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HomeMy WebLinkAbout1055 Beard Creek Rd - 194332306001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway - Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE.
Please call for final inspection before covering any portion of installed system.
tj I 3
PERMIT NO. 1556
OWNER: Robert L. & Gail E. Newman PHONE: (97R) 926-3155
MAILINGADDRESS: P.O. BOX 32 city: Avon State: CO Zip: 81620
APPLICANT: Gail Newman PHONE: 4970) 94q-1959
SYSTEM LOCATION: 1055 Beard Creek Rd., Edwards TAX PARCEL NUMBER: 1943-'j23-017-OO7
LICENSED INSTALLER:_ S= i aapl ('onitri-jOton, Cbri s Sni PgPI LICENSENO: '39-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
750 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 493 SQUARE FEET OF TRENCH BOTTOM. via 14 infiltrator units as requested.
SPECIAL REQUIREMENTS: Install in Serial distribution in trenrb configuration- Install insnPctinn
x
portalls in each trench, and a cleanout between the tank and the house- Rake trench s,d1P
walls to prevent smearing Call the County for final inspection prior to back -filling, and
you have questions reg rd' ion. g
ENVIRONMENTAL HEALTH APPROVAL: DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT
TO AUTHORITY GRANTED IN 25- 10. 104. 1973, AS AMENDED.
2. 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 CAUSE FOR BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT.
3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED
PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
INSTALLED ABSORPTION OR DISPERSAL AREA: 540 SQUAREFEET. via 15 infiltrator units
INSTALLED SEPTIC TANK: 1250 GALLON 230 DEGREES 10 FEETFROM fbP rnrner of tha 11QldGe
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY X_ YES _NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: X_ YES _ NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS:
ENVIRONMENTAL HEALTH APPR - DATE: Apri 1 29, 1 Qom_
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
PERMIT
PERCOLATION TEST FEE
OWNER:
RECEIPT #
CHECK#
(Site Plan MUST be attached)
t
ISDS Permit
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (El Jebel)
**************************************************************************
* -PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* *
* MAKE ALL REMITTANCE.PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: 4244 1..-j- PHONE
MAILING ADDRESS: L 1
APPLICANT/ CONTACT PERS N : N PHONE:
MAILING ADDRESS: 0V. �4_ ( to 3-01
0 DR
LICENSED ISDS ONTRA OR i Q �ol^� PHONE • oZ
COMPANY/DBA: S i ADDRESS: f9 A dX 9-46 19R1 k
***************************************************************************
PERMIT APPLICATION IS FOR: O New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: l`c S 5 &&4co2ea
Building Permit # 0 �QL� � (if known)
Legal Description: Subdivision: Filing:_Block: Lot No.
Tax Parcel Number: 1 �j- �j - ( -_L2 Lot Size:
�$cr2e�
Street Address: C� �� Q22�(C lX=- CcQ �S�d(_ f=1lo'1^^ 139 LaA cRed
BUILDING TYPE: (Check Uppil.CJte ia.CyuV1Y(Residential/Single Family SI
_ .
�1v Number of Bedrooms)_
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( Spring ( ) Surface
( ) Public Name of Supplier:
*These syst require design by a Registered Professional Engineer
SIGNATURE: Date : ( - -Aq , q
**************************************************************************
TO BE COMPLETEW BY THE COUNTY z
AMOUNT PAID: ��� ,(�'D .RECEIPT # : �'� J DATE: �
CHECK #: 3 CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328,8797
EAGLE COUNTY. COLORADO
April 29, 1998
Robert L. & Gail E. Newman
P.O. Box 32
Avon, CO 81620
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit #1556-96, Tax Parcel #1943-323-00-007. Property location: 1055
Beard Creek Rd., Edwards, CO.
Dear Mr. & Mrs. Newman:
This letter is to inform you that the above referenced ISDS Permit has been inspected and
finalized. Enclosed is a copy to retain for your records. This permit does not indicate compliance
with any other Eagle County requirements. Also enclosed is a brochure regarding the care of
your septic system.
Be aware that later changes to your building may require appropriate alterations of your septic
system.
If you have any questions regarding this permit, please contact the Eagle County Environmental
Health Division at (970) 328-8755.
