HomeMy WebLinkAboutApplication- PermitProject Address
Garfield County
Building & Planning Department
108 8th Street Suite 401
Glenwood Springs, CO 81601 -
Phone: (970)945-8212 Fax: (970)384-3470
577 Brandon WAY
SILT, CO 81652 -
Owner information
Parcel No.
Permit NO. BLRE-6-11-2071
Permit Type: Residential Building
Work Classification: New
Permit Status: Active
Issue Date: 6/13/2011
Expires: 12/1012011
217928100714
Subdivision
Section Township Range
Address
Eagle Springs Organic LLC
5454 CR 346
Silt CO 81652
Phone Cell
970-876-2856
Contractor(s)
Phone
Primary Contractor
Brian Steele
(970)379-2388
Yes
Proposed Construction / Details
Single family dwelling with covered patio and attached garage.
FEES DUE
Fee
Amount
Plan Check Fee $11552.30
Residential Building Fee $2,388.15
Total: $3,940.45
FEES PAID
Valuation:
Total Sq Feet:
$ 348,369.68
4462
Inv Total
Paytype Amt Paid Amt Due
Inv # BLRE-6-11-21070
$ 3,940.45 Check # 2146
Check # 2183
$1,519.54
$2,420.91
$ 0.00
Required Inspections:
For Inspections call 1(888)868-5306
Inspection
IVR
See Permit Record
Building Department
Copy
Wednesday, January 11, 2012 2
GARFIELD COUNTY BUILDING PERMIT APPLICATION
108 8th Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003
www.garftcld-countv.com w, Go- ear-MI
�� r ne1. c 2
I
Parcel No: (this information is available at the assessors
if 79ot%)/ Q711
office 970-945-9134)
please provide Cr, Ilwy or Street Name & City) or and legal description
2
Job Address: (if an address has not been assigned,
3
Lot No: Block No: Subd./ Exemption:
4
weer (propey owner)
Owner
Ai
Pp /tJ (1e,,ett, ilc
Mailing Address:
.5-y5y 3y&
Ph:
576 t 5
Alt Ph;
5
Coactor: , '
/41.1/1e- t iii f1ekvi-� n
Mailing Address:
v5 `/ G A &I J'S+'6 5/-
Ph: t
379 • 3 t >
Alt Ph:
6
Architect//�/Engineer: J
ODDL' Ji. U' -i
Mailing Address: /�
i'i'i (It...J.5
Ph: (
C J ,f L�i
Alt Ph:
7
Sq. Ft o }I Idt:
5q. byor Acres of Lot:
Height /
No. OFF ors:
8
Use o Building:
I%J lc -,, filing% IZes,ccn(.e_._
9
Describe Work:
i j"�� L/=' 'N 1Ii C, t- /-10t'v...i.Lt�✓i-i-r1 T-tlrtNt�i`/i_
1(1
Class of Work:
thlew o Alteration ❑ Addition
11
Garage:!!
i' ttached ❑ Detached
Septic:
u4SliS o Community
12
Driveway Permit: OA1$ '4Owners
valuation of Work: $ r r
Authority.
This application for a Building Permit must be signed by
letter of authority, signed by the Owner, must be provided
A Building Permit cannot he issued without proof of legal
NOTICE
the Owner of the property, de cribcd above, or an authorized agent. If the signature below is not that of the Owner, a separate
with this Application.
and adequate access to the property for purposes of inspections by the Building Department.
Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or
Discharge Permit.
is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180
CERTIFICATION
contained above is true and correct. I undersand that the Building Department accepts the Application, along with the plans
based upon my certification as to accuracy.
a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on
and my agents will comply with provisions of any federal, state or local law regulating the work and the Garfield County Building
Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location,
are not in compliance with County Regulation(s) or any other applicable law.
described above, to inspect the work. 1 further acknowledge that the issuance of the Building Permit does not prevent the
if any, discovered alter issuance; or (2) stopping construction or use of the structure(s) or facilily(ies) if such is in violation
work by the Building Department do not constitute an acceptance of responsibility or Liability by the County of errors, omissions
compliance with federal, stale and Local laws and County Regulations rest with me and my authorized agents, including without
THE NOTICE & CERTIFICATION ABOVE:
Leeid Access,
Other Permits. Multiple separate permits may be required: (1) Slate
County Highway/ Road Access or a State Wastewater
Void Permit. A Building Permit becomes null and void tithe work authorized
days after commencement.
