HomeMy WebLinkAbout923 The Summit Trail - 210716204008 - OWTS-8-14-11317Work Classification: NewPermit
39 WELCH POINT RD
WINTHROP MD 04364-3000
Address Owner Information
Permit Status: Active
Project Address
210716204008
Permit Type: OWTS Permit
Permit NO. OWTS-8-14-11317
Expires: 1/17/2015 Issue Date: 9/19/2014
Parcel No.
923 THE SUMMIT TRL
Private Wastewater
System
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
Phone: 2077200266
Cell:
Inspection
For Inspections call: (970) 328-8755
Inspections:
IVR
OWTS Final Inspection 095
PhoneEngineer(s)
(970)945-7988HP GEOTECH
Contractor(s)Phone Primary ContractorLicense Number
Reynolds Corporation (970)904-5226 Yes35-15
JUDITH G. & JOSEPH E. MACOMBER,
JR
Permitted Construction / Details:
Installation of the unlined sand filter mound exactly as designed by HP Geotech on their report dated
August 27, 2014, stamped and signed by Dave Young on August 28, 2014.
System consists of a 1,250 gallon two compartment Valley Precast concrete tank with a separate 500
gallon Valley Precast dose chamber equipped with a submersible Orenco PF 3005 pump in a biotube
screen filter dosing effluent to a 600 square foot distribution network atop a 1,200 square foot, 2 foot
think sand filter.
The design engineer must be contacted well in advance of installation of the OWTS to conduct
inspections necessary to certify proper installation and to develop as-built drawings. All components of
the OWTS, including the proper operation and dose volume of the pump must be conducted by the design
engineer.
Certification of proper installation and as-built drawings must be submitted to and approved by Eagle
County environmental Health prior to the use of the system and occupancy of the dwelling.
Issued by: Environmental Health Department, Eagle County, CO
August 11, 2015
Date
Customer Copy
Terri Vroman
CONDITIONS:
1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT
COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT
2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED
3. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND
BUILDING REQUIREMENTS. CONNECTION TO, OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND
BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A REQUIREMENT OF THE PERMIT, AND WILL RESULT IN
BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT
4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL
SYSTEM TO BE LICENSED
Work Classification: NewPermit
39 WELCH POINT RD
WINTHROP MD 04364-3000
Address Owner Information
Permit Status: Active
Project Address
210716204008
Permit Type: OWTS Permit
Permit NO. OWTS-8-14-11317
Expires: 1/17/2015 Issue Date: 9/19/2014
Parcel No.
923 THE SUMMIT TRL
Private Wastewater
System
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
Phone: 2077200266
Cell:
Inspection
For Inspections call: (970) 328-8755
Inspections:
IVR
OWTS Final Inspection 095
PhoneEngineer(s)
(970)945-7988HP GEOTECH
Contractor(s)Phone Primary ContractorLicense Number
Reynolds Corporation (970)904-5226 Yes35-15
JUDITH G. & JOSEPH E. MACOMBER,
JR
Permitted Construction / Details:
Installation of the unlined sand filter mound exactly as designed by HP Geotech on their report dated
August 27, 2014, stamped and signed by Dave Young on August 28, 2014.
System consists of a 1,250 gallon two compartment Valley Precast concrete tank with a separate 500
gallon Valley Precast dose chamber equipped with a submersible Orenco PF 3005 pump in a biotube
screen filter dosing effluent to a 600 square foot distribution network atop a 1,200 square foot, 2 foot
think sand filter.
The design engineer must be contacted well in advance of installation of the OWTS to conduct
inspections necessary to certify proper installation and to develop as-built drawings. All components of
the OWTS, including the proper operation and dose volume of the pump must be conducted by the design
engineer.
Certification of proper installation and as-built drawings must be submitted to and approved by Eagle
County environmental Health prior to the use of the system and occupancy of the dwelling.
Office Copy
August 11, 2015
Issued by: Environmental Health Department, Eagle County, CO Date
Terri Vroman
CONDITIONS:
1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT
COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT
2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED
3. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND
BUILDING REQUIREMENTS. CONNECTION TO, OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND
BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A REQUIREMENT OF THE PERMIT, AND WILL RESULT IN
BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT
4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL
SYSTEM TO BE LICENSED
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970)328-8755
FAX: (970) 328-8788
TOLL FREE: 800-225-6136
fflo.eagleogunty.us
EAGLE COUNTY
P.O. Box 179
500 Broadway
Eagle, CO 81631
www.eaglecounty.us
APPLICATION FOR ON -SITE WASTEWATER TREATMENT SYSTEM OWTS PERMIT
INCOMPLETE APPLICATIONS MAY NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED)
FEE SCHEDULE
APPLICATION FEE FOR NEW OWTS OR MAJOR REPAIRS $800.00 MINOR REPAIR FEE $400.00
Fee includes the design review, permitting and maintenance of OWTS records
Make all checks payable to: Eagle County Treasurer
Property Owner: t V ACC-L_`'l R Phone:
Owner Mailing Address: 3 ` , �yg ��?� pt r+ �a43� email: S c �� + 15 i`i r �- l�� Co rr'1
Professional Engineer: Phone: 7y 945 �9 Cr'
Applicant / Contact Person: C C _ i AS- VE!5�+ 6 tJS ---Phone: '7y 3 -7
Licensed Systems Contractor Name / Company: Z - 1 )
Contractor Mailing Address:
Contractor Phone Number:
email:
OWTS Permit Application is for:ew Installation
SGZ$�-t��Zr1�O�Cc�.�tU,�aA
Tax Parcel Number:
Assessor's Link: www.ealwlecounty.us/patie/
Contractor License #:
Alteration Repair
Lot Size: Z , U -1 1
Physical Address: (fie✓ �ca+M>It-t - """C 4 L_ _ FQL,- A/L-05 (?a g
Legal Description: O ( —Z , 3L-oc lC 1- L+r/y t�3 L 6 � Q 'L15� Su
Building Type: Residential / Single Family Number of Bedrooms: 4-
Residential / Multi Family Number of Bedrooms:
Commercial / Industrial Type of Use:
*As of 06/27/2014, all systems require design by a Registered Professional Engineer
Type of Water Supply: Private Well
If Public, Name of
Applicant Signahu
Spring Surface Public
01.5TNQt C
office Use only: OWTS PERMIT #k-1 q-1(3 ('1 BUILDING PERMIT #
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Amount Paid: O , ' Receipt Check #: Date: 1
.,unty.us
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�x 179, 500 Broadway
a, CO 81631
,lone: (970) 328-8730
Fax: (970) 328-7185
hpeckn W Ile 1(8M 701--3307
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Permit #
EL JEBEL OFFICE
EAGLE COUNTY coLoRAoo 20 Eagle County Drive El Jebel, CO 81623
Phone: (970) 328-7673
hTeclim Nr=i h-W 1(8%) 701-3307
PLEASE MAKE CHECKS PAYABLE TO: "EAGLE COUNTY BUILDING DEPARTMENT"
JOB A 1DAES : y
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'PE OF HEATING: 31'NATURAL GAS [ ] ELECTRIC [ ] PROPANE
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}MBEA OF STORIES: 3
IMBER OF DWELLING UNITS: �[
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CLASS: $NEW [ ] ADDITION [ ] ALTERATION [ ] REPAIR
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TRANSFER PERMIT: I YES
ACREAGE OR SQUARE FOOTAGE OF LOT:
LOT COVERAGE (includes overhangs):
IMPERVIOUS COVERAGE:
TOTAL FLOOR AREA OF STRUCTURE (sq. ft.): ,
NUMBER OF OFF STREET PARKING SPACES:
DESIGN REVIEW APPROVAL: M YES
' —
'ARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, MECHANICAL
ATING, VENTILATING OR AIR CONDITIONING).
