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HomeMy WebLinkAbout5804 Bellyache Rd - 194133401001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N2 0758 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner: George Burens Address: P. 0. Box 5, Wolcott, CO 81655 System Location: Lot 1, Bellyache II Subdivision Telephone Licensed Installer: Ron Hynen License Number: Conditional installation approval is hereby granted for the following: 926-3297 Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: One Inch in 5 Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms 3 X 200 Sq. Ft. minimum requirement per bedroom - equals 600 Total Sq. Ft. minimum requirement Special Requirements: Date:�'�� Environmental Health Officer: 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, C.R.S. 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. Section III, 3.21 requires any person who constructs, alters or installs an Individual Sewage Disposal System to be licensed according to the regulations. FINAL APPROVAL OF SYSTEM: 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: SQ. FT. INSTALLED SEPTIC TANK: DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: GALLONS; DEGREES; FEET PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES NO PROPER MATERIALS AND ASSEMBLY: YES NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO COMMENTS: (Any item checked NO requires correction before final approval of system is made work is completed.) DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS Name of Applicant: George Burens Name of Owner Same Amount Paid: ��200. 00 Receipt Number: 2183 Date: 7 24/86 Cashier Check #1152 Arrange a re -inspection when PERMIT P. Martin White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner AP?LOCATION FOR T':DI."TD'.:aL SF. AGE DIS?`)SAL S';S-� PF^`fTT ENVIRONMENTAL E:EALTH OFFICE - EAGLE COUNTY P.O. Boy; S50 f Eagle, Colorado 51631 No. \� PER.`IIT APPLICATION FEE: S150.00 328-7311 - PF.RCOL-MON TEST FEE: S 50.00 NAME OF 01% ER : � ��9 (��� � U kgv S ADDRESS: a� S� l.L� 0(( _OT'( t, ,�`/4c��PHO::E: Z4 NkME OF APPLICANT (if different from owner): ADDRESS: PHO`iE: DESIGN ENGINEER OF SYSTD1 (if applicable) : ;FjD„/ .t/,0 /� ADDRESS: 1E/_ 3 PHONE: 28 3 Pi,vL:. IV INSIALLATION OF SYSTEM: It A11,00/1 Licensed Installer (see attached list): YES _L.==:::-- NO ADDRESS: PHO.;E: PER`fIT APPLICATION IS FOR: (r New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: �a� ���Gc.LC -rr S u8D jy/n t u A) Lot Size: Legal Description: l_o t . 73 A�-U q A-c_t.tG ti LDv/tS/D BUILDING OR SERVICE TYPE (check applicable cateaorv): ( Residential - Single Family ( ) Residential - Quadplex ( ) Residential - Duple:c ( ) Co^ ercial (state usage) ( ) Residential - Tr_plec NUMBER OF PERSONS: �1 NUMBER OF BEDROOMS: 3 WASTE TYPES (check applicable categories): ( ) Corm iercial or Institutional ( '—YDwelling ( ) Non -Domestic Wastes ( ) Transient Use (L,4 Garbage Disposal (!�� Dishwasher ( vf� Automatic Washer Spa Tub ( ) Other TYPE OF NTDIVIDUAL =-7AGE DISPOSAL SYSTM PROPOSED: ( Septic Tank ( ) Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (l� IS SYSTEX DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (L—' NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (16 yes , see attached tca5 t ewaten �.ec•eu .tedLtc t. on inethods ) NOTE: The Envi to;vnentae Heae-fL O' � i.ca t may ,teduce the -teou i,ted abs o,tpti.oi2 area upon appnovae o6 ail adequate CCas.i eleatet 6&,tU neduc tCo;t p-ea;i. SOURCE