-te,^fez. for the property (Agent/Applicant) (Owner located at Ne C. c9 /` VP air.R W` --Y\, LEGAL DESCRIPTION: SEC I q TWN Tint RNG R6JV SUBDIVISION NAME: LOT - BLK I can be contacted at the following phone #'s: Home 2$0 — 25 Y. "-'Z'7N Work 3©3 Fax # 303 ?5ttp " 9'77* The property owner can be contacted at the following phone #'s Home 3©3 ^ Li -E/ " Si 3 / Work 720 -300 -4971/- Fax # 3©3 - 77Z E Correspondence mailed to (only one): Agent/Applicant Q Property Owner DATE 7 7 ` d OWNER'S SIGNATURE PLEASE DRAW A MAP TO YOUR PROPERTY. N Weld County Health Department Percolation Test and Soils Data 6/28/2004 II( ` :7: ' : ht.' FILE IVO: 04-4075 Property Address A PART OF THE SW1/4 OF SECTION 19, T1 N, R67W OF THE 6TH P.M. Legal.Description WELD COUNTY, CO Pi Perty:Owrier WO Name ' . Street rtI'; Statie; ZAP JORDAN GUITERREZ 13850 FRANKLIN STREET BRIGHTON, CO 80602 , .. Phone 303-451-5131 MSatiitdtioitanikSwelln' al�` Sl Th1 -� Gro nd"wateina 4' S Y.; 'Smeared-Serfades ,Removed: YES ' Encountered,atAGREATERTHAN 8 Meet. :.., ;, . Sand'or=Gravel Added NO :" ,E?,imatedtdepth_iolpa�amum , ;seaserial=water-:tableif not ,encounteredinpiefle :Date:,and,Tnie :.PreseakMate� Added: 6/24/2004 date , . 12:00 time Amounf.of PCOO-4k Water Added: 15 gallons....; _= .Is area befe•• • vedEtgbe st!. *trio :`, . • ;seasonal-fl.uctuatienSWhich,coi ld resutt,in a season) water: tet�le:within _ ...._ 8' of`surfeee?. Oa t... Percolation Test Started: 6/25/2004 date 1:00 time ,r,.'-;G„Sto �Detemiinatron�iVAGso'. � 'onhArea,��r. f?e_:.._..... Did Watet Remain,in Hole After the Oliemight' Swelling -Period? I, � _. „ 4 °� .to the NORTHEAST direction _ ....a,.. - ..-:Holed NO , . .. •. . �._' .......;.: -^r .. ... _. _.... ., ...... .' ..... _ . . Hole - ., ... :. ..:. NO ,:y.:� N, :-vim ''A.- ; 8edi'oc10.414 e3. �:: 'a. F,{�n:.:''_. dc�,. ti5. , i:-�4s:'.:. �I .311 777 Hole.:3 NO Encountered:@AGREATER THAN 8 Ifeet .^ , Hole .4 NO Hole 5 YES Estimated: depth if riot encountered in profile: .. Hole,B NO PercotatiorE Race --41'- _ r-i e r tl .r .: ; , . ? ;Dee,yi I . 2'Rate ° Pe_reolatio m (mien): • . . • Hole 1 36 33.33 Type of Bedrock: 'Hole "2 36 83.33 - Hole 3 36 41.67• Is bedrock fractured or Weathered? Hole 4 36 83.33 Hole -5 36 166.67 Is bedrock believed to be permeable . (percrate < 60 min/in)? Hole 6 36 55.56 Average 77.3 Depth in Feet Weld County Health Department Percolation Test and Soils Data Profile,Hole InfOiniation (corit ) Note: Soils must be classified using unified system ASTM D2487 i Profile _Hole Log 0 - 1 - --2 - 4 • CLAY WITH MEDIUM PLASTICITY (CL) 10 •s+t.'..'.w:,tim..y-p.k�t>,-: rra�sa- •:.fl.�,-.. �..,_7` I certify that the above information is correct and complete to the best of my knowledge and that all tests were performed in the accordance with the provisions of Weld County Health Department individual sewage disposal regulations by myself or under my supervision. High Plains Engineering 735, Denver Avenue Ft. Lupton,. CO 80621 303=857-9280 6/28/2004 'v 424 3. A Part of the SW1/4 of Section 19, T1N, R67W of the 6th P.M. Weld County, CO .