i PERMIT BECOMES NULL AND VOID IF WORK
PERMIT FEE
OR CONSTRUCTION AUTHORIZED IS NOT
AMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORT( IS SUSPENDED OR�
NDONED FOR A PERIOD OF 180 DAYS AT ANYTIME
AFTER WORK IS COMMENCED.
REBY CERTIFY THAT I NAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE
IE TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES
'ERNING
PLAN CHECK FEE
THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN
JOT. THE GRANTING OF A PERMIT DOES NOT
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PRESUME TO GIVE AUTHORITY TO
ATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW
ULATING CONSTRUCTION OR THE PERFORMANCE
OF CONSTRUCTION.
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IATURE OF CONTRACTOR l
(DATE)
APPLICATION RECEIVE[
BY I
ATURE OF OWNER (IF OWNER BUILDER} A� -�
{DATE} '�/r �'
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[ 1 NO DATE %
FORM OF PAYMENT
December 08, 2015
Mr. Macomber
39 Welch Point Rd
Winthrop, Maryland 04364-3000
RE: Final approval of septic permit OWTS-8-14-11317; Tax parcel #210716204008;
Property location: 923 Summit Trail, Edwards Area
Mr. Macomber:
This letter is to inform you that the above-referenced septic permit has been inspected and
finalized. This permit was approved and sized for a 4 bedroom dwelling. Additional information
about the maintenance your septic system needs as well as information about private wells can be
accessed through web site links provided on the Environmental Health Department’s home page
at http://www.eaglecounty.us/envHealth/
Be aware that changes in the use of your property or alterations of your building may
require commensurate changes to, or relocation of, your septic system. Landscape features,
trees with tap roots, irrigation systems and parking areas above the drain field can cause
premature system failure. It is equally important that you notice and immediately repair
dripping faucets and hissing toilets as this will certainly cause the system to fail. By
following a few simple guidelines, like avoiding grease or other additives down the drain and
making sure your septic tank is on a pumping schedule, your system has been designed to
last for many years.
If you have any questions regarding this information, please contact us at (970) 328-8755 and
reference the OWTS septic permit number.
Sincerely,
Terri Vroman
Administrative Technician IV
cc: OWTS electronic permit folder
Energov electronic file
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970) 328-8755
FAX: (970) 328-8788
TOLL FREE: 800-225-6136
www.eaglecounty.us
RAYMOND P. MERRY, REHS
Director
IJ,, rh RIMA 1 r ,hnic.d, Inc.
IC'0C LH1( f.3ml 154
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HEPWORTH-PAWLAK GEOTECHNICAL
Fj::: )70-v)45-875;
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ONSITE WASTEWATER TREATMENT SYSTEM DESIGN
PROPOSED MACOMBER RESIDENCE
LOT 23, FILING 36, CORDILLERA SUBDIVISION
923 SUMMIT TRAIL
EAGLE COUNTY, COLORADO
JOB NO. 114 097B
AUGUST 27, 2014
PREPARED FOR:
KLINE DESIGNS AND CONSTRUCTION
ATTN: ANDREW KLINE
P. O. BOX 7193
AVON, COLORADO 81620
(klinedesignsl a,yahoo.com)
Parker 303-841-7119 0 Colorado Springs 719-633-5562 0 Silverthorne 970-468-1989
TABLE OF CONTENTS
INTRODUCTION.....................................................................................................-1-
BACKGROUND INFORMATION........................................................................... 1-
PROPOSED CONSTRUCTION................................................................................1-
SITECONDITIONS................................................................................................. . 1-
SURFACE WATER AND WETLANDS................................................................ - 2-
WELLS...................................................................................................................- 2-
SUBSURFACE CONDIITONS...................................
OWTS ANALYSIS......................................................