AND TYPE OF WATER SUPPLY: ( Well ( ) Spring ( ) Creek/Stream ' Give depth of all wells within 200 feet of system: '30U -V"' f_�ff' o nb Fr A}�Axc- If supplied y community water, give name of supplier: SIGNATURE: DATE: - - // �'1- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFO Rt{ATION FLOW TO BE PILLED OUT BY ENVY ROMIJENTAL HEALTH OFFICER: - - - - - - - GROUND CONDITIONS: Peneent GAou}Ld S.eope �eut` Si'f Depth to Bedtoeh (pen 8' Pno o'.tee Hot e) ' Depth to GAoui2dcca.teA Tab& � SOIL PERCOLATION TEST RESULTS: .uLu tEs pen c,ilcji �cii Ho.ee n 1 M i M te,3 pek iiich .to Ho.-e # 2 i11'L_L yLwi e s j:LC'L tia Ho.ee # 3 pen FINAL DISPOSAL BY: ( j Abso.tptLoA Tnench, Bed on Pit ( ) Evapottaitsp-iAc_tLon ( ) Above Gnctcnd D.i,sp&tSae ( ) Sand FiZt&,L ( ) UiLdvLg,totutd DZ5peusae ( J Was.icccat:_'c Pond pU Amou;tt Paid: Recei,ut Nwnbe.t Date: Z- T -t �-� U NOTE: Site Plan must be attached to'application. (Env. Health Department - Rev. 4-07-33) /I vN i 1 ~ i r zm ?I b ro S � t i � � 0 7 41 b I -7 �3 a �i PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. 3070 OWNER: - LEGAL DESCRIPTION: RURAL ADDRESS: ��_ I (, ' LoT TYPE OF DWELLING:NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: �} TYPE OF SOIL: c TEST HOLES PRE-SOAKED: YES NO S TIME WATER DEPTH INCHES OF FALL 1 2 3 RATE 1 2 3 1 2 3 1 2 3 3 v G / S /3/ z - j 2,6 6'/ 3'-,3r; 3 7' 17 F ' PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: _ 1 000 cS k O 0 o RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 9 S SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer COMMENTS: Rev. 5/31/84 =, -J�� Date drG� ��9ui2 E COMMUNITY DEVELOPMENT DEPARTMENT (303) 3)8-8730 EAGLE COUNTY, COLORADO October 4, 1990 Dear Applicant: 725 CHAMBERS AVE. P.O. BOX 179 EAGLE. COLORADO 81 F3 1 FAX (303) 328-7207 Please be advised that this office will not be conducting percolation tests between November 15, 1990 and March 15, 1991. Additionally, all final inspections on installed systems must be completed prior to December 1. If you have any questions, please call me at 328-8730 or 927-3823 ext. 730 in the Basalt/El Jebel area. Sincerely, Roger Hosea Asst. Environmental RH/alm Health Officer 758-86 TXPrcl# JOB NAMI Lot 1, Bellyache II Subdivision George Burens JOB NOgo'�4 I .� OB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED Oa QO! �S t JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR �-� � � INSURANCE _ / WHILE YOU WERE AWAY DATE TIME Y ' P.M. FOR M TELEPHONED OF RETURNED YOUR CALL PHONE AREA CODE NUMBER EXTEN N PLEASE CALL MESSAGE 3 WILL CALL AGAIN CAME —. TO SEE YOU WANTS TO SEE YOU cv�ni�r-i TOPS " FORM4001 JOB FOLDER Product 278 49=-70 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. INDIVIDUAL 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. 1724-97 BP NO. 11385 OWNER: MARY & KEVIN HEURING PHONE: (970) 926-4499 (H): 970-827-9333(B) MAILING ADDRESS: P.O. BOX 4814, VAIL, CO 81658 APPLICANT: SAME PHONE: _ (970) 926-4499 SYSTEM LOCATION: 5804 BIG DIPPER RD., WOLCOTT TAX PARCEL NO. 1941-334-01-001 LICENSED INSTALLER: SILVER TIP CONSTRUCTION. KEITH PEARSON LICENSE NO. 19-97 . PHONE: 926-3034/ 845-4124 DESIGN ENGINEER: LKP ENGINEERING, LUIZA PETROVSKA PHONE NO. 827-9088 INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK, 844 SQUARE FEET OF TRENCH ABSORPTION AREA VIA 27 INFILTRATOR UNITS PER DESIGN DATED 8-25-97 SPECIAL REQUIREMENTS: INSTALL AS PER ENGINEER'S DESIGN DATED 8-25-97. ENGINEER IS RESPONSIBLE FOR FINAL INSPECTION BUILDING PERMIT