HomeMy WebLinkAbout2405 W Squaw Creek Rd - 210709102002 - 0620IS - 1701-97ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
ALTERATION
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1701-97 BP NO. 11268
OWNER: BOB & CYNTHIA ROBINSON PHONE: 970-926-3859
MAILING ADDRESS: P.O. BOX 64, EDWARDS, CO 81632
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 2405 WEST SQUAW CREEK RD., EDWARDS, CO TAX PARCEL NO. 2107-091-00-010
LICENSED INSTALLER: GOPHIR EXCAVATING LICENSE NO. 46-97
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1500 GALLON SEPTIC TANK, 525 SQUARE FEET OF TRENCH ABSORPTION AREA VIA 17 INFILTRATOR UNITS AS REQUESTED BY INSTAL-
-700
LER, IN ADDITION TO THE EXISTING"60 SO'OF LEACH AREA.
SPECIAL REQUIREMENTS: IF EXISTING 1250 GALLON TANK IS USED REMOVE THE BAFFLES FROM IT AND PLACE THE SECOND TANK AF-
TER THE EXISTING ONE. INSTALL ADDITIONAL LEACH AREA IN SERIAL DISTRIBUTION IN TRENCHES AND CONNECT THE ADDITIONAL
AREA TO THE EXISTING LEACH FIELD SO THAT THE OLD FIELD IS USED FIRST. RAKE TRENCH SURFACES TO PREVENT SMEARING OF
SOILS. INSTALL INSPECTION PORTS IN EACH TRENCH, AND ONE FOR EVERY 100' OF PIPE RUN. CALL THE COUNTY FOR FINAL INSPEC-
TION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION.
ENVIRONMENTAL HEALTH APPROVAL: DATE: NNE 19, 1997
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, 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 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.
INSTALLED ABSORPTION OR DISPERSAL AREA: 542 SQUARE FEET (VIA 17 Fn 36 TNFTT,TRATnR T1NTT9
INSTALLED CONCRETE TANK: 1000 GALLONS IS LOCATED 184 DEGREES AND 2 FEET FROM
THE EXISTING TANK. TOTAL ABSORPTION AREA IS NOW 1242 SO FT TOTAL TANK CAPACTTY T
COMMENTS: NOW 2250. FINAL INSPECTION DONE BY LAURA FAWCFTT ON 9/21 /99 AT T TTFM4 FOTTNT)
DEFICIENT AT THE INSPECTION WERE CORRECTED. THIS SYSTEM IS LARGE ENOUGH TO ACCOMMODATE
A 5 BEDROOM RESIDENCE.
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL�A 11L �� I�UZ / DATE: JANUARY 13, 2000
4
.q17
(Site Plan MUST be attached)
ISDS Permit # i!
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:
MAILING ADDRESS:
G
4 - L
VIN
PHONE: (970) Q Zy 3 apt
APPLICANT/CONTACT PERSON:PHONE: ( )
MAILING ADDRESS:
p
5i Ss
LICENSED ISDS CONTRACTOR: 5x� �. cS� PHONE: 6% ) 9z6- '
COMPANY/DBA: W- a(fAVATiu6cADDRESS: /q5a /- 4 E Crtn1C. &eO Z/JW%fCoS Qj
***************************************************************************
PERMIT APPLICATION IS FOR: ( ) New Installation (Vf Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # 1Vbf Fivtow�t ( if known)
Legal Description: Subdivision:
Filing:_Block: Lot No.
Tax Parcel Number: -9 / c '�-� / --C-2 - o . Lot Size:
Street Address: 24o5 w L--s-r sQu-aA,, C-,.s V— ►Z A EDWt�,ToS C��� �2tb37
BUILDING TYPE: (Check applicable category)
(Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF TER SUPPLY: (Check applicable category)
OF
( ) Spring ( ) Surface
(.) Public Name of Supplier:
Number of Bedrooms J
Number of Bedrooms
Type
*These systems require design by a Registered Professional Engineer
SIGNATURE:CJ"-r uy . <Z:71�Date:
TO BE COMPLETE Y THE
AMOUNT PAID: �COUNTY
S�.c RECEIPT
CHECK #:
#: M 6 /Y a DATE: �(7
821 I CASHIER: ii sUv�
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
January 13, 2000
Bob & Cynthia Robinson
P.O. Box 64
Edwards, CO 81632
EAGLE COUNTY, COLORADO
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit #1701-97, Tax Parcel #2107-091-00-010. Property location: 2405
West Squaw Creek Rd., Edwards, CO.
