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HomeMy WebLinkAbout1255 Pilgrim Dr - 210518303002INDIVIDUAL 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. 1870-99 BP NO. 12532 OWNER: GEORGE AND DONNA WIEDEMANN PHONE: 203-661-1814 MAILING ADDRESS: 125 BROOKSIDE DRIVE, GREENWICH, CT pbg3 I APPLICANT: KEN HARKAIS TRENDS WEST PHONE: 970-926-9898 SYSTEM LOCATION: 1255 PILGRIM DRIVE, EDWARDS CO TAX PARCEL NO. 2105-1-03-002 LICENSED INSTALLER: LONG'S EXCAVATING. JERRY McARTHUR LICENSE NO. 6-99 PHONE: 970-949-4682 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK 1500 SQUARE FEET OF TRENCH ABSORPTION AREA VIA 49 CHAMBERED UNITS. SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE AND 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 WITH ANY ROCKS LARGER THAN 8INCHES IN DIAMETER. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS 4CEIVED FINAL APPROVAL. ENVIRONMENTAL HEALTH APPROVAL: DATE: MAY 24, 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 CONVECTION 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 N, 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: 1500 SQUAREFEET(VIA 49 INFILTRATOR UNITS ) INSTALLED CONCRRTF 4F.PTTCFANK:1950 GALLONS IS LOCATED J_LL DEGREES AND Iq FEETFROM THE CLEANOUT NEAR THE HOUSE. COMMENTS: 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 hz DATE: DULY 23, 1999 Received: 5/ 4/99 8:25AM; 3280349 -> LONG'S EXCAVATION INC.; Page 3 Sent by:ENVIRONMENTAL HEALTH May-04-99 07:20am from 32803493970949 4586 Page 3/ 7 (Site Plan MUST be attached) ISDS Permit # P/� `Q - / APPLICATION-POR 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" **#*kk*#k#**k4e**k*k**#*k#**k****#**kk**ak*****kk*kk*k******####************ PROPERTY OWNER: MAILING ADDRESS: APPLICANT/CONTACT MAILING ADDRESS: "�)ie CP pl 81')1'\ PHONE: (203)641-1P4 94rk4 s PHONE: (q76 ) 926- g(9g8 LICENSED ISDS CONTRACTOR: Ci SQrrj IYl`Ar1h�°� PHONE: (a70) I -`69e- COMPANY/DBA: ZOna'S &iU4L br-N /)L. ADDRESS: PO bnc Ry l Avbn Cd. 01kZ = PERMIT APPLICATION IS FOR: (y() New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit #/Z5-32 (if known) Legal Description: Subdivision: Ngfil'h PowA5 Filing: 6 Block:AA-Lot No. 15 Tax Parcel Number: Z / 0 5 - / ie 3 - 0 3- d 0 Z Lot Size: 11.Z-i9AcrQS Street Address: /2-55 PjAr%'/r Dri,%IcL BUILDING TYPE: (Check applicable category) (ArResidential/Single Family 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 system requir desig b a Registered Professional Engineer SIGNATURE: CC Date: 0 ******#*****kkk*k***k*kkk***k*k**kkkk*k#k#k***k*****#*******##**kk#k*J##*k*# TO BE AMOUNTCPAIDETED B� HE COUNTY RECEIPT #: �' DATE: 1� CHECK 7 CASHIER: ISDS PERMIT #R`Zb=q% PERCOLATION TEST EAGLE COUNTY ENMRONMENTAL HEATLH THSYSICAL ADDRESS LEGAL DESCRIPTION: MAILING ADDRESS:_ TYPE OF DWELLING:_ TEST HOLES PRE-SOAKED: TIME WATER DEPTH NUMBER OF NO SOIL INCHES OF FALL RATE PROFILE 0' /, ®mmm`""`m Ili mmm mmm ©© /' • TIME TO DROP LAST INCH: -PERCRATE;"f Y 4 MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC T9NK SIZE: I QD l� 900 _ I fZ x _ 0 ENVIRONMENTAL HEALTH SPECIALIST DATE ISDS Permit #_Date�,9� ISDS Final Inspection Completeness Form w� Tank is /ary gal. Tank Material 646 6,/" ✓ Tank is located Iq ft. and L(at Ndegrees from-U!��(- I+ W7v2e (per"a t 1=n rk) ✓ Tank is located 5�- ft. and LLa/V degrees from' /_ (pemanen[ lmdmaEkl Tank set level. �L!-Tank lids within 8" of finished grade. Size of field ftz 4qunits lineal ft. Technology i/1 r/ % LYS / Cleanout is installed in between tank and house(+ 1/100ft). There is a "T" that goes down 14 inches in the inlet and outlet of the tank_ V Inlet and outlet is sealed with tar tape rubber gasket etc. y/ Tank has two compartments with the larger compartment closest to the house. 1 Measure distance and relative direction to field.,2RY Depth of field . ft. 6T-0,4.t f d 3F4 Soil interface raked. V1 Inspection portals at the end of each trench. Proper distance to setbacks. —J/ 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 leach field SOS YS ✓ Other I ih6,1/7, l fvyr in %Yzin o:2'3Ff Inspection meets reauirements. 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 • •.ip]TR.ic:•:KY!'�rM VM191 AyR 0'A.':': °::!'N'.Rif lOLLirR''A}12--f:° < jb/U-vv iax# LIVJ-,.u., Lot #15 Filing 6, WIEDEMANN (%.t JOB- NAME Pilgrim Downs, Edwards f JOB NO- JOB- 1255 Pilgrim Drive {f BILL TO DATE STARTE I b � DATE-COMPLETED DATE BILLED fff 5 1211gq 12 m 49 5 � 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 277 JOB FOLDER Printed in USA 1 t3 EAGLE COUNTY Project Address _ 1255 PILGRIM DR Owner Information DOUG ZINSER Environmental Health Department P.O. Box 179 500 Broadway Eagle, CO 81631-0179 Phone:(970)328-8755 Fax:(970)328-8788 CO Engineer(s)� Phone HP GEOTECH (970)945-7988 Contractor(s) License Number Phone Primary Contractor ARENA EXCAVATING AND 41-16 (970)328-3477 Yes DEVELOPMENT ----_ Parcel No. 210518303002 Phone: (312)399-9937 Cell: Inspections: For Inspections call: (970) 328-8755 Inspection IVR OWTS Final Inspection 095 Permitted Construction / Details: Install the OWTS exactly as depicted on the HP Geotech design report and drawings dated October 30, 2015, signed, stamped and dated by David A. Young, PE on November 10, 2015 AND with the revisions to the septic tanks and dose chamber specifications as outlined in the report dated March 23, 2016, stamped, signed and dated March 24, 2016. System is designed to serve a total of seven bedrooms and will completely replace ISDS #1870-99. System consists of installation of two single compartment Infiltrator IM 1060 single compartment poly tanks in series followed by an Infiltrator IM 540 dose tank equipped with an Orenco PF3005 pump in an Orenco Biotube pump vault. Effluent will be dosed to an Orenco V6404 Automatic Distribution Valve located at the high point which will sequentially send effluent to the 2,100 square foot soil treatment area (prior to adjustments for dosing and chambers) consisting of four shallow trenches containing 25 Infiltrator Quick 4 Plus chambers in each trench for a total of 100 chambers. Be sure to pay close attention to maintain appropriate horizontal setbacks and install mitigation for crossing setbacks in accordance with the design where appropriate. Do not install in wet or frozen ground. Removal of the existing septic system components (originally permitted under ISDS #1890-99) must be done in accordance with WQCC Reg. 43.9 (C.). An additional profile pit must be completed during construction to evaluate soil and groundwater conditions. Contact the design engineer to conduct the squirt test and all inspections necessary to certify the system and to prepare the necessary as -built drawings. System certification along with the as -built drawing and photos are required to be submitted to, and approved by, Eagle County Environmental Health prior to the use of the new system or occupancy of the residence. Please include documentation regarding how the existing septic system components were abandoned and to report the findings of the additional profile pit. Terri Woman August 04, 2016 ssu�nvironmental Health Department, age County, CO Date l vyILu 10 uvv to rerml> /App icauon uu i.jpg hHnc•//moil rvvv�lo rnm/ /crc/m oil_ctotir/ !c/14=nmail main on nnpi Q7nAAl lid r)/mom i t ithm=pipovhAAR(�frwrvivni vnPOn777R nniomdrlWoGAAf IFlRfR 'IN Inspection Result Eagle County, Colorado P.O. Box 179 500 Broadway Eagle, CO Phone: (970) 328-8730 Fax: (970) 328-7185 IVR Phone: 1-866-701-3307 Inspection Number: EDWARDSAREA - 1255 PILGRIM - 505043 Permit Number: OWTS-11-15-13775 Inspection Date: 01/27/2021 Inspector: Lewandowski, Claire Permit Type: OWTS Permit Inspection Type: OWTS Final Inspection Work Classification: Major RepairOwner:Doug Zinser Job Address:1255 PILGRIM DR IVR Pin Number:13775 EDWARDSAREA,Project:<NONE> Parcel Number:210518303002 Contractor:Phone: (970) 904-3478 / Cell: Arena Excavating, Inc. Inspection Status: Approved Inspection Notes The above-referenced permit has been inspected and finalized. The Onsite Wastewater Treatment System (OWTS) was designed and installed to serve seven bedrooms on the above property. Additional information about the maintenance of your septic system needs can be accessed through our website links, provided on the Environmental Health Department’s septic system resource page. 