HomeMy WebLinkAbout34158 Colorado River Rd - 168701401001INDIVIDUAL 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. 2159-01 BP NO. 14056
OWNER: KEVIN DARRELL COOTER PHONE: 970-949-6349
MAILING ADDRESS: P.O. BOX 1926, AVON, CO 81620
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 34158 COLORADO RIVER RD., McCOY, CO 80463 TAX PARCEL NO. 1687-014-00-001
LICENSED INSTALLER: BOB'S EXCAVATING AND HOME REPAIR, BOB FORD LICENSE NO. 34-01 PHONE: 970-653-4281
DESIGN ENGINEER: PHONE NO.
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 CHAMBERED UNITS
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE AND
EVERY 100 FEET OF EFFLUENT LINE, AND INSPECTION PORTALS IN EACH TRENCH. DOUBLE ENCASE ANY SEWER LINES THAT GO UNDER ANY
ROADWAYS. RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOIL, AND DO NOT INSTALL IN WET WEATHER. BE SURE TO MAIN-
TAIN ALL APPLICABLE SET BACK REQUIREMENTS. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO
BACK FILLING ANY PART OF THE INSTALLATION OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. THE BUILDING CERTIFICATE
OF OCCUPANCY WILL NOT BE ISSUED UNT E P EM HAS BEEN INSPECTED AND APPROVED.
ENVIRONMENTAL HEALTH APPROVAL: DATE: DECEMBER 3, 2001
r
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 EQ 36 INFILTRATOR UNITS AS REQUESTED
INSTALLED CONCRETE SEPTIC TANK: 1250 GALLONS IS LOCATED 3_ DEGREES AND 22_ FEET 6 INCHES
FROM THE CLEANOUT ON THE SOUTH WEST CORNER OF THE FOUNDATION.
COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT OF F,AGLE COUNTY FNVTR0NMF.NTAT. T4F.AT.TT4
ON MAY 30, 2002. THE TANK FOR THIS SYSTEM IS LARGE ENOUGH TO ACCOMMODATE A FOUR BEDROOM RFS
IDENCE. BUT THE LEACH FIELD IS ONLY LARGE ENOUGH FOR THREE BEDROOMS.
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: MAY 31, 2002
0
Incomplete Applications Will NOT Be Accepted
(Site•Plan DUST be attached)
ISDS Permit # P
foBuilding Permit
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
Eagle (970)328-8755, Fax (970)328-0349, E1 Jebel (970)927-3823
****************************************************************************
* FEE SCHEDULE
* APPLICATION FEE $350.00
* THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PERCOLATION TEST,
* SOIL PROFILE OBSERVATION) AND FINAL INSPECTION
* ADDITIONAL FEES MAY BE CHARGED IF A REINSPECTION IS NECESSARY, OR A
* PRE -CONSTRUCTION SITE VISIT OR CONSULTATION IS NEEDED
* REINSPECTION FEE $47.00, PRE -CONSTRUCTION SITE VISIT FEE $85.00
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: <e1i i n b arrrek( UNT
MAILING ADDRESS: lQ 6_1� Ayi
APPLICANT/CONTACT PERSON:
c� I_ t
LICENSED SYSTEMS CONTRACTOR': BV� J_:::�C_CC
COMPANY/DBA: R Cnb f`(9� � C ADDRE
ca ��%-�-C1 PHONE: I qq `&
I— PHONE: 17qc(' �P c 9
�V C•'. � i�rj °d ePHONE : � �`- -101-�
...J E
SS .x C_ ,3
PERMIT APPLICATION IS FOR: X- NEW INSTALLATION
( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL
SYSTEM:
�e,- _ A-� LWme,A /'
Legal Description: C
--� J 1A t
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Tax Parcel Number: �J��.0 I�i-
Lot Size:
Physical Address: ( C�J(u�C�C?\/�
�(._ , (�1c' C" _ lCi�� TC�
J
BUILDING TYPE: (Check applicable category)
Residential/Single Family
Number of Bedrooms.
