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1902 Cedar Dr - 246705400002
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. 2120-01 BP NO. OWNER: ROBERT AND GINGER JANSSEN PHONE: 970-927-8253 MAILING ADDRESS: P.O. BOX 1506, BASALT, CO 81621 APPLICANT: SAME PHONE: SYSTEM LOCATION: 1902 CEDAR DRIVE, BASALT, CO TAX PARCEL NO. 2467-054-00-002 LICENSED INSTALLER: SHAG'S EXCAVATING, MICHAEL STEHLING LICENSE NO. 29-01 PHONE: 970-927-4110 DESIGN ENGINEER: SOPRIS ENGINEERING, PAUL RUTLEDGE PHONE NO. 970-704-0311 INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 3 BEDROOM RESIDENCE 1000 GALLON SEPTIC TANK, 1125 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 36 INFILTRATOR UNITS, AS PER ENGINEER'S DESIGN. SPECIAL REQUIREMENTS: INSTALL AS PER ENGINEER'S DESIGN REVISIONS DATED NOVEMBER 8, 2001: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE, AND INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SUR- FACES TO PREVENT THE SMEARING OF SOILS AND DO NOT INSTALL IN WET WEATHER. CALL EAGLE COUNTY AND THE DESIGN ENGINEER FOR FINAL INSPECTION PRIOR TO BACK FILLIN Y PART OF THE INSTALLATION OR WITH ANY QUESTIONS. THE BUILDING CERTIF- ICATE OF OCCUPANCY WILL NOT BE ISSOEXUIL TH EM HAS BEEN INSPECTED AND APPROVED. ENVIRONMENTAL HEALTH APPROVA DATE: DECEMBER 3, 2001 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: 1125 SQUARE FEET (VIA 36 INFILTRATOR UNITS AS PER T)FsmN ) INSTALLED CONCRETE SEPTIC TANK: 1000 GALLONS IS LOCATED 70 DEGREES AND 126 FEET INCHES FROM THE SOUTH WEST CORNER OF THE WOOD SHOP. COMMENTS: THE FINAL INSPECTIONS WERE DONE BY WILLIAM CART SON OF FACT F f oTTNTY FNV HEALTH ANp THE DESIGN ENGINEER ON MAY 17, 2002. THE ENGINEER'S FTNAT CERTTFTCATTnm AND A C RTTTT m >M WTNQ WERE RECEIVED ON MAY 29 2002. -THIS ANY ITEM NOT MEETING REQUIREMENTS WILL CO ORE AL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL DATE: JUNE 6 9 2002 Incomplete Applications Will NOT Be Accepted 43it: Plan MUST be attached) ISDS Permit # �l�—_ o Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) ************************************************************************** * FEE SCHEDULE * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * SIZING AND SITE VISIT FEE $85.00 (WHEN ENVIRONMENTAL HEALTH SIZES THE * SYSTEM USING YOUR SOILS REPORT) * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ***************** * *************************************************** ilea a; PROPERTY OWNER: MAILING ADDRESS: PHONE _. APPLICANT/CONTACT PERSON:PHONE LICENSED SYSTEMS CONTRACTOR: l"'1 �� �1�P ► PHONE:Z II p COMPANY/DBA:Al I C F-.,)Q 1'U*-fiAA ADDRESS: I �5 ,Q -(Z UA kL-r .e *************************************************************************** PERMIT APPLICATION IS FOR: Ff) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: T., t Tax ParcelNumber: �(��— '" -�� Lot Size: 1,5 1AC�_.-` 7 � Physical Address: BUILDING TYPE: (Check applicable XResidential/Single Family - —) Residential/Multi-Family* ( ) Commercial/Industrial* category) Kbt w'tt yet Number Number Type _ of Bedrooms of Bedrooms *These systems require design by a Registered Professional Engineer TYPE OF WATER SUPPLY: ( ) Well Gy\) ( ) Public Name APPLICANT SIGNATURE: (Check applicable category) Spring ( ) Surface of Supplier: Date: AMOUNT PAID:5c) RECEIPT #: I DATE: %-Z3�E21 CHECK #: CASHIER: C 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 June 6, 2002 Robert and Ginger Janssen P.O. Box 1506 Basalt, CO 81621 Raymond P. Merry, REHS Director RE: Final of ISDS Permit #2120-01, Tax Parcel #2467-054-00-002. Property location: 1902 Cedar Drive, Basalt, CO. Dear Mr. & Mrs. Janssen: 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 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 Date: December 3, 2001 TO: Shag's Excavating FROM: Environmental Health Division Raymond P. Merry, REHS Director RE: Issuance of Individual Sewage Disposal System Permit No.2120-01. Tax Parcel # 2467-054-00-002. Property Location: 1902 Cedar Drive, Basalt, CO., Janssen residence. Enclosed is your ISDS Permit No. 2120-01 and a field copy of the engineer design stipulated on the permit. It is valid for 120 days, or for the duration of your current building permit for this property. 