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 taproots, irrigation systems, and parking areas above the soil treatment area can cause a 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. If you have any questions regarding this information, please contact us at (970) 328-8755 and reference the OWTS septic permit number. Inspector Comments Added Item: Septic Tank Added Item: Record Drawing Added Item: Record Photos Added Item: Site and Soil Added Item: Final Certification Letter Partial letter and Record Drawing dated December, 27, 2016 and complete partial final certification dated January 12, 2021 prepared by Kumar & Associates Inc approved. Added Item: General Plan Wednesday, January 27, 2021 For more information visit: http://www.eaglecounty.us Page 1 of 2 Complete replacement of 1870-99IS (marked inactive), tank completely removed. Added Item: Soil Treatment Area (STA) Added Item: Identification of Systems Contractor Eagle County licensed installer Arena Excavating performed the installation of the almost complete replacement for this permit. Wednesday, January 27, 2021 For more information visit: http://www.eaglecounty.us Page 2 of 2 H G am"40, h HEPWORTH-PAWLAK GEOTECHNICAL l-lepworth-f awlak Geotec]tnical, Int. 5020 County Road 154 Glenwood Springs, C(tlnr;ult) 81601 Phone: 9 70-945-7988 Fax:970-945-8454 cmatl: Itpgco@hpgeoteeh.eoun ONSITE WASTEWATER TREATMENT SYSTEM DESIGN PROPOSED ADDITION TO ZINSER RESIDENCE LOT 15, PILGRIM DOWNS, FILING 6 1255 PILGRIM ROAD EAGLE COUNTY, COLORADO JOB NO. 115 362A OCTOBER 30, 2015 REVISED NOVEMBER 10, 2015 PREPARED FOR AR BUILDERS ATTN: ANDREW REPASKY I wrlfll :�I):��►�� WOLCOTT, COLORADO 81655 (arbuilders@centur.vtel.net) Parker 303-841-7119 • Colorado Springs 719-633-5562 • Silverrhorne 970-468-1989 TABLE OF CONTENTS INTRODUCTION........................................................................................................... - 1 - EXISTING AND PROPOSED CONSTRUCTION .................... - I - SITECONDITIONS................................................................................................. 1 - SUBSURFACE CONDITIONS......................................................................................- 2 - OWTSANALYSIS.........................................................................................................- 3- DESIGN RECOMMENDATIONS................................................................................. 4- SOIL TREATMENT AREA.................................................................................. 4 - OWTS COMPONENTS.............................................................................................. 5 - OWTS OPERATION AND MAINTENANCE..............................................................- 9 - OWTS HOUSEHOLD OPERATION....................................................................... 10 - OWTS MAINTENANCE.......................................................................................... 10 - OWTS CONSTRUCTION OBSERVATION............................................................... 11 - LIMITATIONS.............................................................................................................. 11 - FIGURES FIGURE 1 - OWTS SITE PLAN FIGURES 2 & 3 - USDA GRADATION TEST RESULTS FIGURE 4 - SOIL TREATMENT AREA CALCULATIONS FIGURE 5 - SOIL TREATMENT AREA PLAN VIEW FIGURE 6 - SOIL TREATMENT AREA CROSS SECTION FIGURE 7 - DISTRIBUTION LINE CLEANOUT DETAIL APPENDIX A ATTACHMENTS INFILTRATOR SYSTEMS SEPTIC AND DOSE TANK DETAILS ORENCO PF3005 PUMP PERFORMANCE CURVE Job No. 115 362A ter_ INTRODUCTION This report provides the results of an onsite wastewater treatment system (OWTS) design for a proposed addition to the existing Zinser residence located on Lot 15, Pilgrim Downs, Filing 6, 1255 Pilgrim Road, Eagle County, Colorado. The purpose of this report was to provide design details for the 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 study was performed as part of our agreement for professional services to AR Builders dated August 4, 2015. EXISTING AND PROPOSED CONSTRUCTION There is an existing four bedroom residence on the property that was constructed in 1999 according to Eagle County Assessor's records. A proposed addition on the north side of the residence will add three additional bedrooms (7 bedrooms total). A swimming pool and patio area will be constructed on the south side of the residence. The existing septic tank and soil treatment area are located south of the existing residence in the area of the proposed pool. The existing OWTS will be abandoned. The new OWTS septic tank and soil treatment area (STA) will serve the existing residence and the 3 bedroom addition will be located further south of the structure as shown on Figure 1. If proposed construction is different than that described, we should be contacted to re- evaluate our design recommendations. SITE CONDITIONS The subject property is approximately I 1.2 acres. The existing 5,500 square feet size residence is accessed via a long driveway from Pilgrim Road to the south. The terrain is easterly sloping hillside terrain with moderately steep grades. The existing residence and detached garage area have been graded relatively flat by cutting into the hillside with some fill placed on the downslope eastern side. The existing septic tank is located in the area of the proposed swimming pool and the STA is just to the south, see Figure 1. Job No, 115 362A Gg&ech -2- The terrain in the proposed STA area is strongly sloping down to the east from the driveway along the west side. The ground surface in this area appears mostly natural. Vegetation consists of grasses, sagebrush, aspen and coniferous trees. In the proposed STA the vegetation consists primarily of grasses and scattered brush. The well for the property is located approximately 286 feet south of the proposed STA. No other wells or surface water features were observed in the vicinity. The location of the waterline to the residence is apparently within the existing driveway. SUBSURFACE CONDITIONS The field exploration was performed on October 2, 2015. Two profile pits (Profile Pits I and 2) were excavated with a mini-trackhoe at the approximate locations shown on Figure I to evaluate the subsurface conditions. The pits were logged by a representative of Hepworth-Pawlak Geotechnical, Inc. Logs of the pits are provided below. Log of Profile Pit 1 Depth USDA Classification 0-3" TOPSOIL; silt loam with organics, loose, slightly moist, brown. 3"-91h' SILT LOAM; with gravel, weak to moderate blocky structure, medium dense, slightly moist, brown. Disturbed bulk[ sample obtained ronr 2 to S eet. • Bottom of pit @ 9'/z feet. • No free water was encountered during excavation. Log of Profile Pit 2 Depth USDA Classification 0-6" TOPSOIL; silt loam with organics, loose, slightly moist, brown. 