• s3 .X 120' 110END ® - Percolation Holes X - Percolation Profile Hole A- Soil Profile Hole GAN 1 I 534' 400' 1750 GALLON SEPTIC TANK (MIN. CLEAN OUT 42 HIGH CAPACITY INT IL1RA TORS DIF.1RIBUTION BOX 1 -LIFT PUMP IF NECCESSARY PERC PROFILE NICK 6 RAM -NECK k GROUT WATER TICFFT 4` C.P. INLET FROM SEPTIC T 6 _ LITTLE GIANT 1O1 HW ALARM h CONNECTION BOX MOUNTED INHOUSE (OR EQUIv UNDERGROUN CABLE 2" SCII 40 P.V.C. PIPE (TIP.) MAYARA SEALED AWS-1 CONTR CONNECTION X HIGH WATER ALARM FLO SUBMERSIBLE PUM' r CONCRETE BLOCK 300 GALLON TANK (MIN) [22" LID GATE OR BE VALM ALLOW SUFFICIENT CABLE TO REMOVE PUMP 7 CONCRETE BRICK OR BLOCK RISER 24" CLEAR AS REQUIRED 2" SCH 40 r . V.C. PIPE �TYP,) /—BUSHING ADAP TER 2" C.I.P. TO SOLID GROUND 1 • MALE ADAPTERS THREADED UNIT FOR PUM DISCONNECT, I LEVEL CONTROL sw1CH PUMP TON LEVEL VIP ON w LEVEL RAM —NECK 4 GROUT BOTH INLET do OUTLET WATERTIGHT DRILL ve HOLE IN BOTTOM OF PIPE GOULDS MOQEL 3871 (MIN.) (OR EQUIVALENT) LIFT PUMP DETAIL IF NECCESSARY aLTE PL6N SCALD NIB HIGH CAPACITY INFILTRATORS (TYP.) -.4" GRANULAR 4 8' TOPSOIL BACKFILL W/ E. t, SAND 12' 12' 12' 12' INFILTRATOR CHAMBER BED CROSS SECTION T I TRI-COUNTY HEALTH DEPARTMENT EVAPOTRANSPIRATION BED WATER BALANCE SIZING SPREADSHEET - -1- USER INPUT PARAMETERS TRIAL BED ARE'.? (Square Fr II) __ 4650 I Bedrooms? __.... _--_. . -_- . 9 .— Avg Dally Flow per Bedroom? _�. (9P_d) _ 150 Avy Dell Flow — 900 _ Allow, Soll _ _ Abe Rale? _(9P_dlegh) _ 0.20 _ _ MONTHLY PFIECIP.T (SEE BELOW_) MONTHLY ET? (SEE BELOW) INituLSTA WATER r TOTAL BED '----- -� ----. —(v_Ovmoli - 02858 •_ ,.POROSITY? 0.437 .....----..-p----.._ .._. MONTII PRECIP.O 0 — e -- �Ur�_ 'T I RUNOFF NET— rT -- _-_-, UPPER �99%_CONFID,—_ LEVEL 7ON.) UPPER_ -__M_%CO_NVID. LEVEL7014.1 INRLTRM NON _)IN0NES) _LOWER _ 99% LEVEL (IN4 MONTH _— -----_�_Y_OD ___ PERCENT_ 9TAL DETORADE JANUARY O.5B 0.09 0 49 0.50 --- � _ -- - —-9TAIZEO FEB_ MARCH ApgIL -_ - 0.93 -----1.50 ._ _--- 2.05 -- - 0.21_ --0.13 �_— — 0.04 _ -- 0.72 1.37_—_--_0.69__ - -` 2.01 _ 0.46_ _ 1.18 JANUARY FEB MARCH ---- 65% —W� -BBX.- - - _ MAY 5.35 0.14 5.21 r 2.09 APRIL _- - __�_- 73% JUNE - 1.66 0.03 1.83 4.67 MAY 97%____ JULY __ __ 2.45 2.3_9 8_ 25 JUNE 7_0% AUGUST 1.76 _0.0_8 -0.04 - 1.72"---2.53 _ JULY _ 85%---- SEPT 1.76 0.04 1,72 _ 3._62 AU0t147 OCT ____ __ - ___ 1.10 0.02 _ _ 1.08 2.04 SEPT _ __ _65% �_65% NOV _T-- _�-___- DEC ' t.02 ---- o.7t � 0.01 — 0.05 --- _ 1.01 _ � O.fi6_ _ 0.72 "- Osl�-- OCT — NOV -- - _ 85% -----86'K - TOTAL — 21 0.66 20.21 27� � DEC----__ �-� 85%--_- - WATER AND EFFLUENT INTO BED _._ MONTHLY PRECIPITATION INFILTRATION MONTHLY AVERAGE EFFLUENT INTO BED FLOW INTO BED MONTH - - Inche) (Gallons) JCubk Feel (Inches) (Gallons)) (Cubic Feet) JANUARY FE@ __ 0.49 _--- 0.72 1420 _-2087- -LLJ 190_ 278 _ 9.83 ____27900 � 0.59 2520O'- 3730 -- 3369 ' MARCH APRIL-- - MAY _.