HomeMy WebLinkAbout909 Mayne St - 211108402019E
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 5 4 7
Please call for final inspection before covering any portion of installed system.
OWNER: Thomas and Henri Stone PHONE: (970) 467-7003
MAILINGADDRESS: P.O. Box 5170 City: Avon State: CO Zip: 81620
APPLICANT: Dan Lister, Western Slope Constructors PHONE: (970) 524-7585
SYSTEMLOCATION: 909 Mayne St. , Gypsum, CO TAX PARCEL NUMBER: 2111-084-02-019
LICENSED INSTALLER: Western Slope Constructors, Dan Lister LICENSENO: 50-95 _
DESIGN ENGINEER OF SYSTEM: Alpine Engineering, Linn Schorr*
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: *Gravity feed system revised as per engineer's design dated
1250 GALLON SEPTIC TANK June 6, 1996. Engineer responsible for final inspection.
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 750 SQUARE FEET OF TRENCH BOTTOM. via 21 infiltrators as requested by D.Llst
SPECIAL REQUIREMENTS: Install in serial distribution. Rake trench surfaces, except compact end pipe
runs -Install inspection portals in eachtrench, ench, and a c can -out etween t e Unhand —the Tious
Call the County for a final ins_ne inn prior to back -filling Complete installation by
December 1, 1995, or request an extention into 1996.
ENVIRONMENTAL HEALTH APPROVAL:' / DATE: November 14 1995
CONDITIONS:
i. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT
TO AUTHORITY GRANTED IN 25- 10- 104. 1973, AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND BUILDING REQUIREMENTS. CONNECTION
TO OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A
REQUIREMENT OF THE PERMIT AND CAUSE FOR BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT.
3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED
PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
INSTALLED ABSORPTION OR DISPERSAL AREA: 750 SQUAREFEET. via 21 Infiltrator units, per engineer's design
INSTALLED SEPTIC TANK: 1250 GALLON s85e DEGREES 33 FEETFROM the cleanout
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY x YES NO
COMPLIANCE WITH COUNTY I STATE REQUIREMENTS: x YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED,
COMMENTS: Final Inspections were done by Tn >ra Fnwcpt_t_and T,i nn Schorr, h design engineer,
This system is designed. for four oms.
J DATE: dY --
ENVIRONMENTAL HEALTH APPROVAL: �/ F IC ( -'a
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
n�:c��erldt�T.r
OWNER:
PERMIT FEE _ PERCOLATION TEST FEE - __ ___ - RECEIPT # ___ - __ ___ CHECK #
(Site Plan MUST be attached)
ISDS Permit # t r
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (El Jebel)
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER : e- PHONE: (97o ) j-7G - 7Oo3
MAILING ADDRESS: ��_ x Sl7D � Co gttaa,p
APPLICANT/CONTACT PERSON*
MAILING ADDRESS: PCO Pox
PHONE: _( ) >c�cl—7,S-n
LICENSED ISDS CONTRACTOR: F�)PsieL[1 ���Qe C'c�nS : —��— PHONE: 7(;f1S'�
COMPANY/DBA: �.,S t ADDRESS: t2U 6,94 Psi,,,., Cv kLG3`>
***************************************************************************
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit #
(if known)
Legal Description: Subdivision:_ rse(�G,SEyre Filing:�Block: Lot No.3
Tax Parcel Number: i Lot Size:. 4j U4 9C,
Street Address:
***************************************************************************
BUILDING TYPE: (Check applicable category)
(t/f Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(Vj' Public Name of Supplier:
Number of
Number of
Type
Bedrooms
Bedrooms
*These systems require design by a Registered Professional Engin-er
SIGNATURE: Date: k,)
************************************************************* ***********
TO BE COMPLETV BY THE COUNTY
AMOUNT PAID: RECEIPT #: /t l � ;� I DATE: 1 ;
CHECK #: -19 �' J— CASHIER:
(__'()11111)L1111ty Development Department
(970.) 328-8730
1 - ax: (970) 328-7185
TDD: (970) ;28-8797
EAGLE COUNTY, COLORADO
Date: November 14, 1995
TO: Western Slope Constructors
FROM: Environmental Health Division
Ea0c County BUIldin',,
I).(,) Box !79
500 (iroziclway
Ezzilolc, Colorado x i o , 1 -1) 1 -,
RE: Issuance of Individual Sewage Disposal System
Permit No. 1547-95 Tax Parcel #2111-084-02-019.