( ) Residential/Multi-Family*
Number of Bedrooms
( ) Commercial/Industrial*
Type
*These systems require design by a Registered Professional Engineer
TYPE OF WATER SUPPLY: (Check applicable category)
Well ( ) Spring ( ) Surface
Public Name of Supplier,
��/
APPLICANT SIGNATURE: %l ��C%,G�Z'�(�-
Date: i
************************************************************** ************
AMOUTNT PAID: J yo ! RECEIPT T: (_ DATE: �_ d
CHECK # : ( U. CASHIER:
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
May 31, 2002
Kevin Darrell Cooter
P.O. Box 1926
Avon, CO 81620
Raymond P. Merry, REHS
Director
RE: Final of ISDS Permit #2159-01, Tax Parcel #1687-014-00-001. Property
location: 34158 Colorado River Rd., McCoy, CO.
Dear Mr. Cooter:
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,
1
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: Bob's Excavating and Home Repair
FROM: Environmental Health Division
Raymond P. Merry, REHS
Director
RE: Issuance of Individual Sewage Disposal System Permit #2159-01, Tax Parcel
#1687-014-00-001. Property Location: 34185 Colorado River Rd., Gypsum, CO.,
Cooter residence.
Enclosed is your ISDS Permit #2159-01. 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. If you have not been contracted to install this system
please contact Eagle County Environmental Health.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special
conditions which may have been placed on the permit. Do not back fill any part of the
installation until it has been inspected. If all items are not completed, a reinspection fee of
$47.00 must be paid before a reinspection is made.
Due to Eagle County Land use Regulations, and the onset of inclement
weather, Eagle County Environmental Health will no longer perform final
inspections after December 1, 2001. Systems permitted after November 15,
2001, should be installed in the spring of 2002. All field work will resume,
weather permitting, on March 15, 2002. At that time, final inspections will
resume.
Please call our office well in advance to allow for scheduling of final inspection. Your building
permit TCO will not be issued until final approval has been given for the ISDS Permit.
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
Enclosures: ISDS Permit # 2156-01; ISDS Final Inspection Completeness Form
OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179
SOIL AND FOUNDATION INVESTIGATION
FOR
PROPOSED RESIDENCE
34185 COLORADO RIVER ROAD
McCOY
EAGLE COUNTY, COLORADO
PROJECT NO. 0127
APRIL 9, 2001
PREPARED FOR:
DARRELL COOTER
P.O. BOX 1926
AVON, CO 81620
P.O. Box 2837, Edwards, Colorado 81632 • (970) 926-9088 Tel • (970) 926-9089 Fax
TABLE OF CONTENTS
EXECUTIVE SUMMARY ..................................................... 2
SCOPEOF STUDY........................................................... 2
SITE DESCRIPTION......................................................... 2
PROPOSED CONSTRUCTION ................................................. 3
FIELD INVESTIGATION...................................................... 3
SUBSURFACE SOIL AND GROUNDWATER CONDITION ......................... 3
FOUNDATION RECOMMENDATIONS ......................................... 3
EXCAVATION DIFFICULTIES..................................................4
SLAB CONSTRUCTION...................................................... 4
RETAINING WALLS......................................................... 5
UNDERDRAIN SYSTEM ..................................................... 5
SITE GRADING AND DRAINAGE ............................................. 6
LAWN IRRIGATION......................................................... 6
LIMITATION............................................................... 7
FIGURES
LOCATION SKETCH ....................................... .. DRAWING NO. 1
SUBSURFACE EXPLORATION LOGS ....... ................... FIGURE NO's 1-2
PERIMETER DRAIN .......................................... FIGURE NO. 3
LKP Engineering, Inc.
EXECUTIVE SUMMARY
The proposed residence should be supported with
conventional type spread footings, designed for an
allowable soil bearing pressure of 3000 psf. They should
construct the footings on the undisturbed, bedrock. See
Foundation Recommendations.
SCOPE OF STUDY
This report presents the results of a subsurface Soil and Foundation Investigation for a
proposed residence to be constructed at 34185 Colorado River Road, McCoy, Eagle County,
Colorado. The purpose of the subsurface soil and foundation investigation was to determine the
engineering characteristics of the foundation soil and to provide recommendations for the
foundation design, grading, and drainage.
SITE DESCRIPTION
Site Plan was not available for our review. The proposed building site was about 450 feet
back from the road and about 250 feet away from the railroad. The topography is moderate to
steep. There was a sandstone cliff with large boulders, about 20 feet in diameter, sloping toward
the river. Vegetation on the lot consisted of grass, sagebrush, juniper and pine. The site was
vacant.
LKP Engineering, Inc.