CO WILL NOT BE ISSUED WITHOUT FINAL APPROVAL OF THE SEPTIC SYSTEM. ENVIRONMENTAL HEALTH APPROVAL: DATE: AUGUST 29, 1997 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: 844 SQUARE FEET (VIA 27 INFILTRATOR UNITS ) INSTALLED CONCRETE TANK: 1000 GALLONSISLOCATED 90 DEGREES AND 16 FEET FROM THE SOUTH WEST CORNER OF THE HOUSE FOUNDATION. COMMENTS: THE FINAL INSPECTION WAS DONE BY WILLIAM CARLSON OF EAGLE COUNTY ENV. HEALTH ON APRIL 12, 2002. THE ENGINEER'S FINAL CERTIFICATION WAS .RECEIVED ON MARCH 28, 2002. THIS SYSTEM IS LARGE ENOUGH FOR A 3 BEDROOM RESIDENCE. ANY ITEM NOT MEETING REQUIREMENTS WIL I) VCC L APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL DATE: MAY 8, 2002 SENT. BY- 7-25-97 ; 13:29 ;CommunityDevelopment- 12167778640;# 2/ 9 (Site Plan MUST be attached) ISDS Permit` APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PE zT ENVIRONMENTAL HEALTHOFFICE - EAGLE COUNTY P. O. BOX. 1.79 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * MAKE ALL REMITTANCE PAYABLE: TO: "EpiGLE COUNTY TREASURED" PROPERTY OWNER: MAILING ADDRESS: APPLICANT/CONTACT MAILING ADDRESS: LICENSED ISDS CONTRACTOR: COMPANY /DBA: �%llZ6 PHONE ADDRESS: PHONE: PERMIT APPLICATION IS FOR,: New Installation ( } Alteration { } Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: 7 Filing:,_, 51ock:_ Lot No. f _. Tax Parcel Number: r Lot Size: Q Street Address; /q -t�/l "3 5 y— o l- o v BUILDING TYPE: (Check applicable category) (;/Residential/Single Family Number of Bedrooms ( } Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Tvne TYPE OF TER SUPPLY: (Check applicable category) ( Weld. ( ) spring ( ) Surface (.) Public Name of Supplier: *These systems 'quire `g by a S IGRATURE : D LG * * * * * * * * * * * ****** * ******* TO BE COMPLETED BY THE dbUNT AMOUNT PAID: a5V , (�,_•, Reg'stered Professional Engine Date: RECEIPT #: HIV % a-- DATE: CHECK #: U CASHIER: 3 M DEPARTMENT OF IRONMENTAL HEALTH (970)328-8755 FAX (970) 328-8788 TDD: (970) 328-8797 TOLL FREE: 800-225-8136 www.eagle-county.com EAGLE COUNTY, COLORADO May 8, 2002 Mary Wasmer P.O. Box 3813 Avon, CO 81620 Raymond P. Merry, REHS Director RE: Final of ISDS Permit #1724-97, Tax Parcel#1941-334-01-001. Property location: 5804 Big Dipper Rd., Wolcott, CO. Dear Ms. Wasmer: This letter is to inform you that the above referenced ISDS Permit has been inspected and finalized. Enclosed is a copy to retain for your records. This permit does not indicate compliance with any other Eagle County requirements. Also enclosed is a brochure regarding the care of your septic system. Be aware that later changes to your building may require appropriate alterations of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division at (970) 328-8755. Sincerely, i Janet Kohl Eagle County Environmental Health Department ENCL: Informational Brochure Final ISDS Permit cc: files OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 Community Development Department (970)328-8730 Fax: ('970) 328-7135 TDD: 970) 328 8797 EAGLE COUNTY, COLORADO Date: August 29, 1997 TO: Silver Tip Construction FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle. Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1724-97. Tax Parcel # 1941-334-01-001. 5804 Big Dipper Rd., Wolcott, CO., Heuring residence. Enclosed is your ISDS Permit No. 1724-97. 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. Systems designed by a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County does not perform final inspections on engineer designed systems. Your TCO will not be issued until our office receives this certification. 