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HomeMy WebLinkAbout111 Pilgrim Dr - 210519203002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1849-99 BP NO. 12462
OWNER: JOHN P. LOVETT PHONE: 970-926-8787
MAILING "ADDRESS: P.O. BOX 868, EDWARDS, CO 81632
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 64 PILGRIM RD, EDWARDS, CO TAX PARCEL NO. 2105-192-03-002
LICENSED INSTALLER: EDWARDS EXCAVATING, TED JOHNSON LICENSE NO. 35-99 PHONE: 970-926-3395
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1-1750, 1-750 GALLON SEPTIC TANKS 2250 SQUARE FEET OF TRENCH ABSORPTION AREA VIA 73 INFILTRATOR UNITS AS REQUESTED BY
OWNER TO ACCOMMODATE BOTH THE MAIN HOUSE AND THE CARETAKER UNIT ABOVE THE GARAGE.
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH CLEANOUTS BETWEEN THE TANK AND THE HOUSE AND THE
TANK AND THE CARETAKER UNIT. INSTALL INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT SMEARING
OF SOILS AND DO NOT INSTALL IN WET WEATHER. DO NOT BACK FILL INSTALLATION WITH COBBLES LARGER THAN 8" IN DIAMETER CALL
EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PORTION OF THE INSTALLATION, OR WITH
ANY QUESTIONS REGARDING THE INSTALLATION. BUILDING TEMPORARY CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE
SEPTIC SYSTEM HAS RECEIVED FINAL APPROVAL.
ENVIRONMENTAL HEALTH APPROVAL: DATE: JUNE 30, 1999
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 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: 2325 SQUAREFEET(VIA 75 TNFTT.TRATog TTNTTS )
INSTALLED CONCRETE SEPTICTANK: 2000 GALLONS IS LOCATED 279 DEGREES AND 75 FEET FROM THE CLE.ANOUT NEAR
THE GARAGE.
COMMENTS: THE LEACH FIELD IS LARGE ENOUGH TO ACCOMODATE THE MAIN RFSTDRNCF AND THE mg —
TAKER UNIT. AN ADDITIONAL 750 GALLON SEPTIC TANK WILL HAVE TO BE INSTALLED WHEN THE CARE—
TAKER UNIT IS BUILT.
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE: AUGUST 2. 1999
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit # (& q
Building Permit # a -
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. 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:
MAILING ADDRESS: / : D. 16o( �'7,6 PHONE: gZ4-8V Z
APPLICANT/CONTACT PERSON: 6-M9, PHONE:
LICENSED SYSTEMS CONTRACTOR: F&Ak,0 &MJ /JG- �Os a,✓ PHONE:
COMPANY/DBA: II)iA49s fxcA-,141170f6- ADDRESS: VDZ - FQcj.4"5
PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: -� _G��U — pc6AiM A06t4Ns
Tax Parcel Number: ?/-!�o/ /9Q2-© OOZ- Lot Size: 99.4czej
Physical Address
BUILDING TYPE: (Check applicable.category)
j Residential/Single Family Number of Bedrooms
Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE 0; WATER SUPPLY: (Check applicable category)
J Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
*These systems re
qui
SIGNATURE:
************
*******
gn by a Registered Professional Engineer
Date: 3 Z3
********************************** **************
AMOUNT PAID • �1y RECEIPT # : `( DATE: 5A!) q
CHECK #: TM CASHIER:
..—. — -- — - — ITV.VVJ 1 .•JL
HEPWORTII-PAWLAK GEOTEGHNICAL, INC.
March 12, 1999
5020 Road 154
Glenwood Springs, CO 01601
Fax 970 945.8454
Phone 970 945-7988
John Lovett
P.O. Box 968
Edwards, Colorado 81632 Job No. 199 188
Subject: Subsoil Study and Percolation Testing, Proposed Residence, Irot 1,
Filing 2, Pilgrim Downs, Eagle County, Colorado
Dear Mr. Lovett:
As requested, Hepworth-Pawlak Gcotechnical, Inc. performed a subsoil study for
design of foundations at the subject site. Percolation testing was also conducted in the
area of the planted septic disposal system. The study was conducted in general
accordance with our agreement for geotechnical engineering services to you dated
February 22, 1999. The scope of our work was modified to include an additional site
visit and a third exploratory pit in the building area. The data obtained and our
recommendations based on the proposed construction and subsurface conditions
encountered are presented in this report.