6„-$1 SILT LOAM; with gravel, weak to moderate blocky structure, medium dense, slightly moist, brown. Disturbed bulk sample obtained from 3 to 4 eet. • Bottom of pit @ 8 feet. • No Lee water was encountered dirring excavation. The soils encountered consisted of about 3 to 6 inches of organic topsoil overlying Silt Loam to the maximum depth explored 9'/z feet. Hydrometer and gradation analyses were performed on disturbed bulk samples of the soils from the profile pits with the results provided on Figures 2 and 3. The tested samples classify as Silt Loam with gravel per the USDA system. Based on the subsurface conditions and laboratory testing, the soils have Job No, 115 362A -3- been classified as Soil Type 2A per State regulations, which equates to a long-term acceptance rate (LTAR) of 0.5 gallons per square foot per day. No indications of the existing STA were encountered in our profile pits. OWTS ANALYSIS Based on the site conditions, profile pit evaluations and our experience the evaluated area should be suitable for a conventional infiltration disposal system. The system will consist of infiltrators in a trench configuration. The STA will be sized for seven bedrooms using an LTAR of 0.50 gallons per square foot per day. An additional profile pit located to the east and down -slope of the STA should be dug at the time of construction to evaluate the soil and groundwater conditions in this area. The sewage will gravity flow from the residence to the septic tank for primary treatment then be pressured dosed to the STA for disposal and final treatment. The STA will consist of four trenches with Infiltrator chambers. Equal distribution will be provided by an automatic distribution valve (ADV). Construction of the new STA may encounter the existing STA, which consists of Infiltrator chambers in trench configuration, per Eagle County As -Built information. If encountered, the chambers and piping of the existing system should be removed as well as any accumulated biomat material. The sub -excavation of the existing STA and any accumulated biomat may require cut depths below the proposed base of the new STA infiltrative surface. The sub -excavation should be backfilled with concrete sand up to proposed infiltrative surface elevation. We understand the existing septic tank will be removed and backfilled for the pool and deck area construction. The tank and all piping should be removed as needed per Eagle County regulations. We understand the water service line for the residence is located beneath the existing driveway. Prior to construction, the water line must be located to confirm the proposed OWTS components meet the required setback from the waterline. Job No_ 115 362A -4- DESIGN RECOMMENDATIONS The design recommendations presented below are based on the proposed construction, the site and subsurface conditions encountered and our experience in the area. Layout of the system components are shown on the Figure I site plan. If conditions encountered during construction are different than those that are described in this report please contact us and we will re-evaluate our design recommendations. SOIL TREATMENT AREA • The STA was sized based on an LTAR of 0.5 gallons per square feet per day. • The treatment system will consist of four trenches with 25 Infiltrator Quick 4 Plus Standard chambers in each (100 chambers total). A pressure distribution system will be used to provide equal distribution to the chambers. • Each chamber was allowed 12 square feet of area. A 20% reduction in the STA was applied for pressure dosing to a trench configuration and a 30% reduction was applied for use of Infiltrator chambers. The total STA is 1,200 square feet. Soil treatment area calculations are shown on Figure 4. • The trenches should be oriented along the ground contour to minimize cut and cover. • The base and sidewalls of the trench excavations should be scarified prior to chamber placement. • A minimum of 12 inches and a maximum of 24 inches of cover soil should be placed over the chambers. • Backfill should be graded to deflect surface water away from the STA and should be sloped at 3 (horizontal) to I (vertical) maximum. This will be especially important along the up -slope side of the field where a swale may be needed. • Disturbed soil should be re -vegetated as soon as possible 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 the system piping. • Four inch diameter inspection ports should be installed vertically into the knockouts provided in the Infiltrator end caps. Install vents at each end of each Job No_ 115 362A -5- trench. The inspection port piping should be screwed into the top to the chambers and should not extend down to the ground surface inside the chambers. The inspection ports should extend at least 8 inches above the finished ground surface or be protected in a valve box at finished grade. • A plan view of the STA that shows the piping specifications and layout is presented on Figure 5 and a cross section of the STA is presented on Figure 6. • Cleanouts are required in each of the four distribution lines as shown on Figure 1. A typical distribution line cleanout detail is provided as Figure 7. OWTS COMPONENTS Recommended OWTS components provided below are based on our design details and our experience with the specific component manufacturers. Equivalent components may be feasible but need to be approved by us prior to construction. Septic Tank • Due to the access difficulty at the proposed tank locations, plastic tanks are proposed. An Infiltrator Systems IM-1060 single chamber septic tank will be used for primary treatment. The fM-1060 tank will be followed by an Infiltrator Systems IM-1530, two chamber tank. A submersible effluent pump will be installed in the second chamber. The total settling capacity of the tanks in the first two compartments is 2,100 gallons. Copies of the tank details are provided as an attachment to this report. The tanks are available from Valley Precast, Inc. • The tanks must be set level. The excavation bottom must be free of large rocks or other objects that could damage the tank during placement. A road base or sand bedding material may be necessary to prevent tank damage during placement and act as a leveling course. • Install tanks with 2 feet minimum cover soil for frost protection. Maximum tank soil cover depth is 4 feet. • The septic lids must extend to final surface grade and made to be easily located. Job No. 115 362A M-2 Sewer Pipe • Three separate sewer line connections to the proposed septic tank are proposed. There will be a new sewer line from the proposed addition area. The existing sewer line outlet from the residence will remain but should be replaced back to the building foundation outlet to due to the potential for damage during construction. There is also an existing sewer line that services the garage uphill of the residence that flows east across the driveway. The garage sewer line should be replaced back to the edge of asphalt due to the potential for damage during construction. • Sewer piping should not be less than the diameter of the building drain and not less than 4 inches in diameter. • The sewer pipes should have a rating of SDR35 or stronger. • The sewer pipes should be sloped between 2% to 4% to help limit disturbance of solids in the tanks and potential sewage bypass of the first chamber of the tanks. If a steeper slope is needed, this can be accomplished with vertical step-downs in the sewer line. • A minimum 36 inches of cover soil should be provided over the sewer pipes. 