Property Location: 909 Mayne St., Gypsum, CO.
Stone residence.
Enclosed is your ISDS Permit No. 1547-95. It is valid for 120
days. The enclosed copy of the permit must be posted at the
installation site. Any changes in plans or specifications
invalidates the permit unless otherwise approved. Please call
our office well in advance for the final inspection.
Installation must be completed by December 1 for all new
construction for which permits were issued prior to November 15.
Permit specifications are minimum -requirements only, and should
be brought to the property owner's attention.
This permit does not indicate conformance with other Eagle County
requirements.
If you have any questions, please feel free to contact the
Environmental Health Division at 328-8755.
cc: files
Coninnunit-,` Development DeT>a-'Urient
(970) 328-87:W
Fax: 970) 328-7 185
Tl. D: 970) 328-8797
INOU"1 011,
December 12, 19.95
Dear Applicant,
Eagle COUTIt-V Building
i' o. I?ox 179
500 Broadway
Earle, Colorado 8 631 -0179
The Environmental Health Division would like to notify you to
make a formal request to extend your Individual Sewage Disposal
System(ISDS) Permit #to"W/,'!'-into the 1996 construction year. The
Environmental Health Division discontinued percolation tests on
November 15, 1995 and final inspections on December 2, 1995 due
to climatic conditions.
ISDS permits are active for 120 days after the date of issue if
no Building Permit has been issued for the same property. If a
Building Permit has been issued for the same property the ISDS
will expire at the same time as the building permit.
If you still plan to apply for a Building Permit this year or in
the early months of 1996 you will need to have a percolation test
conducted before your Building Permit will be released. You will
have to contact a Registered Professional Engineering(RPE) firm
to conduct your percolation test.
If you have had your permit issued and have not had your final
inspection completed, but plan on constructing the system in the
next few weeks, please give our office a call and we will
evaluate your permit on a case by case situation.
Please give the Environmental Health office a call at 328-8755,
if you have any questions regarding your permit extension
process.
cc: ISDS Permit #l-��, /-/�yFile
ISDS Final Inspection.
Completeness Form
V, Tank is 0,50 al. Tank Material
Tank is located —ft. and degrees from
(permanent landmark) --
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. __.�_i.`Tank lids within-811 of finished grade.
rl_'56.
Size of field . ft2 cV units lineal ft.
Technology Tr 77-tA 4'/ 4-6-j
U
Cleanout is installed in between tank and house(+ 1/100ft).
There is a I'T'l.that goes down 14 inches in the inlet and
outlet of the tank.
,
Inlet and �l 41s/sealed with tar tape, rubber gasket
etc.
Tank has two compartments with the larger compartment
closest to the house.
Measure distance Cihd,-):C1ei1a1Vt—i,ve 'd,--l'r—ection to field.
-3/L3'�ZDepth of field ft.
Soil interface raked.
Inspection portals at the end of each trench.
Proper distance to setbacks.
