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HomeMy WebLinkAbout170 Cordillera Wy - 210712203018-RECEIVED APPT.TCATTON FOR TNDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMI AUG 2 1 1992 ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 _ EAGLE COUNTY Eagle, Colorado 81631� No. rAK= 9ga EjffE: $150.00 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: . (�pQ�f � yVdVi►lE ��lsa�f ADDRESS: -P0. $,p*, 3(a t +_Q*MebS,6oz 8/ PHONE: NAME OF APPLICANT (if different from owner) : (L � om lAte ADDRESS: � _t/�j IAIL a PHONE: DESIGN ENGINEER OF SYSTEM (if applicable) : /J�pYr�`rFCN�(E�ir/�lC�YVKe� ADDRESS: PHONE: J� PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Licensed Installer (see attached list): YES_ NO ADDRESS: 1. IraE�yq VAut. t2 &/&66 PHONE: 9Z1 - 3911 PERMIT APPLICATION IS FOR: ( Y New Installation ( ) Alterati n ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: �-Lv a 0 /'a a 0136 l r Street/Rural Address: Q 1 Lot Size: Legal Description: I'td tll.� BUILDING OR SERVICE TYPE (check applicable category): (� Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: 2 WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes (�) Garbage Disposal (�) Automatic Washer ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) Residential - Quadplex ( ) Commercial (state usage) NUMBER OF BEDROOMS: (�) Dwelling ( ) Transient Use (� Dishwasher ( ) Spa Tub 3 ( Septic Tank ( ) Composting Toilet ( ) Incineration Toilet ( ) ;Vault Privy ( ) Greywater ( ) Chemical Toilet Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use ( ) Other i Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO WASTEWATER FLOW REDUCTION PLAN: YES ( NO ( ) (14 Yew, .6ee attached wvtewateA {stow Aeducti.on metkods) NOTE: The Envii ovmentat Heath 044icvL may Reduce the nequ ked ablsoAption aAea upon a.pp,tovat o4 an adequate wvtevateA stow neducti.on ptan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by co unit water, give name of supplier: SIGNATURE: DATE: INFORMATION BELOW TO WFILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAeent Ground Shape - Depth. to Bedieock (peA 8' PAo6i to Hoge) Depth. to GAoundwateA Tabte. . SOIL PERCOLATION TEST RESULTS:. Minutu peA inch in Hote # 1 Minu tm peA inch to Hote 02 Aiinute, peA inch to Hote. # 3 FINAL DISPOSAL BY: ( ) Absonpti.on TAench, Bed oA Pit ( ) EvapotAampi'tat%on ( ) Above Ground Di,3peh6at ( ) Sand FiUeA ( ) UndehgAound Dizpeuat ( ) Wa6tewateh Pond ( ) Otheh Amount Paid: / J 0 ` Rece�pt NumbvL Date: -- - ------ NOTE: Site Plan must be attached to application. (rriv. I!nalth hepartment - Rev. 4-07-83) Summit County Systems Cleaners Reporting Form F (Please Print) Name of Systems Cleaner'- . Name of Service Person f bate of Service I td bra r'Date of Installation Property Owner �> i I re `'t c ;` Telephone # Physical Address{': _" - e rr r� t°t f° , F Subdivision Estimated Tank Size / Material of Tank # of Manholes Depth to Manhole Covers -- , Estimated Volume Pumped—: . # of Compartments Sludge Thickness i inches Scum Thickness ' / inches Baffle or Sanitary Tee in Place9 Inlet Outlet UNK Effluent Filter in Place? Y ( N (Required after 6/2000) Dosing Mechanism Pump .-Siphon None DosingMechanism /Alarm Functioning Properly Y N Previous Pumping Date, if known Location of Septage Disposal General Comments (include any signs of failure and all work in addition to pumping) Sketch (Location of Tank) Under section 16303.02 (D) of the Summit County ISDS Regulations, holders of a Systems Cleaner License must report to the Environmental Health Department each ISDS which is cleaned, serviced or inspected not more than thirty (30) days after such service is performed. I certify that to the best of my knowledge the above information is true and correct,. Signed f' .'