3
PROPOSED CONSTRUCTION
We understand that the proposed residence will consist of a two-story, wood frame
construction, with a possible walkout basement, on a concrete foundation. Loads are anticipated
to be light, typical of residential construction.
If the finalized plans differ significantly from the above understanding, they should notify
us to reevaluate the recommendations of this report.
FIELD INVESTIGATION
The field investigation conducted on March 14, 2001, consisted of excavating, logging
and sampling two test pits. The test pits' locations are shown on Drawing No. 1. Excavation of
the test pits was done with a CAT 215 LC trackhoe. We show the soil profiles of the test pits on
the Subsurface Exploration Logs, Figure No's 1 & 2. Soil samples for laboratory soil analysis
and observation were taken at selected intervals.
SUBSURFACE SOIL AND GROUNDWATER CONDITION
The soil exposed in the test pits was fairly uniform. Test Pit No. 1 had less than one foot
of topsoil over 8.5 feet of reddish -brown, silty -sandy gravel (slopewash) over sandstone bedrock
to the maximum depth explored of 9 feet. Test Pit No. 2 also, had less than one foot of topsoil,
over 1.5 feet of weathered sandstone over firm sandstone bedrock. Refusal was encountered in
Test Pit No. 2 at 2 feet. Ground water was not encountered in either test pit.
FOUNDATION RECOMMENDATIONS
The proposed residence should be supported with conventional type spread footings,
designed for a maximum allowable soil bearing pressure of 3000 psf. The footings, for the entire
foundation, should be placed on the undisturbed, Bedrock.
LKP Engineering, Inc.
El
We recommend minimum width of 16 inches for the continuous footings and 2 feet for
the isolated footing pads. Continuous foundation walls should be reinforced top and bottom to
span an unsupported length of at least 10 feet.
A minimum of 48 inches of backfill cover is recommended for frost protection of the
footing subsoils. The undersigned engineer should observe the foundation excavation to verify
that the soil conditions are uniform throughout the foundation excavation.
The foundation excavation should be free from excavation spoils, frost, organics and
standing water. The on -site soil free from topsoil, organics, and rock fragments smaller than six
inches, is suitable backfill material. Voids left in the excavation, due to rock removal, should be
filled with lean concrete. The footings should be constructed on a level surface.
EXCAVATION DIFFICULTIES
From the condition of the bedrock observed in the test pits, we assume that the
excavation can be done with large excavation machinery. Excavation of narrow utility trenches
might be more difficult.
SLAB CONSTRUCTION
The natural on -site soils, exclusive of topsoil, organics, are suitable to support lightly
loaded slab -on -grade construction. The subgrade for the slab -on -grade construction should be
proof compacted to detect and remove soft spots. They should backfill overexcavated soft spots
and other underslab fill with the on -site soil, free from topsoil and organics, or other suitable
material, compacted to a minimum of 95 percent of the maximum standard Proctor density
(ASTM D-698). Suitable material should be free from topsoil, organics and rock fragments
greater than 3 inches.
The concrete slab should be constructed over a 4-inch layer of clean gravel consisting of -
3/4 inch gravel with at least 50% retained on the No. 4 sieve and less than 3 percent passing the
No. 200 sieve.
LKP Engineering, Inc.
5
They should reinforce the concrete slab -on -grade and score control joints according to the
American Concrete Institute requirements and per the recommendations of the designer to reduce
damage due to shrinkage. The concrete slab should be separated from the foundation walls and
columns with expansion joints to allow for independent movement without causing damage.
RETAINING WALLS
They should design foundation walls retaining earth and retaining structures that are
laterally supported to resist an equivalent fluid density of 60 pcf for an "at -rest" condition.
Laterally unrestrained structures retaining the on -site earth should be designed to resist an
equivalent fluid density of 40 pcf for the "active" case.
The above design recommendations assume drained backfill conditions and a horizontal
backfill surface. Surcharge loading due to adjacent structures, weight of temporary stored
construction materials and equipment, inclined backfill and hydrostatic pressure due to
undrained backfill should be incorporated in the design. They should try to prevent the buildup
of hydrostatic pressure behind the retaining wall.