Proposed Constniction: The proposed residence will be a two story structure over a
partial basement level located on the site approximately as shown on Fig. 1. Ground
floors will probably be a combination of slab -on -grade and structurally supported over
crawlspace. Cut depths are expected to range up to about 10 to 12 feet. Foundation
loadings for this type of construction are assumed to be relatively light and typical of
the proposed type of construction. The septic disposal system is planned to the north of
the residence as shown on Fig. 1.
If building conditions or foundation loadings are significantly different from those
described above, we should be notified to re-evaluate the recommendations presented in
this report.
Site Conditions: The lot is vacant and located on moderately steep, northeasterly
sloping terrain adjacent West Lake Creek. Grades range from about 1 Q % to 30 ! ,
becoming steeper along the uphill and downhill sides of the lot. There is an erosional
scarp on the steep hillside slope to the west of the building site. The scarp shows signs
of slope movements which are probably due to previous field flooding or irrigation
ditch overflows_ The field irrigation above the site has been abandoned. Vegetation
consists of open meadow with grass and weeds along the lower east: side and moderately
thick aspen grove to the west. About 2 to 3 feet of snow covered the site at the time of
our field work.
11-1 l L J J 1 `. . JL IYV . V V l I . VV
John Lovett
March 12, 1999
Page 2
Geologic Conditions: A preliminary engineering geology and subsoil investigation was
previously conducted for Phase I of the Pilgrim Downs Development by Chen and
Associates, Inc., Job No 22,253 dated May 28, 1981. That report indicated that the
steep slopes above and to the west of Lot 1 showed signs of potential instability and
erosion, and advised against construction in those areas. The current proposed Lot I
building site appears to be outside the potentially unstable areas but, there may be a risk
of slope failure materials reaching the building site. Moving the building location
further away from the steep slope and providing a deflection berm above the building
site could reduce the risk of slope failure materials reaching the building. The
underlying bedrock at the site is the Eagle Valley Formation which is generally
considered to have a low risk of sinkholes and ground subsidence.
Subsurface Conditions: The subsurface conditions at the site were evaluated by
excavating four exploratory pits at the approximate locations shown on Fig. 1. The
logs of the pits are presented on Fig. 2. Pits 1 through 3 were located in the proposed
building area. The fourth pit was a profile hole located in the proposed septic disposal
area. The subsoils encountered, consist of nil to 2 feet of silty clay soils overlying an
organic topsoil layer which was about I to 2 feet thick. The silty clay was encountered
only in Pits I and 2, near the slope to the west of the lot, and was probably deposited as
a result of slope failures. Below the topsoil was nil to more. than 3 feet of silty sandy
gravel and cobbles at depths from 1 foot to greater than 6 feet. The gravel and cobble
deposit was not encountered at Pit 1 to the depth explored of 6 feet but should underlie
this area at similar elevations as Pits 2 and 3.
Results of swell -consolidation testing performed on relatively undisturbed samples of
upper fine grained soils, presented on Figs. 3 and 4, indicate low to moderate
compressibility under existing moisture conditions and light loading and a moderate to
high compressibility when wetted and loaded. The samples showed a low to high
hydrocompression potential. Results of a gradation analysis performed on a bulk
sample of the gravel and cobble subsoils (minus 5 inch fraction) obtained from the site
are presented on Fig. 5. The laboratory testing is summarized in Table 1_ No free
water was observed in the pits at the time of excavation and the soils were slightly moist
to moist.
Foundation Recommendations: The fine grained soils at the site are compressible
especially when wetted and spread footings bearing on these soils will have a risk of
excessive settlement. At assumed excavation depths we expect the dense gravels and
cobbles will be encountered in most areas. The gravels and cobbles should be suitable
to support moderate foundation loads with relatively low settlement potential.