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
UTQ*0)MV"2jM
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
El
i�
ju� a" v%U- 7 ISDS PERMIT %'`S
PERCOLATIO ST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
-
LEGAL DESCRIPTION:
MAILING ADDRESS : l}
TYPE OF DWELLING: SF - pu' S NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES- XV NO
TIME WATER DEPTH INCHES OF FALL RATE
SOIL PROFIL
1
2
3
1
2
3
1
2
3
1
2
3
0',;,e-�
w
�
E
I
2'
t D
(-7
3'
20
5'
6'
3 D
,
1 a
7'
:5
8
t 4
,x i
3
PERC RATE: MINI- _S PTIC E�
MINIMUM LEACH FIELD SIZ
COMMENTS: -- - �= 4 q � - J o
-7�a X 5_® IDL0183 Zi
PEP,C TEST DONE BY:
1 1 /,4 /9�
DATE
En ironmental Health Officer
rev. 6/90ks
t 0,
2'y
/_i~ ,
i
June 6, 1996
Mr. Ray Merry
Eagle County Department of Health
P.O. Box 179
Eagle, CO 81631
RE: Stone Residence, 909 Mayne Street, Gypsum
ISDS Application Amendment
Dear Ray:
The county has issued a permit for new construction of a gravity -feed septic system at this site. Due
to architectural changes in the house, the septic tank must be lowered to provide gravity feed from the
house to the tank; due to the lower elevation of the tank, gravity feed to the infiltrators is no longer
feasible. The contractor is proposing a pump system and force main to dose the infiltrators.
The dosing volume is computed as:
900 gpdd = 225 gallons per dose
4 doses per day
A 1,250 gallon septic tank has already been installed. An additional 500 gallon tank down -stream of
the septic tank will be required to hold the dosing volume and house the pumps and appurtenances. A
high float switch in the dosing tank will trigger duplexing (alternation) of the two pumps and a low
float switch will turn the pumps off at the end of the dosing cycle. A float switch placed above the
high switch will cause both pumps to start (if one fails the other will pump) and trigger an alarm
indicating failure of the pump. The alarm will be wired to a control panel located in the residence to
alert the owners of the need for maintenance. The force main (1" PVC) will be installed with a high
point so that at the end of the pumping cycle effluent in, the line will gravity drain to the infiltrators or
back into the dosing chamber (via a small hole in the line, located in the tank just above the pumps).
Design of the pumps, electronics and appurtanences will be by others. A detail :s enclosed.
If you have any questions concerning this amendment, please do not hesitate to call me.
Sincerely,
Linn Schorr
Environmental Engineer
Enclosure
Edwards Business Center • P.O. Box 97 • Edwards, Colorado 81632 ° (970) 926-3373 ° Fax (970) 926-3390
N
1SDS PERMIT: � S4-' — RS
DATE: ka
ISDS FINAL INSPECTION
COMPLETENESS FORM
Z
Tank is [—. o al. Tank Material: P > C 4 o", CAP
! C?C
Tank is located ft. mill 4 �S' 5 E degrees from Cyr; c\ ti
(permanent landmark)
Tank is located ft. and
degrees from
(permanent landmark)
Tank set level. Tank lids within 8" of finished grade.
iL` Size of field ftZ units lineal ft. Technology
Cleanout is installed in between tank and house (+ 1/100 ft)
There is a "T" that goes down 14 inches in the inlet and outlet of the tank.
nlet and outlet is sealed with tar tape, rubber gasket, etc.
Tank has two compartments with the larger compartment closest to the house.
Measure distance and relative direction to field.
m)I Depth of field ft.
ax, Soil interface raked.
a4 Inspection portals at the end of each trench.
r
Proper distance to setbacks.
Chambers properly installed per manufacturers specifications. (Chambers latched, end plates properly installed,
rocks removed from trenches, etc.)
Other:
Inspection meets requirements.
Copy form to installer's file if recommendations for improvement were suggested.
�
ACTION TAKEN: w 5 `t' a V, \�o ,r, Y, e, ti s roc
Setbacks
Well
Potable Water
Lines
House
Property
Line
Lake
Seam
Dry Gulch
Tank
Drain
Field
25
20
Zj
0
Tank
l0
S
10
50
10
1 toot -
)
4)lp
-15
In
KI
EFFLUENT PUMPED
FROM DOSE TANK
61 tol 211111111 Lim Ins 119 x
wimms"
WATER TIGHT =Avlil
rA*fA'rA
JUNCTION BOX MANI
"V V 0
1)/270 PVC UNION
DRILL Y16"O WEEP H
.... ................ ....... ...............