............. 2 -
............ - 3-
DESIGN RECOMMENDATIONS...........................................................................- 3-
OWTSCOMPONENTS..........................................................................................- 5-
Septicand Dose Tank ................................ ............................ .............................. »........ 5-
SewerPipe .............................. ........................................................................................ : 5-
EffluentTransport Piping............................................................ _ ............................. - 6 -
EffluentPumping System .............................. _............................ ............................... � 7-
OWTS OPERATION AND MAINTENANCE.......................................................: 7-
OWTS HOUSEHOLD OPERATION...................................................................... 8 -
OWTSMAINTENANCE........................................................................................- 8-
OWTS CONSTRUCTION OBSERVATION..........................................................: 9-
LIMITATIONS.......................................................................................................... 9-
FIGURES
FIGURE 1 - OWTS SITE PLAN
FIGURE 2 - SOIL TREATMENT AREA CALCULATIONS
FIGURE 3 - SOIL TREATMENT AREA PLAN VIEW
FIGURE 4 - SOIL TREATMENT AREA CROSS SECTION
FIGURE 5 - USDA GRADATION TEST RESULTS
ATTACHMENTS
VALLEY PRECAST SEPTIC AND DOSE TANK DETAILS
ORENCO PF3005 PUMP PERFORMANCE CURVE
INTRODUCTION
This report provides the results of an onsite wastewater treatment system (OWTS) design
for the proposed Macomber residence to be located on Lot 23, Block 1, Filing 36, The
Summit at Cordillera, 923 Sunnnit Trail, near Edwards, Eagle County, Colorado. The
purpose of this report was to review the site and subsurface conditions and provide design
details for an OWTS in accordance with the 2014 Eagle County Onsite Wastewater
Treatment System Regulations and the Colorado Department of Public Health and
Environment's Regulation #43. The services were performed as part of our agreement for
professional services to Kline Designs and Construction dated March 26, 2014.
BACKGROUND INFORMATION
Hepworth-Pawlak Geotechnical, Inc. (HP Geotech) previously prepared a subsoil study
for foundation design at the property and submitted our findings in a report dated August
18, 2014, Job No. 114 097A. The report included a review of the site conditions,
evaluation of the subsurface conditions and percolation testing which are the bases for our
OWTS design.
PROPOSED CONSTRUCTION
The single family residence will be a four bedroom structure with an attached garage
located on the lot as shown on Figure 1. The septic disposal field. is planned to the west
of the residence. If proposed construction is different than described, we should be
contacted to re-evaluate our design recommendations.
SITE CONDITIONS
The lot was vacant at the time of our field exploration and the ground surface appeared
mostly natural. The terrain is moderately steep sloping down to the northwest at grades
Job No. 114 097B Ge Ptech
-2-
from about 10 to 15% with flatter grades in the upper part of the lot near Summit Trail.
Vegetation consisted of grasses, weeds and sagebrush.
SURFACE WATER AND WETLANDS
No surface water features or wetlands were observed in the near vicinity of the proposed
OWTS. A 50 feet setback is required from any surface water or wetlands to the soil
treatment area, septic tank, sewer line and effluent lines.
WELLS
The lot is on a public water supply. No wells were observed or reported to be in the near
vicinity of the lot.
SUBSURFACE CONDIITONS
The field exploration for the project was conducted on July 8, 9 and 10, 2014. Two
Profile Pits (Profile Pits 1 and 2) and three percolation test holes (P-1, P-2 and P-3) were
excavated at the approximate locations shown on Figure 1 to evaluate the subsurface
conditions. Logs of the Profile Pits are provided below.
The soils encountered consisted of about 6 inches of topsoil overlying strong -blocky loam
with gravel and basalt rock fragments that extended down to the depths explored of 7 feet.
Results of a gradation/hydrometer analyses performed a bulk sample (minus 3 inch
fraction) of the subsoils obtained for our previous study are provided as Figure 5.
Log of Profile Pit 1
Job No. 114 097B
G(egtech
-3-
Log of Profile Pit 2
Percolation tests were performed in the three test holes by HP Geotech on July 10, 2014.
The percolation rates obtained ranged from about 30 to 75 minutes per inch. Percolation
test procedures outlined in State Regulation #43 were not utilized and the results were
only used for comparison of the soil profile pit evaluations.
OWTS ANALYSIS
Based on the soil profile pit evaluations, the infiltrative surface of the soil treatment area
will be located in strong -blocky loam soil. The loam soils classify as a Soil Type 2 from
Table 10-1 of Regulation #43; however, we have used a Long -Term Acceptance Rate of
0.5 (Soil Type 3) for sizing of the infiltrative surface (basal area).
Based on the subsoil conditions encountered, a mounded sand filter treatment system will
be required for the site. Regulation #43 requires a sand filter system if 50% or more of
the soil profile is rock fragments (2.0 min or larger) to allow for adequate effluent
treatment that is not accomplished by larger size rock fragments. Gradation analyses on
samples from the site indicate rock percentages of 51% to 69%. A Long -Term
Acceptance Rate (LTAR) of 1.0 gallons per square foot per day will be used for sizing of
the aggregate area. An LTAR 0.5 gallons per square foot per day will be used for sizing
of the basal area of the mounded sand filter, which assumes Treatment Level 2. Sewage
will be collected in the septic tank and gravity flow to a dosing tank where it will be
pumped to the mounded soil treatment area. A 2 feet maximum cut depth will be allowed
for the soil treatment area. The OWTS component locations are shown on Figure 1.
DESIGN RECOMMENDATIONS
The recommendations presented below are based on the site and subsurface conditions,
and our experience in the area. If conditions encountered during construction are
Job No. 114 097B G4 c' tech
different than those that are described in this report we should be contacted to re-evaluate
our recommendations.
SOIL TREATMENT AREA
• The soil treatment system (STA) will consist of an aggregate bed that is 60 feet
long by 10 feet wide constructed over a 2 feet thick mounded sand filter. The
aggregate area was sized based on an LTAR for concrete sand of 1.0 gallons per
square feet per day. See Figure 1 for the STA absorption field location.
• A basal sand area of 1,200 square feet will be required based on an LTAR of 0.5
gallons per square foot per day. Due to the sloping site, only the basal sand area
directly beneath and downgradient of the aggregate bed has been included in the
usable basal area. An area of 20 feet wide by 60 feet long has been assumed for
the mounded soil treatment area. Soil treatment area calculations are presented on
Figure 2.
• Concrete sand is suitable for construction of the mounded sand filter.
• Absorption area aggregate will be a minimum of 1 foot thick. See Figure 4 for the
aggregate size specifications.
• A minimum of 12 inches and a maximum of 36 inches of cover soil should be
placed over the soil treatment area aggregate. A layer of Hanes GeoComponents
Pro Silver filter fabric (or equivalent) should be placed over aggregate prior to
backfill.