H-P GEOTECH
.._�. .. _. _...-.�...... .. .. .. .. .. ��-... v -v - - - - i'U. LZ_ 77 1L-JJ IYV .VV7 r .V4
John Lovett
March 12, 1999
Page 3
Considering the subsoil conditions encountered in the exploratory pits and the nature of
the proposed construction, we recommend spread footings placed entirely on the
undisturbed natural gravel and cobble soils designed for an allowable soil bearing
pressure of 3,000 psf for support of the proposed residence. Footings should be a
minimum width of 16 inches for continuous walls and 2 feet for columns. All topsoil,
fine grained soils and loose or 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 gravel and cobble soils. This may require
subexcavation in some areas _
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 spats local anomalies such as by assuming an unsupported length of at least 12
feet. Foundation walls acting as retaining structures should also be designed to resist a
lateral earth pressure based on an equivalent fluid unit weight of at least 50 ref for the
on -site soil as backfill. The wall backfill should not contain vegetation, topsoil or
oversized rocks.
Floor Slabs: The natural on -site soils, exclusive of topsoil, are suitable to support
lightly loaded slab -on -grade construction. There could be some slab settlement if the
fine grained soils below slabs -on -grade were to become wetted. To reduce the effects of
some differential movement, non-structural 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 bd
established by the designer based on experience and the intended slab use. A minimum
4 inch layer of free -draining gravel should be placed beneath basementlevel slabs to
facilitate drainage. This material should consist of minus 2 inch aggregate with less
than 50% passing the No. 4 sieve and less than 2% passing the No. 200 sieve.
All fill materials for support of 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 gravels, or suitable imported granular soils, devoid of
vegetation, topsoil and oversized rock.
Underdrain System: Although free water was not encountered during our exploration,
it has been our experience in the area and where clay soils are present. that local perched
groundwater can develop during times of heavy precipitation or seasonal runoff.
Frozen ground during spring runoff can also create a perched condition. We
H-P GtorECH
...I ..... ....,. ...,.. .. .. .. .... ��-.i. - -- - - - - Ilul L... 77 1L JJ IVV .VV7 I- .VJ
John Lovett
March 12, 1999
Page 4
recommend below -grade construction, such as retaining walls, crawlspace and basement
areas, be protected from wetting and hydrostatic pressure buildup by an underdrain
system.
The drains should consist of drainpipe placed in the bottom of the wall backfill
surrounded above the invert level with free -draining granular material. The drain
should be placed at each level of excavation and at least 1 foot below lowest adjacent
finish grade and sloped at a minimum 1. % to a suitable gravity outlet. Free -draining
granular material used in the underdrain system should contain less than 2% passing the
No. 200 sieve, less than 50% passing the No. 4 sieve and have a maximum size of
2 inches. The drain gravel backfill should be at least 11/x feet deep.
Site Grading: The risk of construction -induced slope instability at the site appears low
provided the building is located away from the steep slopes as generally planned and cut
and fill depths are limited. It may be desirable to provide a deflection berm and
catchment area above the building site to reduce the potential for liillside slope matcrials
reaching the building. We assume the cut depths for the basement level will not exceed
one level, about 10 to 12 feet. rills should be limited to about H to 10 feet deep,
especially at the downhill side of the residence adjacent West Lake Creek where the
slope steepens. Embankment tills should be compacted to at least 95 % of the maximum
standard Proctor density near optimum moisture content. Prior to fill placement, the
subgrade should be carefully prepared by removing all vegetation and topsoil and
compacting to 95 % standard Proctor density. The fill should be benched into the
portions of the site exceeding 20% grade.
Permanent unretained cut and fill slopes should be graded at 2 horizontal to I vertical or
flatter and protected against erosion by revegetation or other means. The risk of slope
stability wilt be increased if seepage is encountered in cuts and flatter slopes may be
necessary. If seepage is encountered in permanent cuts, an investigation should be
conducted to determine if the seepage will adversely affect the cut stability. This office
should review site grading plans for the project prior to construction.
Surface Drainage: The following drainage precautions should be observed during
construction and maintained at all times after the residence has been completed:
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 o 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. Granular wall backfill should be
H-P GEOTECH .