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 insulation board. If adequate soil cover is not possible, we should be contacted for re-evaluation prior to installation. • The sewer pipes should be bedded in compacted 3/4 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. • Install cleanout pipes within 5 feet of the building foundations, where the sewer pipes bend 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. • All connections between separate sewer lines should be accomplished with downstream wye fittings. Job No, 115 362A G! -7- • The sewer lines must be sleeved in larger diameter Schedule 40 PVC where it encroaches on the 10 feet setback to potable water supply lines or swimming pool or hot tubs and their associated supply lines. Regulation #43, Table 7-1, Note 2 describes the encasement requirements and is shown below. Crossings or encroachments may be pennitted at the points as noted above provided that the water or wastewater conveyance pipe is encased for the minimum setback distance on each side of the crossing. A length of pipe shall be used with a minimum Schedule 40 rating of sufficient diameter to easily slide over and completely encase the conveyance. Rigid end caps of at least Schedule 40 rating must be glued or secured in a ivatertight fashion to the ends of the encasement pipe. A hole of sufficient size to accommodate the pipe shall be drilled in the lowest section of the rigid cap so that the conveyance pipe rests on the bottom of the encasement pipe. The area in which the pipe passes through the end caps shall be sealed with an approved underground sealant compatible with the piping used. • Where it is not possible to sleeve piping, such as cleanouts or bends, the section should be encased in a minimum of 12 inches dimeter of concrete. e The sewer line locations shown on Figure 1 are considered conceptual. We assume that there will be only one sewer line exiting the existing residence at its current location, one sewer Iine exiting the garage at its current location and one new sewer line exiting the proposed addition at the south wall of the residence. It is the responsibility of the owner and/or contractor to locate all sewer line exit locations and connections to the septic tank. We should be notified if there are other sewer Iines exiting the structures. Effluent Transport Piping 0 1.5 inch diameter Schedule 40 effluent transport piping should be sloped at 2% minimum to drain back from the ADV to the dose tank and from the ADV to each trench. The ADV must be the high point of the system. • The effluent transport pipe should be bedded in compacted 3/4 inch road base or native soils provided that the native soils contain no angular rocks or rocks larger Job No. 115 362A I'M than 21/z inches in diameter to help prevent settlement of the pipe. Sags could cause standing effluent to freeze and damage piping. • 18 inches minimum 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. • All 90 degree bends should be installed using a 90 degree long -sweep or by using two 45 degree elbows. Effluent Pumping System • An Orenco P173005, 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 ADV is estimated to be 52 feet. The distance from the ADV to the STA manifolds is estimated to be an additional 39 feet. • The elevation difference from pump discharge to the STA manifold is estimated to be 15 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 12.2 gallons per minute at 24.2 feet of total dynamic head. The recommended pump performance curve is provided as an attachment to this report. • The floats should be set to provide a dose volume of 87 gallons. The actual dose volume will be about 82 gallons assuming 5 gallons of drain back in the transport line. To achieve the desired dose volume the upper ("ON") and lower ("OFF") floats should be set approximately 81/7 inches apart. Job No. 115 362A • The flow differential between the first and last orifices is estimated to be 3.3% or 0.01 gallons per minute. e The high water alarm float should be placed approximately 3 inches above the "ON" float in the dose tank. The high water alarm must be wired on a separate electrical circuit from the pump. • A 1/s inch diameter weep hole should be drilled in the effluent transport line prior to exiting the dose tank so the transport line can drain into the tank after each pumping cycle. Automatic Distributing Valve • An Orenco V6404 Automatic Distributing Valve (ADV) will be used to alternate doses to the four STA trenches. • The ADV must be installed level and must be the high point in the system. The ADV should be installed in a sprinkler box, or equivalent, such that it is serviceable and protected from freezing. We recommend the ADV be equipped with heat tape for additional frost protection during winter months. We recommend the ground surface be graded away from the ADV in all directions. Improper surface drainage could cause standing water to freeze and damage the valve and/or piping. • The valve has clear sections of pipe that should be inspected at least annually to ensure that it is alternating doses to each trench. 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 its lifespan. The level of maintenance will vary depending on the complexity of the system and water use habits of the residents. We recommend that an OWTS Operation and Maintenance (O&M) Manual be developed. Depending on the complexity of the system a contract with an OWTS maintenance provider may be prudent. Below are some basic recommendations for the OWTS O&M. Job No. 115 363A -10- A&VA 0: [91111:0 RI i1i 7:1�f1 fi7�i • Use of high efficiency water fixtures is recommended to decrease the hydraulic load on the OWTS system. • 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 field 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 includes: 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. 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 tank 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 system. 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 effluent in septic tanks can freeze during extended periods of non-use in cold weather. We recommend that a tank heater be installed in this system to help prevent freezing. 1411291 UTGIIZI11:QME L[a, • Inspect the septic tank, pump, pump vault filter, ADV and STA at least annually for problems or signs of failure. Job No. 115 362A MFOlI Rw, -11- • The filter should be cleaned annually by spray washing solids into the first chamber of the septic tank. • The 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 STA, which may shorten its life span. • Pumping of the septic tank 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 tank. OWTS CONSTRUCTION OBSERVATION The Eagle County Environmental Health Department requires that the designer of the system provide an As -Built certification of the OWTS construction. We should be provided with at least 48 hour notice prior to the installer needing the As -Built inspections. Prior to issuance of our certification letter, we require observation of all system components prior to backfill. The number of site visits required for the inspection will depend on the installer's construction schedule. It should be feasible to excavate the recommended additional profile pit at the time of the system construction. LINIITATIONS We have conducted this design in accordance with generally accepted engineering principles and practices in this area at this time. We make no warranty either expressed or implied. The recommendations provided in this report are based on the site conditions, profile pit evaluations, percolation test holes, soil texture analysis, the proposed 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 Job No, 115 362A G99bech -12- verify that the recommendations have been appropriately interpreted. Significant design changes may require additional analysis or modifications to our design. It is our opinion that the designed location of the OWTS components 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 the system permitting. Table 1- Common Minimum Horizontal Setbacks from OWTS Components Water Lined Lake, Dry Wells Supply Occupied Ditch Irrigation Ditch Septic Line Dwelling or Lake Ditch, or Tank Stream Gulch STA 100' 25' 20' 20' 50' 25' 5' Septic Tank 50' 10' 5' 10, 50' 10, - Building 50' 10' 0' 10, 50' 10, - Sewer 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 Respectfully Submitted, HEPWORTH - PAWLAK