Sincerely,
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL:Informational Brochure
Final ISDS Permit
cc: files
Community Development Department
(970)32S-S730
Fax: (970) 328-7185
TDD: 1'9701 328-8797
EAGLE COUNTY, COLORADO
DATE: May 14, 1996
TO: Spiegel Construction
FROM: Environmental Health Division
Eagie County Building
P.O. Box 179
500 Broadway
Eaale, Colorado S 163 1 -0179
RE: Issuance of Individual Sewage Disposal System Permit No. 1556-96 Tax Parcel
#1943-323-00-007. Property Location: 1055 Beard Creek Rd., Edwards, CO.,
Newman residence.
Enclosed is your ISDS Permit No. 1556-96. It is valid for 120 days. The enclosed copy of the
permit must be posted at the installation site. Any changes in plans or specifications invalidates
the permit unless otherwise approved. Please call our office well in advance for the final
inspection.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special conditions
which may have been placed on the permit. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made. Your building permit CO will not be
issued until final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755.
cc: files
Commun! ; : iopment Department
17-1 328-8730
=28- 7 185
EAGLE COUNTY, COLORADO
DATE: November 20, 1997
TO: ISDS Permit Holders
FROM: Eagle County Environmental Health Division
RE: Incomplete ISDS System Files
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
The Eagle County Environmental Health Division is in the process of updating our Individual
Sewage Disposal System (ISDS) files in order to identify systems that may, or may not have been
completed. The status of your septic system may affect the sale, refinancing, or Certificate of
Occupancy (CO) of your property. For these reason we are attempting to update all incomplete
files.
Our records indicate that your Individual Sewage Disposal System (ISDS) Permit #155� for
property located at 1055 h EftPQ a=K.0 �DtUA-t2��_, has been issued, but has not
received final approval. For building currently under construction, your CO will not be issued
without the Environmental Health Division's approval of your septic system. For systems already
in operation, our records indicate that we need additional information submitted to our office for
us to recognize and approve your system:
Engineer final certification if your system was designed by a Registered Professional
Engineer.
Engineer final certification if your system is in operation, but was never inspected by the
Environmental Health Division for proper installation and compliance.
Environmental Health final inspection if your system did not require an engineer design,
and has not yet been covered. These systems must be installed by Dec. 1, 1997, or you
may need engineer certification for your CO if you plan on moving into your home this
winter.
Follow-up photographs of the installation from the property owner or installer for the
following items:
septic tank inlet/outlet "T"
septic tank placement and or location relative to permanent landmarks
installation of riser rings on septic tank to bring tank within 8" of finished grade
2( clean outs/inspection ports in sewer lines, effluent lines or absorption areas
i� sewer line connection to dwelling showing the clean out
czMk)(_ s PPrC'c O'L-Eojo ut
sewer line connection to leach field
Minor changes required to the leach field, such as replaced chambers, raked soils,
etc...
Detailed, scaled as -built site plan of system component locations and dimensions showing
set backs.
Receipts verifying materials installed.
Please be assured that Eagle County Environmental Health has your best interests in mind with
regards to this matter. It is our intent to verify that septic systems in Eagle County are in
compliance, for the sake of protecting your property, and our groundwater resources that may be
affected by Individual Sewage Disposal Systems. We intend to use this survey as a means of
updating our files and assuring compliance.
If you have any questions regarding the status of your ISDS permit file please call 970-328-8755.
Please address all correspondence to:
Eagle County Environmental Health
P.O. Box 179
Eagle, CO 81631.
�iitiess
2
HEPWORTH-PAWLAi< GEOTECHNICAL, INC. 5020 Road 154
Glenwood Springs, CO S1601
November 29, 1995 Fas 970 945-8454
Phone 970 94-79SS
Bob Newman
P.O. Box 957
Avon, Colorado 81620 Job No. 195 516
Subject: Subsoil Study for Foundation Design and Percolation Test,
Proposed Residence, 0983 Beard Creek Road, Scottsville,
Eagle County, Colorado.
Dear Mr. Newman:
As requested, Hepworth-Pawlak Geotechnical, Inc. performed a subsoil study and
percolation test for foundation and septic disposal designs at the subject site. The study
was conducted in accordance with our agreement for geotechnical engineering services
to you dated November 8, 1995. The data obtained and our recommendations based on
the proposed construction and subsurface conditions encountered are presented in this
report.
Proposed Construction: The proposed residence will be a single story wood frame
structure about 30 feet by 60 feet in plan size and located in the excavated building site
as shown on Fig. 1. Ground floor will be structural over a crawlspace. Garage floor
will be slab -on -grade. Cut depths are expected to be about 4 feet. Foundation loadings
for this type of construction are assumed to be relatively light.