Dear Mr and Mrs. Robinson:
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: (9 70) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: June 19, 1997
TO: Gophir Excavating
FROM: Environmental Health Division
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Issuance of Individual Sewage Disposal System Permit No. 1701-97, Tax Parcel
#2107-091-00-001. Property Location: 2405 West Squaw Creek Rd., Edwards,
CO Robinson residence.
Enclosed is your ISDS Permit No. 1701-97. 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. Please call our office well in advance for the final
inspection.
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. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made. Your building permit CO 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
Enclosure: ISDS Final Inspection Completeness Form
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
EAGLE COUNTY, COLORADO
RECEIVED
January 4, 2000
B^b &. C�y �nthia Robinson: MMUNITY COUNTY
P.O. Box 64�(�E�
Edwards, CO 81632
Re: ISDS Permit #1701-97, property location 2405 West Squaw Creek Rd., Edwards.
De r. & Mrs. Robinson:
Thies++Pr is in regard t�_� 6ve mentioned ISDS Permit that was issued for the remodel of
your residence and enlargement of your septic system. On September 21, 1998, Laura Fawcett
of Eagle County Environmental Health, performed an inspection of the installation. The
installation did not pass final inspection for the following reasons:
1. The bull valve, which was installed will not distribute the waste water to both the existing
field and the new addition in equal flows. The bull valve directs the flow to only the new
leach field area. This valve needs to be replaced with a valve that would distribute equal
flow to both leach field areas. Kit Reid, your installer was informed of this at the time of
the inspection, and was directed to provide Eagle County Environmental Health with
documentation of the valve replacement or call for a reinspection to verify the correction.
Neither leach field area is sized individually to accommodate a 5 bedroom home, thus
both fields must be used in unison to prevent over -loading of the system.
2. The strength of the effluent line running under the driveway needs to be verified. This
involves either demonstrating double encasement of the line, or documentation of the
pipe strength.
3. It was noticed that some of the Infiltrator chambers were not latched together properly
and need to be re -connected. We asked for documentation that all the chambers were
correctly connected.
As documented in our ISDS file, on September 23, 1998, Laura Fawcett had a telephone
conversation with you, Mr. Robinson, detailing the deficiencies of the installation, and what it
would entail to finalize your system permit. Kit Reid has not called our office for a reinspection,
and to date, we have not received any documentation from the installer, or yourself, that any of
the corrections have been made. Our intent is to ensure that the system provides your family
with safe disposal of your waste water. At this time we cannot verify the adequacy of the
system, or give our final approval.
In order to finalize your ISDS permit we need you to provide documentation that the bull valve
was replaced with a device which would split the effluent equally between the existing leach
field and the new leach field area. A receipt for the replacement device would be adequate.
Also, document the schedule of pipe which was installed beneath the driveway. Furthermore,
provide a letter from your installer, Kit Reid, stating that he did indeed correctly fasten the
Infiltrator chambers together. Additionally, please provide us with a updated site plan detailing
ISDS system components, structures, well location and the distances between the aforementioned
items. The existing (old) septic tank, which was partially covered at the time of the inspection,
appears to be very close to the 5 foot minimum set back from the new addition.
Please call our office at 328-8755, if any of the above requirements to finalize your ISDS permit
are unclear.
Sincerely,
Janet Kohl
Administrative Technician, Eagle County Environmental Health
cc: Kit Reid, Gopher Excavating, Dan Stanek, Eagle County Building Official
G:\ENV\CHRONO\2000\january\Robinson 1701-97 letter.wpd
..� �•�` ��-�-�� Wes- `�`� �`�.