- -''----.--ii 1.37 _ --2.01 � �- � - 6.21 - 3971 _ 5828 ---1510 1 . 531 �779 _ _ 2019 9.63 — 9.32 --� � 9.e5 -_-- 279D0 —27000 _ 27900 3730 3610 ---- --kit) - kit) -- - JUNE _ 1.83 _ -_ 5304 709 9.32_- "- 27000-- -- 3610 -_ - JULY AUGUST _ -� . 2.39 - _1.727_- __6827 4985-__� 926 667 _ 9.63 _ 9.63 _-2790 2790 _ 3730 .- 3730-_-- - SEPT --_-._-- OCT 1.72 ---- --- 1.08 4985_- --------------_ 3130 667 . 419 9.32 .---__. _ 9.63 _ 27000 __ 279003730 3610 _ _-, WO -11 N0V DEC 1.01 0.68 2927 1913 391 256 9.32 9.63 '270_-_ --_3610 O -- -2790 _� _, 3730 ---- CWATER OUT OF BED I I _ __._. _ _... _. __.. MONTH - - -. -_ i -_ MONTHLY SOIL ABSORPTION RATE I -_ __L MONTHLY EVAPOTRANSPIRATION RATE JANUARY . FC'1 - _ CH 9.95_- _,_ 8 96 8.95 __-28830 _ 26040_ _ 28830 V� 3 3854 3481 _ 3854 _ _ 0.50_ _ -_ 0.4_8 - 0.69 - 1449 -- __- 1333 2000 194 178 267 APRIL --- -� 9.63 -- - 2790 _ 3739_ 1,18 3420 457 MAY -. - 9.55 288-300 3854 _ _ 2.09 _ � � 6058 _ 810 - - - JUNE -- --"9.63-- - 27900 3730--1.67 13536 �_- 1610 .I.LAY AUGUST SEPT 9 55-"- -_ _995,,-_-_-__ 963 28830 `_- 28830 _-3854- 27900 -- 3854 v 3730 _ 8.25� _-2.53 T 3.62 23913 7333 10493 3197 980 1403 OCT 9.95 28830 9854 2.04 3 591_---__791 001__ DEC - '9.63 _--`9.95_,__ 2790 --_-28830 3730 3854 - 0,72 _-0.61 _..� 2087 _- 1768_ - 279 236 � _FRI-COUNTY HEALTH DEPARTMENT EVAPOTRANSPIRATION BED WATER BALANCE SIZING SPREADSHEET - - -- 4 1 � c INITIAL WATER CONTENT WITHIN TOTAL BEng TOTAL STORAGE IN BED BED VOLUME(No --- Water In Bed) , (Assumes Bed Hee Operated for 1 Yowl 1 amble Ire ' VOLIVOL Ilschn) (0.1949) Ier) (VOLNOL) T(g•4on91 �emhle Prot ...'-11) - ..-_ _C.•tJ' - . . ._ .__ I ,1.60 � 34198 .eu619 .--4 _ 2 -�� ....---- 0&858 - 22357-� -- -f99D v., AL AVAILABLE STORAGE IN BED r (INCHES_ % TOTAL _ -, ----._ ... YOl7YOL � INCNES ---` OALLOR4 J -._. _.._.. CD•IC FT _— 7.72 STORAGE - 65%LL �--'--- 0.1512 4.OP 111433 1582 WATER STORAGL IN BED AT END OF MON1 H �r + ---.__.1 �..-- PERCENT I ..... -_-_.._._.. -- ��(Inchcs) _ACTUAL Sl ORAGE .--- {Inthn) _ -._-.._� - (Gellons) ACTUAL STORAGE ._�---- �Galfons) _ _ Cubic ---- --- Faa1 ACTUAL STORAGE --_.._. (Cp.Fest) TOTAL STORAGE I _STORAGE UTILIZEp INITIAL 0 8 22357 22367 2990 2990 65% JANUARY ># MB--_ ^-.8 84ARCH 8 APRIL I AY ..._ __• • _- JUNE 1 _ 8 _ __ JULY I 2 - - -- -- AUGUS7 _ T ScPT. I 6,_--_- OCT 6_---8 NOV _ --- -. --- - -- DEC 7 _ 8 8 -- 8 9 11 .._._ _-� B B - - - 6 6 - ! -- ---- - ----- e 21408 -- 2228022387- 2.9408_ _ 24913 33027 23895 _ 5980 19089 15959 18654 „22307_ - 21581 _ 22367 __ _ 23108 24913 33027 23895 22387 22367 227_67 _ 22367_ -- 22367 -------- 22367 1862 _ _- 2979-2990 .._ 312 __ 5 3331 4416 3'.95 799 2552 -2134 2494_ 2982 - ---- 2885 2990_ _ _ 5129 _ 3331 4415 - __. .__. 3195 2990 2990_ 2990-- _ 2990 _ 2990 - --- 2990 65% 65% - 68%.. 