• Backfill should be graded to deflect surface water away from the absorption area
and should be sloped at 3 horizontal (H) to 1 vertical (V) maximum.
• Disturbed soil should be re -vegetated immediately with a native grass mix. No
trees, shrubs or other plants with deep roots should be planted on or near the
absorption area as this may damage piping.
• Four inch diameter inspection ports should be installed at each corner and in the
center of the aggregate beds. The inspection port piping should extend to the base
of aggregate. The portion that lies within the aggregate should be perforated. The
inspection ports should extend at least 8 inches above the finished ground surface
or be protected in a valve box at finished grade.
Job No. 114 097B Gt5�Ptech
-5-
• A plan view of the absorption area is presented as Figure 3 and a cross section of
the absorption area is presented as Figure 4.
OWTS COMPONENTS
Recommended OWTS components were based on our design details and our experience
with the specific component manufacturers. Equivalent components may be used if
desired; however, they must meet our minimum recommendations and should be
approved by the design engineer prior to construction.
Septic and Dose Tank
• A 1,250 gallon, two chamber Valley Precast septic tank is proposed for primary
treatment of sewage from the residence. The septic tank will be followed by a 500
gallon Valley Precast dose tank equipped with a submersible effluent pump.
Pump specifications are provided in the Effluent Pumping System section of this
report. A copy of the two tank details are attached to this report.
• The tanks must be set level. The excavation must be free of large rocks or other
objects that could damage the tank during placement. A gravel base course
bedding material will probably be needed to prevent tank damage during
placement and to act as a leveling course.
• Install tanks with 2 feet minimum cover soil for frost protection. Maximum tank
burial depth is 4 feet.
• The septic and dose tank lids must extend to finished grade.
Sewer Pipe
• The sewer line from the existing residence to the septic tank should not be less
than the diameter of the building drain and not less than 4 inches in diameter.
• The sewer pipe should have a rating of SDR35 or better.
• Sewer pipe should be sloped at 2% minimum from the residence to the septic tank
except for the last 10 feet, which should be sloped at 4% maximum (2%
minimum) to help limit disturbance of solids in the tank.
• A minimum 36 inches of cover soil should be provided over the sewer pipe.
Paved areas, patios or other areas without vegetative cover may be more
susceptible to frost. We recommend 48 inches of soil cover over the sewer pipe in
these areas and the pipe be insulated on top and sides with 2 inch thick blue foam
Job No. 114 097B G4�'QfteCh
insulation board. If adequate soil cover is not possible, we should be contacted for
re-evaluation prior to installation.
• The sewer pipe should be bedded in compacted'/ inch road base or native soils
provided that the native soils contain no angular rocks or rocks larger than 2%
inches in diameter to help prevent settlement of the pipe. Sags could cause
standing effluent to freeze and damage piping.
• Install cleanout pipes within 5 feet of building foundation, where the sewer pipe
bends 90 degrees or more and every 100 feet of sewer pipe.
• All 90 degree bends should be installed using a 90 degree long -sweep or by using
two 45 degree elbows.
• The sewer line location shown on Figure 1 is considered conceptual. We assume
that there will be only one sewer line exiting the residence. It is the responsibility
of the owner to locate all sewer line exit locations and connections to the septic
tank and inform us of their locations.
Effluent Transport Piping
• 1.25 inch diameter Schedule 40 effluent transport piping should be sloped at 2%
minimum to drain from the dose tank to the absorption area manifold.
• The effluent transport pipe should be bedded in compacted 3/o inch road base or
native soils provided that the native soils contain no angular rocks or rocks larger
than 2%2 inches in diameter to help prevent settlement of the pipe. Sags could
cause standing effluent to freeze and damage piping.
• A minimum 18 inches of cover soil should be provided over the effluent transport
pipe. Paved areas, patios or other areas without vegetative cover may be more
susceptible to frost. We recommend 48 inches of soil cover over the sewer pipe in
these areas. If adequate cover soil is not possible the effluent pipe should be
insulated on top and sides with 2 inch thick foam insulation board and the design
engineer should re-evaluate soil cover prior to installation.
• The effluent pipe should be double encased with larger diameter Schedule 40 PVC
pipe underneath driveway surfaces and be provided with at least 48 inches of soil
cover and be insulated on top and sides with 2 inch thick foam insulation board.
Job No. 114 097B Ge Ptech
-7-
• All 90 degree bends should be installed using a 90 degree long -sweep or byusing
two 45 degree elbows.
Effluent Pumping System
• An Orenco PF3005, 115 volt, submersible effluent pump with a 1.25 inch
diameter discharge assembly, or equivalent, will be required for effluent pumping.
• The maximum effluent transport distance from the pump discharge to the
treatment area manifold is estimated to be 42 feet.
• The elevation difference from pump discharge to the dose tank is estimated to be
10 feet.
• The pump should be enclosed in an Orenco Biotube Pump Vault for effluent
filtering and protection of the pump from vibration.
• An equivalent pump must be capable of operating at 28.6 gallons per minute at
25.5 feet of total dynamic head. A pump performance curve is provided as an
attachment to this report.
• The floats should be set to provide a dose volume of approximately 81 gallons.
To achieve the desired dose volume the upper ("ON") and lower ("OFF") floats
should be set approximately 8 inches apart.
• The high water alarm float should be placed approximately 3 inches above the
"ON" float in the dose tank.
• A %8 inch diameter weep hole should be drilled in the effluent transport line prior
to exiting the dose chamber so the transport line can drain after each pumping
cycle.
OWTS OPERATION AND MAINTENANCE
The OWTS will require periodic inspection and maintenance to function properly. A
properly designed, installed and maintained system can greatly increase the lifespan of
the system. The level of maintenance will vary with the complexity of the system and
water use habits of the residents. We recommend that a system Operation and
Maintenance (O&M) Manual be developed for the system to ensure that it is properly
maintained. Depending on the complexity of the system, a contract with an OWTS
Job No. 114 097B GsHStech
W:11
maintenance provider may also be prudent. Below are some basic recommendations for
OWTS O&M.
OWTS HOUSEHOLD OPERATION
• Use of high efficiency water fixtures is recommended to decrease the hydraulic
load on the OWTS.