Grand Junction Pipe & Supply Company
V 2868 1-70 Business Loop - P.O. Box 1849 * Grand Junction, Colorado 81502 - 970 / 243-4604
AN EQUAL OPPORTUNITY EMPLOYER
EAGLE DIVISION 970/3,28-4440
TOMS: Aft Charge Accounts are due and payable 30 days air date of 4waice. Djs=nts as shown in the c9swunt CGIUM areal"' ad only ifa=urft ar,6paid in full, bythe date
below. and if them is no balance past due, No &smunts are allowed On Sales tax or delivery &AMes, FRIANCE CHAROF, Past due accounts are SuW to WMREST at the
RATE of 1 112 PERCEN17 PER MOM (18% PER ANHWO) applied W t9 Principal m0nthlY Plus any costs of collection, including reasmaNe attorneys f"S,
CASH CUSTOMER 11 BOB ROBINSON PLUMBING &
;OLD SHIP
TO- REFUNDS TO: HEATING
P, 0- 00y 6el
C. PU. R BAGLEY 9 58
119WR PIPE PVC —SOLID 30,34 4" X lQk1370101 40+ 1 LF I Y 1 .72 110 1
21SWR 90D 4" SHORT RADIUS S/W,HX) 142771 1 JEA Y 3-06140 1.84—
3 SWR 22.5D BEND BX8 4" 42652 1 EA Y 2.75 10 2-47—
4 INFILTRATOR STD CLO
SED PLAT 11381 2 EA 1 �?
6.00 12.00—
jp�
RECEIVED BY:
1. 69CR
.63CR
I . 27CR
x
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328.8797
Email: eccmdeva@vail.net
http: /lwww.eagle-county.com
January 4, 2000
Bob & Cynthia Robinson
P.O. Box 64
Edwards, CO 81632
EAGLE COUNTY, COLORADO
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
Re: ISDS Permit #1701-97, property location 2405 West Squaw Creek Rd., Edwards.
Dear Mr. & Mrs. Robinson:
This letter is in regard to the above mentioned ISDS Permit that was issued for the remodel of
your residence and enlargement of your septic system. On September 21, 1998, Laura Fawcett
of Eagle County Environmental Health, performed an inspection of the installation. The
installation did not pass final inspection for the following reasons:
l . The bull valve, which was installed will not distribute the waste water to both the existing
field and the new addition in equal flows. The bull valve directs the flow to only the new
leach field area. This valve needs to be replaced with a valve that would distribute equal
flow to both leach field areas. Kit Reid, your installer was informed of this at the time of
the inspection, and was directed to provide Eagle County Environmental Health with
documentation of the valve replacement or call for a reinspection to verify the correction.
Neither leach field area is sized individually to accommodate a 5 bedroom home, thus
both fields trust be used in unison to prevent over -loading of the system.
2. The strength of the effluent line running under the driveway needs to be verified. This
involves either demonstrating double encasement of the line, or documentation of the
pipe strength.
3. It was noticed that some of the Infiltrator chambers were not latched together properly
and need to be re -connected. We asked for documentation that all the chambers were
correctly connected.
As documented in our ISDS file, on September 23, 1998, Laura Fawcett had a telephone
conversation with you, Mr. Robinson, detailing the deficiencies of the installation, and what it
would entail to finalize your system permit. Kit Reid has not called our office for a reinspection,
and to date, we have not received any documentation from the installer, or yourself, that any of
the corrections have been made. Our intent is to ensure that the system provides your family
with safe disposal of your waste water. At this time we cannot verify the adequacy of the
system, or give our final approval.
In order to finalize your ISDS permit we need you to provide documentation that the bull valve
was replaced with a device which would split the effluent equally between the existing leach
field and the new leach field area.'A receipt for the replacement device would be adequate.
Also, document the schedule of pipe which was installed beneath the driveway. Furthermore,
provide a letter from your installer, Kit Reid, stating that he did indeed correctly fasten the
Infiltrator chambers together. Additionally, please provide us with a updated site plan detailing
ISDS system components, structures, well location and the distances between the aforementioned
items. The existing (old) septic tank, which was partially covered at the time of the inspection,
appears to be very close to the 5 foot minimum set back from the new addition.
Please call our office at 328-8755, if any of the above requirements to finalize your ISDS permit
are unclear.