73% 97% 70% 65% 65% 8596. . 65% -- 65% - ---- 65% EXI5TING GROUN7 1 2 3 4 5 6 7 8 CLAY W/ MEDIUM PLASTICITY (CO SOIL PROFILE SEPTIC SYSTEM DESIGN DATA: The purpose of this design is to provide a septic system for a 6 bedroom single family home. The percolation test for the site performed by High Plains Engineering !lad an average percolation rate of 77.3 minutes per inch. FOR WELD COUNTY: ABSORPTION AREA (A): The evapotranspiration computations are from the Tri-County Health Department Guidance Manual For Sizing E.T. Beds. An allowable soil absorption rate of 0.20 GPD/SQ.FT. (60 10 90 MPI) was used for our computations. Therefore; use one E.T, bed 48' x 97' backfilled with E.T. sand as specified. NOTE: An E.T. sand sample will be submitted to the Engineer for analysis before being placed in the bed. The Engineer will inspect the site when infiltrators, plastic liner (if required), and septic tank are in place, A final inspection will be made when the system is completed. A 10 Mil. (min) plastic liner may be required because of the existing slope of natural ground and the limiting bed depth of the E.T. system. Place the liner around the perimeter of the bed where finished E.T. bed grades are filled above existing natural grades (fyp.). One bed is required, with 42 total high capacity infiltrators (3 rows of 14 each high capacity infiltrators). SEPTIC TANK SPECIFICATIONS: Use a 1750 gallon minimum capacity septic tank, with two (2) compartments or units in series. NOTES: 1, Provide a minimum of five (5) feet between the distribution box and the septic tank or any building. 2, Provide a minimum of five (5) feet of solid pipe between the distribution box and the laterals. All construction is to be in accordance with Weld County Colorado Health Departments Individual Sewage Disposal System Regulations. Certification: I hereby certify that the septic system shown on this plan was made by me or under my direct supervision and is accurate to the . - • _° _ _ Knowledge or belief, /42 4;0•,,re, 1)•, Todd M. Schroeder, •E 3 640 • • • :G 49/44 : �w ioNAL E.T. (Evapotranspiration ecificalions: SIEVE SIZE 4 40 200 % PASSING 100 50-55 <15 F.T. SEPTIC DESIGN FOR A SINGLE STORY, SINGLE FAMILY HOME ON A PART OF THE SW 1/4 OF SECTION 19, T 1 N, RG7W OF THE GTH P.M., WELD COUNTY, COLORADO HIGH PLAINS ENGINEERING 735 DENVER AVENUE, FORT LUPTON, CO 80621 PHONE - (3O3) 857-928O FAX -- (303) 857-9238 REVISIONS BY DATE CONTACT:JORDAN GUITERR Z SCALE: AS NOTED DRAWN BY:I DATE:G-29-04 T. RUPP SH T: 1 JOB NO.O4-4O75 E=.iir�II1CC=:i `5 i'Survr>>ynr : CiecltuChnic.:tzl Landmark May 24, 2019 Project No. GUTIEJ-19B3A-01-312 Jordan Gutierrez 6045 County Road 6 Brighton, Colorado 80603 Loveland 970-667-6286 Toll Free 866-379-6252 Fax 970-667-6298 www. 3521 West Eisenhower Blvd. Loveland, Colorado 80537 RE: Observations of a Septic System Installation for Residence at 6045 County Road 6, Brighton, Weld