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 note any special requirements that may have been added to the design by this department. Systems designed by.a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County Environmental Health must also view the installation prior to back filling. Please call well in advance for your final inspection. Your TCO will not be issued until our office receives this certification from the engineer, and views the installation. Due to the onset of inclement weather, Eagle County will not perform final inspections after December 1, 2001. All field work will resume, weather permitting, on March 15, 2002. 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. Please notify this office if you have not been contracted to perform this installation. If you have any questions, please feel free to contact the Environmental Health Division at 328- 8755. cc: files Sopris Engineering, Paul Rutledge OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 8163 1-0179 November 8, 2001 Rob and Ginger Janssen Janssen Residence P. O. Box 1506 Basalt, CO 81621-1506 RE: Janssen Residence — Proposed ISDS System, 1902 Basalt Mountain Road (Cedar Drive), Basalt Mountain, Eagle County Colorado SE Job No. 20139.01 Dear Rob and Ginger: Pursuant to your request, attached herewith is a letter/report presenting our findings in regard to the feasibility and design for an Individual Sewage Disposal System (ISDS) at the above referenced Site. This design is based on our evaluation of the site conditions with information provided by others for use in supporting your application to Eagle County. Our recommendations are in accordance with Eagle County and the State of Colorado ISDS Regulations. Eagle County must permit any proposed improvement to the site. We have reviewed the information forwarded to us, conducted a site visit, formulated an ISDS design and created a site plan with construction details as part of our scope of work. Conclusions: Based on our findings we believe that the design and installation of an approved ISDS system is feasible in accordance with the Regulations of Eagle County and the State of Colorado. We recommend that a new 1000 gallon septic tank be installed that will discharge effluent to an 840 square foot soil absorption trench system. The soil absorption system can be installed in natural soils and will be located within the septic envelope down -gradient of the proposed house, as delineated on the attached plan. The system will meet all required setbacks and be installed within the general boundaries indicated on the plan. Our Design is outlined below and delineated on the attached site plan. Site Location: The subject site is located at 1902 Basalt Mountain Road (Cedar Drive) on Basalt Mountain in Eagle County Colorado, approximately 3 miles east of the Town of Basalt, Colorado. The site is situated Section 5, T 8 S, R 86 W of the 6th P.M. The Site comprises approximately 35.8acres. The site is bounded on the north and South by similar acreage's with very limited development and on the East and West undeveloped mountain terrain. Existing Site Conditions: The site is located in a sparsely developed, mountain draw. The overall site has moderate slopes (20%- 28%) toward the south-southeast in the direction of the existing road. The existing ground surface in the proposed septic area has an approximate slope of 1 %. The site is covered with native grasses, sagebrush, pinion and juniper trees. The developed portion of the site contains an existing cabin, workshop, greenhouse and other small out buildings. A large garden area has been developed. Driveways and storage/parking areas are existing. Domestic water is supplied by an existing spring water system. 