< ..: Date Ift 1189-92 - Parcel #2107-122-03-018, Lot 2, Filing 1 & 2, Cordillera, 0170 Cordillera Wy Stevenson JOB NO. ao _IOR .tACOTInN I n �- BILL TO D,4TE START � 44 DATE COMPLETED DATE BILLED PC- V r ` I ✓ i ° L� C/It r1.G n zt/ '7e E"' �% �C !-, F �k� f ��' b� G�� � �� ,�on. Cc ., tO c�..—S � C��sl-c �� s .G-� - n ar re • , : ��n-v � 7� C� rs w ti y " 0,�11��e%e JOB OST SUMMARY TOTAL SELLING PRICE I MJ (�� TOTAL MATERIAL 10, TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in USA i 717. SLOPE\ \ \ PROPOSED 6' X 60' 101 / \ SAND FILTER BEDS \ a TH-2 / \ P-3a \ �,r--PROPOSED RESIDENCE \ \ \ / P-2 0 PR-1 \ < a P-1 \ a TH-1 i TABLE 1 PERCOLATION TEST RESULTS PROJECT N0. 92 1649 DATE: O1/24/92 TECHNICIAN EDF TEST HOLE N0. 1 TOTAL DEPTH 3.4 FT DEPTH TO WATER 2.2 FT READING CHANGE IN ELAPSED PERCOLATION TIME (ft) DEPTH (in) TIME (min) RATE (min/in)-- 9:40 1.25 0 0 10:10 0.43 9.84 30 3.1 10:15 1.35 REFILL -- 10:45 0.50 10.20 30 2.9 10:50 1.34 REFILL •- 11:30 0.40 11.28 40 3.6 11:35 1.35 REFILL 12:10 0.29 12.72 35 2.8 12:15 1.37 REFILL •' 12:45 0.61 9.12 30 3.3 12:50 1.34 REFILL 13:20 0.59 9.00 30 3.3 13:25 1.36 REFILL •- 13:55 0.62 8.88 30 3.4* TEST HOLE NO. 2 TOTAL DEPTH 2.5 FT DEPTH TO WATER 1.5 FT READING CHANGE IN ELAPSED PERCOLATION TIME (it) DEPTH (in) TIME (min) RATE (min 02 9:40 0.71 0 0 10:10 0.00 8.52 30 3.5 10:15 0.86 REFILL 10:45 0.00 10.32 30 2.9 10:50 0.83 REFILL - 11:30 0.20 7.56 40 5.3 11:35 0.89 REFILL •- 12:10 0.10 9.48 35 3.7 12:15 0.88 REFILL •� 12:45 0.30 6.96 30 4.3 12:50 0.89 REFILL •- 13:20 0.20 8.28 30 3.6 13:25 0.88 REFILL 13:55 0.20 10.32 30 2.9 SITE PLAN SCALE: 1 " = 50' TEST HOLE NO. 3 TOTAL CEPTH 3.0 FT DEPTH TO WATER 1.9 FT READING C4t.!:CE 1N ELI.PSED PERCOLATION TIME (ft) DEPTH (in) TIME (min) P!.TF. (min/in) 9:40 0.95 0 0 10:10 0.27 8.16 30 3.7 10:15 1.12 REFILL 10:45 0.37 9.00 30 3.3 10:50 1.11 REFILL 11:30 0.32 9.48 40 4.2 il.35 1.10 REFILL 12:10 0.42 8.16 45 5.5 12:15 1.17 REFILL " 12:45 0.53 7.68 30 3.9 12:50 1.15 REFILL 13:20 0.52 7.56 30 4.0 13:25 1.12 REFILL •• " 13:55 0.50 7.44 30 4.0 19 * Indicates value used to calculate average percolation rate. REFILL Indicates hole refilled with additional water. AVERACE PEC^^'J.T1C.I P\TE = 3.40 M:L'JTES PER INCH SOIL PROFILE 0' - 1- 2'- 3'_ 4'- SAND; FINE TO MEDIUM GRAINED, SILTY, SLGHTLY CLAYEY, LOOSE TO 5'- MEDIUM DENSE, SLIGHTLY MOIST, DARK BROWN, (SM). TO SEPTIC TANK PERSONAL SE-d%GE DISPOSAL SYSTEM SPECIFICATIONS LOCATION: lot 2, Filing 2, Cordillera :,rbdivision, Eagle County, Colorado. DATE: August 17, 1992 DESIGN CRITERIA: 1. Average Percolation Rate - 3.4 minutes per inch. Tests were conducted in locations shown on the site plan in compliance with Eagle County Specifications. 2. Design Flow = 675 gallons per day. Three bedroom, single familyresidence. With two persons per bedroom, at 75 gallons per day per person, average flow is 450 piton per day. Multiply average flow times 1.5 to obtain maximum flow. 3. Soil profile: Soil profile was determined iy drilling one test hole to a depth of ten feet in the approximate location of proposed filter leds. DESIGN SPECIFICATIONS: Solt profile is acceptable for desigtof a sand filter absorption system. 