• Fix plumbing leaks immediately as this may cause a hydraulic overload of the soil
absorption system.
• Do not irrigate the area on top of or directly upgradient of the soil absorption area
as this may cause a hydraulic overload.
• Do not dispose of household waste down household drains as this may clog or
damage OWTS components. Examples of household waste that should not be
disposed of in drains include: dental floss, cotton swabs, coffee grounds, paper
towels, feminine products and many other kitchen and bath items.
• Use of kitchen garbage disposals is not recommended for households served by an
OWTS. If a garbage disposal is utilized, kitchen wastewater should be screened
thoroughly. Many kitchen solids are not decomposed in the septic tank and may
cause increased pumping frequency.
• Do not dispose of household chemicals, greases, oils, paints, hot tub water or
water softener backwash in household drains. A separate drywell, if feasible, may
be necessary for hot tub water or water softener backwash disposal.
• Limit the use of bleach as this may harm useful bacteria in the septic tank and soil
absorption area.
• Liquid dishwasher and clothes washer detergent is recommended for households
served by an OWTS. Clay substances used as fillers in powder detergents may
result in clogging of the soils absorption system.
• The water in septic tanks can freeze during extended periods of non-use. We
recommend that second homeowners install a tank heater to help prevent freezing.
OWTS MAINTENANCE
• Inspect the septic tank, dose tank, pump vault and soil treatment area at least
annually for signs of problems or failure.
Job No. 114 097B G<qtech
• The pump vault filter should be cleaned annually by spray washing solids into the
first chamber of the septic tank.
• Septic tank should be pumped and cleaned every 3 to 5 years depending on use.
Longer pumping intervals may increase the amount of solids that reach the soil
absorption area, which may shorten its life span.
• Pumping should take place when the level of the sludge and scum layers
combined take up 25 to 33% of the capacity of the first chamber of the septic tank.
OWTS CONSTRUCTION OBSERVATION
The Eagle County Environmental Health Department requires that the designer provide
an As -Built certification of the OWTS construction. HP Geotech should be provided with
at least 48 hour notice prior to the installer needing inspection. Prior to issuance of our
certification letter, we require observation of all system components prior to backfilling.
The number of site visits required will be dependent on the installer's construction
schedule.
LIMITATIONS
We have conducted this study in accordance with generally accepted engineering
principles and practices in this area at this time. We make no warranty either expressed
or implied. The conclusions and recommendations submitted in this report are based
upon the data obtained from the profile pits, percolation test holes, soil texture analysis,
subsurface conditions encountered, review of the site conditions, the proposed type of
construction and our experience in the area. Variations in the subsurface conditions may
not become evident until excavation is performed. If conditions encountered during
construction appear different from those described in this report, we should be notified so
that re-evaluation of the recommendations may be made.
This report has been prepared for the exclusive use by our client for design purposes. We
are not responsible for technical interpretations by others of our information. As the
project evolves, we should provide continued consultation and field services during
construction to review and monitor the implementation of our recommendations, and to
verify that the recommendations have been appropriately interpreted. Significant design
Job No. 114 097B Gecgtech
MU12
changes may require additional analysis or modifications to the recommendations
presented herein.
It is our opinion that the designed location of the OWTS does not violate any setback
requirements of the current Eagle County Regulations. Below is a table of common
minimum horizontal setbacks to OWTS components. Refer to the Eagle County
Regulations for a complete list of required setbacks. We recommend the OWTS
components be surveyed by a Professional Colorado Land Surveyor and verified by H-P
Geotech prior to permitting.
Table 1 - Common Minimum Horizontal Setbacks from OWTS Components
Water
Lined
Lake,
Dry
Wells
Supply
Occupied
Ditch
Irrigation
Ditch
Septic
Line
Dwelling
or
Ditch,
or
Tank
Lake
Stream
Gulch
FBuflding
100,
25'
20'
20'
50,
25'
5'
50'
10,
5'
10,
50'
10'
50'
10,
0'
10
S0'
10'
Please contact us for any necessary revisions or discussion after review of this report by
Eagle County. If you have any questions, or if we may be of further assistance, please let
us know.
Sincerely,
HEPWORTH-PAWLAK GEOTECHNICAL, INC.
�%
Z t z.,uA
Jason A. Deem
Project Geologist
Reviewed
David A. Young, P
cc: Eagle County
Ea
32-216
S. 213 -tq
Dept. (environment(&eaglecounty us)
Job No. 114 097B
PROPOSED MOUNDED SOIL TREATMENT
AREA WITH AN AGGREGATE BED THAT IS 50
FEET LONG BY 10 FEET WIDE CONSTRUCTED -
OVER A 2 FEET THICK SAND FILTER \
i' MOUND BASAL AREA F \�
o gy P-
0 PROFILE PIT 1
Q
,�� /
P 2 proposed
// VV� •. Residence i
/
I
PROFILE PIT 2 `- o 0 o
\ i CLEANOUTS
i
PROPOSED 1,250 GALLON,'
TWO CHAMBER SEPTIC
TANK FOLLOWED BY A500
GALLON DOSE TANK
EQUIPPED WITH AN ORENCO
\ PF3005 EFFLUENT PUMP
`. ENCLOSED IN A ROLLER
\ PUMP VAULT
APPROXIMATE SCALE:
1 INCH = 40 FEET
114 091 tech LOT 23, B6, F23, THE SUMMIT AT CORDILLERA
HEFWOkiH-PAWLAK GEOTECHNICAL OWTS SITE PLAN FIGURE 1
OWTS ABSORPTION AREA CALCULATIONS
In accordance with the 2014 Eagle County OWTS Regulations the treatment area was calculated as follows:
CALCULATION OF OWTS DESIGN FLOW
Q = (F)(B)(N)
WHERE:
Q = DESIGN FLOW
F = AVERAGE FLOW PER PERSON PER DAY
B = NUMBER OF BEDROOMS
N = NUMBER OF PERSONS PER BEDROOM
F =
7S'GALLONS PER DAY
B =
4,BEDROOMS
N =
2 PERSONS PER BEDROOM
Q =
600 GALLONS PER DAY
CALCULATION OF OWTS ABSORPTION AREA:
MINIUMUM ABSORPTION AREA AGGREGATE = Q =SAND LTAR
WHERE:
Q -
6001GALLONS PER DAY
SAND LIAR =
1.0 GALLONS PER SQUARE FOOT PER DAY
MINIMUM ABSORPTION AREA AGGREGATE =
600.0'SQUARE FEET
AGGREGATE BED LENGTH =
60.01FEEf
AGGREGATE BED WIDTH =
10.0FEEf
ACTUAL AGGREGATE AREA =
600 SQUARE FEET
MINIUMUM ABSORPTION SAND BASAL AREA = Q : SOILLTAR
WHERE:
Q =
600 GALLONS PER DAY
SOIL LTAR (SILTY CLAY) TL2 =
0.5 GALLONS PER SQUARE FOOT PER DAY
MINIMUM ABSORPTION BASAL AREA =
1200.0,SQUARE FEET
BASAL AREA SLOPE LENGTH =
20.0 FEET
BASAL AREA SLOPE WIDTH =
60.0
ACTUAL BASAL AREA = 1200.0 SQUARE FEET
114 097E I Ge Rech ILOT 23, B6, F23, THE SUMMIT AT CORDILLERA I
HEPWORTH-PAWLAKGEOTECHNICAL SOIL TREATMENT AREA CALCULATIONS FIGURE 2
10.0'
2.5' o 4 inch diameter PVC inspection
port installed to base of
L I_ _I aggregate. Pipe must stick up
at least 8 inches above
1.25 inch diameter I I I finished grade or be protected
non -perforated Sch. 40 "1 I 1 in an at grade valve box. Install
PVC looped end pipe " I I 1 vents at each corner and in the
installed level. 1 1 1 center of each aggregate bed.