UNDERDRAIN SYSTEM
Perched water condition is very common in foundations constructed on bedrock. To
reduce the risk of surface water infiltrating the foundation subsoil (and the development of a
perched water condition) installation of a foundation perimeter drain is recommended. The
foundation perimeter drain should consist of a 4-inch diameter perforated pipe sloped to a
suitable gravity outlet, or to a sump pump location. The drain should slope at 1 /4 inch per foot if
flexible or at 1/8 of an inch if rigid pipe is used. The bottom of the trench adjacent to the footing
should be lined with a polyethylene moisture barrier glued to the foundation wall. The drain pipe
should be placed over the moisture barrier and covered with a minimum of 6 inches of -3/4 inch
free -draining granular material. Geotextile (Mirafi 140N or equivalent) should be used to cover
the free -draining gravel to prevent siltation and clogging of the drain. The backfill above the
LKP Engineering, Inc.
2
drain should be granular material to within 2 feet of the ground surface to prevent a buildup of
hydrostatic pressure. The top one foot of the backfill material should consist of a relatively
impervious fill. The backfill should slope away from the building.
SITE GRADING AND DRAINAGE
A site plan was not available for review at this time. The following recommendations are
general in nature. The site surrounding the building structure should slope away from the
building in all directions. A minimum of 12 inches in the first 10 feet is recommended in
unpaved areas, and three inches in the first 10 feet in paved areas. The top of the granular
foundation backfill should be covered with a minimum of 1 foot of relatively impervious fill to
reduce the potential of surface water infiltrating the foundation subsoils.
Surface water naturally draining toward the proposed building site or permanent cuts,
should be diverted around and away from it by means of drainage swales or other approved
methods. The roof drains and downspouts should extend and discharge beyond the limits of the
backfill. Exterior backfill should be compacted at or near the optimum moisture content to at
least 95% of the maximum standard Proctor density under pavement, sidewalk and patio areas
and to at least 90% of the maximum standard Proctor density under landscaped areas.
Mechanical methods of compaction should be used. Do not puddle the foundation excavation.
LAWN IRRIGATION
It is not recommended to introduce excess water to the foundation soils by installing
sprinkler systems next to the building. The installation of the sprinkler heads should insure that
the spray from the heads will not fall within 10 feet of foundation walls, porches or patio slabs.
Lawn irrigation must be controlled.
LKP Engineering, Inc.
LIMITATION
This report has been prepared according to locally accepted Professional Geotechnical
Engineering standards for similar methods of testing and soil conditions at this time. There is no
other warranty either expressed or implied.
The findings and recommendations of this report are based on field exploration,
laboratory testing of samples obtained at the specific locations shown on the Location Sketch,
Drawing No.I and on assumptions stated in the report. Soil conditions at other locations may
vary, which may not become evident until the foundation excavation is completed. If soil or
water conditions seem different from those described in this report we should be contacted
immediately to reevaluate the recommendations of this report.
This report has been prepared for the exclusive use of Mr. Darrell Cooter, for the specific
application to the proposed residence on his property at 34185 Colorado River Road, McCoy,
Eagle County, Colorado.
Sincerely,
LKP EN
Luiza. Petrovska,
President
CAMyFiles\coreldoc\ WPDOCS\0127GR-Rock.rpt.wpd
LKP Engineering, Inc.
DATE OBSERVED: March 13, 2001 TEST PIT # Z
ELEVATION:
S
S
Y
A
DEPTH
M
M
DESCRIPTION OF MATERIAL
LABOARTORY
REMARKS
FEET
B
P
AND SAMPLE LOCATION
TEST RESULTS
O
L
L
-
ToPsoil
_
Reddish —brown silty sandy
gravel
5
10
Sandstone bedrock
Bottom of test pit at 10 feet
No Ground Water
Encountered
- 15
- 20
LEGEND:
0 — 2—inch O.D. California Liner Sample
■ — Bulk Sample
DD — Natural Dry Density (pcf)
MC — Natural Moisture Content (%)
—200 — Percent Passing No. 200 Sieve
LL — Liquid Limit
PI — Plasticity Index
GW — Ground water
LKP ENGINEERING, INC.
SUBSURFACE EXPLORATION LOG
PROXCT NO.:
0127
£1'Cf/R£ NO.:'
DATE OBSERVED: March 13, 2001 TEST PIT # 2
ELEVATION:
S
S
Y
A
DEPTH
M
M
DESCRIPTION OF MATERIAL
LABOARTORY
REMARKS
FEET
B
P
AND SAMPLE LOCATION
TEST RESULTS
o
L
L
ToP s o i
_
Sandstone bedrock
Refusal @ 2 feet
No Ground Water
Encountered
s
— io
,s
20
LEGEND:
❑ — 2—inch O.D. California Liner Sample
■ — Bulk Sample
DO — Natural Dry Density (pcf)
MC — Natural Moisture Content (%)
—200 — Percent Passing No. 200 Sieve
LL — Liquid Limit
PI — Plasticity Index
GW — Ground water
Lid' ENGINEERING, INC.