Sincerely,
Janet Kohl
Administrative Technician, Eagle County Environmental Health
cc: ✓Kit Reid, Gopher Excavating, Dan Stanek, Eagle County Building Official
G:1ENVtCHRONO\2000\january\Robinson 1701-97 letter.wpd
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
July 17, 1986
Empire Savings and Loan
Post Office Box 5280
Avon, Colorado 81620
RE: Robinson Residence - Squaw Creek Road
Dear Sir,
All loan inspections are completed under the authority of the
Eagle County Building Resolution, Section 3.09.03, A(7), adopted
by the Eagle County Commissioners on October 8, 1985.
An on -site inspection of the sewage disposal system on July 15,
1986 revealed that the Septic system appears to be functioning
properly. This individual sewage disposal system was permitted and
installed in accordance with State and County Regulations. Final
approval for individual sewage disposal permit number 620 was
granted on September 21, 1983.
Water is supplied by an on -site well. The water supply was
sampled on July 15, 1986. The sample was delivered to the Upper
Eagle Valley Water and Sanitation District Lab for state certified
bacteriological analysis. The water.sample results should be
available from the lab or this office in approximately one week.
If you have any questions concerning this inspection, please call.
Sincerely,
Sid Fox, Assistant
Environmental Health Officer s"
SF/cb
cc: Betsy Robinson
Box 1826
Vail, CO 81658
Files
Board of County Commissioners Assessor Clerk and Recorder
P.O. Box 850 P.O. Box 449 P.O. Box 537
Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631
LOAN INSPECTION FORM
G�
LOCATION:
REQUESTOR:
COPIES TO:
BILL TO:
ISDS PERMIT # 2
INSPECTION INFORMATION:b
c�
D
INSPECTION DONE BY:
DATE:
t
,r
11nlllz-p-
Johnson, Kunkel & Associates, Inc.
LAND SURVEYING • CIVIL ENGINEERING • MAPPING
September 12, 1991
Mr. Ray Merry
Environmental Health Department
Eagle County, CO.
Re: Septic Design
Lot 2B, Colorow at Squaw Creek
Robinson Residence
Dear Ray:
The elevations of the laterals on the above referenced septic system
were verified on September 9, 1991 to be within the tolerances of the
Eagle County specifications.
If we may be of further assistance please let us know.
Si cerely,
James S. Kunkel
Johnson, Kunkel & Associates, Inc.
�_•.i _ _ <i A u�q
G,: a
1<ti
P.O. Box 409 • 113 East 4th Street • Eagle, Colorado 81631 • Phone: (303) 328-6368
clean outs/inspection ports in sewer lines, effluent lines or absorption areas
sewer line connection to dwelling showing the clean out
sewer line connection to leach field
Minor changes required to the leach field, such as replaced chambers, raked soils,
etc...
Detailed, scaled as -built site plan of system component locations and dimensions showing
set backs.
Receipts verifying materials installed.
Please be assured that Eagle County Environmental Health has your best interests in mind with
regards to this matter. It is our intent to verify that septic systems in Eagle County are in
compliance, for the sake of protecting your property, and our groundwater resources that may be
affecte&by Individual Sewage Disposal Systems. We intend to use this survey as a means of
updating our files and assuring compliance.
If you have any questions regarding the status of your ISDS permit file please call 970-328-8755.
Please address all correspondence to:
Eagle County Environmental Health
P.O. Box 179
Eagle, CO 81631.
C
2
Comnt;: „eicoment Department
7',1 2�0-3730
-- <? -7185
EAGLE COUNTY, COLORADO
DATE: November 20, 1997
TO: ISDS Permit Holders
FROM: Eagle County Environmental Health Division
RE: Incomplete ISDS System Files
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 31631-0179
The Eagle County Environmental Health Division is in the process of updating our Individual
Sewage Disposal System (ISDS) files in order to identify systems that may, or may not have been
completed. The status of your septic system may affect the sale, refinancing, or Certificate of
Occupancy (CO) of your property. For these reason we are attempting to update all incomplete
files.