I hereby certify that I have read this Application and that the information
and specifications and other dais submitted by me or on my behalf (submittals),
Assuming completeness of the submittals and approval of this Application,
the submittals reviewed by the Building Department.
In consideration of the issuance of the Building Permit, 1 agree that 1
Code, iSDS regulations and applicable land use regulations (County
construction or use of the structure(s) and facility(ies), described above,
I hereby grant permission to the Building Department to enter the property,
Building Official from; (I) requiring the correction of errors in the submittals,
of County Regulation(s) or any ether applicable law.
Review of this Application, including submittals, and inspections of the
or discrepancies. As the Owner, l acknowledge tba • sponsi ility for
limitation my architect designer, engineer and/ o • er. t/
I HEREBY ACKNOWLEDGE . A a t UNDERSTAND
OWNERS SIGNATURE DATE
roo Ash
Lk LO CA\
STAFF USE ONLY
Special Conditions:
Adjusted Valuation:
310;,349.6
Plan Check Fce:
15$2•3e
Permit Fee:
2388./5
Manu houseFee:
-
Misc Fees:
,
'NB
Total Fees:
3/ jo q`C
Fees Paid:
$15n*54
Balance Due:
2412V.V
RP No & Issue Date:
iSI)S No & Issued Date:
__Zo71
201Z
Setbacks:
x215, izz5:„ 5 i0
OCC Group:
Const TTgc,ype:
s
Zoning:
I
BLD DEPT -22
PL/NG DE •
Vila/
APPROVAL DATE /
APPROVAL DATE
Applicant
Address
Date
VALUATION FEE DETERMINATION
Eagle Springs Organic, LLC
TBD SF @ Sec 28, T6, R92, Silt
6/13/2011
Subdivision
Lot/Block
Contractor
Finished (Livable Area):
Main sq.ft
Upper 2326 sq.ft
Lower 1900 sq.ft
Other sq.ft X $74.68
Total Square Feet 4226 sq.ft
Total Valuation
Basement:
Unfinished
Conversion of Unfinished to Finished
Other
Total Valuation
Garage/Storage (wood framed)
Conversion of garage to finished living
Carport
Other
Total Valuation
Crawl Space
Total
Valuation
Decks/ Patios/Porches
Covered
Open
Other
Total Valuation
Type of Construction:
Occupancy:
Total Valuation
Total Valuation
330
1118
sq.f X $41.00
sq.ft X $33.68
sq.ft X
sq.ft X $18.00
sq.ii X $56.68
sq.f X $12.00
sq.ft X
sq.ft X $9.00
sq.ft X $24.00
sq.fl X $12.00
sq.ft X
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
N/A
N/A
Rifle Contracting, Brian Steele
315,597.68
0.00
5,940.00
0.00
26,832.00
0.00
348,369.68
Building Plan Review
Description of Work: Single family dwelling with covered patio and attached garage.
