HomeMy WebLinkAbout388 Meadow Dr - 210507404002 - 1969-00ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
ORIGINAL PERMIT NO. 0194-77
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. ALTERATION PERMIT NO. 1969-00 BP NO. 13084
OWNER: MARK AND JANE HARLAN PHONE: 970-926-1000
MAILING ADDRESS: P.O. BOX 96, EDWARDS, CO 81632
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 388 MEADOW RD., EDWARDS TAX PARCEL NO: 2105-074-01-014
LICENSED INSTALLER: J A BASKINS CONSTRUCTION, JOHN BASKINS LICENSE NO.49-00 PHONE: 970-926-3748
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: A NEW EFFLUENT LINE CONNECTING THE BATHROOM IN THE OFFICE TO THE
EXISTING SEPTIC SYSTEM
SPECIAL REQUIREMENTS: INSTALL THE NEW EFFLUENT LINE FROM THE BARN TO THE EXISTING TANK. INSTALL A CLEANOUT OUTSIDE OF THE
BUILDING. AND ONE FOR EVERY 100 FT OF PIPE RUN. REINFORCE THE LINE UNDER THE DRIVEWAY TO AVOID DAMAGE AND INSTALL A CLEAN
OUT ON ONE SIDE OF THE DRIVEWAY. CALL EAGLE COUNTY FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY CONNECTIONS AND THE
PIPE RUN UNDER THE DRIVEWAY. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM ALTERATION HAS
BEEN INSPECTED AND APPROVED.
1
ENVIRONMENTAL HEALTH APPROVAL: - DATE: MAY 12, 2000
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THIS 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.
COMMENTS: INSTALLATION OF NEW EFFLUENT LINE FROM THE. ARN/OFFTCF WAS TNSPFCTFD ANT) APPROVED Rv
LAURA FAWCETT ON MAY 16, 2000. SEE REVISED SITE PLAN FOR SYSTEM COMPONENT LO ATTONS
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED.
19
ENVIRONMENTAL HEALTH APPROVAv.2)0,U/?A " '0)-a7T DATE: MAY 23, 2000
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached) q q
ISDS Permit # � c 6 I
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (El Jebel)
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
*
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: A `&k-A-,
MAILING ADDRESS: /�)( 7o 4 EdAwad.'J-d' S 4 60 PHONE:
APPLICANT/ CONTACT PERSON: PHONE: `f�
LICENSED SYSTEMS CONTRACTOR: PHONE:
COMPANY/DBA: ADDRESS:
PERMIT APPLICATION _I'S FOR: ( ) NEW INSTALLATION ( ALTERATION ( REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE, DISPOSAL SYSTEM:
Legal Description: -_d"
Tax Parcel Number: Lot Size: 1�;,GaCtGlzS
Physical Address:
y� o��- p/-old
BUILDING TYPE: (Check applicable category)
( Residential/Single Family Number of Bedrooms 11L_
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) urfaa
(y' Public Name of Supplier:
*These system'sA require
design by a Registered Professional Engineer
SIGNATURE: �ly�r7J�t J�E�/d i — Date:
AMOUNT PAID: RECEIPT #: DATE:
CHECK #: CASHIER:
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
May 23, 2000
Mark & Jane Harlan
P.O. Box 96
Edwards, CO 81632
EAGLE COUNTY, COLORADO
Eagle County Building
F.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Alteration Permit #1969-00, Tax Parcel #2105-074-01-014. Property
location: 388 Meadow Road, Edwards, CO.
Dear Mr. & Mrs. Harlan:
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,
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL: Informational Brochure
Final ISDS Permit
cc: files
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
DATE: May 12, 2000
EAGLE COUNTY, COLORADO
TO: JA Baskins Construction, Inc.
FROM: Environmental Health Division
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Issuance of Individual Sewage Disposal System Alteration Permit #1969A-00,
Tax Parcel #2105-074-01-014. Property Location: 388 Meadow Rd., Edwards,
CO., Harlan residence.
Enclosed is your ISDS Alteration Permit #1969A-00. 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
$42.50 must be paid before a reinspection is made.
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 # 1969A-00; ISDS Final Inspection Completeness Form
ISDS Permit # I MA -U O
Date !�/ia Idly
ISDS Final InaRection
Cg=letenees Form
Tank is gal. Ta Material
t�RQ 9 t ( aram-- ti, ,
Tank is located ft . and' �U degrees fro
(permanent landmark) G� J�2 / J_ (J(J `_ `•
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. Tank lids within 8" of finished grade.
Size of field ft2
Technology
units lineal ft.
Cleanout is installed in between tank and house.(+ 1/100ft).
There is a "T" that goes down 14 inches in the inlet and
outlet of the tank:
Inlet.and outlet is sealed with tar,tape,. rubber gasket etc.
Tip *— ;has- two dompartments with the.- Larger. �,cptnpartment closest to the ;, ..,..
house.
/ k "P"�Q�Mea_sure: distance and relative
..Depth of field. ft.
Soil interface raked.
Inspection portals at the.end of each trench..
Proper distance to setbacks.
Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks 'removed from
trenches, etc.)
Type of pipe used for building sewer line-SD2-0s leach field
/ Other
V Inspection meets regUirements.
Copy form to installer's file if recommendations for improvement were
suggested.