1Y;O SCH 40 PVC
ELBOW TO ELIMINITE
UNIT SLOPE TO DRAIN-----__., ;
WO SCH 40 PVC
0 SCH 40
REDUCING COUPLING
1)14"0 SCH 40 PVC
HIGH WATER ALARM
PRESSURE SEWER 0
co
2
C)
cl*4
CD
GRUNDFOS KP 250 SUBMERSIBLE
EFFLUENT PUMP TO ELIMINITE UNIT
GRUNDFOS KP 250 SUBMERSIBLE
EFFLUENT PUMP TO PRESSURE SEV
-FLOAT
SWITCHES
J SEPTIC TANK: 1500 GALLON PRECAST CONCRETE SEPTIC TANK
DOSE TANK: 1000 GALLON PRECAST CONCRETE DOSE TANK
ELIMINITE UNIT: PROPRIETARY NITROGEN REMOVAL SYSTEM. SUPPLIED BY FLUIDYNE Inc.
USA PATENT No. 5534147 AND No. 5676828
DOSE PUMP: GRUNDFOS KP 250 SUBMERSIBLE EFFLUENT PUMP
DOSE PUMP CONTROLS: SIMPLEX CONTROL PANEL EQUIPPED WITH, AUDIBLE / VISUAL HIGH
WATER ALARM, ETM, DOSE COUNTER
RECIRCULATION PUMP: GRUNDFOS KP 250 SUBMERSIBLE EFFLUENT PUMP
RECIRCULATION PUMP CONTROLS: SIMPLEX CONTROL PANEL EQUIPPED WITH ETM,
DOSE COUNTER AND 11MER ON/OFF
DRAINFIELD FLOAT ASSEMBLIES: 3 ANCHOR MINI —FLOATS, OR EQUIVALENT
1. PVC TO BE JOINED 'w/ PRIMED SOLVENT/CEMENT WELD JOINTS. PRIMER
MUST IMPART A SALIENT COLORATION TO THE COMPONENTS BEING CEMENTED.
FITTINGS PRIMED w/ COLORLESS PRIMER WILL BE REJECTED BY THE ENGINEER
AND REPLACED AT THE CONTRACTORS EXPENSE.
2. CONTRACTOR TO PRESSURE TEST SYSTEM IN PRESENCE OF THE ENGINEER.
3. SUBSTITUTIONS TO THE DESIGN ARE . TO BE EVALUATED BY FLUIDYNE.
4. CONTRACTOR TO TEST SEPTIC TANK & DOSE TANK FOR WATERTIGHTNESS.
ANY MEASURABLE WATER LOSS IN A 24 HR PERIOD WILL BE REJECTED.
5. SLOPE ALL PIPES TO DRAIN.
SIDE VIEW OF
DOSE TANK PIPING ASSEMBLY
1Yax1Y"x 1" 0 SCH 80 TEE 1Y"0 SCH 80 PVC
1Y"O SCH 80 PVC CHECK VALVE w/ UNION
SWING CHECK VALVE--,-
1YYO SCH 80 BALL VALVE
1" 0 BALL VALVE FOR
INSPECTING CHECK VALVE
1Y70 SCH. 80 PVC-------
1Y4'x1Y"0 SCH 80 �lYj'0REDUCING COUPLING (IPS) HDPE 160 psi SERVICE
1Y"0 SCH 80 PVC —Z\-�
PVC SCH 80 BARBED FITTING
W/ 2 STAINLESS STEEL HOSE CLAMPS
A2 PLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
P.O. BOX 179, EAGLE, CO 81631
Eagle (970) 328-8755, Fax (970) 328-8788, El Jebel (970) 704-2700, Toll Free 800-225-6136
ISDS PERMIT # J7 o _p BUILDING PERMIT # ' A
INCOMt-LETE A PLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED)
FEE SCHEDULE
APPLICATION FEE $350.00
THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PERCOLATION TEST, OR SOIL PROFILE
OBSERVATION) AND FINAL INSPECTION. ADDITIONAL FEES MAY BE CHARGED IF A RE -
INSPECTION IS NECESSARY, OR A PRE -CONSTRUCTION SITE VISIT OR CONSULTATION IS NEEDED.