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 LKP Engineering, Luiza Petrovska 904 August 18, 1997 Kevin Heuring P.O. Box 4814 Vail, CO 81658 Dear Mr. Heuring: As per our telephone conversation this afternoon, I am returning check # 3708, for $350 that you submitted for a percolation test and ISDS permit. Please send a new check for $150 to cover the cost of the permit fee. I understand that you have made arrangements with LKP Engineering to conduct the percolation test and soils analysis for you. Please have Luiza submit any soils test results or septic system plans to Eagle County Environmental Health, P.O.Box 179, Eagle, CO 81631. If you have any questions, please call me at 328-8755. Sincerely, Janet Kohl Eagle County Environmental Health rJJf /-of curJ4 L0.ri:i 71rJ7L07rJ07 L-Kr CHU11VGGK11=1t:;1 114k, r'FiL7t k71Ik3i JLKF J ngmi eerw , Inc. Mr. Kevin- T. Heuring. C�FrP�p►s-en �rn9 CtasLrat-t1oR g Design, lI ct ]P.O. Box 4914 Vail, CO 91658 ;wt.^....,.cv.0 L•a �.aL;�,ra:r►> r33'��G'Afa d�29'���_I_$'�I{j Lot.l, I ellyache Su vision Filing No. Z .cas1G "tmry, t.010raw Project No. 9775 -Permit No.-J.724-97 e-vin: � t srntir re�rttrari! L',.ra ..___L -,. �s s ^^ON - r v�.PL%'A+aue.) y, try 1, we V7$2£POCI IM C*11"Irttnn sot: on i, p;.11yache Subdivision Filing No. 2, near Wolcott, Eagle County, Calorado: The pose of otzr site visitwas to 611R,ave L.Ur: 114*14A1i11101A ()Me e.5tic sYT1R They installed the system in overall carrlplisnce with the septic -System dt'sin F1r.tirs`r. 't t.;►.4) V, VU, dated Aug-lst 2a, *They installed I000-gallon' two cc enph,�; � g PreCa-at, ^oar WAR. . TftJJJy-sever, Stwkdard AnffiItrator chambers were installed in three trenches, with serial distribution. In the last infiltrator of each UMA tl ey wtak1iad_ �.t rR ports- l aol;1 aial distmce from Omwto center of the trenches, feet or more. The soil profile izi the trenches was consistent with the soil exposed hi the. profile bale: The end V� Uke absor�c oh "Ca. its about friar fforn the__ n f the dcswr�il UIVk _ which is too close. We .. recommena a compacte4 fill he placed to provide additional twelItY £eet of Ievei ground- be .slime drops. This is to prevent leakage ofthe of uem tfiyo ghffie.slope. . If you have any questions, please do not hesim to dgL Sin=-e1y, L )R Eng e,�riog, 295 26 Luiza Petrovska,l}EgNAL ••••••'` Presidsq =V'FQ=emk HeAth si p tr x= 3 1115 -__�tCMWPWBRWPWCM77sosz.WPD P,O. 1 c)x 145?. AA,on, Col'cC 8l62&. 6 1 ... �2 Cf Tie! t 70 c. nnw n , "'.n 4 Ul "� fa .fin -°D" ' I, 7- r/ I Is, 36f{-ram 9 �t _.. .--- ���� yf-�-- ---- ------ --w 9�4 II - NO 30 i� '•t �1 - # ,l 3 �y Al > `-� a 16 --- - ----- --1W,- --6 - - - - - 1 it �,. io/67�. I J 19 9 — 3/ 3 er I - - 130 �)O l/6 10/61' 9 �6 J 0� /6 `O�lo y s �� ,► 8 u I l is 1 �i a3 _ 16.3 1 /6 0 l� 2 Y/6 a3 1 a /h(. 116 CIE— t r , !i EAGLE COUNTY ENVIRONMENTAL HEALTH P.O. BOX 179 EAGLE, CO 81631-0179 FAX TRANSMITTAL TO:r�- FROM: Bill Carlson, Environmental Health Specialist II A, DATE: e � /4 PA, �13 `L RE: NUMBER OF PAGES: PHONE NUMBER: 970-328-8758 FAX NUMBER: 970-328-8788 NOTE: Please call me if you have any questions. DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX (970) 328-8788 TDD: (970) 328-8797 TOLL FREE: 800-225-8136 www.eagle-county.com EAGLE COUNTY, COLORADO April 22, 2002 Mary Wasmer' 10 W. Beaver Creek Blvd. Avon, Colorado 81620 Re: ISDS System; Permit #1724-97 5804 Big Dipper Rd., Wolcott Dear Ms. Wasmer: Raymond P. Merry, REHS Director As requested, I conducted a site visit of the individual sewage disposal system (ISDS)' at the. above captioned property on April 12, 2002. According to Eagle County Environmental Health records construction of the system was completed on August 25, 1997 and inspected by the design engineer, LKP Engineering on September 2, 1997. LKP Engineering confirmed the system installation in overall compliance with the septic system design, but recommended a compacted fill be placed at the down gradient slope to prevent the possible breakout of effluent through the slope. The recommended fill. or any evidence of leakage was not observed during my site visit which was immediately reported to LKP Engineering. Luiza Petrovska, the designing engineering indicated that since no leakage has occurred the compacted fill would not be necessary. Therefore, Eagle County Environmental Health accepts this IDSD system as conforming to the engineered design and permit specifications. A copy of the final inspection completeness form is enclosed. Please do not hesitate to call me at 328-8758 if you have any questions regarding this matter. Very yo s, William T. Carlson, REHS Environmental Health Specialist II Enclosure cc: LKP Engineering, Inc. OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 ZSDs Permit # 2�%�� Date T3 Final Inspection Cg=letenens Form i--c� Tank is �_ gal. Tank Material �x G o cated ft. and degrees Tank is from tps..aue l.oe�skt Tank is located ft. and degrees from cry l.oi.sk► e Tank set level. Tank lids within 8" of finished grade. Size of field �� f , D units- j lineal ft. Technology �� —`-cleanout is installed in between tank and house(+ 1/100ft).�`� " 5— There is a "T" that goes down 14 inches in the inlet and outlet of the tank. Co I,nlet.and outlet is sealed with tar•,tape;. rubber gasket etc. Cec 2j, Ttink ;has took -compartments with the.; l- anger-..,c.�partment closest to the,,.:.-,-,, house. •Nda curet distance and relative -Depth of field. ft . -'-'-Soil interface raked. Inspection portals at the .end of each trench_. Proper distance to setbacks. Chambers properly installed as per manufacturer$ specifications. (Chambers latched, end plates properly installed, rocks 'removed from trenches, etc.) Type of pipe used for building sewer line (,Teach field �eOthr S r��� /1P I �P —/a-S Inspection meta reCMi regnalig.��e ca/�_ e� L')�p. Cc,� _�P ��/,a�� �r �d� 4� / ,e �e�C, � SiS �. •� l'! S !�N¢! arJ���/Qk/%. Copy form to installer's file if rec endations for improvement were suggested. ACTION TARE • _ A PW-) c6 al, 1 � o /j 1-P St;4//j CIS �Q Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch . Fied 100 25 120 10 50 25 10 10 ZOA& 50 - 10 5 10 50 10 * 10 1724-97 Tax# 1941-334-U1-UU1 Lot #1, Bellyache II HEURING JOB NAME Big. Dipper Rd., Wolcott JOB NO. {�g� e � nnwr�nw, � r / DATE 11A1111 DATE COMPLETED DATE BILLED ' =.�- `- 21 _IVAIN 14" d, AN— a 1 ,JOB COST raw..TOTAL rill r� [/ LL ! _�: _ '���� %L__.ia« .►ice SELLING PRICE' r 1 Nil! It W, fA/ 1 W11 P—I ffi— III, m�, MAINE 80 I TOTAL LABOR —ENE INSURANCE MISC. COSTS KAM, ENGINE 04 TOTAL JOB COST _11NEE GROSS PROFIT • LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT Y JOB FOLDER Product 277 �, NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 0"71 Q Printed In U.S.A. fPy N9S'/�►e,L A ri �1 ��', 0'R�,it��/ �D 810 the /�/O -3 j I . e Recycled Content 10% Post•Consumer