ACTION TAKEN:
Setbacks
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
j
Field 100 25 20 10 50 25 10 10
ZaLk . 50 - 10 5 10 50 10 * 10
ISDS Permit # �q�P-v0 Date
ISDS Final Inspection
QWleteness Form
Tank is gal. Tank Material
Tank is located ft. and degrees from,
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. Tank lids within 8" of finished grade.
Size of field ft' units lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
There is a "T" that goes down 14 inches in the inlet and
outlet of the tank.
Inlet.and outlet is sealed with tar•,tape,. rubber gasket etc.
T k has two . compartments with the . l:arger..;cQ paXtment closest to the ,
house.
i a ure. distance and relative diregt-.ton; to ,field.
Depth of field. ft.
Soil interface raked. _.
Inspection portals at the.end of each trench..
Proper distance to setbacks.
Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks femoved from
trenches, etc.)
Type of pipe used for building sewer line leach field
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for improvement. were
suggested.
ACTION TAKEN:
Setbacks
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
Field 100 25 20 10 50 25 10 10
TA& 50 10 5 10 50 10 * 10
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EAGLEC UNTY DEPARTMENT OF ENVIRON!/'ATAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMITa 194 (this does not constitute
a building or use permit)
Owner Jim C rai
System Location _Lot 6, Block 4, Lake Creek Meadows
Licensed Contractor Owner
* Conditional Construction approval is hereby granted for a 1,250 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 10 minutes 660 sq, ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest 660 sq/ft of drainage field
Date Inspector
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
✓ Proper materials and assembly.
Adequate absorption (or dispersal) area.
P-1 Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date ' -, /97? Inspector Ede .(:�f.�Jbi
If
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973
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 structures not approved by the building
and Zoning office 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, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
both.
,1
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 409
Name of Owner: Jitn Craig
Phone:
Address of Owner: P. 0. Box 114, Vail, CO. 81657
Is facility within boundaries of a city/town or sanitation district? No
Distance to nearest sewer system:
Location of Proposed System: 7- e /_ %�-,V
Legal Discription: Z& r /Z /_� L "E G Raa-kX - p aus S `
Type of Structure: Single Family Dwelling (.-'Other: No. Bedrooms
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot: � r/'� / Public Water Supply:--- /�
-An appropriate plat plan must accompany site inspection for this application showing required information. (See
attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the
regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS
66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be
obtained at the Eagle County sanitarian's office.
Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone
328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final
inspection.
Name, address, and telephone of person responsible for design of system: XA L-,!�- C.,� 1� L
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent per .
c
SIGNATURE OF APPLICANT: (As application become valid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: A) Permit No.
Tank Capacity: /.a.S"D gal. (minimum) Fee Recei t:!Zs '� f8`//
Absorption Area: ��a Doi +/ Sq. ft. (minimum) File: 1 �?9 7-7 AW &3 /9
REMARKS:
APPLICATION IS: APPROVED ( ) DENIED
The above individual sewage disposal system was installed by
AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT.
Date: Sanitarian:
• N
FCC: $50, 00 .
I Pnl`ic,) Lion No. '_ oy XI ernixt :to.
-7C/J/llliGlA
Owner: .
Legal Dcscription:
Tyre of Dwellin,-: ,�j � No. of Dedrooina• � L
Date of Test: /—z Denth of Holes:
_Di -,meter �- Tyne of Soil:
Loc-vtion of Test Holes: 25r5sj -
Test hole v,as presoaked from: To: / ,f /6
Wine_ Dzte Time ' DGte
TZ�I1
IYPTDR M,PTI%%. _�
INCHES 01` Fi LL
RATD
1
2
3
1_
2
3�L
1'
2...
:3
1
2
3.
/2(' (0
12111
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IZ.ZI .
1-
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Percolation Rate: ,IIPI
Site :li,-is been reviewe:l• and .test for ;:ercolation. vn'Le,•• -
W1 L `
r econu�iend : f rkROV� L DI St PPROVAL a Df TE: 7 // %7
Erik 1'. S.
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EAGL`:,)COUNTY ENVIRONMENTAL IiEAL',..1
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE FORM
GNAME
ate efered �o Permit Number
LOCATION
?lease review the attached application and return it and this completed form to
the Envi.roAmental Health Office within 6 working days.
PLANNING: File No. Yes No Reviewed by Date
Complies with:
Subdivision Regulations
Zoning Regulations
Recommend Approval
omments:
COUNTY ENGINEER
Comments:
Roads
Grading
Drainage
Recommend Approval
BUILDING DEPARTMENT:
Set backs
Site
Access
Other^
Recommend Approval
Comments:
0194—Lot 6 Block 1969A-00 Tax #2105-074-01-014
JOB NAME Lot #6A, Block 3, HARLAN
Lake Creek Meadows,
0388 Meadow Dxd;3ze, Edwards
JOB �O.
JOB LOCATION
BILL TO
DGA./TE STARTED
DATE COMPLETED
DATE BILLED
�
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LUZ - 6)nn V
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t ��
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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
JUB t-ULDER Product 278 LA�E!E/p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB
FOLDER
PERMIT # 194
OWNER: iim� S
LOCATION: Lot 6 - Block 4 - Lake Creek Meadows
(4.95 Acres)
L.v • L.w1� c /u { C..
INSTALLER: Owner
SIZE OF TANK: 1,250
DWELLING: Residential - 4 bedrooms
PERC RATE: one inch/10 minutes (660 sq.ft.)
Suggest a minimum of 660 sq.ft. of drainage field
Finalized: 8-8-77 By: John Evans
J
Printed in U.S.A.
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