Bin #:
Location Address:
SILT, CO
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -6-11-6883
Parcel: 217928100714
Application Date: 06/03/2011
Owner: Eagle Springs Organic LLC
Applicant: Eagle Springs Organic LLC
Applicant Phone: 970-876-2856 Email:
Building
PlanningIZoninq
Engineered Foundation Property Line Setbacks
Driveway Permit 30ft Stream Setbacks
Surveyed Site Plan Flood Plain
Septic Permit and Setbacks Building height
Grade/Topography 30% Yoning Sign -off
/
Attach Residential Plan Review List / 7'» Road Impact Fees
Minimum Application Questionnare ! HOAIDRC Approval
/112/4
Subdivision Plat Notes ' GradelTopography 40%
,A)'4
Fire Department Review Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line PlanslStampsfSticker General Comments:
Attach Conditions
Application Signed
Plan Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
GARFIELD COUNTY
Building & Planning Department
108 8th Street, Suite 401
Glenwood Springs, Colorado 81601
Telephone: 970.945.8212 Facsimile: 970.384.3470
www.garfieid-county.com
SINGLE FAMILY OR DUPLEX BUILDING PERMIT
NOTE: In order to understand the scope of work intended and to expedite the issuance of a permit, it is
important that complete information be provided. Please review this document to determine if you have
adequate information to design your project and to facilitate a plan review.
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
This checklist is to be used with all single family dwelling construction.
APPLICATION FORM: Please make sure the following information is provided on the application.
• Parcel number obtained from the County Assessor's Office.
• Job address (assigned physical address)
• Legal Description: lot, block, filing, subdivision or tract, section, township and range.
• Owners name, mailing address, phone, fax, or cell.
• Contactors name, mailing address, phone, fax, or cell_
• Architect/Engineer's name, mailing address, phone, fax or cell.
• Building size, height, number of stories, lot size.
• Use of building (residential)
• Class of Work (new, addition, alteration, repair, demo, move, other)
• Description of work.
• Type of heating (natural gas, propane, electric, other).
• Sewer system (Community or ISDS), also see other items below.
• Garage (attached or detached).
• Driveway permit (please see other items below)
• Valuation (labor and materials) see attached worksheet.
OTHER ITEMS:
• If you anticipate obtaining a water -tap from the City of Rifle, please provide a letter indicating that
the City will provide water service. (Required to submit building permit application).
• ISDS requires a septic permit application to be submitted with the building permit application.
• A separate electrical permit must be obtained from the State of Colorado Electrical Board.
• Prior to submittal of a building permit, you are required to show proof of legal and adequate
access to the site. This may include proof of right to use a private easement, County Road &
Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The
County Road & Bridge Department can be reached at 970-625-8601.
• If you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit.
• If you belong to a Homeowners Association (HOA), it is your responsibility to obtain written
approval, if required.
• Provide copies of any Resolutions and/or Land Use Permits associated with this property.
• Additional Dwelling Units may require Administrative Review.
• Minimum dwelling dimension is 20 ft wide x 20 feet long.
• A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work.
BUILDING PLANS: Two (2) sets of plans must be submitted. Plans must be 18"x24" minimum size,
complete, identical, legible, and to scale. All plans will be checked at the counter for completeness. If any
of the required information is missing, the building permit application cannot be accepted.
SITE PLAN: Please make sure the following information is provided on the site plan.
• Property address/legal description.
• North Arrow and Scale on each page.
• Show all property lines, building envelopes, flood plain, and easements.
• Provide setback distances from boundaries, buildings, septic, well, and waterways.
• Location and direction of the county or private road and driveway accessing the property.
• Proposed and existing structures include sheds, barns, decks, patios, and any other buildings.
• Existing and proposed grade, positive drainage around structure (to be contained on site).
• Streams, rivers, creeks, springs, ponds and ditches.
• Existing and proposed wells, septic tanks, leach fields, and other systems. (if applicable)
• Retaining walls (engineer stamped detail required for walls over four (4) ft, measured from bottom
of footing to top of wall).
NOTE: Any site plan depicting the placement of any portion of the structure within fifty (50) feet of a
property line or not within an established building envelope shall be prepared, stamped, and signed by a
licensed surveyor. For structures to be built within a building envelope, provide a copy of the recorded
subdivision final plat with the proposed structure located in the building envelope.
ARCHITECTURAL PLANS: Please provide the following information on the architectural plans.
• Minimum four (4) elevations (N,S,E,W) Indicate height of building measured from existing grade
to the midpoint between the ridge and eave of a gable or shed roof or to the top of a flat roof.