-L - irV Vv7 i VV
John Lovett
March 12, 1999
Page 5
capped with about 2 feet of the on -site, finer graded soils to reduce
surface water infiltration.
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. A swale will be needed uphill to direct surface
runoff around the residence.
4) Roof downspouts and drains should discharge well beyond the limits of
all backfill.
Percolation Vesting: Percolation tests were conducted on February 26, 1999 to
evaluate the feasibility of an infiltration septic disposal system at the site. One profile
pit and three percolation holes were dug at the locations shown on Fig. 1. The test
holes (nominal 12 inch diameter by 12 inch deep) were hand dug at the bottom of
shallow backhoe pits and were soaked with water one day prior to testing. The soils
exposed in the percolation holes are similar to those exposed in the ProfIe 11it shown on
Fig. 2 and consist of about 1 foot of topsoil and 2 feet of sandy clay and silt overlying
relatively dense silty sanity gravel and cobbles with boulders. No free water was
encountered to the pit depth of 8 feet_
The percolation test were performed in the gravel and cobble subsoils. The percolation
test results, are presented in Table 11, indicate average percolation rates from about 7 to
30 minutes per inch. Based on the subsurface conditions encountered and the
percolation test results, the tested area should he suitable for a conventional infiltration
septic disposal system.. The system will likely be based in the gravel and cobble
subsoils and should be designed by a civil engineer.
Limitations: This study has been conducted in accordance with generally accepted
geotechnical 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 exploratory pits excavated at the
locations indicated on Fig, 1 and to the depths shown on Mg_ 2, 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.
H-P GEOTECH
- - ---- - -- - - - - - - �-- v ..+ .. -.vz Dui ti J J 1 i • JJ 19V • V V J f . V 1
John Lovett
March 12, 1999
Page b
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
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 geotechnical
engineer.
If you have any questions or if we may be of further assistance, pleasc let us know.
Sincerely,
IIEPWORTI_L- PAWLAK
INC.
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David A. Young, P... �i 32-216
i 4,�,'a••3-rZ�S J•i tVg•
v`
Reviewed By: `,i�/p� 1
Steven L. Pawlak, P.L.
DAY(ksm
attachments
H-P GEUTECH
APPROXIMATE SCALE
1"=100'
i.OT 2
PILGRIM DRIVE
1 OPEN SPACE r
PROFILE !!"
1A40 tIPIT P 3 SEPTIC DISPOSAL
/ 1�
P 1 A AP 2
1
ILrr
i It PROPERTY p
` t BOUNDARIES -�1 1
UTILITY AND ,
top DRAINAGE
SETBACKS i D
I 1010 ~� 1
1
PIT 1
6 I LOT 1 9510
ji PIT 2 La
1
PITbi
lozo
e Q
t WELL V)
uj
PROPOSED 1
RESIDENCE 1000
FOOTPRINT
1
t
1
1010
1020
199 188 I IEPWORTI I — PAWLAK LOCATION OF EXPI..ORATORY PITS
GEOTECHNICAL, INC. F
1 L JV II L) • V V J 1 . V J
PIT 1
PIT 2
PIT 3
PROFII.:F PIT
•
ELEV. = 1009'
ELEV.
= 1002' CLCV. - 999'
CLCV. - 982'
0
0
we=12.4
OD-107
00,
--200-74Qj
e"oWC�10.3
wC= 11_t
a zo
ObyBe
200-63
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tL
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a
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5
1
Cl
DD-98
- --200-24
d
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E
10 �j
I. EGEND:
r:1 TOPSOIL; sandy silty day, moderately to highly organic, roots, soft and loose, slightly moist.
dark .brown to .black, low. plasticity, moderately to highly porous.
CLAY (CL); silty, sandy, stiff, slightly moist, red ---brown, low plasticity, slightly porous.
1/j SILT (ML) clayey to CLAY AND SILT (CL-ML); sandy to very sandy, medium stiff to stiff, slightly
moist to moist, reddish brown, low plasticity, slightly porous.
KP r GRAVEL (GM); with cobbles and boulders, sandy, silty, dense, moist, reddish brown to _brown,
rocks are primarily subangular to occasionally subrounded_
2." Diameter hand driven liner sornple.