GEOTECHNICAL, INC. Jason A. Deem Project Geologist Reviewed by: C, • David A. Young, P.E. /!)216 ,s JAD/Ij f rWO,i._ ALE��� Job No. 115 362A G93tecl til PROFILE PIT 2 AO I PROPOSED SOIL TREATMENT AREA CONSISTING OF FOUR ROWS OF 25 INFILTRATOR QUICK 4 PLUS STANDARD CHAMBERS �a k PROPOSED INFILTRATOR SYSTEMS IM1530 TWO CHAMBER SEPTIC TANK EQUIPPED WITH AN ORENCO ' PF3005 EFFLUENT PUMP IN THE I SECOND CHAMBER ORENCO V64N AUTOMATIC r DISTRIBUTION VALVE Ij I f p PROFILE PIT 1 j APPROX timas OF EXISTING STA PROPOSED INFILTRATOR + SYSTEMS IM1060 SINGLE CHAMBER SEPTIC TANK I j 0 r f + I APPROX LOCATION OF EXISTING PRoPOM° PO 00 GARAGE SEWER LINE TO REMAIN i CLEANOUTS NEW PIPING TO BEGIN ON DOWNHILL PROPOSED _ - CLEANOUT SIDE OF PAVEMENT. HEATED PAVER -PATIO OUT I I Notes: 1 A 10 feet setback is required from the sewer line(s) i '• ' I to the swimming pool, hot tub and their associated EXISTING j water Ines. Where this is not poss ble the piping GARAGE I must be sleeved per Note 2 below r ? I I 2 Crossings or encroachments may be permitted at p ExISTING I the paints as noted above provided that the water or o a RESIDENCE wastewater conveyance pipe is encased for the v j minimum setback distance on each side of the r crossing A length of pipe shall be used with a CLAMAFWA minimum Schedue 40 rating of sufficient diameter to ,- ! ; EXISTING I 1 easily slide over and completely encase the`'Y HEATED j conveyance. R-gid end caps of at least Schedule 40 ' 3,F DRIVEWAY rating must be glued or secured in a watertight fashion to the ends of the encasement pipe. A hole I r L I of sufficient size to accommodate the pipe shall be � drilled In the lowest section of the rigid cap so that ' � I the conveyance pipe rests on the bottom of the PROPOSED pipe. The area in which the pipe passes aDOmaN through the end caps shall be sealed with an approved underground sealant compatible with the piping used. 3 In sections where steeving is not possible such as APPROXIMATE SCALE. cleanouls and bends, the piping should be encased 1 INCH = 40 FEET in a minimum of 12 inches of concrete 115 362A G@HCPteCr1 LOT 15, PILGRIM DOWNS, FILING 6 FIGURE 1 HEPWORTH-PAWLAKGEOTECHNICAL OWTS SITE PLAN SIEVE ANALYSIS HYDROMETER ANALYSIS U.S, STANDARD SIEVES TIME READINGS 100 #10 #16 N30 #50 #100 #270 1 MIN 4 MIN 19 MIN 60 MIN 435 MIN 90 80 70 Q — z In CA 60 — - - - z -- — u SQ — — cc — U -- —_ - - a — LU 40 — — 30 20 10 D i- 2.00 1.18 .60 .30 .15 .05 .037 .019 .009 .005 .002 .001 DIAMETER OF PARTICLE IN MILLIMETERS SAND VERY SILT CLAY COARSE COARSE MEDIUM FINE VERY FINE Grain Size (mm) Sieve Size % Passing 2.00 #1 100 1,18 #16 97 0.60 #30 92 0.30 #50 86 0.15 #100 83 0.053 #270 75 Grain Size (mm) Tme Passed % Passing 0. D28 2 50 0.018 5 40 0.D11 15 34 0.008 1 30 29 0 006 60 26 0.003 240 20 0.001 1440 13 Particle Size Distribution Sand: 26°� Silt: 58% Clay: 16°� Classification: Silt Loam Location; Profile Pit 1 Depth: 2 to 5 feet Total Sample % Retained on #10 Sieve: 20% Note: Hydrometer and Sieve Anlysis was performed on a bulk sample following screening of all material larger than the #10 sieve (2.0 mm) per USDA guidelines. I 115 362A � --%, HP' ��h I LOT 15, PILGRIM DOWNS, FILING 6 I FIGURE 2 �'� USDA GRADATION TEST RESULTS 100 SIEVE ANALYSIS I HYDROMETER ANALYSIS U.S. STANDARD SIEVES TIME READINGS #10 #16 #30 #50 #100 #270 1 MIN 4 MIN 19 MIN 60 MIN 435 MIN 90 60 70 l7 Z L Ln a 60 — — — H ZLU u 50 z W d 40 — — - — — — — - - — 30 20 10 0 2.00 1.18 .60 .30 .15 .05 .037 .019 .009 Z05 .002 .001 DIAMETER OF PARTICLE IN MILLIMETERS SAND VERY COARSE COARSE MEDIUM I FINE I VERY FINE SILT CLAY Grain Size (mm) Steve Size % Passing 2.00 #10 100 1.18 #16 g8 0.80 #30 95 0.30 #50 91 0.15 #100 87 0.053 #270 78 Grain Size (mm) Time Passed � Passing 0.027 2 48 0.018 5 38 0.011 15 32 0.008 1 30 26 0.006 80 24 0.003 240 17 0.001 1440 11 Particle Size Distribution Sand: 23% Silt: 63% Clay: 14% Classification: Silt Loam Location: Profile Pit 2 Depth: 3 to 4 feet Total Sample % Retained on #10 Sieve: 10% Note: Hydrometer and Sieve Anlysis was performed on a bulk sample following screening of all material larger than the #10 sieve (2.0 mm) per USDA guidelines. —III, pth LOT 15, PILGRIM DOWNS, FILING 6 -] 115 362A G49 USDA GRADATION TEST RESULTS FIGURE 3 HEPWORTH PAWLAK GEb7ECHNICA. OWTS ABSORPTION AREA CALCULATIONS In accordance wth the current Eagle County Onsite Wastewater Treatment System Regulations, the soi 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= B= N= Q= CALCULATION OF OWTS SOIL TREATMENT AREA: MINIUMUM TREATMENT AREA = Q = LTAR WHERE: Q= LTAR (LOAM - SOIL TYPE 2A) MINIMUM ABSORPTION AREA = REDUCTION FACTOR FOR DOSING TO TRENCH = REDUCTION FACTOR FOR CHAMBERS = MINIMUM ABSORPTION AREA WITH REDUCTION = AREA PER INFILTRATOR QUICK 4 STANDARD CHAMBER = TOTAL CHAMBERS NEEDED = NUMBER OF TRENCHES = CHAMBERS PER TRENCH = TOTAL NUMBER OF CHAMBERS AS DESIGNED = TOTAL SOIL TREATMENT AREA = 75 GALLONS PER DAY 7 BEDROOMS 2 PERSONS PER BEDROOM 1050 GALLONS PER DAY 1050 GALLONS PER DAY 0.5 GALLONS/FT2/DAY 2100.0 SQUARE FEET 0.80 0.70 1176 SQUARE FEET 12 SQUARE FEET 98 CHAMBERS 4 25 100 CHAMBERS 1200 SQUARE FEET r'1 LOT 15, PILGRIM DOWNS, FILING 6 115 362B Gec�tech FIGURE 4 HEPWORTH•PAWLAKGEOTeCHNICAL SOIL TREATMENT AREA CALCULATIONS c� 1,5' DIAMETER SCH 40 NON -PERFORATED PVC PIPE APPROXIMATE SCALE: ��a� SLOPED AT 2% MIN TO i INCH = 20 FEET �cm DRAIN BACK TO DOSE TANK 15 DIAMETER SCH 40 SOLID PVC PIPE SLOPED AT 2% MIN DOWN TO EACH TRENCH 4 INCH DIAMETER PVC OBSERVATION PORTS INSTALLED ORENCO V6403 AUTOMATIC VERTICALLY INTO KNOCKOUTS DISTRIBUTING VALVE PROVIDED IN END CAPS INSTAL T I VENTS AT EACH END OF EACH TRENCH. REMOVABLE LID TO BE PLACED ON TOP OF PIPE. DRILL AT LEAST 12, j HOLES IN PIPE BELOW LID PIPE MUST STICKUP AT LEAST 8 SNC[-ES ABOVE FINISHED GRADE P, PES SHOULD NOT EXTEND TO SOIL SURFACE AND SHOU° D BE SECURED TO 1.5" SCH 40 PVC CHAMBER WITr SCREWS DISTRIBUTION PIPE WITH ( T 1/8" DIAMETER HOLES DRILLED AT 4 FOOT CENTERS ON TOP OF PIPE INFILTRATOR QUICK 4 PLUS STANDARD POSITION HOLES IN CLAMBER 25 CHAMBERS PER ROW CENTER OF EACH CHAMBER, PIPE TO BE ( ! DRILL ONE Ye DIAMETER HOLE INSTALLED LEVEL AND ON BOTTOM OF EACH END OF SECURED WITH 120 LB MIN. ( EACH DISTRIBUTION PIPE TO TENSILE STRENGTH CABLE ALLOW FOR COMPLETE TIES AT EACH END OF EACH DRAINAGE INSTALL SPLASH CHAMBER PLATES BENEATH DRAIN HOLES INSTALL CLEANOUTS AT I I I I END OF EACH LATERAL INFILTRATOR QUICK 4 PLUS (4 TOTAL). SEE FIGURE STANDARD END CAP 7 FOR DETAILS. Notes: 1. Chambers should be insta led leve- on a scarif ed ground surface or concrete sand. 2. All piping should have a rat ng of Schedule 40. 3 Changes to this design should not be made w thout consu tation and approval by HP Geotech 115 362A PteC�"� LOT 15, PILGRIM DOWNS, FILING 6 FIGURE 5 HEPWORTH-PAWL.AK GEOTECHNICAL SOIL TREATMENT AREA PLAN VIEW Infiltrator Quick 4 Plus Standard End Cap Infiltrator Quick 4 Plus 1 Standard Chamber Installed Level Native So"surface N81iv9 Spit I Scarify groprior to san chamber placement. APPROXIMATE SCALE: 1 INCH = 5 FEET 12" min. 24" max. Cover Soil Graded to Deflect Surface Water Pressure pipe drill location Notes: 1. Chambers should be installed level on a scarified ground surface I sand may be used as a leveling course if necessary. 2. Care should be taken by the contractor to avoid compaction of the nat-v the trench areas. The base and side walls of trench excavations sh-: J scarified prior to chamber installation. 3. Changes to this design should not be made without consultation and apprm by HP Geotech. 