HomeMy WebLinkAbout2785 Cordillera Wy - 210701301007 - 0995ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 9 SS Please call for final inspection before covering any portion of installed system. OWNER: Dennis & Karen Bookshester PHONE: 312-915-0420 MAILING ADDRESS: 1325 N. Aator, Chicago, IL DLo (() AGENT: PHONE: SYSTEM LOCATION: 2785 Cordillera Way, Lot 50 Filing 2 LICENSED INSTALLER: —Cordillera Construction LICENSE NO. DESIGN ENGINEER OF SYSTEM- Johnson & Kunkel & Associates INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1500 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: 1130 SQUARE FEET OF SEEPAGE BED 871 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Engineer design system. Inspections portals at the end of each line Total length of each line not to exeed 100 ft. ENVIRONMENTAL HEALTH OFFICER: DATE: O 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, 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 ZONING AND BUILDING 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 Ill, 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: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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: y 670 SQUARE FEET. INSTALLED SEPTIC TANK: IS & © GALLONS 72 7 ® DEGREES f-5 FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY YES NO COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS: 1115, YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: 3, W tG5 e V eq tl el ,V h I-( It ENVIRONMENTAL HEALTH OFFICER:// ` DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: \ APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT �) F _COUNTYNumber: �3� ENVIRONMENTAL HEALTH OFFICE EAGLE P. 0. BOX 179 - EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 I PERCOLATION TEST FEE $125.00 s NAME OF OWNER: MAILING ADDRESS: - NAME OF APPLICANT (If different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES NO ADDRESS: PERMIT APPLICATION IS FOR: (>2f NEW INSTALLATION ( ) ALTERATION ( ) REPAIR inCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: coo C Parcel Number: Lot Size: a (2 Legal Description: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: /9 NUMBER OF BEDROOMS: -� WASTE TYPES (Check applicable categories_): Commercial or Institutional Dwelling Non -Domestic Wastes - ( ) Transient Use Garbage Disposal t--T Dishwasher Automatic Washer ('Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank Composting Toilet ( ) Incineration Toilet ( ) Vault Privy` ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES ( N0 IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: (AYES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY:( Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATURE: - 1 .,1,J/mil DATE:�7� �lJ INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope Depth to Bedrock (Per 8' profile hole) /R' Depth to Groundwater ,able 7 K' SOIL PERCOLATION TEST RESULTS: Q Minutes per inch in Hole #1 Minutes per inch in Hole #2 V t VMinutes per inch in Hole #3 FINAL DISPOSAL BY: Absorption Trench, Bed or Pit ( ) Evapotranspiration Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: ��� , RECEIPT NUMBER �-Y unr-n�f DATE: NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) 995 Bookshester Lot �sy'0 Filing 30 DOS JOB 'NAME', jk2785 Cordillera Way JOB NO, JOB LOCATION 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 a % OF SELLING PRICE ZOFIT JOB FOLDER Product 278 Q0 NEW ENGL I rl7' ,y0 d Printed in U.S.A i i FP,DPF,�TY L the-- �\ 0 i / 1 0- k 10 f 1500 Ga/doh / l ScdA.c Tarzk J No 7-,-- : G{s e 574avda�a 1 T e 7cii Grave/ Sysfe� , f See jJe�oi/s o,,, Shed .Z o{ -2 . i r - Lot 50 Design Criteria 1. 5 bedrooms x 2 persons x 75 GPLD x ,.5 = 1125 Q Q = 1125 GPD G 2. Percolation Rate = 15 min/inch 3. Absorption Area = A = )-J—T = 1125 wrl5 871 sq. ft. 5 5 l 4. County Method = 185 /bedrooms x 5 = 925 sq. ft. I 5. Septic Tank Size: 5 bedrooms = 1500 gallon/dual chamber tank _- r- Johnson, Kinkel & Associates, Inc. LAND SURVEYING -CIVIL ENGINEERING- MAPPING P.O. Box 409 - 113 East 4th Street Eagle, Coloraao 81631 • Phone. (303) 328-6368 .GOT .SO, rOiPO// 4 6%5R77/4f SYST.E/kl F f ORN. DES. CHK. 441< REV.7-9-7p0 SHEET OF - DATE ZZ REV. , p JOB NO. p 35 i r SEPTIC TANK DETAIL (FIGURE N.T.S. ) fff k SLPTIC SYST€M NOTES T-+nk 1, Tnl>:t Inert s Cil c:t least � i nch z hin--hc- thanthe oi1t E_ - i - i<<~t. f I 2. O`let tee or baffle at a!extpn+i abc�ve the.surfac_ cf the 11yiia s:itl:�rt 1 of the un 3ero_ ;e the tank top and hall ex* = c� leaet 1= be�1Lw the autlet inn =t. 3. T':e Distance = rcn the outlet invert to th-2 u^ !i S1dc of the }.1C.:3.t-A depth z5rizill be F_ mirilrum- of 3= --nd ti_= Ta._i...ulr. L:=fit f th o �tl••. 4J "-1C ?V?_ i� 1=50. I try= _f r r-f q u_:i i-r t,=Y it t' cenl-:,p:art .t to t b - ilw G liq 7> t.� -y - i -_­ u t. no In try _lu -e -h=_n0 - - - �� ` (i:+_ - = lin^ cover Cf L z��-t-C }8r'r. >` ^= ICsl =. ,rt'�Ctivn ��iL� Z= sha- be r_G `. ep r t ;ter the- iz- t. Ctst irer. I^ ^e or pipe meu ting AST:: tand_r-c prq-=�rly T_ _its.__ t0 ^�Cvi-;t f e i lir? _v- ._�'_tt1in.c=:hFi: ----., t1'-- _=^tic Cam} i tWitham.,`..... 1 I wi-1 he CF=ic ntL:ci to withStand 'F="-t _--�==tL'•Y' -�1 A. trench width is 18-24' -.. 2. _ca 7._nced trend, d -pth -:O-ate to allow , _r two feet of ne a o i 1 b._ckf i 11 . No a_a-lel is requ remi . Tcha trench rust t_ d=_p enough to insure that he flow line of the septic tank is At ieyst 1" above the top of the S22 pipe. ?. Trench lengths should not e.-:geed the naximum ailewable lengths fcr- conventional gravel Systems. The trench bottom should be _Zvel wit:l a naxi><ux slope of 1" pe 100 lineal feet. 1TLET PIPE See Notes) 42- I 4" SMOOTH W;",LL (DR 4" CORRUGATED PIPE GROUND LEVEL i I —�1 CROSS SECTION- SERIAL - DISTRIBUTION SYSTEM (FIGURE N.T.S.) i REPLACEMENT SYSTEM For Thin Unsuitcblei Soils 20 % Slope Using Relief Line (I. is •- ' —_— TO t C Fitter Fabric �y - 1rJrrt el:-;.-tl_- i P! t Native 8zckfill I 2 C3mp,::ct. Irn ervi -js natericl Cr^ 112 ! l ;Q GVOIC` St ,rt circuit ing C - L ` _. - . _ 4 _ ``-�_ ,•Y - — _-ter - :��� GRADE SU1TAE; SOIL — - _ t = approx. IQ BEDROCK Re;)(rj�_-e frociureli r0zi, ur i:" -Lllta i'I'-' sell fraterial v!tr. �uitaulr soil, t_ FRACTURE!') crPrrox 10. Co-rYact +c; 90 ROCK 0P UNSUITABLE � - ;yrocllor density. - t iYEF< ` - i I i c.C°HLITY C C'+TF_ 1} lest Percc �� 1==yi:.irerr, if f I I f I I f t i I I 10' To l Gi�t,2 el ! ! Filter Fabric or Straw �te�• ( F rtop �Jti— o Min. bed '"--„ i— ��-- = 4 Solid P V.C. 4' --4,, Perforated PV.C. 6' -- - 4 -- S a' STANDARD TRENCH GRAVEL SYSTEM • �� � rj � * ".3 a � � t e. &7 ' Johnson, Kunkel & Assoeiates, Ine. -- LAND SJRVEYING C4Y9L ENGINEERING MAPPING - P_O. Box 409 - 113 East 4th Street Eagle, Colorado 8163I - Phone, (303) 328-E363 DETAIL SHEET SEPTIC SYSTEMS L o T 50 CO"M L E1f,41 F/L. /NG No..Z DF..N.Jf/ZDES. CHK. 6/,K RE:v, 7 9-90 SHEET C.F DATE,5/22A901 aEY. Jos NO. 89 235