THE RE -INSPECTION FEE IS $55.00. THE PRE -CONSTRUCTION SITE VISIT FEE IS $85.00. MAKE ALL
REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER."
PROPERTY OWNER: Tom Stone
PHONE: (970) 524-0104
MAILING ADDRESS: 909 Mayne St. Gypsum, CO 81637
APPLICANT/CONTACT PERSON: Same PHONE: _5a e
LICENSED SYSTEMS CONTRACTOR: Mike Rippy LICENSE # TB 10
COMPANY/ DBA: Rippy Contractors, Inc. PHONE: (970) 328-3600
MAILING ADDRESS: P.O. Box 3610. Eagle, CO 81631
PERMIT APPLICATION IS FOR: F-] NEW INSTALLATION 0 ALTERATION 0✓ REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
LEGAL DESCRIPTION: Lot 31 Filing 2 Horse Pasture Subdivision
TAX PARCEL NUMBER: 13 f N 0 9 YO �0 i q LOT SIZE: 4.06 Ac.
ASSESSOR'S LINK: http://www.eaglecounty.us/Goodturns/assessor/search.asp
PHYSICAL ADDRESS: 909 Mayne Street, Gypsum, CO 81637
BUILDING TYPE: RESIDENTIAL/ SINGLE FAMILY 0
RESIDENTIAL/ MULTI FAMILY
COMMERCIAL/ INDUSTRIAL* ❑
NUMBER OF BEDROOMS: 4
NUMBER OF BEDROOMS:
TYPE OF USE:
*THESE SYSTEMS REQUIRE DESIGN BY A REGISTERED PROFESSIONAL ENGINEER
TYPE OF WATER SUPPLY: PRIVATE WELL F-1 SPRING SURFACE F—] PUBLIC 0
IF PUBLIC NAME OF SUPPLIER: Town of Gypsum
APPLICANT SIGNATURE: ,
AMOUNT PAID: RECEIPT #: - CHECK #: DATE:'
1547-95 Tax#2111-084-02-019 2440R-05 Tax#2111-084-020-19
JOB NAME, 909 Mayne St. STONE Lot 31 Filing 2 Horse Pasture
Horse Past^ture, Lot 31, Fil 2 -- STONE —
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
Telephone: (970) 328-8755
P.O. Box 179 - 500 Broadway, Eagle, CO 81631
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE.
PERMIT#2440R-05 BUILDING PERMIT#N/A
OWNER:TOM STONE PHONE: (970) 524-0104
MAILING ADDRESS:909 MAYNE ST. GYPSUM, CO 81637
APPLICANT:SAME PHONE:SAME
SYSTEM LOCATION:909 MAYNE ST. GYPSUM, CO
81637
TAX PARCEL NO.2111-084-020-19
LICENSED INSTALLER:RIPPY CONTRACTORS, INC LICENSE NO.TBD PHONE:(970) 328-3600
DESIGN ENGINEER:PHONE:
INSTALLATION GRANTED FOR THE FOLLOWING:MINIMUM REQUIREMENTS FOR A 4 BEDROOM RESIDENCE:
GALLON TANK, SQUARE FEET OF ABSORPTION AREA CREDIT VIA
SPECIAL INSTRUCTIONS:
ENVIRONMENTAL HEALTH APPROVAL: DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN 25-10-104, 1973, AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND
BUILDING REQUIREMENTS. CONNECTION TO, OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND
BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A REQUIREMENT OF THE PERMIT, AND WILL RESULT IN
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: SQUARE FEET ( VIA )
INSTALLED GALLON SEPTIC TANK LOCATED DEGREES AND FEET INCHES FROM
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: DATE: