HomeMy WebLinkAbout776 Pilgrim Dr - 210519202005 - 0696ISEAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway INSPECTION BEFORE COVERING Eagle, Colorado 81631 ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N ° 69 6 PERMIT MUST BE POSTED AT INSTALLATION SITE OWNER: Ruddy Goulet ADDRESS: 1621 Parkins Mill Rd., Greenville, SC SYSTEM LOCATION: 0776 Pilgrim Dr.., Lot 12, Pilgrim Downs., Filing 5 LICENSED INSTALLER: Scott Davis ter,I LICENSE NUMBER:85-16-I **CONDITIONAL INSTALLATION APPROVA hJreby grante for the following: MINIMUM REQUIREMENTS: 0 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: 1 inch in 70 minutes. (Average) Absorption Area per Bedroom 350 sq. ft. No. of Bedrooms 6 x 350 sq. ft. minimum requirement per bedroom = 2100 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: May 20, 1985 INSPECTOR: Erik Edeen **CONDITIONS: 1. All installation must comply with all requirements of the 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 building and zoning 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 installed system is approved prior to covering any part. APOW&A -74--X-30 Installed Absorption or Dispersal Area: ,9,;L,5-0 sq. ft. Installed Septic Tank: 1250 gallons. Degrees: 90 Feet: 110 Design Engineer of System: Installer of System: ' of t)A&%!i Box 16 - Wolcott, CO 81655 Phone: 926-3788 Septic tank cleanout to within 12" of final grade or emk vv 6 '& spy aerated access ports above grade? Yes X No Proper materials and assembly? Yes No X C eel Cap, Pry tic s � a�a Compliance with permit requirements? Yes X No Compliance with County/State regulations requirements? Yes X No COMMENTS: i2 iG ,® c i" APPf 5 ee il d&4) D - C".00C2c I-yr m9A3✓gas fZ%W v two . lNje j ( Mrej3-, 1) Oq, ,% Rucrx� ,4 _ (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: -7 f5— INSPECTOR: RE-INSPE I N DATE: 7/16/85 INSPECTOR: * * * * * * * * * * * * * * * * * * RETAIN WITH RECEIPT RECORDS PERMIT, NO. N,! 696 CHARGES Percolation Test = $50.00 Permit Fee (includes final inspection) _ ALL CHECKS OR MONEY ORDERS ARE TO BE MADE PAYABLE TO: EAGLE COUNTY Scott avis Name of Applicant: _gNMMjXgMNjgX Name of Owner: Ruddy Goulet Amount Paid: $150.00 Receipt Number: C0316 Cashier: Gail Parker White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner APPLICATION) FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRON`IENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 Eagle, Colorado 81631 No. DO L4 PERMIT APPLICATION FEE: $150.00 328-7311 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: -<")ALA nU�_'?�� ADDRESS: �(�� �� i.��-�� �it(I KCQA �vee_� 1�� S,C PHONE: 003 - �`��l - D-s-c-b NAME OF APPLICANT (if different from owner): owner) : DA-V � S ADDRESS: © (� UUO lGA 1� �8 ��(5� PHONE: 22 DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: C't >Avi5 �0e>V1W(� Licensed Installer (see attached list): YES NO ADDRESS: �®� (p©C�aO PHONE: PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: 077�_ F% t-VA , � Lot Size: _i-13 , pS I ss f Legal Description: �ot- BUILDING OR SERVICE TYPE (check applicable category): ( ) Residential - Single Family (-eo) Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes (�) Garbage Disposal ( �C) Automatic Washer ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (-.F) Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater Pit Privy ( ) Aeration Plant ( ) Other ( ) Residential Quadplex ( ) Commercial (state usage) NU:IBER OF BEDROOMS: Dwelling ( ) Transient Use (� ) Dishwasher ( ) Spa Tub ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (5C) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (x) NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (I6 yes, See attached wastewateA 6tow teduction methods) NOTE: The Env,itt.onmentae Heatth 064icet may teduee the teguiAed ab'satption area upon apptova.2 o6 an adequate wastewatet 6tow Aeduetian plan. SOURCE AND TYPE OF WATER SUPPLY: (x) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: /so/ If supplied by community w er, give name of supplier: SIGNATURE: DATE: INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent GAound Slope Depth to Bedtock (pen 8' Pt bite Hote) `u� 17 - Depth to GAOun&i;ate,,L Tabte 3 So SOIL PERCOLATION TEST RESULTS:. 