1.25 inch diameter perforated
so.o
I ; I Ali_
Sch. 40 PVC pipe with 32 inch
holes spaced at 4 feet intervals.
p
550
Face perforations down. First
perforation to be 12 inches from
manifold and last perforation to
be 12 inches from looped end
1.25 inch diameter
(13 perforations per lateral).
non -perforated
I :�; I, I.!
Sch. 40 PVC
manifold pipe
installed level.
1.25 inch diameter non -perforated
Sch. 40 PVC transport pipe sloped at
2% min. to drain to manifold tee
2.5'
Notes:
1. Aggregate Specifications Rf drain gravel is suitable for this application)
standard sieve sizes % passing byweight
4' 100%
a 0-20h
Not to Scale No 4 0-3%
2. Transport and distribution piping to be Sch. 40.
3. Upper 6 inches of cover soil should be topsoil suitable for mvegetation.
4. Changes to the design shall not be made without approval by H-P GEOTECH
5. Refer to the 2014 Eagle County OWTS Regulations for other applicable specifications.
114 2416 I Ge�tech ILOT 23, 66, F23, THE SUMMIT AT CORDILLERA
L HEPWORTH-PAWLAKGEOTECHNICAL SOIL TREATMENT AREA PLAN VIEW FIGURE 3
4" DIAMETER OBSERVATION PORTS
HANES GEOCOMPONENTS
PRO SILVER FILTER FABRIC 1' THICK LAYER OF 1.5" SIZE
(OR EQUIVALENT) AGGREGATE WITH 8.75INCHES
MIN. COVER MAX.) SOIL \ BELOW PIPING AND 2 INCHES
OVER AGGREGAA TE, UPPER ABOVE PIPE
O
6-1SHOULD BE TOPSOIL,
3H:1V MAX. SLOPE.
2 THICK MIN.
CONCRETE SAND
BASAL SAND Swr. pi MAX. CUT DEPTH MIN
SCARIFY UPPER 3" OF GROUND
SURFACE AND REMOVE
VEGETATION AND TOPSOIL
PRIOR TO SAND PLACEMENT
Notes:
1. Aggregate Specifications (1 z' drain gravel is suitable for this application)
standard sieve sizes % passing by weight
100%
a" 0-20%
No. 4 0-3%
2. Transport and distribution piping to be Sch. 40.
3. Upper 6 inches of cover soil should be topsoil suitable for revegetation.
4. Changes to the design shall not be made without approval by H-P
GEOTECH
5. Refer to the 2014 Eagle County OWTS Regulations for other applicable
specifications.
NOT TO SCALE
I 14 241 B ^r�LOT 23, B6, F23, THE SUMMIT AT CORDILLERA
HEPWORT��THH-PPAAUt GE� NICAL SOIL TREATMENT AREA CROSS SECTION FIGURE 4
Item # 1250 Gallon Top Seam
1250T-2CP Two Compartment
ALLOWABLE BURY
(Based an Water Table)
WATERTABLE
ALLOWABLE
EARTH FlLL
0' - 0"
2' - 0"
1'-0"
3'-0"
2'-0•
3- On
DRY
Top
View
Sectioi
DESIGN NOTES View
• Design per performance test
per ASTM C1227
• Top surface area 56.25 fi'
• Pc Q 28 days; concrete = 6,000
PSI Min.
Installation:
• Tank to be set on 5" min. sand
bed or pea gravel
• Tank to be backfilled uniformy on
all sides in lifts less then 24" and
mechanically compacted
• Excavated material may be used for
bac kfill, provided large atones are
removed
• Excavation should be dewslered and
tank filled with water prior to being
put in service for installation with
water table leas then 2' below grade
• Meets C1644-06 for resilient connectors
• Inlet and Outlet identified above pipe
• Delivered complete with internal piping
• PVC or concrete risers available
• Secondary safety screw available with
PVC riser
• Option of pump or siphon Installed
"See installation guide on our websile
20" ClearAoceas
SANK
:L I —ID— I
—.