If building conditions or foundation loadings are significantly different from those
described above, we should be notified to reevaluate the recommendations presented in
this report.
Site Conditions: An existing main house and barn are located to the south of the
proposed residence. The immediate area adjacent the building site was vacant at the
time of our field work. A relatively flat building pad had been cut between about 0 to 9
feet deep for construction of the residence. The site is located in gently roiling terrain
which slopes down to the south with approximately 10 feet of elevation difference
across the building area. Vegetation over the site consists of sagebrush and juniper
trees.
Subsurface Conditions: The subsurface conditions at the site were evaluated by
excavating two exploratory pits in the building site and one profile pit in the septic
disposal area at the approximate locations shown on Fig. 1. The logs of the pits are
presented on Fig. 2. The subsoils encountered varied slightly in each of the pits, but
generally consisted of stiff sandy clay and silt and medium dense clayey sand with
scattered gravels. Results of swell -consolidation testing performed on relatively
undisturbed samples of the subsoils, presented on Fig. 4, indicate the clays have low
compressibility potential upon loading and wetting. The sample of clayey sand tested
showed a slight collapse potential (consolidation upon wetting under a light surcharge
Bob Newman
November 29, 1995
Page 2
load) and moderate consolidation with additional loading. Results of a gradation
analysis performed on a sample of gravelly sandy clay (minus 1 1/2 -inch fraction)
obtained from the site are presented on Fig. 5. No free water was observed in the pits
at the time of excavation and the soils were slighty moist to moist.
Foundation Recommendations: Considering the subsoil conditions encountered in the
exploratory pits and the nature of the proposed construction, we recommend spread
footings placed on the undisturbed natural soil designed for an allowable soil bearing
pressure of 1,500 psf for support of the proposed residence. There could be some post -
construction settlement if the bearing soils become wetted. Footings should be a
minimum width of 16 inches for continuous walls and 2 feet for columns. Loose and
disturbed soils encountered at the foundation bearing level within the excavation should
be removed and the footing bearing level extended down to the undisturbed natural
soils. Exterior footings should be provided with adequate cover above their bearing
elevations for frost protection. Placement of footings at least 42 inches below the
exterior grade is typically used in this area., Continuous foundation walls should be
reinforced top and bottom to span local anomalies such as by assuming an unsupported
length of at least 12 feet. Foundation walls acting as retaining structures should be
designed to resist a lateral earth pressure based on an equivalent fluid unit weight of at
least 50 pcf for the on -site soil as backfill.
Floor Slabs:. The building floor will be structural above crawlspace. In slab -on -grade
garage area, the natural on -site soils should be suitable to support lightly loaded slab
construction. To reduce the effects of some differential movement, floor slabs should
be separated from all bearing walls and columns with expansion joints which allow
unrestrained vertical movement. Floor slab control joints should be used to reduce
damage due to shrinkage cracking. The requirements for joint spacing and slab
reinforcement should be established by the designer based on experience and the
intended slab use.
Fill materials and the subgrade that supports floor slabs should be compacted to at least
95 % of maximum standard Proctor density at a moisture content near optimum.
Required fill can consist of the on -site soils devoid of vegetation and topsoil or a
suitable imported material such as road base aggregate.
Surface Drainage: The following drainage precautions should be observed during
construction and maintained at all times after the residence has been completed:
H-P GEOTECH
Bob Newman
November 29, 1995
Page 3
1) Inundation of the foundation excavations and underslab areas should be
avoided during construction.
2) Exterior backfill should be adjusted to near optimum moisture and
compacted to at least 95 % of the maximum standard Proctor density in
pavement and slab areas and to at least 90 % of the maximum standard
Proctor density in landscape areas.
3) The ground surface surrounding the exterior of the building should be
sloped to drain away from the foundation in all directions. We
recommend a minimum slope of 12 inches in the first 10 feet in unpaved
areas and a minimum slope of 3 inches in the first 10 feet in pavement
and walkway areas.
4) Roof downspouts and drains should discharge well beyond the limits of
all backfill.
Percolation Testing: The results of percolation tests conducted at the site are presented
in Table I. The test locations are shown on Fig. 1 and the log of the profile pit is
shown on Fig. 2. The percolation rates varied from 13 to 30 minutes per inch with an
average of about 20 minutes per inch. Based on our findings, the tested site is suitable
for a conventional infiltration septic system.