115 362A � Ptech LOT 15, PILGRIM DOWNS, FILING 6 FIGURE 6 HEPWORTI+PAWLAK GEOTECHNICAL SOIL TREATMENT AREA CROSS SECTION Install 6" valve box at ground surface Ground Surface BackfiII valve box to bottom of cap with onsite soil Insulate Lid with 2" blue board 1.5" Sch. 40, threaded cap 1.5" Sch. 40, 900 long -sweep or two 450 elbows Notes: 1. All piping, fittings and valves should be Sch. 40 PVC. APPROXIMATE SCALE: 2. Install distribution line cleanouts at the end of each distribution line. 1 INCH 2 FEET H LOT 15, PILGRIM DOWNS, FILING 6 115 362A HEPWORTH-PAWLAK GEOTECHNICAL TUt DISTRIBUTION LINE CLEANOUT DETAIL FIGURE 7 OTEG APPENDIX A INFILTRATION SYSTEMS SEPTIC AND DOSE TANK DETAILS ORENCO PF3005 PUMP PERFORMANCE CURVE Jab No.115 362A Item # IM 1060-1 CP 62.2" i 54.2 24" ACCESS OPENING 1060 Gallon One Compartment Infiltrator® Poly Tank 127" 127" Top /iew TANK TOP CONTINUOUS HALF GASKET TANK INTERIOR SEAM CLIP tTANK (8a) ALIGNMENT DOWEL (34) BOTTOM Mid -Height Seam Section Section View • Compliant with CSA and IAPMO Standards PVC risers available SEAM CLIP • Secondary safety screen available with PVC riser (TYPICAL) • Maximum burial depth is 48" • Minumum burial depth is 6' LIFTING STRAP • Tank is not rated for vehicular traffic loading (TYPICAL) • Exterior of manhole cover includes the following warning: "DANGER DO NOT ENTER: POISON GASES" Digging Specs Invert Dimensions Net Capacity Weight 12' Long x 7' Wide Inlet 47" Outlet 44" Length 127" Width 62.2" Height 54.7" 1094 gal 320 Ibs Water & Wastewater • Systems VALLEY e Products r.0 PRECAST, Inc. • Service Tank includes lids 547 EXTERIOR HE IGHT End View INFILTRATOR' srptic tanks INFILTRATOR SYSTEMS INC 2M Co. Rd. 317 P.O. Box 925 Fax: (719) 395-3727 Buena Vista, CO $1211 Website: www.valleyprecast.com Email: frontdesk@valieyprecast.com (719) 395-6764 Item # M-1530-2CP 1530 Gallon Two Compartment Infiltrator® Poly Tank 175.6" TOP VIEW AK TOP CONTINUOUS HAL F ELASTOMETRIC GASKET TANK INTERIOR SEAM CLIP (66) ALIGNMENT TANK BOTTOM DOWEL (46) HALF 24• ACCESS PORT Tank includes lids WITH LOCKING LID (3) (P MID -HEIGHT SEAM SECTION DETAIL FIBERGLASS SUPPORT 2M TOTAL VOL SIDE VIEW IS BAFFLE (WALL 1 SLOT -113 TOTAL VOL • Compliant with CSA and IAPMO Standards • PVC risers available • Secondary safety screen available with PVC riser • Maximum burial depth is 48" • Minumum burial depth is 6" • Tank is not rated for vehicular traffic loading • Exterior of manhole cover includes the following warning: "DANGER DO NOT ENTER: POISON GASES" OUTLET TEE SEAM CLIP LIFTING STRAP {TYPICAL) 54 5" END VIEW ttff INFILTRATOR' septic tanks 04FILTRATOR SYSTEMS INC Digging Specs Invert Dimensions Net Weight Net orking Capacity 16' Long x 7' Wide 43" below inlet Inlet 47" Outlet 44" Length 175.6" Width 61.7" Height 54.5" 1st Comp. 2nd Comp. Total 501 lbs. 1006 gal 503 gal 1509 gal Water & (719) 395-6764 28005 Co. Rd. 317 Wastewater P.O. Box 925 • Systems Fax: (719) 395-3727 Buena Vista, CO 81211 O VALLEY e Products ❑ PRECAST, Inc. • Service Website: www.valleyprecast.com Email: frontdesk@valleyprecast.com Pump Selection for a Pressurized System -Single Family Residence Project 1255 PILGRIM ROAD 1 EAGLE COUNTY, CO Parameters Discharge Assembly Size 1.50 Inches Transport Length Before Valve 52 feet Transport Pipe Class 40 Transport Line Size 1.50 Inches Distributing Valve Model 6404 Transport Length After Valve 39 feet Transport Pipe Class 40 Transport Pipe Size 1.50 inches Max Elevation Lift 15 feet Manifold Length 2 feet Manifold Pipe Class 40 Manifold Pipe Size 1.50 inches Number of Laterals per Cell 4 Lateral Length 100 feet Lateral Pipe Class 40 Lateral Pipe Size 1.50 inches Orifice Size 116 inches Orifice Spacing 3.6 feet Residual Head 5 feet Flow Meter None inches ;Add -on' Friction Losses 0 feet Calculations Minimum Flow Rate per Orifice 0,43 gpm Number of Orifices per Zone 28 Total Flow Rate per Zone 12.2 gpm Number of Laterals per Zone 1 % Flow Differential 1 sVLast Orifice 3.3 % Transport Velocity Before Valve 1.9 fps Transport Velocity After Val ve 1.9 fps Frictional Head Losses Loss through Discharge 0A feet Loss in Transport Before Valve 0.5 feet Loss through Valve 2,5 feet LOss in Transport after Valve 0A feet Loss in Manifold 0.0 feet Loss in Laterals 0.4 feet Loss through Flowmeter 0 D feet 'Add-on'Friction Losses 00 feet Pioe Volumes Vol of Transport Line Before Valve 55 gals Vol of Transport Line After Valve 41 gals Vol of Manifold 02 gals Vol of Laterals per Zone %6 gals Total Vol Before Valve 5 5 gals Total Vol Ater Valve 14.9 gals Minimum Pump Requirements Design Flow Rate 12.2 gpm Total Dynamic Head 24,2 feet ION =Srlll_� G6-JdeAr1F7A' MWOM gis.r.' 300 250 50 00 5 10 15 20 - 25 30 35 40 Net Discharge (gpm) PumpData PF3005 High Head Effluent Pump 30 GPM, 112HP 115/230V 1060Hz, 200V 3060Hz PF3007 High Head Effluent Pump 30 GPM, 314HP 230V 1060Hz, 2001460V 3060Hz PF3010 High Head Effluent Pump 30 GPM, 1HP 230V 1060Hz, 2001460V 3060Hz PF3015 High Head Effluent Pump 30 GPM, 1-112HP 230V 1060Hz, 200/2301460V 3050Hz System Curve r.. Pump Cure Pump Optimal Range Operating Point: Design Pointo H - P� KU MAR Geotechnical Engineering I Engineering Geology Materials Testing I Environmental December 27, 2016 AR Builders Attn: Andrew Repasky P. O. Box 525 Wolcott, Colorado 81655 5020 County Road 154 Glenwood Springs, CO 81601 Phone: (970) 945-7988 Fax: (970) 945-8454 Email: hpkglenwood@kumarusa.com Office Locations: Parker, Glenwood Springs, and Silverthorne, Colorado arbuilders@centur3jel.net Project No. 16-7-293 Permit No. 11-15-13775 Subject: Partial As -Built Evaluation of Onsite Wastewater Treatment System for Addition to Zinser Residence, Lot 15, Filing 6, Pilgrim Downs, 1255 Pilgrim Drive, Eagle County, Colorado Dear Andy: As requested, we observed the partial installation of the new onsite wastewater treatment system (OWTS) for the addition and existing residence at the subject site. This letter summarizes our observations and recommendations. The services are supplemental to Hepworth-Pawlak Geotechnical's (now H-P/Kumar) agreement for professional services to AR Builders dated August 4, 2015. Hepworth-Pawlak Geotechnical previously designed the OWTS for the residence and addition, and submitted our findings in a report dated October 31, 2015, as well a revision to the initial design provided in a letter dated March 23, 2016, Job No. 115 362A. The OWTS is mostly an entirely new system designed for a total of seven bedrooms for the existing residence and the addition which is currently under construction. We performed the partial As -Built evaluations on August 8, 17 and 26, October 21 and November 8, 2016. The OWTS components observed included: sewer pipes, cleanouts, septic tanks, dose tank, effluent transport pipe, automatic distribution valve, pump and pump operation, soil treatment area and the locations of components. The OWTS was installed by Arena Excavating under Eagle County Environmental Health Department permit number 11-15-13775. There are a total of three sewer lines exiting the residence, two existing lines and one new line. The existing septic tank, located to the south of the residence, will temporarily remain in place until construction of the new pool and pool mechanical building are done in 2017. Several changes were made to the sewer lines from the initial design. The western sewer line exiting the existing garage was double encased due to proximity to a water line below the driveway. This sewer line is temporarily connected to the existing septic tank located immediately south of the residence. The existing sewer line exiting the south side of the residence also outlets into the existing septic tank. The outlet from the existing septic tank connects with the new third sewer line that runs from the proposed addition. The existing septic tank will be removed and the H-P -- KUMAR Project No. 16-7-293 Andrew Repasky December 27, 2016 Page 2 sewer lines will be rerouted as shown on the October 31. 