Digging 8pecs
Invert
Dimensions
13' Long x T Wide
Inlet
Outlet
Length
Width
Height
56" below inlet invert
56"
53"
135"
60"
68"
Net capacity__
Inlet Side Outlet Slde
Total
843 gallons 416 gallons 11,259
gallons
Net Weight
Ltd Tank Total
3,1201bs 10,8801bs I 14,0001bs
Water& 2WX Co. Rd.317
Wastewater (719) 395.6784 P.O. BoKW25
• Systems BueriaVild3, CO81211
LVrOe
ALLEY• ProductsFax: (719) 395,3727RECAST, Inc. • Service Websits: www.vaifeyprecastcom
Email: frontdoskOvallevorecastoom
Item 0
50OT-HH
DESIGN NOTES
• D�nPar performance testper ASTM
• Top surface area 23.411•
• fc Q 28 days; concrete = 6,000 PSI Mln.
Installation:
• Tank to be set on 5" min. sand bed or
pea gravel
• Tank to be backfilied uniformly on all
sides in lift less than 24" and
mechanically compacted
• Excavated material may be used for
bactcfill, provided Was stones are
removed
• Excavation should be dewa*W and
tank filled with water Prior to being put In
service for Installation with water table
lose than Z below grade
• Meats C1644-M for resilient connectors
• Inlet and Outlet identified above pipe
• Delivered complete with krtemal piping
• Secondary safety screen available with
PVC deer
-See installation guide on our websits
WABLE BURYon Water Table)BLE
ALLOWABLEEARTH FILL
T-0"
I
4'-0"
4' . 0"
4' - 0"
4'-0"
500 Gallon Top Seam
with High Head Pump
Service contracts available formaWenance.
Top
View
Clear Access
Wires to 24" Minimum Height
Panel ' all VaNa
Is Boot Section
View
nutter
Seal
Pump:
• Lowers TSS and improves effluent
quality to field
• Easiest pump system to maintain on the
market
• Complete installation (wiring, panel,
mounting and start-up procedures)
• Complete warranty
Digging Specs Invert Dimensions Net _ Net eightW
1 -- Capacity Lid Tank Total
7' Long x T VVde Inlet Outlet Length Width Height
56" below inlet invert 56" 73" 58" 58" 92" 522 gallons 1,340 Ibs 4,100 Ibs 5,640 Ibs
Water &
Wastewater
Systems
We VALLEY • Products
PRECASTt Inc. • Service
(719) 395-6764 2M CM Rd. 317
P.O. BoxW5
Fax: (719) 395-3727 13u8r1a \ftl1a' C081211
Website: www.valleyprecastcom
Email: frontdesk@valleyprecastcom
Pump Selection for a Pressurized System - Single Family Residence Project
LOT 23, FILING 36, CORDILLERA/ EAGLE COUNTY. CO
Parameters
Discharge Assembly Size
1.25
inches
Transport Length
42
feet
Transport Pipe Class
40
Transport Line Size
1.25
inches
Distributing Valve Model
None
Max Elevation Lift
10
feet
Manifold Length
10
feet
Manifold Pipe Class
40
Manifold Pipe Size
1.25
inches
Numberof Latemis per Cell
3
Lateral Length
55
feet
Lateral Pipe Class
40
Lateral Pipe Size
1.25
inches
Orifice Size
5/32
inches
Orifice Spacing
4
feet
Residual Head
5
feet
Flow Meter
None
inches
'Addan'Friction Losses
0
feet
Calculations
Minimum Flow Rate per Orifice
0.68 gpm
Number of Orifices perZone
42
Total Flow Rate perZone
28.6 gpm
Number -of Laterals perZone
3
%Flow Differential i st/Last Orifice 2.3 %
Transport Velocity
6.2 fps
Frictional Head Losses
Loss through Discharge
5.7
feet
Loss in Transport
4.3
feet
Loss through Vale
0.0
feet
Loss in Manifold
0.3
feet
Loss in Laterals
0.3
feet
Loss through Flowmeter
0.0
feet
'Add -on' Friction Losses
0.0
feet
Pipe Volumes
Vol of Transport Line
3.3
gals
Vol of Manifold
0.8
gals
Vol of Laterals perZone
12.8
gals
Total Volume
16.9
gals
Minimum Pump Requirements
Design Flow Rate 28.6 gpm
Total Dynamic Head 25.5 feet
25(
50
0
0 5 10 15 20 25 30 35
Net Discharge (gpm)
PumpData
PF3005 High Head Effluent Pump
30 GPM, 1/2HP
115/230V 1060Hz, 200V 3060Hz
PF3007 High Head Effluent Pump
30 GPM, 3/4HP
230V 1060Hz, 200/460V 306011z
PF3010 High Head Effluent Pump
30 GPM, 1HP
230V 1060Hz, 200/460V 3060Hz
PF3015 High Head Effluent Pump
30 GPM, 1-1/2HP
230V 1060Hz, 200/230/460V 3060HZ
System Curve:®
Pump Curve: _—
Pump Optimal Range
Operating Pmnt:O
Design Point
40
Go &,=%row
*h
HEPWORTH-PAWLAK GEOTECHNICAL
November 30, 20I5
Kline Designs and Construction
Attn: Andrew Kline
P. O. Box 7193
Avon, Colorado 81620
Hepworth .Pawlak Georechnical, Inc_
5020 County Road 154
GlenwocxJ Springs, Colorado 81601
Ph, mc: 970-945-7988
Fax; 970.945-8454
email; hpgeo®hpgeorech.com
(klinedesigns 1 @yahoo.com)
Job No. 114 097B
Subject: As -Built Evaluation of Onsite Wastewater Treatment System, Macomber
Residence, Lot 23, Filing 36, Ranch at Cordillera, 923 Summit Trail, Eagle
County, Colorado.
Dear Andrew:
As requested, Hepworth-Pawlak Geotechnical (HP Geotech) observed the installation of
the onsite wastewater treatment system (OWTS) for the proposed Macomber residence at
the subject site. Our observations included septic and dose tank, pump and pump
operation, effluent transport pipe, soil treatment area, cleanouts, inspection ports and the
locations of the system components.
We previously designed the OWTS for the residence and presented our recommendations
in a report dated August 27, 2014 under the above job number. The system was designed
for 4 bedrooms. Our observations and recommendations of the As -Built installation are
provided below.