502 Main Street - Suite A3 - Carbondale, CO 81623 - (970) 704-0311- Fax (970) 704-0313 SopRis ENGINEERING • LLC civil consultants Rob and Ginger Janssen SE Job No. 20 13 9.01 November 8, 2001 Page 2 Irrigation/drainage ditches collect water up -gradient and route through the site to the southeast. The primary drainage path (Center Creek) in the basin traverses the site from the northeast to the southeast in the southern portion of the site. The developed portion of the site contains relatively flat benches. There are no wells within the general vicinity of the site. A spring collection and pipeline system provides potable water to the site. The spring collection point is approximately 680 feet up -gradient from the proposed absorption field. The potable water pipeline is at least 50 feet away. The nearest existing absorption fields on adjacent lots are located in excess of 200 feet away from the location of the proposed absorption trenches. Proposed Site Conditions: It is our understanding that you intend to construct a less than 2000 S.F., 2 or 3 bedroom, home with a detached garage. The maximum number of rooms that can be utilized as bedrooms in the future is 3. Therefore the system is designed to handle the flow from 3 bedrooms. The proposed improvements will include a new ISDS system with appropriate site grading. The new structure is to be located in the septic envelope shown on the plan. Adjacent Land and Basin Conditions: South of the site is an adjacent acreage with an existing cabin and spring water system. The spring is approximately 50 feet from the site's southeasterly property line and approximately 250+ feet from the southern edge of the proposed septic envelope. It appears from the basin topography and site observations that ground water and surface flows will tend to drain toward the primary drainage running Southeast in Center Creek. We assume that the lower spring is being feed from this drainage path. No evidence of springs or significant surface flows has been observed between the lower spring and the proposed absorption field. Surface water and spring water from an upper spring is collected in a lined ditch that traverses the site. The profile pit indicated that suitable soils exist and evidence of ground water was not encountered. Therefore we believe that the installation of the proposed absorption trenches will not have any adverse effects nor influence the lower spring approximately 285 feet away on the slope to the south. Subsurface Conditions: Percolation tests were performed by the owner and Eagle County. The average percolation rate was reported to be 28 minutes/inch. No ground water or bedrock was encountered to a depth of 8'. The soils encountered consisted of Moot of topsoil overlying slightly clayey, silty, sand with scattered cobbles to 8' in the profile pit. The soil was found to be very suitable for conventional ISDS treatment. During excavation of the ISDS facilities, the engineer shall be notified in order to perform additional evaluations of the sub -surface soil conditions. These observations are required to confirm previous observations and assumptions utilized in the design. Rob and Ginger Janssen SE Job No. 20139.01 November 8, 2001 Page 3 Design Criteria: Soil Absorption System Design: The absorption field is designed based on utilizing the suitable native soil for treatment in trenches. However for added treatment efficiency and to mitigate the presence of scattered cobbles the placement of 1/2 foot of filter sand material below the bottom of proposed absorption trenches is recommended. Based on the reported percolation rate and observations of the percolation holes and test pit we have designed a system that will treat the calculated quantity of effluent with native soils utilizing the Long Term Acceptance Rate (LTAR) for the native soils. The system will enhance effluent treatment with the addition of a minimum of 1 /2 feet of select filter media underlain by native soils. The treated effluent will then be absorbed into the natural soils across the bottom area and a portion of the side wall areas of the trench excavation. Proposed residence is a 2 - 3-bedroom house. We will assume 3 bedroom for the design. The design flow is calculated as follows: Residence unit - 3 bedrooms @ 2 person /bedroom = 6 person From the Eagle County I. S. D. S. Regulation; Average daily flow (Q) _ # of people x gal/person/day (avg. flow) Max. Design flow (Qd) _ # of people x gal/person/day x 1.5 (peaking factor) = gal/day Per capita flow = 75 gal/person/day Qd = 3x2x75x1.5 = 675 gal/day Total Peak Design Flow is 675 gal/day Septic Tank Design: Per regulations Qd = 675 gal/day Volume (V) of tank = Design Flow * 1.25 (30 hour retention time) V = 675 gal/day * 1.25 = 844 Use one 1000-gallon septic tank Use a double chamber tank with an approved effluent filter. The tank must have appropriate access openings with risers and lids. Rob and Ginger Janssen SE Job No. 20139.01 November 8, 2001 Page 4 Soil Absorption System Design: Absorption area required for treatment utilizing native soils: A = Absorption Area Long Term Acceptance Rate method (LTAR): LTAR loading rate for soil with perc rate between 16 and 30 min/inch = 0.60 gal/S.F./day A=Q/LTAR = 675/0.60 = 1125 sq. ft. We recommend using a gravelless absorption trench system. The county allows up to a 50% adjustment in absorption area if gravelless leaching chambers are used in suitable soils. The equivalent Absorption area per chamber unit is 31 S.F. utilizing a trench system. Therefore: 1125 S.F. / 31 S.F./ chamber = 36 chambers We recommend using a trench system composed of 4 trenches utilizing serial distribution containing 9 standard absorption chamber units each. Assume 3-foot wide trenches with 6.25-foot long chamber units. The sand filtering material must be clean coarse sand, all passing the No. 4 sieve. The sand material shall have an effective size between 0.25 and 0.6-mm. The uniformity coefficient shall be 4.0 or less An inspection port shall be installed from the top of the pre -molded cut out at the midpoint of the beginning and terminal end chambers in the trench. The vertical inspection ports shall be 4" SDR 35 pipe extending at least 24" above the surface and topped with a cap (non glued). This will allow for checking the performance of the system. Distribution: An effluent filter shall be installed on the outlet of the secondary chamber in the septic tank. The filter should be inspected every six months. Maintenance shall include cleaning the filter every six months (minimum) and after periodic pumping of the tank. The distribution system shall distribute flow evenly across the bottom surface of the first serial chamber trench by splitting flow from a tee. The outlet pipe from the first trench will run across the minimum 6' separation distance to the adjacent trench chamber and connect to the inlet port in the second trench. The flow will sheet flow along the length to the trench and connect the same way to the succeeding trenches. Each trench will be constructed level. Successive trenches may be installed at a slightly lower elevation than the preceding trench to accommodate drainage in the distribution pipes and surface grades. Each trench shall be constructed not to exceed a maximum depth of 3 feet. H General Notes: Rob and Ginger Janssen SE Job No. 20139.01 November 8, 2001 Page 5 1) All materials and installation practices shall conform to the Eagle County Individual Sewage Disposal Regulation. 2) All sewer lines and distribution lines in the system shall be 4" Schedule 40 or SDR-35 PVC unless specified otherwise on the plans. 3) Add a two-way clean out on the service line from the proposed house. 4) The system shall be plumbed to distribution effluent into the trenches with serial distribution. 5) The contractor shall ensure that the concrete septic tank and sewer lines are watertight. 6) The trench area must be protected to prevent damage from vehicular or livestock traffic and must be crowned to divert drainage runoff away from the trenches to minimize surface infiltration. 7) The infiltration chambers shall be installed level in each trench. A splash plate shall be installed on the trench bottom surface below the inlet in each serial trench to prevent scouring from the effluent. The top of the backfill over the chambers shall be covered with filter fabric or other suitable pervious material to prevent the migration of fines from the overlying topsoil layer. 8) The trenches must have a minimum cover of 12 inches. A final cover of topsoil suitable for vegetation, a minimum 4" deep, shall be placed from the top of the pervious cover layer to the finished surface grade. 9) The absorption trenches must be sodded or covered with vegetative ground cover. Our design and recommendations are based upon data supplied to us by others. If subsurface or site conditions are found to be different from those presented in this report, we should be notified to evaluate the effect it may have on the proposed ISDS. If the County Environmental Health Department requests changes or modifications to this design, we should be contacted to evaluate the effect on the ISDS. If you have any question or need any additional information, please call. Sincerely, SOPRIS ENGINEERING, LLC May 17, 2002 Rob and Ginger Janssen Janssen Residence P. O. Box 1506 Basalt, CO 81621-1506 RE: AS -BUILT ISDS System Janssen Residence, 1902 Basalt Mountain Road (Cedar Drive), Basalt Mountain, Eagle County Colorado SE Job No. 20139.01 Permit No. 2120-01 Dear Rob and Ginger: Pursuant to Eagle County regulations, this letter and attached drawing provides documentation that the new ISDS system recently installed is in general compliance with the permitted design. Sopris Engineering has performed site visits to inspect and document the as built conditions of the constructed ISDS system. The as -built size and relative location of the new ISDS system components is delineated on the attached drawing. Also attached is the completed Eagle County document "ISDS Final Inspection Completeness Form". The absorption trench facility was constructed utilizing serial distribution. Each trench was installed level and is complete with an inspection port. The double compartment, 1000-gallon concrete septic tank system has been installed with an approved effluent filter. A two-way clean out has been installed between the proposed house location and the tank. The total as -built trench absorption area is 560 sf, utilizing 36 chambers. The ISDS components have been installed in accordance with Eagle County ISDS Regulations; the Sopris Engineering Report and the design drawings dated November 8, 2001. We have forwarded a copy of this letter with attachments to Eagle County Environmental Health Division. Please retain this copy for your records and As -built documentation use. Your new system requires limited maintenance based on use, however please be advised that the components should be inspected bi-annually and the septic tank should be pumped every 2-3 years. If you have any questions or need any additional information, please call. LLC 502 Main Street • Suite A3 • Carbondale, CO 81623 • (970) 704-0311 Fax (970) 704-0313 SopRis ENGINEERING• LL civil consultants ISDS PERMIT # PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH .OWNER: JL o -PHSYSICAL ADDRESS: d5 . v LEGAL DESCRIPTION: MAILING ADDRESS: d I m . 1 TYPE OF DWELLING: P ' „ NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES NO T NIE WATER DEPTH INCHES OF FALL % 2 _7D ? 2 SOIL. RATE PROFILE ? 7 -12 (1' CD 2 22 T�(q r2� 1d ��j 2 1 as �y ��I� d,12 , �2 o Li© �� ' a�$/6 S'1� a3D a 2� o 31I �© o ' d 2 2� 20 "Y 1 o 2 n 2 ,12� 17(31 cf 6 1 ' TIME TO DROP LAST INCH:_ P RC RA : MINIMUM LEACH FIELD SIZE: (Z0.. MINIMUM SEPTIC TANK SIZE: ©� ENVIRONMENTAL HEALTH SPECIALIST DATE I w © _o ISDs Permit * �'1 ' Date S 7' a ISDS Final InsMection CMMletenese Form Tank is �. agal. Tank Material Co A C Q Tank is located 2 ` ft. and degrees from S eA Tank is located ft. and degrees from cry Lawmark► --'-Tank set level. �y`Tank lids within 8" of finished grade. Size of field 1 Z5• f 2 Ce units 2 / lineal ft. Technology _1,,. , ', .Ue-S Cleanout is installed in between tank and house(+ 1/100ft). There is a "T" that goes down 14 inches in the inlet and outlet of the tank: Inlet. and outlet is sealed with tag -,tape rubber gasket I/C-5 T k ;has two-dompartments with the- �:a�ger-.,,q t a tment closest to the house. % ._ -Mea,eure: dstaaee.andrelative dirept©�,�to;:�a:eld ��'► ,..: Depth of field. 