County, Colorado. Dear Mr. Gutierrez, On May 24, 2019 personnel from this office made observations at the above referenced location. The septic system installation repair for the residence met parameters set forth in the septic system design performed by Landmark Engineering Project Number GUTIEJ-19B3A-01-311, dated February 15, 2019. It was noted that the northeast corner of the eastern most bed may have bisected the existing S.TA. Should you have any questions, please contact our office. Sincerely, Landmark Engineering Ltd. cc: Weld County Health Department, Attention Alex, owts@weldgov.com The above report has been review and approved by Rodney A. Harr, Colorado P.E. 26857. WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT 1555 North 17th Avenue, Greeley, CO 801631 vvww.weldhealth.org Septic Permit - Final Application Number:SP-1900111 Owner Name:JORDAN GUTIERREZ Site Address: 6045 CR 6 BRIGHTON, CO 80603 App Type: Health\Residential\Repair OWTS\Septic 4346 SUNRIDGE DRIVE LOVELAD, CO 80538 Parcel #: 146919300067-R2934004 Legal Desc: PT S2SW4 19-1-67 LYING WLY OF C/L OF ABDN TRACK OF BOULDER BRANCH OF UPRR LYING SLY OF A STRIP OF LAND 60' WIDE FOR THE EAST BRANCH OF THE BULL CANAL BEG SW COR SEC 19 WLY OF SW4 N0D29'W 1081.45' TO A POINT ON SLY LN STRIP OF LAND 60' WIDE FOR THE E BRANCH OF THE BULL CANAL SLY LN 35' OR EXTENDING 35' TO RIGHT C/L OF E BRANCH OF BULL CANAL ELY ALONG SLY LN OF E BRANCH OF BULL CANAL N73D46'E 42.30' N84D46'E 119.69' N84D01'E 708.38' C/L OF ABND TRACK OF BOULDER BRANCH OF UPRR SELY ALONG C/L CURVE EAST 233.61' RADIUS= 2864.93' CHORD=S49D38'E 233.55' S47D17'E 1257.06' CURVE WEST 249.38' RADIUS= 5729.65 CHORD S48D32'E 249.36' S89D45'W 2143.75' TO POB (1.48R) Work Description: HOUSE -FAILING SYSTEM EHS SEPTIC GENERAL: Application Date Number of Bedrooms Number of Persons Parcel Acres Public Water Supply Public Water Supply Utility EHS SEPTIC ACTUAL (FINAL): Absorption Bed, sqft Chamber Model Number of Chambers Installed Design Type 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 25-10-112(1)(b), C.R.S. This permit is non -transferable and non-refundable. The Weld County Department of Public Health and Environment 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 Department of Public Health and Environment. 04/11/2019 6 6 36.87 Yes NWCWD 3600 Quick4 Plus Standard 300 Chambers -Bed Application Status: Finaled Applied Date: 04/11/2019 Issued Date: 04/15/2019 Finaled Date : 05/28/2019 Alex Clemments May 28, 2019 Environmental Health Specialist Health Administration Vital Records rele: 970-3J4-6410 Fax; 970-304-6412 Public Hearth i Clinical Services Tele: 970-204-6421; pax; 970-304-6.416 Date Enusonmsnfal Health Services Tele: 970-304-64I 5 Fax; 97D304 -64i Communication. Education a Planning Tele: 970-304-6470 Fax: 970-304-6452 Emergency Preparedness i Response Tele: 970-3044'470 Faxl 9'+C-304-6452 Puhlicliseith Hello