Our records indicate that your Individual Sewage Disposal System (ISDS) Permit #l7Dl-21, for
property located at WEST SaLL&) Cite. r*_-D_ , has been issued, but has not
received final approval. For building currently under construction, your CO will not be issued
without the Environmental Health Division's approval of your septic system. For systems already
in operation, our records indicate that we need additional information submitted to our office for
us to recognize and approve your system:
Engineer final certification if your system was designed by a Registered Professional
Engineer.
Engineer final certification if your system is in operation, but was never inspected by the
Environmental Health Division for proper installation and compliance.
Environmental Health final inspection if your system did not require an engineer design,
and has not yet been covered. These systems.must be installed by Dec. 1, 1997, or you
may need engineer certification for your CO if you plan on moving into your home this
winter.
Follow-up photographs of the installation from the property owner or installer for the
.following items:
septic tank inlet/outlet "T"
septic tank placement and or location relative to permanent landmarks
installation of riser rings on septic tank to bring tank within 8" of finished grade
EAGLE COUNTY, COLORADO
November 21, 1997
Dear Applicant,
P.(-',. 'fox 79
5-00
The Environmental Health Division would like to notify you to
make a formal written request to extend your Individual Sewage
Disposal System(ISDS) Permit #170/-61)into the 1998 construction
year. The Environmental Health Division discontinued percolation
tests on November 14, 1997, and will no longer conduct final
inspections after December 1, 1997 due to climatic conditions.
ISDS permits are active for 120 days after the date of issue if
no Building Permit has been issued for the same property. If a
Building Permit has been issued for the same property, the ISDS
will expire at the same time as the building permit.
If you still plan to apply for a Building Permit this year or in
the early months of 1998you will need to have a percolation test
conducted before your Building Permit will be released. You will
have to contact a Registered Professional Engineering(RPE) firm
to conduct your percolation test.
If you have had your permit issued and have not had your final
inspection completed, but plan on constructing the system in the
next few weeks, please give our office a call and we will
evaluate your permit on a case by case situation.
If your system was designed by a Registered Professional Engineer
be aware that the final inspection must be completed by the
engineer. If the system has been completed please have the
engineer submit as -built drawings or a letter of certification to
Eagle County Environmental Health, P.O. Box 179, Eagle, CO
81631.
Please give the Environmental Health office a call at 328-8755,
if you have any questions regarding your permit extension
process.
cc: ISDS Permit #1-701-97File
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
December 8, 1997
Bob Robinson
P.O. Box 64
Edwards, CO 81632
Dear Mr. Robinson:
Eagle County Building
P.O: Box 179
500 Broadway
Eagle, Colorado 81631-0179
Our office has received your request to extend your Individual Sewage Disposal System (ISDS)
permit# 1,701-97 into the 1998 construction year. If there are any changes in your building plans,
please be sure to notify us, so the appropriate changes can be made on your permit.
If our office can be of further assistance, please call us at 328-8755.
Sincerely,
Janet Kohl
Eagle County Environmental Health
cc: isds file #1701-97
C-i
IR-
ISDS Permit # r ��� "� `� Date
ISDS Final Inspection
. Completeness Form
1'
Tank is 1600 gal.
Tank Material
�0j��-
�,� - c� o /
T`a k� s to a� ted eft. and U degrees from Qvi z C
(permanent landmark)
Vi3�Tank
�+'
��1
is located
ft. and
degrees from
(permanent landmark)
Tank set level.
Tank lids
within 8" of,finished grade.
Size of :field 64, � ,ftz 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.
Tank has two compartments with the larger compartment closest to the
house.
195r.Measure distance and relative direction to field.
L
Depth of field ft.
Soil interface raked.
✓Inspection portals at the end of each trench.
Proper distance to setbacks. SO
-a—gr-o nstalled as per manufacturers specifications.
(Chambers latche nd plates properly installed, rocks removed from
t-r-encheq, ems
Type of pipeused for building sewer line 5br - ,5 , leach field SID25-
Other C�t'� /L(. aL , /1,(.ua (rh-- OU 4U--f,-k —4-t- ri
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
Tank 50 10 5 10 50 10 * 10
I NMCM n 6,mn Miss 01471 '^C:.!'P-'%EML, FEE I-SON2—!