Limitations: This report has been prepared in accordance with generally accepted
geotechnical engineering principles and practices in this area at this time. We make no
other warranty either expressed or implied. The conclusions and recommendations
submitted in this report are based upon the data obtained from the exploratory pits
excavated at the locations indicated on Fig. 1, the proposed type of construction and our
experience in the area. Our findings include interpolation and extrapolation of the
subsurface conditions identified at the exploratory pits and 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 at once so 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
H-P GEOTECH
Bob Newman
November 29, 1995
Page 4
changes may require additional analysis or modifications to the recommendations
presented herein. We recommend on -site observation of excavations and foundation
bearing strata and testing of structural fill by a representative of the soil engineer.
If you have any questions or if we may be of further assistance, please call our office.
Sincerely,
HEPWORTH - PAWLAK GEOTECHNICAL, INC.
RD GI s'�.�,.
Jor y Z. A mson, Jr., P. E
t° 99707
R iewed By:
Steven L. Pawlak, P.E.
JZA/kmk
Attachments
cc: Michael G. Perkin, Architect
H-P GEOTECH
Pit 1
Pit
2 Profile
Elev.=101'
Elev.=100' Pit
Elev.=97.5'
105
105
100
of
100
„
We=14.9
Q)
DD= 109
Ljca
01
_'
—200= 86
WC= 6. 1
95
DD= 98
95
0
Q)
+4= 8
—200= 67
LL= 31
90
PI= 15
90
85 85
Note: Explanation of symbols is shown on Figure 3.
HEPWORTH-PAWLAK
195 516 Logs of Exploratory Pits Eig-_2
GEOTECHNICAL, Inc.
LEGEND:
TOPSOIL; silty sandy clay, organics, moist,'brown.
CLAY AND SILT (CL-ML); sandy, stiff, moist, light brown. Slightly
calcareous below 3 112 feet.
FCLAY (CL); silty, sandy, stiff, moist, light brown.
SAND (SC); clayey, gravelly, medium dense, moist, light brown.
SAND AND CLAY (SC-CL); silty, slightly gravelly, medium dense, slightly
moist to moist. Calcareous below 4 feet.
2-inch diameter hand driven liner sample.
Disturbed bulk sample.
NOTES:
1. Exploratory pits were excavated on November 9, 1995 with a John Deere 410D
rubber -tired backhoe.
2. Locations of exploratory pits were measured approximately by pacing from
features -shown on the site plan provided.
3. Elevations of exploratory pits were measured by hand level and refer to the
Bench Mark on Fig. 1.
4. The exploratory pit locations and elevations should be considered accurate
only to the degree implied by the method used.
5. The lines between materials shown on the exploratory pit logs represent the
approximate boundaries between material types and transitions may be
gradual.
6. No free water was encountered in the pits at the time of excavating.
Fluctuations in water level may occur with time.
7. Laboratory Testing Results:
WC=Water Content (%)
DD=Dry Density (pcf)
+4=Percent retained on No. 4 sieve
-200=Percent passing No. 200 sieve
LL=Liquid Limit (%)
PI=Plasticity Index (%)
HEPWORTH-PAWLAK
195 516 GEOTECHNICAL, Inc. Legend and Notes Fig. 3
0
0
c
0
� 1
z-4
a
0
U
0
01,
No Movement
Upon Wetting
Moisture Content = 14.9 percent
Dry Unit Weight = 109 pcf
Sample of: Sandy Silty Clay
From: pit 1 @ 3 Feet
0.1 1.0 10 100
APPLIED PRESSURE - ksf
0
1
4
5
Moisture Content = 6. 1 percent
Dry Unit Weight = 98 pcf
Sample of: clayey sand
From: Pit 2 @ 4 Feet
Compression
Wetting
Upon
0.1 I •U 10 100
APPLIED PRESSURE - ksf
195 516 HEPWORTH-PAWLAK I SWELL -CONSOLIDATION TEST RESULTS Fig. 4
GEOTECHNICAL, Inc.
HYDnOMFTES ANALYSIS
SIEVE ANALYSIS
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GRADATION TEST RESULTS
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HEPWORTH-PAWLAK GEOTECHNICAL, INC. Job No. 195 516
TABLE II
PERCOLATION TEST RESULTS
HOLE NO.