• Floor plans for each level including dimensions and scale noted.
• Clearly label each room or space (bedroom, bath, kitchen, closet, etc).
• Show the location of the mechanical equipment.
• Building cross sections with construction details.
• Window sizes, types, and operation noted on the floor plans or elevations.
• Specify roof slope/pitch, roof covering, and siding materials.
• Stair and guard details specifying rise, run, height and spacing.
• Attic, roof, and crawlspace ventilation details. Indicate size and location of ventilation openings.
• Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspaces.
• Provide stove and fireplace make, model, EPA or Colorado Phase II Certification. Masonry
fireplaces shall be designed to the International Residential Code (IRC) requirements.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
• Design specifications to include roof and deck snow Toad, wind and seismic design, frost depth.
• Foundation plan showing complete footing and foundation dimensions.
• Footing and foundation details specifying reinforcement and referenced on plans.
• Framing plans for each floor level and roof. All beams, columns, joists, rafters, and trusses
specified. Pre -manufactured structures require the engineers stamp, signature, and date.
• Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The building department will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Septic or Road Impact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge I have read, understand, and will abide by the requirements of this
Date
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.garfield-countv.com
Project Address
Garfield County
Building & Planning Department
108 8th Street Suite 401
Glenwood Springs, CO 81601 -
Phone: (970)945-8212 Fax: (970)384-3470
Parcel No.
Permit NO. SEPT -6-11-2072
Permit Type: Septic Permit
Work Classification.- New
Permit Status: Active
Issue Date: 6113/2011
Expires: 01/0112999
Subdivision
Section Township Range
577 BRANDON WAY
SILT, CO 81652 -
217928100714
Owner Information
Address
Phone
CeII
[Eagle Springs Organic LLC
5454 CR 346
Silt CO 81652
970-876-2856
Contractor(s)
Phone
Primary Contractor
Brian Steele
(970)379-2388
Yes
Proposed Construction ) Details
FEES DUE
Fee
Percolation Test
Septic Fee - New
Total:
Amount
$100.00
$73.00
$173.00
Valuation:
Total Sq Feet:
$ 0.00
0
FEES PAID
Inv Total Paytype Amt Paid Amt Due
Inv # SEPT -6-11-21071
$ 173.00 Check # 2183
$173.00
$ 0,00
Required Inspections:
For Inspections call : 1(888)868-5306
Inspection
IVR
See Permit Record
Building Department
Copy
I
We nesday, January 11, 2012
2
GARFIELD COUNTY SEPTIC PERMIT APPLICATION
108 8th Street, Suite 401, Glenwood Springs, Co 81601
Phone: 970-945-8212 / Fax: 970-384-3470 / Inspection Line: 970-384-5003
www.garfield-county.com
1
PerkPPerk Fee:�'
31 CO.0?
Parcel No:this information is available at the assessors office 970-945-9134)
,41-796).6. i orl1 1
2
Job Address: (if an address has not been assigned, please provide Cr, Hwy or Street Name & City) or and legal description
3
Building & PI ing Dept:
/
x? ,,,._..e...e... 00
Lot Size: Lot No: Block No: Subd./ Exemption:
4
Owner: (property owner)
gt j <--41'11 113 d, a ��t L
Mailing Address
515if' Z` , . _Feld S: i i
Ph:
c '7 4 - fig ',6.
Alt Ph:
5
Cotracfgf: O
L I I 1' L f
ailin Addre s/
e C- , 1.34%6 5 r C L
Ph;
77- PIS
Alt Ph:
6
Eng' r:I
eC�
M ' in Addres ,
- 4 -LU
Ph:
Alt Ph:
7
PERMIT REQUEST FOR: ( ) Now Installation ( ) Alteration ( ) Repair
8
WASTE TYPE: (r✓)FSweiling ( )Transient Use ( )Commercial or industrial ( )Non- Domestic wastes
( )Other — Describe
9
BUILDING OR SERVICE TYPE:
Number of bedrooms 4 Garbage Grinder (4.)Y-ees ( )No
10
SOURCE & TYPE OF WATER SUPPLY: ( )WELL ( )SPRING ( )STREAM OR CREEK (x}r1TTERN
If supplied by COMMUNITY WATER, give name of supplier:
11
DISTANCE TO NEAREST COMMUNITY SEWER SYSTEM:
Was an effort made to connect to the Community System?
YOUR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT WILL NOT BE ISSUED WITH OUT A SITE PLAN
12
GROUND CONDITIONS:
Depth to 15' Ground Water Table Percent Ground Slope
13
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM (ISDS) PROPOSED:
(fptic Tank ( )Aeration Plant ( )Vault ( )Vault Privy ( )Composting Toilet
( )Recycling, Potable Use ( )Recycling, other use ( )Pit Privy ( )Incineration Toilet ( )Chemical Toilet
( )Other- Describe
14
FINN_DISPOSAL BY:
(orption trench, Bed or Pit ( )Underground
( )Wastewater pond ( )Other-
Dispersal ( )Above Ground Dispersal ( )Evapotranspiration ( )Sand filter
Describe
15
Will effluent be discharged directly into waters of the state? ( )YES (1.--)113
16
PERCOLATION TEST RESULT: (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
No.�
Minutes per inch in hole No.2 Minutes per inch in hole
Name, address & telephone of RPE who made soil
Name, address & telephone of RPE responsible
absorption test:
for design of the system:
17
Applicant acknowledges that the completeness of the application is conditional upon such further mandatory and additional test 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 10 be submitted by the applicant are or mil 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 frealth i evaluating the same for purposes of issuing the permit applied for herein. I further
understand that any falsification or misrepresentation may n d nial of the application or revocation of any permit granted based upon said application
and legal action for perjury as provided by la -
OWNERS SIGNATURE - DATE
Pat 6141-1115-6
STAFF USE ONLY
Permit Fee:
i • 00
PerkPPerk Fee:�'
31 CO.0?
Total fees: �?,
it �1j3.00
Building Permit 4:
2_01 1
Septic Permit #:
Cei7T- U-1 \ - 2_01 Z
Issue Date:
Le, it.1 1
Building & PI ing Dept:
/
x? ,,,._..e...e... 00
APPROVAL DATE
---C!
Garfield County
2012 Regular AIP Voucher
Vendor Name & Mailing Address
Vendor Number
Purchase Order Number
Special Instructions For Warrant
EAGLE SPRINGS ORGANIC, LLC
5994
5454 CR 346
SILT CO 81652
To close out the P.Q.
check box: 3
THIS IS A REFUND
Invoice
Date
Vendor Invoice
Number
Fund
Dept
Sub Dept
Account
Project #
(if applicable)
Line Item
(64 Characters or Less)
Brief Description
(64 Characters or Less)
Invoice
Dollar
Amount
1/31/2012
01312012
100
17
070
3400
BUILDING REVENUE
REFUND PERK TEST
FEE / BUILDING PERMIT
# 2071
100.00
Prepared By:
BECKY WHEELERSBURG
Total $ 100.00
By signing below, I certify that all items and/or services have been received, inspected, and accepted; and that this amount is correct and proper for
payment.
Department Head Approval: • ' DATE: February 3, 2012
(Accounting Use Only)
Date Stamp:
Invoice Accuracy Verified By: Posted By:
EAGLE SPRINGS ORGANIC
Memo
TO: Becky Wheelersburg
FROM: Eagle Springs Organic, LLC
CC: Andy SchwaIler
DATE: 1/31/2012
RE: SEPT -6-11-2072
APPROVAL BY ANDY SCHWALLER: YES NO
REASON FOR REFUND:
Per inspector Jim Wilson, the perc for this septic permit was done by an engineer not us,
therefore, the perc fee needs to be refunded,
AMOUNT OF REFUND:
$100.00
THE REFUND SHOULD BE MAILED TO:
NAME:
Eagle Springs Organic, LLC
MAILING ADDRESS:
5454 CR 346
Silt, CO 81652
VENDOR #:
ACCOUNT#: one- S4U0
r
ACCOUNT NAME: I
HEPWORTH - PAW AN GEC)TEC HNJC:AL..