2015 design during installation of the pool and pool mechanical room. All changes were verbally approved by us prior to installation and it is our opinion that the temporary changes will not affect the performance of the OWTS. We should be notified to inspect any changes to the sewer lines during installation of the pool and pool mechanical room. The installation and locations of system components were verified as shown on Figure 1. Photographs of the OWTS installation are provided in the attached Photograph Log. The system is essentially complete at this time with exception of removal of the existing tank and tying the middle and western sewer lines to the new tank. It is our opinion that the OWTS as constructed to date was installed in general conformance with the October 31, 2015 design report and March 23, 2016 design revision letter. We should observe the remainder of the system installation when completed. 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, H-Pt KUMAR Jason A. Deem, Project Geologist Reviewed by David A. Young, P.E. attachments Figure 1 — As -Built Site Plan OWTS As -Built Photograph Log H-P —zz KUMAR Project No. 16-7-293 / INFILTRATOR SYSTEMS IM540 DOSE TANK EQUIPPED WITH AN ORENCO PF3005 EFFLUENT PUMP TWO INFILTRATOR SYSTEMS IM1060 SINGLE CHAMBER SEPTIC TANKS IN SERIES � I 1 PROPOSED HEATED — PAVER -PATIO Notes: 1. A 10 feet setback is required from the sewer line(s) to the swimming pool, hot tub and their associated water lines. Where this is not possible, the piping must be sleeved per Note 2 below. 2. Crossings or encroachments may be permitted at the points as noted above provided that the water or wastewater conveyance pipe is encased for the minimum setback distance on each side of the crossing. A length of pipe shall be used with a minimum Schedule 40 rating of sufficient diameter to easily slide over and completely encase the conveyance. Rigid end caps of at least Schedule 40 rating must be glued or secured in a watertight fashion to the ends of the encasement pipe. A hole of sufficient size to accommodate the pipe shall be drilled in the lowest section of the rigid cap so that the conveyance pipe rests on the bottom of the encasement pipe. The area in which the pipe passes through the end caps shall be sealed with an approved underground sealant compatible with the piping used. 3. In sections where sleeving is not possible, such as cleanouts and bends, the piping should be encased in a minimum of 12 inches of concrete. v) WN 110 PROFILE PIT 2 SOIL TREATMENT AREA CONSISTING OF FOUR ROWS OF 25 INFILTRATOR QUICK 4 PLUS STANDARD CHAMBERS ^�d ORENCO V6404 AUTOMATIC DISTRIBUTION VALVE I EXISTING SEPTIC TANK TO REMAIN I ,TEMPORARILY I�� I DOUBLE ENCASED SEWER LIN APPROXIMATE SCALE: 1 INCH 40 FEET 116-7-293 1 H-PtiKIJMAR 1 125BUILTGSI E DRIVE I Fig. 1 I OWTS AS -BUILT PHOTOGRAPH LOG LOT 15, PILGRIM DOWNS, FILING 6 1255 PILGRIM DRIVE, EAGLE COUNTY, COLORADO Photograph 1: Double encased sewer line underneath driveway. Photograph 2: Double encased sewer line underneath driveway. Photograph 3: Double encased sewer line underneath driveway. Photograph 4: Double encased sewer line underneath driveway. H-P � KUMAR Project No. 16-7-293 OWTS AS -BUILT PHOTOGRAPH LOG LOT 15, PILGRIM DOWNS, FILING 6 1255 PILGRIM DRIVE, EAGLE COUNTY, COLORADO Photograph 5: Double encased sewer line " underneath driveway. Photograph 6: Sewer line and cleanout at southeast corner of residence. r Photograph 7: Sewer line and cleanout at south side of residence. Photograph 8: Sewer line pipe labeling detail. t;r L H-P � KUMAR Project No. 16-7-293 OWTS AS -BUILT PHOTOGRAPH LOG LOT 15, PILGRIM DOWNS, FILING 6 1255 PILGRIM DRIVE, EAGLE COUNTY, COLORADO Photograph 9: Ceeanout l ` and downstream wye P;:mp' ,h connection south of ;�: ' y N.V�t_ f'. residence. Photograph 10: Sewer line and cleanout at south of residence. Photograph 11: Two Infiltrator Systems IM- 1060 septic tanks followed by an Infiltrator Systems IM- 540 dose tank. Photograph 12: Septic tank labeling detail. H-P ­z: KUMAR Project No. 16-7-293 OWTS AS -BUILT PHOTOGRAPH LOG LOT 15, PILGRIM DOWNS, FILING 6 1255 PILGRIM DRIVE, EAGLE COUNTY, COLORADO Photograph 13: Two Infiltrator Systems IM- ` 1060 septic tanks followed by an Infiltrator Systems IM- 540 dose tank. < - Photograph 14: Dose #Y s= f tank, effluent transport < pipe and automatic 's N distribution valve. Photograph 15: Effluent transport pipe labeling detail. Photograph 16: Orenco V6404 automatic distribution valve. H-P � KUMAR Project No. 16-7-293 OWTS AS -BUILT PHOTOGRAPH LOG LOT 15, PILGRIM DOWNS, FILING 6 1255 PILGRIM DRIVE, EAGLE COUNTY, COLORADOra �' - Photograph 17: l .. g P 4 N r Effluent transport pipe exiting the automatic distribution valve. Photograph 18: Effluent transport pipe and STA trench with Infiltrator chambers and inspection ports. Photograph 19: Effluent transport pipe and STA trenches. Photograph 20: Effluent transport pipe with STA trenches and Infiltrator chambers. H P KUMAR Project No. 16-7-293 OWTS AS -BUILT PHOTOGRAPH LOG LOT 15, PILGRIM DOWNS, FILING 6 1255 PILGRIM DRIVE, EAGLE COUNTY, COLORADO H-P -::Z- KUMAR Project No. 16-7-293 INFILTRATOR SYSTEMS IM540 DOSE TANK EQUIPPED WITH AN ORENCO PF3005 EFFLUENT PUMP ORENCO V6404 AUTOMATIC DISTRIBUTION VALVE SOIL TREATMENT AREA CONSISTING OF FOUR ROWS OF 25 INFILTRATOR QUICK 4 PLUS STANDARD CHAMBERS PROFILE PIT 2 PROFILE PIT 1 CLEANOUT DOUBLE ENCASED SEWER LINE TWO INFILTRATOR SYSTEMS IM1060 SINGLE CHAMBER SEPTIC TANKS IN SERIES CLEANOUTS GARAGE RESIDENCE DRIVEWAYPOOL APPROXIMATE SCALE: 1 INCH = 40 FEET OWTS PHOTOGRAPH LOG ADDITION TO ZINSER RESIDENCE LOT 15, FILING 6, PILGRIM DOWNS 1255 PILGRIM DRIVE EAGLE COUNTY, COLORADO Project No. 16-7-293 Photograph 1: Sewer line from driveway connecting to sewer line and cleanout from residence and area of removed previous septic tank. Photograph 2: Sewer line connecting with sewer line from addition and cleanout. OWTS PHOTOGRAPH LOG ADDITION TO ZINSER RESIDENCE LOT 15, FILING 6, PILGRIM DOWNS 1255 PILGRIM DRIVE EAGLE COUNTY, COLORADO Project No. 16-7-293 Photograph 3: Sewer line double-encased 10 feet on both sides of proposed pool. Electric conduit above sewer line. Photograph 4: Sewer line connecting to previously installed sewer line going towards septic tanks. G95tech HEPWORTH-PAWLAK GEOTECHNICAL March 23, 2016 AR Builders Attn: Andrew Repasky P.O. Box 525 Wolcott, Colorado 81655 (arbuilders@centurvlel.net} HepworthTawLik Geotechnrc.d, Inc. 5020 Count} Road 154 Glenw(x)d Sprin�7, Colorado 81601 Phone: 970-945-7988 Far: 970-945,8454 entail: hpgeo@hNeotech.cum Job No. 115 362A County Permit No. 11-15-13775 Subject: Revision to OWTS Design, Addition to Zinser Residence, Lot 15, Pilgrim Downs, Filing 6, 1255 Pilgrim Drive, Eagle County, Colorado Dear Andy: As requested, Hepworth-Pawlak Geotechnical, Inc. (H-P Geotech) is providing revisions to the tank specifications included in our previous on -site wastewater treatment system (OWTS) design for the subject project. Our design was submitted in a report dated November 10, 2015, Job No. 115 362A. Our design specified an Infiltrator Systems IM 1060 single compartment tank followed by an IM1530 two compartment tank with an effluent pump installed in the second compartment. Eric Berquist of Infiltrator Systems expressed concerns of drawdown through the baffle of the two compartment tank when the pump cycles on. The flow through the baffle could possibly cause excessive solids into the pump tank and premature clogging of the Biotube pump vault filter. To alleviate these concerns, we recommend installation of two single compartment IM1060 (1050 gallon) tanks in series followed by a single compartment IM540 tank equipped where the effluent pumping system be installed. A site plan showing the revised tank layout is provided on Figure 1. Details of the tanks are provided also as attachments to this letter as well the IM540 tank Orenco pump vault detail. Other recommendations presented in our previous design report which are applicable, including the dose pump performance curve, should also be observed. Parker 303-841-7119 0 Colorado Springs 719-633-5562 0 Silverthome 970-468-1989 AR Builders March 23, 2016 Page 2 Please feel free to contact us if you have any questions regarding this letter. Sincerely, HEPWORTH - PAWLAK GEOTECHNICAL, INC. Cl- 4 Jason A. Deem Project Geologist Reviewed by: t`ttlloja .