0 Minutez peA inch in Hole #1 O k4 mutes pet inch to Hal? e # 2 �0 -e 6 Minutes pet .inch to Hote # 3 FINAL DI L By: �N _ Z /p0 ( Ab6oAption TAeach, Bed oA Pit ( ) Evapottanspitatcon Jc / 7- Above GAound Dispettsat ( ) Sand F,ittvL ( ) Undetgtound D.i s peuae ( ) Wastewatet Pond ( ) Othet Amount Paid: 15Doo Receipt Numbet CCxaJb Date: NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) EAGLE COUNTY ENVIRONJMENTAL HEALTH OFFICE Jame Date Ro ted i i cation-fic Please reviea the attached Individual Sewage Disposal System Permit Application and return it with this completed form to the Environmental Health Office. ;PLARNI'NG Complies with - YES -NO REVIEI•!ED BY DATE Subdivision Regulations: Zoning Regulations: [/ ...• Recommend Approval: COMMENTS: ' 64U�L0-IN.G: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading Drainage: Recommend Approval: COMMENTS: El41}�T P0�l SE?lTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approva . CO."61MENTS: e7 Q.rn - YES NO REVIEI-IED BY DATE YES NO I REV I E;4ED BY DATE YES i r N O�_A REVIE14ED BY J DATE :;-., 14 2I��s�T/ TABLE II Job No. 4 432 84 PERCOLATION TEST RESULTS WATER DEPTH WATER DEPTH HOLE HOLE LENGTH OF AT START AT END DROP IN AVERAGE NO. DEPTH INTERVAL OF INTERVAL OF INTERVAL WATER LEVEL PERCOLATION RATE (In.) (Min.) (inches) (Inches) (Inches) (Min./Inch) ?1 60 15 24 21 3 21 19 2 19 18 1 18 17 1 17 16 1 16 15 1 15 14 1 14 13 1/2 1/2 30 '2 60 15 24 21 3 21 19 2 19 18 1/2 1/2 18 1/2 18 1/2 18 17 1/2 1/2 17 1/2 17 1/4 1/4 17 1/4 17 1/4 17 16 3/4 1/4 60 3 60 15 24 21 3 21 20 1 20 19 3/4 1/4 30 19 3/4 19 1/2 1/4 30 19 1/2 19 1/4 1/4 120 DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX: (970) 328-8788 TOIL FREE:800-225-6136 www.eaglecountyus EAGLE COUNTY May 20, 2010 Joseph Keam 5091 LATROBE DR WINDERMERE, FL 34786 RE: Residential addition and septic system at 776 Pilgrim Dr., Edwards, CO Parcel #: 2105-192-02-005 Dear Mr. Kearn, RAYMOND P. MERRY, REHS Director You recently applied for an Eagle County building permit (RES-5-10-4532) for a residential addition/remodel. While the scope of work for this addition does not trigger a requirement that you upgrade your existing septic system, I wanted to take this opportunity to communicate some information, so that you are aware of the current conditions and can anticipate the future needs of the system. Your system was installed in 1985, under septic permit IS-0696, and was designed to serve six bedrooms under the standards applicable in that year. Thus, the system consists of a 1,250 gallon tank and an approximately 2250 square foot absorption field. By today's standards, the system is undersized. It is possible that the tank and/or field are nearing the conclusion of their useful service lives. Your system also has the additional risk factor inherent when two separate dwellings are hooked up to the same tank and absorption area. The additional separate fixtures increase the risk of system failure, and you must take care that dripping faucets and toilets are attended to immediately. Septic failures present an immediate threat to public health and property owners are responsible for immediate abatement when a failure occurs. Because we are unaware of any current problems with your system, we suggest that you have the tank pumped to ensure continuing functionality, if you have not done so within the last three years. When the tank is pumped, the contractor can inspect the system and offer an opinion on its condition. These results should be forwarded to us for documentation of your effort to maintain the system. Please contact our department if you have any questions. Sincerely, Andre . Je sen Eagle Environmental Health (970) 328-8758 Cc: Raymond P. Merry, REHS, Director, Environmental Health 500 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 2�SmfL ,z%t" � i S� '% tA.4 , d a ? to I f-aO4" 7*4N/< t- 5 b(" 4gr 0 CO O / �Z i ��� f I LV(2 Y4 Oil) Z L - �57� �`y� S' 16y (e — LOT I )-1 l I vi ? 7- Imp n- P�t.eL i .�.(,� JOB NAME JOB NO. Cq/ o 6 ( 9c;? 0 aoo'5- FAO 1 AI+AT�l11J BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT LO/ JOB FOLDER Product 278 ®p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 - JOB FOLDER w Printed in US.A. IRS qNojp" t r i ry f •rd s,fr" ' 6� Is lit TOPOGRAPHIC MAP OF LOT /2 , PILGRIM DOWNS., F/L /JUG JVO- 51 EAGLE COUNTY, COLORA DO PREPARED FOR I PLAN, INC. NOTES: /) • INDICATE5 P/N AND CAP, L.S. 14109, FOUND 2) INDICATES BENCHMARK, TOP OF WELL CA51N6, ELEVATION 487.26 3) o INDICATES SURVEY STAT/ON 4) SURVEY DATE: SEPTEMBER 19, 1984 5) THE BEARINGS, SHOWN HEREOAJ, ARE BASED ON A BEARING OF S. 02`03'00"W. BETWEEN THE, NW CORNER AND THE SW CORNER OF SECTION l9. 6) COAITOUR INTERVAL 2 coN4,RL�,'falr.ilNGr L.k.:c/,14 fL� - - �- __ � HF1'p 6/0 REVISIONS 0 a 0 A A 0 DRAWN BY JOB NO. DATE