January 23, 2012
Eagle Springs Organic
Attn: Bryan Reed
5454A County Road 346
Silt, Colorado 81652
ibryan@eaF.,lespringsorganic.com
I YI'oC ,fCi }1 (t 1111
d5TEpi--0- jdolq))
Job No. 110 181B
Subject: As -Built Evaluation of On -Site Wastewater Treatment System, Proposed
Residence, 3647 Dry Hollow Road, Garfield County, Colorado.
Dear Bryan:
As requested, Hepworth-Pawlak Geotechnical observed the installation of the on-site
wastewater treatments system (OWTS) for the proposed four bedroom residence at the
project site. The site is located on the Eagle Springs Organic property in Garfield
County. Our observations and recommendations of the as -built construction are
presented in this report. We previously designed the OWTS and presented our
recommendations in a report dated October 27, 2011, Job No. 110 181E
We performed our as -built site evaluation on December 20, 2011. The OWTS
components observed included: sewer line, cleanouts, septic tank, effluent line, irrigation
ditch encroachment capping, trench excavations, Infiltrator chambers, distribution pipes,
inspection ports, and the locations of these components. Our as -built site plan is provided
as the attached Figure 1.
The 4 -inch SDR 35 sewer line was installed from the (under construction) residence
foundation to the septic tank inlet with the proper slope to facilitate sewage disposal, with
a cleanout properly installed adjacent to the residence foundation. The sewer line will
service all levels of the proposed residence.
A 1,250 gallon, two -chamber Copeland Concrete septic tank was observed to be installed
at the approximate location shown on Figure 1. The septic tank was equipped with an
inlet tee installed within the first chamber. The septic tank was equipped with risers and
tank lids to allow access into the tank and was backfilled to the approximate finished
grade at the time of our site visit. The specified effluent filter was not installed at the
•-111.-('I - 41 -
Eagle Springs Organic
January 23, 2012
Page 3
the system including amendments, changing components, backfill and site grading could
alter the operation and effectiveness of the OWTS. We should be contacted if changes to
the system are planned.
Please feel free to contact us if you have any questions.
S incerely,
HEPWORTH - PAWLAK GEOTECHNICAL, INC.
. Jason
Environmental Specialist
Reviewed by:
David A. Young, P
attachments Figure 1*, lit t Site Plan
As -Built Photograph Log
cc: Brian Steel— bs.cbc@,eartlilinlc_.net
,eartl7l.ink.net
Garfield County Building Department — jta for e. arfield--countv..coln
Job No. 110 181 B
G t ch
AS -BUILT PHOTOGRAPH LOG
DECEMBER 20, 2011
As -Built Photograph Log
Photograph 1: Installed
cleanouts adjacent to the
residence foundation.
Photograph 2: Installed
1,250 gallon, two -chamber
Copeland Concrete septic
tank with concrete risers to
grade.
JobNo, 110181E
G tech
Photograph 5: View of two
adjacent absorption trenches
with the serial distribution
pipe connection.
Photograph 6: Another view
of the installed absorption
field consisting of chambers
and trenches.
Job No. 110 I I B
GgEtech
Department of Reguiator/Agencies
Division of Registrations
State ElectricalBoard
INSPECTION REPORT / CORRECTION NOTICE
Date Rec. Vi 6 2
ryAddress:
PERMIT #
Homeowner: 4
74 (9
r 011�i'aCtQr
6522 ,r r: 4 7 .47.
f
TYPE OF INSPECTION::
Partial Rough in - Underground Final
ACTION: Accepted Rejected Remarks
RE -INSPECTION FEE
Comments or Correction?:
, Q! 4 riii4.i5 b"��fd' y
ie
Inspector's Name: s
Phone # Date: q