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PLEASE CALL' FOR.FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED
JNSPECTION ,EFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE
APPORTION OF INSTALLED SYSTEM
328-7311 or 949-5257 or 927-3823 PERMIT NO. N 2 62 0
OWNER: Robert/Elizabeth Robinson ADDRESS: P.O. Box 1826 - Vail, CO 81658
SYSTEM LOCATION: 2 miles up West Squaw Creek - Penny Gulch
LICENSED INSTALLER: Owner LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 1,000 gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: one inch in 6 minutes.
Absorption Area per Bedroom 200 sq. ft.
No. of Bedrooms 3 x 200 sq. ft. minimum requirement per bedroom
600 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS:
DATE: 6/09/83
**CONDITIONS:
INSPECTOR: Richard Pylman
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.
Installed Absorption or Dispersal Area: sq. ft.
Installed Septic Tank:
Design Engineer of System:
Installer of System:
gallons. Degrees:
Feet:
Phone:
Septic tank cleanout to within 12" of final grade or
aerated access ports above grade? Yes No
Proper materials and assembly? Yes No
Compliance with permit requirements? Yes No
Compliance with County/State regulations requirements? Yes No
COMMENTS:
(Any item checked "No" requires correction before final approval of system is made.
Arrange a re -inspection when work is completed.)
DATE: INSPECTOR:
RE -INSPECTION DATE: INSPECTOR:
RETAIN WITH RECEIPT RECORDS PERMIT NO. N! 620
CHARGES
Name of Applicant: Robert Robinson
Percolation Test = $50.00 Name of Owner: Robert Robinson
Permit Fee (includes final inspection) = Amount Paid: $200.00
ALL CHECKS OR MONEY ORDERS ARE TO BE Receipt Number: 1971 (6/2/83)
MADE PAYABLE TO: EAGLE COUNTY Cashier: Lorraine Funke
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
�_.APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
� ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
• P.O. Box 850
Eagle, Colorado 81631 No. 1019
PERMIT APPLICATION FEE: $150.00 328-7311 PERCOLATION TEST FEE: $50.00
NAME OF OWNER:
ADDRESS : � , l +x� ti 'Lfo \% LI c1h. $ PHONE : -aa
alt-
NAME OF APPLICANT (if different from owner);
ADDRESS:
DESIGN ENGINEER OF SYSTEM (if applicable):
ADDRESS:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
Licensed Installer (see attached list):
PHONE:
PHONE:
't 07 _1_7
YES NO ww"
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: (,) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address: Zt.. 1C,& '
Lot Size:
Legal Description: Lot -+ ;„, S£cf� 6a_0 ,' { a kot
BUILDING OR SERVICE TYPE (check applicable category):
(X ) Residential - Single Family
( ) Residential - Duplex
( ) Residential - Triplex
NUMBER OF PERSONS: j
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
OC) Garbage Disposal
O Automatic Washer
( ) Other
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
JuJ✓1SIr�,�`L� 'j ti
( ) Residential - Quadplex
( ) Commercial (state usage).
NUMBER OF BEDROOMS:
( ) Dwelling
( ) Transient Use
( ) Dishwasher
( ) Spa Tub
04)
Septic Tank
(
) Composting Toilet
(
)
Incineration Toilet
( )
Vault Privy
(
) Greywater
(
)
Chemical Toilet
( )
Pit Privy
(
) Aeration Plant
(
)
Recycling, Potable Use
( )
Other
(
)
Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (j)
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS.PER DAY: YES () NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( )
(I j yeas, see attached wa�stewatetL stow tceduction methoA )
NOTE: The EnviAonmenta2 Heatth Oj4icetL may teduce the negwined absotLptzon outea upon
appteova2 of an adequate wastewatetc 4tow tceduction ptan.
