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Home My WebLink About03382 INDIVIDUAL SEWAGE DISPOSAL SYSTEM APPLICATION 1 OWNER ►^deny t SCtrdm I1 � �, am.3r6� ADDRESS (O3 Dnfneeg Ole dIptudorrf Y /y i ( (SHONE G 70 r7� : ` &5 CONTRACTOR 1--1-004 e OteMe r l ADDRESS , . 611144e PHONE c 5"4 PERMIT REQUEST FOR (,4 NEW INSTALLATION ( ) ALTERATION ( ) REPAIR Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable building, location of potable water wells, soil percolation test holes, soil profiles in test holes (See page 4). LOCATION OF PROPOSED FACILITY: d 5 e woo r �xq S e6 Size of Lot . 0 ea AC Near what City of Town l P Legal Description or Address l0 / i 111 - O i nL ' "" ngh £ & 3 D o o . r I n s s WASTES TYPE: V) DWELLING ( ) T' 1 SIENT USE ( ) COMMERCIAL OR INDUSTRIAL ( ) NON - DOMESTIC WASTES ( ) OTHER - DESCRIBE l 1� BUILDING OR SERVICE TYPE: S1 Y« �e T k•�' l y t- II 3 Number of Bedrooms ^Y Number of Persons Q) Garbage Grinder ($4 Automatic Washer t en - " Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( WELL ( ) SPRING ( ) STREAM OR CREEK If supplied by Community Water, give name of supplier: W e S{ t. Ku n k DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM: 41/4 Was an effort made to connect to the Community System? V/4 A site elan is required to be submitted that indicates the following MINIMUM IMUM distances: Leach Field to Well: 50 feet Septic Tank to Well: Leach Field to Irrigation Ditches, Stream or Water Course: 50 feet Septic System to Property Lines: 10 feet YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITHOUT A SITE PLAN. GROUND CONDITIONS: Depth to first Ground Water Table Percent Ground Slope 2 TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( <) SEPTIC TANK ( ) AERATION PLANT ( ) VAULT ( ) VAULT PRIVY ( ) COMPOSTING TOILET ( ) RECYCLING, POTABLE USE ( ) PIT PRIVY ( ) INCINERATION TOILET ( ) RECYCLING, OTHER USE ( ) CHEMICAL TOILET ( ) OTHER - DESCRIBE FINAL DISPOSAL BY: ( ) ABSORPTION TRENCH, BED OR PIT ( ) EVAPOTRANSPIRATION 06 UNDERGROUND DISPERSAL ( ) SAND FILTER ( ) ABOVE GROUND DISPERSAL ( ) WASTEWATER POND ( ) OTHER - DESCRIBE WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? /Itc PERCOLATION TEST RESULTS: (To be completed by Registered Professional Engineer, if the Engineer does the Percolation Test) Minutes per inch in hole No. 1 Minutes per inch in hole NO. 3 Minutes per inch in hole No. 2 Minutes per inch in hole NO. Name, address �l and telephone of RPE who made soil absorption tests: Ge of c c.l^ ` at 0 C1(215 61€0v3014 $ & ) S Qx /66/ C Name, address and telephone of RPE responsible for design of the system: Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional tests and reports as may be required by the local health department to be made and furnished by the applicant or by the local health department for purposed of the evaluation of the application; and the issuance of the permit is subject to such terms and conditions as deemed necessary to insure compliance with rules and regulations made, information and reports submitted herewith and required to be submitted by the applicant are or will be represented to be true and correct to the best of my knowledge and belief and are designed to be relied on by the local department of health in evaluating the same for purposes of issuing the permit applied for herein. I further understand that any falsification or misrepresentation may result in the denial of the application or revocation of any permit granted based upon said application and in legal action for perjury as provided by law. Signed Pi`c' " aGf'Idia 40--- Date (072/00 PLEASE DRAW AN ACCURATE TO YOUR PROPERTY!! 3 Colonna Construction May 3, 2000 Page 5 recommend a minimum slope of 12 inches in the first 10 feet in unpaved areas and a minimum slope of 3 inches in the first 10 feet in pavement and walkway areas. A swale will be needed uphill to direct surface runoff around the residence. 4) Roof downspouts and drains should discharge well beyond the limits of all backfill. 