We performed our As -Built site evaluations on August 14 and October 29, 2015. The
installation, operation and locations of system components were verified as shown on
Figure 1. The soil treatment area (STA) was moved southeast to position the mounded
sand filter along the observed ground contours which did not match the surveyed
topography. The soil conditions at the base of the sand filter were verified to be
consistent with the Loam type soil used in our design calculations. The STA aggregate
area and basal area were also slightly larger than designed; however, this will not alter the
effectiveness of the OWTS. Photographs of the OWTS installation are provided in the
attached Photograph Log.
It is our opinion that the OWTS was installed in general conformance with our August 27,
2014 design.
Parker 303-841-7119 0 Colorado Springs 719-633-5562 0 Silverth(�me 970-468-1989
Kline Designs and Construction
November 30, 2015
Page 2
The observations and recommendations presented above are based on our site
observations and our experience in the area. We make no warranty either express or
implied. Alterations to the system or improper backfill and site grading could affect the
operation and effectiveness of the OWTS.
Please feel free to contact us if you have any questions regarding this letter.
Respectfully Submitted,
HEPWORTH - PAWLAK GEOTECHNICAL, INC.
)z04rX-.' aX77'? G�
Jason A. Deem
Project Geologist
Reviewed bv:
David A. Young, P.E= .� Q
3"16
JAD/ksW
cc: Eagle County Environmental Health Department (environment@ eaglecountv.us
Job No. 114 097E
01 sr
..rr. • w
MOUNDED SOIL TREATMENT AREA WITH
AN AGGREGATE BED THAT IS 60 FEET
LONG BY 12 FEET WIDE CONSTRUCTED
OVER A 2 FEET THICK SAND FILTER P�3 0
1.500 FT2 MOUND &kW ARE PROFILE PIT 1
PROFILE PIT 2
cy�\
\ *� \
APPROXIMATE SCALE-
1 INCH = 40 FEET
Sri -�w f
r�a
+f I
1,250 GALLON, TWO `
CHAMBER SEPTIC TANK
FOLLOWED BY A 500
GALLON DOSE TANK
EQUIPPED WITH AN
ORENCO
PF3005 EFFLUENT PUMP
,\
ENCLOSED IN A B'OTUBE \
PUMP VAULT '•�
/ ilt:h,lhYKT' �
H 923 SUMMIT TRAIL
114 097E �ofhe h FIGURE 1
HEPWORTH•PAWLAKGEOTECHNICAL OV fS AS -BUILT SITE PLAN
LOT 23, FILING 36, CORDILLERA SUBDIVISION
923 SUMMIT TRAIL
OWTS AS -BUILT PHOTOGRAPH LOG
. - �--7
AL } 1,
View looking north at STA.
..,
Y • _fir . , Jr } � r •. � � • ! •, �1 •it •. 4 f
" v y!r - �. •. I t�Crti iMj-
'• 4 # Ky ,,'.: •�' a ..yW
,�,`..r } '. / �i,•ty.T��-��./��y�'w�^.•s3�'��"r+x•"'-ri�rrY. ; � �,���'. �.i;�.,r' � '�v�..i� .�
�. ��� � y.'-`—`— . --� � � + ����id.�l �i i'� �-F�-����'s�S ir i.r'+ ��•1{. i?.'.Sit.. � .: y � -'f7
.-�1. a:.. J"�'fiLi afs,:Lid+xa .�_1lrr ..ri •;,p �::r-..+A�."i:r4��-':nt �_�
View looking northwest at toe of STA basal area.
.lob No. 114 097B G
iz: a
LOT 23, FILING 36, CORDILLERA SUBDIVISION
923 SUMMIT TRAIL
OWTS AS -BUILT PHOTOGRAPH LOG
ter.-r�y,7 *iT
View of effluent transport piping from dose tank to STA.
View or,IA manitoid connection.
Job No. 114 097B Gect�
LOT 23, FILING 36, CORDILLERA SUBDIVISION
923 SUMMIT TRAIL
OWTS AS -BUILT PHOTOGRAPH LOG
View of sewer piping backfill and insulation from residence to septic tank.
Another view of sewer line backfll.
Job No. 114 097E G&techl
KLINE DESIGNS CONSTRUCTION INC
PO BOX 7193
AVON, CO 01620-7193
1 Pay to the ,� � _ q
Order of �� ice!
®ColoWgHBank NA
Calaadodo
welsfarWxc
For. lqz-5 157001,tni r
1344
jw•�l/ // 1736266501
ate
CL02000076i: 173626650Lij9 01344
Pavable to:
$ gam,
P.O. Box 179
500 Broadway
Eagle, CO 81631
www.eaglecounty.us
SE:
- W TS PERMIT
UDED)
)114:'AIR FEE 00.00
Property Owner: 'y c-OyAl R� _
Phone:
Owner Mailing Address: J�-�;?� p� r►z �436
email:
S
Professional Engineer: 1D, 6 " C RA
Phone:
9f 7v
�q
Applicant / Contact Person: KC NE
Phone:
9 -7y
G 8(1 1 �
3 7 p
Licensed Systems Contractor Name / Company: t
i�
_
Contractor Mailing Address:
Contractor Phone Number:
email:
Contractor License #:
OWTS Permit Application is for: Xew Installation Alteration Repair
SC - F-Zc-9D/Coe-oi U.Ew* -
Tax Parcel Number: 'Z.l d-7 - l 6'L - 04- - oog Lot Size: Z, U
Assessor's Link: www.eWjecouatl.us/patic/
Physical Address:
r /I�
Legal Description: - ( Z . �� I� f Lrr/y-2 L CJ 7 Ll geA SiQ
Building Type: Residential / Single Family Number of Bedrooms: 4-
Residential / Multi Family Number of Bedrooms:
Commercial / Industrial Type of Use:
*As of 06/27/2014, all systems require design by a Registered Professional Engineer
Type of Water Supply: Private Well Spring Surface l` Public
If Public, Name of Supplier A L = Z V to � 2 � s 14- /N- -n .�
Applicant Signature: ' Date:_e/ 1/ /4—
OfficeUseOnly: OWTS PERWr # ,�—N— I l 3 ! i BUILDING PERMIT # 65, —9-N —1l zy(Q
Amount Paid: �-V') e Receipt #: 9' & ?a q Check #: 13 4 j^ Date: 1