1. Sand Filter Absorption System 1. Absorption Area: 675qr)d 0.95 gal/sqft/day • 711 square feet Recommended Dimensions: Twtbeds, 6' x 60, Beds shall be level, no less than 24 inches deep and located and constructed in accordance with specifications contained herein. Refer to Figures for typical section, plan view and for system Location plan. Beds shall be excavated to adepth of four feet below bottom of the gravel layer and backfitled with a minimum of two feet of suitable filter sand over acceptable fill. Filter sand shall meet the t1t owing criteria: 100 X minus #4 US S7ndard Sieve Effective Size between 0.25 on and 0.6 mm Uniformity Coefficirt less than 2.5 Sand shalt be tested to verify compliance with these specifications prior to placement. Sand should be placed at a minim, of 90 percent of relative density. 2. Drain Pipe: Drain pipe shalt be 4 inch d�meter perforated PVC, placed level and at the same elevation along the long dimension of the irds, in two 54 foot long sections whigh are capped on the ends. Inflow to filter beds shalibe through a PVC Tee fitting as shown. 3. Gravel: 26 Cubic Yards. Gravel shall be 0.5 to 2.5 ixh diameter washed gravel or crushed rock placed in a 12 inch layer with a minimum of 2 inches Ibove and 6 inches below the drain pipes. TYPICAL CROSS SECTION 7IR GRADE �35 S) 6'-0' PLAN VIEW d 3'-0' 1 3'-0' RECEIVED AUG 2 1 1992 EAGLE COUNTY COMMUNITY DEVELOPMENT 4' TOPSOIL LAYER; SEED WITH NATIVE GRASS 4' 4 PERFORATED PVC PIPE CLEAN FILL MATERIAL MIPAFI 140 N ' ILTER OR EQUIV WASHED CRAVFL CP. CRUSHED ROCK MIN 2' LAYER FILTER SAND MIN 10 MIL PVC LINER CLEAN FILL MATERIAL T'Wo- n' X 60' BEDS 6' APART 4. Fitter: Top surface of the gravel shalt be ccvered with Mirafi 140N filter fabric or a 2 inch layer of straw. 5. Backfill: Bed shalt be backfitLed with a minimum twelve inch thick layer of clean soil. On - site soils may be suitable for backfill, but shall be approved by the design engineer prior to use. Backfill surface shalt be sloped to allow for surface drainage, covered with a minimum of 4 inches of topsoil and seeded with native grasses. 6. Storage Tank: I!�(/L Q lc 1 ,tces; WI +^tS l 1000 gallon two compartment septic t:.nk. Tanks construct on site must be approved by Eagle County Health Department prior to installation. Premanufactured tanks are recortr.-rr,i . 11. GENERAL: 1. Absorption area shall not be driven over or used for gardens or pasture. 2. Components of the system shalt be constructed within minimum setbacks outlined by Eagle County Health Department. 3. Septic tank should be pumped and cleaned every two years under normal use. 4. User should be aware that excessive solid waste or excess water flow can decrease the efficiency and possibly lead to premature failure of the system. Leaking faucets and/or toilets should be repaired immediately and use of garbage grinder should be minimized. 5. This system has been designed exclusively for the subject lot based on field testing and experience with similar conditions. Construction shall be inspected prior to backfilting by the design engineer to assure compliance with these specifications. III. MINIMUM SETBACKS: The following minimum setbacks have been established by Eagle County Health Department. Distance given in feet. POTABLE POTABLE WATER WATER DWELLING, SUPPLY SUPPLY OCCUPIED PROPERTY SUBSO'.L DRY SEPTIC LINE CISTERN BUILDING LINE DP.A11 GULCH TANK A6SORP- TION 25 25 20 10 10 25 6 BED SEPTIC 10 25 5 10 10� 10* -- TANK * Crossings may be permitted where pipelines are constructed of sufficient strength to contain flows under pressure. REVISIONS DATE REMARKS 8/4/92 MOD PER EAGLE CNT N Cn Q L1..1 U 0 C -J Z Z O LLI 0 Q o 0 N FJ-) [if Q U) L.LJLL 5;0 O W ` W U %� V / J E /D F- N Cn Q N Q Cr Z N LL o C) rn U Ld 04 � o J C)a b W z w D V / O " r VO - l: i U g SHEET 1 OF 1