2- ft . ""'I soil interface raked. -- ' - a Inspection portals at the .end of each trench.. Proper distance to setbacks. Chambers properly installed as per manufacturer$ specifications. (Chambers latched, end plates properly installed, rocks 'removed from trenches, etc.) Type of pipe used for building sewer line leach field , Other inspection meets requirements. Copy form to installer's file if recommendations for improvement Were suggested. ACTION TAKEN: rz Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 10 50 10 5 10 50 10 * 10 ISDS Permit # l 2� Date ISDg zina1 Inapogt i on COMIDI ateness For Tank is /0O0 gal, Tank Material Tank is located anc'7!:::�,14/degrees from Sl�lcor,rr�oo! ' IpersanenC lia3utk7 L�'Tank is located ._j:—ft. and//L�2 '°degrees (aerm==e 1• a-- `� Tank set level. % Tank lids within a" of finished grade. 4:—Size of field 9LL ft2 4 units S� lineal ft. Technology ✓a �� t:_ c b� .1 .� e^ 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. Inlet . and outlet is sealed with ta:F•;.tape,. rubber gasket etc. wduk-°hdS: h*0':dflmpartments with the.,=larger-..,cmpartment closest to house . Inure: di$tt:ance and relative direp-Xv �cspth of f ield..2-3 ft .� s s !% Soil interface raked. inspection portals at the ,end of each trench.. L�Proper distance to setbacks. ^Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks 'removed from trenches, etc.) Type of pipe used for building sewer line leach field S� Other pection meets reauirsments. Copy form to 'installer, s file if recommendations for improvement were suggested. ACTION TAKEN: etbacks . Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch field 100 25 20 10 50 25 10 10 T,n�' 50 10 5 10 50 10 * 10 ISDS Perma:t # % 2A-d % Date _ SDS Fa.sal IA81�eatin_r� =18teness Form f Tank is IOOO gal. Tank Material 7'e 'rTank is located 126 ft. an 7�Y✓degrees from Tank is located y ��''�'- _�f t . and/1%/7a�!/. degrees f=om i ' Ipsssaeat laad6ark) ` ^Tank set level. 2 Tank lids within 8" of finished grade. °:—Size of field �� ftz units* S� lineal ft. Technology ��a s/ �,- d ear p e✓e C 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: Inlet . and outlet is sealed with tar ;tape,. rubber gasket etc. � k.°has:=t':wo':titimpartments with the.,larger_.,,cpmpa-tment closest to the ..�_... house. �Mleabuxe: -dis-tance and relative —..Depth of f ield..Z 3 f t . ..a !-7 0 Soil interface raked. /V/F .� S� gF1 C` s Inspection portals at the ,end of each trench_ yProper distance to setbacks. "Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks temoved from trenches, etc.) Type of pipe used for building sewer Line 5,- leach fieldS_,_ Other Inspection meets reauir®menta. Copy form to'installer)s file if recommendations for improvement were suggested. ACTION TAM: etbacks Well 'Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Fie d 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 2120-01 Tax #2467-054-00-002 JOB NAME 1902 Cedar Drive JANSSEN Basalt JOB NO. - BILL TO DATE STARTED DATE COMPLETED DATE BILLED F 6 16 (zu /l j— / t � 117 r 2 � • c4 d `c, ���-�// G� " � 4'J JL►," � c. s � Q � c�'s� S r S' S �r� fb�F �� S f(�� �% JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL go,' TOTAL LABOR � Un�e ��5�/ � i G' 7 s��� lc�,�!�';�r� INSURANCE r ��= Z`�S-C3 S'ScT Z �.�-lJ'1 / a � c� S -'�i% � C �' �' , ,, . «►�I " SALES TAX % M ISC. COSTS 17 TOTAL JOB COST �,� GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE L � �' o � •;yam NET PROFIT JOB FOLDER duct 278 �J JOB FOLDER Printed In USA co Y t - i I