Disturbed bulk sample.
-a
TPractical digging refusal in frozen ground.
NOTF,S:
1. Exploratory pits were excavated on February 25, 1999 with o trockhoe.
2. Locations of exploratory pits were measured approximately by pacing from features on the site
pion provided.
3. Elevations of the exploratory pits were obtained by interpolation between contours on the site plan
provided. Logs are drawn to depth.
4. The exploratory pit locations and elevations should be considered occurote 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 encountored in the pits at the time of digging.
Fluctuations in water level may occur with time.
7. Laboratory Testing Results.
WC - Water Content ( % }
DD = pry Density ( pef )
+4 = Por•eent retained on No. 4 sieve
-200 = Percent passing No. 200 sieve
199 188jHElPWORTH - PAWL.AK
199 1$8 GEOTECHNICAL_, INC. LOGS OF EXPI.ORATORY PITS Fig, 2
L " '`"'°°-7 . 'Iv
'
Sample
of:
Sandy Silty Clay (Topsoil)
.0
co
upon
wetting
10
12
14
20
APPLIED
PRESSURE.
ksf
199 1BB
HEF"WOR1H PAWLAK
GEOTECHNICAL., INC.
SWELL— CONSOLIDATION TEST RESULTS
F ig- 3
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HEPWORTH-PAWLAK GEOTECHNICAL, INC.
TABLE If
PERCOLATION
TEST
RESULTS JOB NO. 199 188
HOLE NO.
HOLE DEPTH LENGTH OF
(INCHES) INTERVAL
(MIN)
WATER DEPTH
AT START OF
INTERVAL
(INCHES)
WATER DEPTH DROP IN AVERAGE
AT END OF WATER PERCOLATION
INTERVAL LEVEL RATE
(INCHES) (INCHES) (MINANCH)
P-1
51 15
8
4 314 3 114
4 3/4
3 1/4 1 1/2
3 1/4
2 1/4 1
7 1 /4
refilled
6 1 114
6
5
5
4 1/4 314
4 1/4
3 1 7/4
3
2 112 112 18
P-2
46 15
6 712
5 1/2 1
6112
4 112 1
4 1/2
4 1/2
4
3 1/4 3/4
3 1/4
3 114
3
2 112 1/2
5 1/4
refilled
4 3/4 112
4 3/4
4 114 1/2 30
P-3
41 15
7 114
1 6 1 /4
refilled
5 314
1 4 3/4
7114
refilled
41/4 3
4 114
1/2 3 3/4
refilled
7
4 3
4
2 2
refilled
6114
4 2 114
4
2 2 7
of backhoe pits
Geotech.
and soaked on February 25, 1999. Percolation test
NOTE., Percolation
were conducted
test holes were hand dug in the bottom
on February 26, 1999 by H•P
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ISDS Permit #� �� Date -13�'�%�
ISDS Final Inspection
Completeness Form
Tank is C?-Z D gal. Tank Material W,C'1'
✓ Tank is located ,,-75'_ft. and egrees from OUnfI4-
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. ✓ Tank lids within 8" of finished grade.
V" Size of field ft' 7 units lineal ft.
Technology 'i Gt hlYS
✓ Cleanout is installed in between tank and house(+ 1/100ft).
,�Wv sV
There is a "T" that goes down 14 inches in the inlet and
outlet of the tank.
Inlet and outlet is sealed with tar tape, rubber gasket etc.
V/ Tank has two compartments with the larger compartment closest to the
house.
_/ Measure distance and relative direction to field. 3a-'D'
Depth of field ft.
Soil interface raked.
✓ Inspection portals at the end of each trench..
Proper distance to setbacks.
✓ Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
Type of pipe used for building sewer line SDK S leach field'�K
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for improvement were
suggested.
ACTION TAKEN:
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
JOB
EAGLE_'COUNTY ENV. HEALTH
P.O. BOX 179
SHEET NO. OF
EAGLE, CO 81631 CALCULATED BY DATE
CHECKED BY DATE
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JOB, NAME Pilgrim Downs /`r( (�! %X-�
64 Pilgrim Rd., Edwards 61
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JOB NO,
/JOB LOCATION
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