SUBSURFACE EXPLORATION LOG
PROAICT NO.:
0127
RCURE NO.: 2
LFOOT
WA Y FROM BUILDING
D ° D. D
D
D ER BACKFILL WITH ONE
OF RELA TIVEL Y
_ R 14OUS SOIL
e
e
o 7-77.!7D
D D ft
D
Z GRANULAR FILL
� D
D A
FFOO TING
PLASTIC LINER, GLUED
TO THE FOUNDATION WALL,
(NOT NEEDED WHEN GROUND
WATER IS PRESENT)
GRAVEL THICKNESS SHOULD BE
A T LEAST 24 INCHES AND SHOULD
INCREASE IF HEA VIER SEEPAGE IS
AN77CIPA TED
FIL TER FABRIC
(MIRAFI 140N OR
EOUIVALENT)
COARSE GRA VEL, 3/4 INCH DIAM.
WITH LESS THAN 59' FINES
4-INCH DIAMETER PERFORA TED
PIPE SLOPED TO A SUITABLE OUTLET
A T 1/4" PER FOOT FOR FLEXIBLE AND
A T 1/8" PER FOOT FOR RIGID PIPE
PERIMETER DRAIN D127
CIVIL/GEOTECHNICAL 34185 COLORADO RIVER ROAD Ste. NT$
LK�jn McCOY
En in eerie In c. EAGLE COUNTY, COLORADO DAM
�� PREPARED FOR: 04-09-2001
tel (970) 926 9088 fax (970)8926-9089 MR. DARRELL COOTER F"�'R£ "°' 3
ISDS PERMIT #
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATLH
OWNER:4"p,-
-PHSYSICAL ADDRESS: $ w a
LEGAL DESCRIPTION:
MAILING ADDRESS: �
TYPE OF DWELLING: S s NUMBER OF B ROOMS:
TEST HOLES PRE-SOAKED: YES �� NO
SOIL
TIME WATER DEPTH INCHES OF FALL HATE PROFILE
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TIME TO DROP LAST INCH: PERC RATE: V
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MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE:
COMMENTS:
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ENVIRONMENTAL HEALTH SPECIALIST DATE
ISDS Permit #� ` �� �� r DateV36 to a-
IeDS Final InsMect oa
Cg=1eteaesm Form
V Tank is gala Tank Material QX)\�- n Q-I--
Tank is locatedi a'Sft. and �1 degrees front
tpassroaht laadaask)
Tank is located ft. and degrees from
(pezusumt laobask)
L,--" Tank set level. ✓ Tank lids within 8" of finished grade. /U-W-A
CSC-
size of field f 2 ' 3(45' units lineal ft..
Technology � Q .
Cleanout is installed in between tank and house(+ 1/100ft).
There is a "T" that goes dowry,in hes in the inlet and
outlet of the tank: A UT-)
tIM-
Inlet.and outlet is sealed with"�ar•-.tapei- rubber gasket etc.
V T ik ;has two_- compartments with the.;-�:ar- -.-,qq pa tmeat closest to
house.
, . •Kaahure: distance and relative dire�twxcn
Depth of field. L-�J'ft.
-Soil interface raked.
Inspection portals at the.end of each trench._
w Proper distance to setbacks.
✓Chambers properly installed as per manufacturers specifications.
Chambers latched, end plates properly installed, rocks -removed from
renches, etc.? 2
VVVVVV Type of pipe used for building sewer lineSP � leach field 3-b
L Other
Inspection meets reauirements. � -
Copy form to installer's file if recommendations forlimprovem t were
suggested.
ACTION TAKEN:
Setbacks
Well 'Potable House
Water Lines
Field 100 25
50 10
20
Post -it- Fax Note 7671
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Fax # _ C)
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2159-01 Tax# 1687-014-00-001
JOB NAME_ 34185 Colorado River Rd. COOTER
McCoy, Co
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TOTAL MATERIAL
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TOTAL LABOR
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MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
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NET PROFIT
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