HOLE DEPTH
LENGTH OF
WATER
WATER
DROP IN
AVERAGE
(INCHES)
INTERVAL
(MIN)
DEPTH AT
START OF
INTERVAL
DEPTH AT
END OF
INTERVAL
WATER
LEVEL
(INCHES)
PERCOLATION
RATE
(MINANCH)
(INCHES)
INCHES
P-1
63
15
9
7
2
J.S
7
5 112
1 112
8114
7
1 114
` Water Added
7
5 314
1 114
8114
7
1 114
Water Added
7
6
1
i5
Water Added
ti 15
8
7
1
P-2
56112
15
9114
8112
314
110
8 112
7 112
1
7 112
7
112
30
7
6
1
8114
7112
314
Water Added
7 112
7
112
°
7
6112
112
330
P-3
54112
15
10314
91/4
1112
I°
9 114
7 1/2
1 3/4
ih
71/2
6112
1
Water Added/
�v
9 3/4
8112
1 114
8 112
7 114
1 114
7 114
6
1 114
Water Added
13
�y
9
8
1
NOTE: Percolation test holes were hand dug and soaked on November 12, 1995. Tests were performed on November 13,
1995.
HEPWORTH-PAWLAK GEOTECHNICAL, INC.
Bob Newman
P.O. Box 957
Avon, Colorado 81620
5020 Road 154
Glenwood Springs, CO 81601
Fax 970 945-8454
Phone 970 945-7988
Invoice No. 2707GS
Job. No. 195 516
November 30, 1995
Subject: Subsoil Study for Foundation Design and Percolation Test,
Proposed Residence, 0983 Beard Creek Road, Scottsville,
Eagle County, Colorado
FIELD INVESTIGATION
Field Engineer: 7.0 hrs. @ $40.00/hr.
Pickup Mileage: 55 mi. @ $.40/mi.
LABORATORY TESTING
Moisture/Density: 2 tests @ $10.00/ea.
Atterberg Limits: 1 test @ $45.00/ea.
Standand Swell -Consolidation: 2 tests @ $55.00/ea.
Standard Sieves to #200: 1 test @ $40.00/ea.
% Less than #200 Sieve: 2 tests @ $20.00/ea.
ENGINEERING & CLERICAL
Project Manager: .5 hrs. @ $80.00/hr.
Project Engineer: 3.0 hrs. @ $60.00/hr.
Draftsperson: 2.0 hrs. @ $35.00/hr.
Word Processing: 3.0 hrs. @ $30.00/hr.
Thank you.
J rdy Adamson, Jr. P.E.
/lank
$280.00
22.00
20.00
45.00
110.00
40.00
40.00
40.00
180.00
70.00
90.00
TOTAL $937.00
PROPOSAL ESTIMATE $900.00
ISDS Permit #4h Dated
ISDS Final Inspection
Completeness Form
04 Tank is (ZSD gal. Tank Material 7105+ie-
.X Tank is located /D ft. and Z: e degrees from F'.d!!uy d
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. �C Tank lids within 8" of finished grade.
7� Size of field -5'D f t 2 units lineal ft.
Technology ) n<5
Cm,JI '0c-a- Cleanout is installed in between tank and house (+ 1/100ft) . -PI
JJ
..,
N� There is a "T" that goes down 14 inches in the inlet and
outlet of the tank.
x Inlet and outlet is sealed with tar tape, rubber gasket etc.
Tank has two compartments with the larger compartment closest to the
house.
x Measure distance and relative direction to field. .
Depth of field ft.
Soil interface raked.
_ Inspection portals at the end of each trench.
Proper distance to setbacks.
X Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
X Other Ay:110s1-i '►7la-L-5
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN:
O (mot- tlJ r—� E7 y�2lc� �-
Setbacks
Well Potable House Property Lake Dry Tank Drain -
Water Lines line Stream Gulch
Field 100 25 20 10 50 25 10 10
Tank 50 10 5 10 50 10 * 10
SHEET NO.
CALCULATED BY
OF
DATE
CHECKED BY
DATE
Rr—Al F
;:::-:- 7:4-1 :S.-; z SnIelsi 215-1 i Pagded! T Inc Groton. mass. 01471 To Orc-r P40NE TOLL FREE i.600-224-638-3
1556-96 Tax#1943-323-00-007
JOB NAME _ 1055 Beard Creek Rd NEWMAN .JOB NO.
Edwards, CO
JOB LOCATION
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BILL TO
DATE STARTED
DATE COMPLETED
DATE FULLED
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JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
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. MA 01471 JOB FOLDER Printed in U.S.A.