SOURCE AND TYPE OF WATER SUPPLY: (Y ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system: 4t
If suppliedbycommunity water, give name of supplier, V
SIGNATURE: <Z C.g "' , <:�7A DATE: Z/
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent GtLound Stope
Depth to Be&Lock (pe%L s' PtLo4iZe Hote)
Depth to G&oundwatetL Table
SOIL PERCOLATION TEST RESULTS: Minute,6 pets inch in Hote #1
Minutes pet, inch to Hote # 2
Mf i nu terms pe1L inch to Hote # 3
FINAL DISPOSAL By:
( ) AbzoAption T&eneh, Bed oA Pit
( ) Above GtLound Dipelusat
( ) Undetcgtcound D,i�spetusat
( ) OthetL
Amount Paid: I' � Receipt NumbetL
Evapot)Lansp to ion
Sand FiZtetL
WalstewateA Pond
1 q7l Date: Coa ?3
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-83)
�~
PERCOLATION TEST FEE: S50
'
~ '
�
.- OWNER:
LEGAL DESCRIPTION:
RURAL ADDRESS:
TYPE OF DWELLING:
# OF BEDROOMS:
. '
DATE OF PERCOLATION TEST: TYPE OF SOIL:
TEST HOLES PRESOAKED? Yes' No/_________
--�------- V
^�
WATER DEPTH
to
MEMIlMm
WOMEN-
Ml
PERCOLATION
- '
.
RECOMMENDED
MINIMUM SEPTIC
�.
TANK SIZE:
RECOMMENDED
MINIMUM LEACH
FIELD SIZE:
opo
RECOMMENDED
MINIMUM SQUARE
FOOTAGE PER
ULUR00M:
Site has been r2Vi8NedaOd
testepf
p colation rate.
t
Date ' '
`
fDVl�0�
�
�m8���| Health urrlcer
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arts a
PIC
ln'il
it
PIN
1\VV IL 1 VI\1 I.
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
c A • �
Name
Date Routed
Application No.
0�1.1 G i
Location
Please review the attached Individual Sewage Disposal System Permit Application and return
it with this completed form to the Environmental Health Office_._
PLANNING: Complies with - YES —NO AC\ NbV1EWED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDING: Complies with -
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
COMMENTS:
��
r®,���
RAI
NO
REVIEWED -BY
DATE.
®_
�r�'rl�����/�%l�`1�:1I�
11
WA
w
ENGINEER: Complies.with -
Roads:
Grading:
Drainage:
Recommend Approval:
YES
NO
REVIEWED BY
DATE
-
-_
-z
COMMENTS:
ENVIRONMENTAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
YES
NO
REVIEWED BY
DATE
COMMENTS:
EAGLE COUNTY memorandum -
To: Subject:
Mr. Robert Robinson ENCLOSED ISDS PERMIT #620
From: File No.: Date: .._.
Environmental Health Office
June 9, 1983
Enclosed is your individual sewage disposal system Permit #620 for property located
two (2) miles up West Squaw Creek (Penny Gulch). The information on the permit
application indicates that the system will be owner installed. Therefore, you will
be responsible for the installation of the system.
The permit (green copy) must be posted on the installation site. You must call our
office for final inspection before covering any portion of the installed system. We
can be reached at 328-7311 or 949-5257, extension 238.
If you have any questions, please contact us.
-- Lorraine Funke, Secretary
Environmental Health Office
Eagle County
/if
Enc .
EAGLE COUNTY memorandum
To: Subject:
Mr. Dean Anderson Completed ISDS Permit #642
From: Environmental Health Office File No.: Date:
September 23, 1983
This is to inform you that your ISDS Permit #642 has been finalized and
signed off by Erik Edeen, Eagle County Environmental Health Officer, on
September 24, 1983.
I am enclosing a copy for your records.
-- Lorraine Funke, Secretary
Environmental Health Office
EAGLE COLORADO
/if
Encs.
0620 Robinson 2 miles up West 1701-97 Tax#2107-091-00-010 / �g
JOB NAME Squaw Crk Penny
Gulch
2405 West Squaw Creek ROBINSON
JOB Nam» '
• Edwards, CO ALTERATION PERMIT
MAN, 'i
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DATE COMPLETED
DATE B I ED
AWN
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FOLDER Product 278 � NEVENGLAND BUSINESS SERVICE, INC., GRO%N. MA 01471 V
® Printed in U,SA,
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