5) Landscaping which requires regular heavy irrigation should be located at least 10 feet from the building. Consideration should be given to the use of xeriscape to help limit potential wetting due to irrigation. Percolation Testing: Percolation tests were conducted on April 18, 2000 to evaluate the feasibility of an infiltration septic disposal system at the site. One profile pit and three percolation holes were dug at the locations shown on Fig. 1. The test holes (nominal 8 inch diameter by 12 inch deep) were hand dug at the bottom of shallow backhoe pits and were soaked with water one day prior to testing. The soils exposed in the percolation holes are similar to those exposed in the Profile Pit shown on Fig. 2 and consist of silty sandy clay and clayey sandy silt. The percolation test results, presented in Table I, ranged between 11 and 45 minutes per inch with an average percolation rate of 27 minutes per inch. Based on the subsurface conditions encountered and the percolation test results, the tested area should be suitable for a conventional infiltration septic disposal system. Limitations: This study has been conducted in accordance with generally accepted geotechnical engineering principles and practices in this area at this time. We make no warranty either expressed or implied. The conclusions and recommendations submitted in this report are based upon the data obtained from the exploratory pits excavated at the locations indicated on Fig. 1, the proposed type of construction and our experience in the area. Our findings include interpolation and extrapolation of the subsurface H -P GEOTECH • APPROXIMATE SCALE 1" = 40' 14\0\NGER SANE r -- . \ P 3A \ PROFILE PIT \ ‘ • \\ P 2 A P 1 \ A PIT 2 \ • \ I \ PROPOSED RESIDENCE \\ \ • LOT 10 LOT 12 \ • PIT 1 \ \ \ LOT 11 \ tgill \ I \ \ I \ • BU \ ENVE LDING \ OPE \ L \Is.. L PROPERTY BOUNDA IE� - _ - - 100 333 I HEPWORTH I INC. LOCATION OF EXPLORATORY PITS I Fig. 1 PIT 1 PIT 2 PROFILE PIT ELEV. = 112.5' ELEV. = 103' ELEV. = 100' _ 0 0 ✓ _ W0.00.4 - Lt. DD 72 DD-004 1 �= 5 P 5 I a ▪ —• WC =10.0 o 0 — DD ■88 10 10 LEGEND: PRIV TOPSOIL; organic silt and clay, sandy, medium stiff, slightly moist, dark brown. / CLAY (CL); silty, sandy, very stiff, relatively dry, light brown, calcareous. / SILT (ML); clayey, sandy, some scattered gravel, stiff to very stiff, relatively dry, light brown, calcareous, porous. I 2" Diameter hand driven liner sample. NOTES: 1. Exploratory pits were excavated on April 17, 2000 with o backhoe. 2. Locations of exploratory pits were measured approximately by pacing from features on the site plan provided. 3. Elevations of exploratory pits were measured by Instrument level and refer to Profile Pit as elevation = 100.0 feet, assumed. 4. The exploratory pit locations and elevations should be considered accurate only to the degree implied by the method used. 5. The lines between materials shown on the exploratory pit logs represent the approximate boundaries between material types and transitions may be gradual. 6. No free water was encountered in the pits at the time of excavating. Fluctuations In water level may occur with time. 7. Laboratory Testing Results: WC = Water Content ( •% ) . DD = Dry Density ( pcf ) 100 333 I HEP EOTECH WORTFI — F WLAK LOGS OF EXPLORATORY PITS I Fig. 2 4 1 , , HEPWORTH- PAWLAK GEOTECHNICAL, INC. TABLE I PERCOLATION TEST RESULTS JOB NO. 100 333 HOLE NO. HOLE DEPTH LENGTH OF WATER DEPTH WATER DEPTH DROP IN AVERAGE (INCHES) INTERVAL AT START OF AT END OF WATER PERCOLATION (MIN) INTERVAL INTERVAL LEVEL RATE (INCHES) (INCHES) (INCHES) (MIN. /INCH) 1 44 15 11 10 3/4 1/4 103/4 101/2 1/4 101/2 10 1/2 10 9 1/2 1/2 9 1/2 9 1/4 1/4 9 1/4 8 3/4 1/2 8 3/4 8 1/2 1/4 81/2 81/4 1/4 45 2 36 15 11 10 1 10 9 1/2 1/2 9 1/2 8 3/4 3/4 8 3/4 8 3/4 8 7 3/4 1/4 7 3/4 7 1/4 1/2 7 1/4 6 1/2 3/4 61/2 6 1/2 26 3 45 15 10 8 1/4 1 3/4 8 1/4 6 3/4 1 1/2 6 3/4 5 1/4 1 1/2 Refill 10 3/4 9 3/4 1 9 3/4 8 3/4 1 8 314 7 1/2 1 1/4 7 1/2 5 3/4 1 3/4 5 3/4 4 1/2 1 1/4 11 Note: Percolation testing was performed in hand dug holes in the bottom of backhoe pits on April 18, 2000. The average percolation rate is based on the last three readings of each test.