- Q �� �G — David A. Young, P.E. 32ig s �` 1. attachments Figure 1,1 �� �ite Plan Infiltrator Systems Septic Tank Details including Orenco Pump Vault cc: Eagle County Environmental Health Department(environment @eaglecounty.us Infiltrator Systems - Eric Berquist(eberquist@infiltratorwater.com) Job No. G&teGh rA PROPOSED INFILTRATOR SYSTEMS IM540 DOSE TANK EQUIPPED WITH AN ORENCO PF3005 EFFLUENT PUMP TWO PROPOSED INFILTRATOR SYSTEMS IM1060 SINGLE CHAMBER SEPTIC TANKS IN SERIES l j 1 4 i 1 i PROPOSED i HEATED — PAVER PATIO Notes: 1, A 10 feet setback is required from the sewer line(s) to the swimming pool hot tub and their associated water lines Where this is not possible, the piping must be sleeved per Note 2 below 2 Crossings or encroachments may be permitted at the points as noted above provided that the water or wastewater conveyance pipe is encased for the minimum setback distance on each side of the crossing A length of pipe shall be used with a minimum Schedule 40 rating of sufficient diameter to easily slide over and completely encase the conveyance. Rigid end caps of at least Schedule 40 rating must be glued or secured in a watertight fashion to the ends of the encasement pipe A hole of sufficient size to accommodate the pipe shall be drilled in the lowest section of the rigid cap so that the conveyance pipe rests on the bottom of the encasement pipe The area -n which the pipe passes through the end caps shall be sealed with an approved underground sealant compatible with the piping used 3. In sections where sleev€ng is not possible, such as cleanouts and bends the piping should be encased in a minimum of 12 inches of concrete � R PROFiLEPrr2 r PROPOSED SOIL TREATMENT AREA CONSISTING OF FOUR ROWS OF 25 INFILTRATOR QUICK 4 PLUS STANDARD CHAMBERS 1 1 ORENCO V5404 AUTOMATIC DISTRIBLMON VALVE 1EI APPROX. IlFArrS OF EXISTING STA r i l IJ'=�T Dfs APPROX LOCATION OF EXISTING ' e ix10° GARAGE SEWER LINE TO REMAIN ANOUTS NEW PIPING TO BEGIN ON DOWNHI_!. --I-f.l I=antral m SIDE OF PAVEMENT. IUT i I IL i � k i 1 k 1 k k k i V APPROXIMATE SCALE: 1 INCH = 40 FEET I 115 362A v�v r-.�6tedh LOT 15, PILGRIM DOWNS, FILING 6 FIGURE 1 REVISED OWiS SITE PLAN ____ HEPWOR7FFPAWLAK GEOTECHNICAL I _ IM-1060 General Specifications and Illustrations The IM-1060 is an injection molded two piece mid -seam plastic tank. The IM-1060 injection molded plastic design allows for a mid -seam joint that has precise dimensions for accepting an engineered EPDM gasket. Infiltrator's gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two-piece design is permanently fastened using a series of non -corrosive plastic alignment dowels and locking seam clips. The IM-1060 is assembled and sold through a network of certified Infiltrator distributors. 1�1 Working Capacity 1094 gal (4141 L) Total Capacity 1287 gal (4872 L) Airspace 16.5 % Length 127" (3226 mm) Width 62.2" (1580 mm) Length -to -Width Ratio 2.3 to 1 Height 54.7" (1389 mm) Liquid Level 44" (1118 mm} Invert Crap 37 (76 mm) Fiberglass Supports 2 Compartments 1 or 2 Maximum Burial Depth 48" (1219 mm) Minimum Burial Depth 6" (152 mm) Maximum Pipe Diameter 6" (152 mm) _7J Weight 320 Ibs (145 kg) j INFILTRATORO water technologies 4 eLnklass Pork Road P.o Box 768 old Saybrook CT D6475 880.577-70D0• Fax 860.577-7001 1400-221-4436 www.lnflhmtormaler.com imm CONVECTION ITTPICAEI 8 eu Its" urno it 041102 024[6101 ACCESS OPENINGS WRN LOCKING LIDS (2% PVC IItLET1LE�EE 10.2WIFREEWMD 0411021PVC OR Ails OUTLET 1EE INLET 1 AM PAC SPACE OUTLET EaFR1EKLASSSUPPORTfTTPLCAI! qlhv w1m BAFFLE WALLwVERE AEWIED SIDE VIEW TANKTOP HALF TANK INTERIOR ALIGNMENT DOWEL CONTINUOUS GASKET SEAM CLIP TANK BOTTOM HALF MID -HEIGHT SEAM SECTION US, PatarLts; 4.759.661, 5.017,041, 5.156,489; 5=6 017:5.401 1111; 5,401,45% 5,511,907; 5.716,163: 5,588.778; 5,839,844 Canadian Potents. I.M,959- $004,584 Otlrer patent pending. kllffratar. Egmkw OLk*4, and SkW kXW are regstered tradnnaln of kd➢W" water Tednoiogks kdlUa w is o raplste W trademark Ln France. InMMor water Tedsldopies is a registered trademark In Mewkn Cantm MfaoLem0ft. PotyTuff, Chwnb&Spaeer. M"Icrt, PmiLacK OuickCuL Odddity, Srnomic and SVdpNU.od1 vm trademarks of hilitrotor wafer Tedvwbgies. PoyLak is a trademark of Polyl ok, Inc. TUF-Tiff Is a r•gistered trademark orTUF-ME, INC. Ultra -Rib Is a trademark of tPEX Inc. 02013 krNkator water Tedrrdogies, LLC. A8 rights reserved. Mr ted In U.SA IM02 1213 Contact•Technologies' • . • i 1 1 • IM-540 General Specifications and Illustrations The IM-540 is an injection molded two piece mid -seam plastic tank. The IM-540 injection molded plastic design allows for a mid -seam joint that has precise dimensions for accepting an engineered EPDM gasket. Infiltrator's gasket design utilizes technology from the water industry to deliver proven means of maintaining a watertight seal. The two-piece design Is permanently fastened using a series of non -corrosive plastic alignment dowels and locking seam clips. The IM-540 is assembled and sold through a network of certified Infiltrator distributors. 'I Total Capacity 552 gal (2090 L) Length 64.9" (1648 mm) Width 61.7" (1567 mm) Height 54.6" (1387 mm) Maximum Burial Depth 48" (1219 mm) Minimum Burial Depth 6" (152 mm) Maximum Pipe Diameter 4" (100 mm) Weight 169 lbs (77 kg) INFILTRATOR` water technologies 4 Business Park Road Old Saybrook Cr (18475 660.577-7000• Fax 860-577.7001 1-B00-221-4436 www.inMtrator&ater.com com CONNECTION TOP VIEW (TYPJ END VIEW SECTIONA-A' CONTINUOUS GASKET TANKTOP HW SEAM CLIP TANK INTERIOR ALIGNMENT oovuEL TANK OMOM HALF MD-HEIGHTSEAM SECTION DETAIL TRAP ram: •� r:P•.•3� •I�•] U.S. Pab%ts: 4,759,661:5,017,041, 5,155.45a, 5,336A17; 5,401,11& 5,401,459; 5.511,OM:5.716,163; 5,588 778, 5,839AU Canadian Paterrtt: 1,329,959; 2,0D4 54 Cew patents pend V kdi uW. EcIcillm. OdcM, and SkWAN dw are regstered lradenaft of krOwor WawlrcOrrdogks. kelltrator Is a registered trademark in France. NNtratar Water Techrmk* s Is a regslered trademark In Mmdco Cantor, MtMLeodit, Poyruf, , Cnanr3er5paeer, Mulliftt PoWLO *. OWd Out. OuldAW, SoapLock and Sudgfd Ack are kademmks of 0 fibatar Water Tednaloples. PdyLak Is a trademark of Pdyl ok, ft. TUF-TITE Is a registered bademark dTUF-TiTE. INC. UMra-Rlb I% a trademark of IPpf hic. © 2013 M0.bator Water Tedndogles, U.C. M rigtrts reserved. PrlrM d In U.S-AL IM11 0a13 Contacte Technologies' e e :ii 44• Tr g ` D 0 / . § 2§ a z »5� �� \o k �| §E w0� - §0 kq | q ILu § §I �§ o �g o 2 S t= o - U : a III B kr : � /9 cc § It ! � Q ! § § ) I m § 2 g o » J§ �a7 > K LL o Q § � ■�§ $ & Sk k�� C� < 5z a § | o f| J I �� z �■ � ■ k § 0 0 � 0 �[� §LU o/ a_� �§k § �� > }k� aE11 � O2 0� 201P"firxj &S (c e- EAGLECOUNTY Eagle County OWTS Systems Cleaners Reporting Form NOTE: Required to be submitted to /1 r Environmental Health within 10 days of cleaning an OWTS system Systems Cleaner Compa Email Service Technician �e v P Tax Parcel #I—" �' h Person Requesting Servic Property Owner^—ZLL Septic System Permit Number Date of service Sewage Disposal Site�m License Number Tank Size & 5 O General Condition and Functionality of the System oo aL- Recommended Repairs Site sketch showing location of the septic tank access lids measured from at least 2 fixed points (Photos Encouraged) Signed Date �Igl�r`�,,