HomeMy WebLinkAbout8778 Colorado River Rd - 193503400010Environmental Health Department P.O. Box 179 500 Broadway Eagle, CO 81631-0179 Phone: (970) 328-8730 Fax: (970) 328-7185 Permit Permit No. OWTS-022634-2021 Permit Type: OWTS Permit Work Classification: Alteration Permit Status: Under Review Issue Date: Not Issued Expires: N/A On-Site Wastewater Treatement System Project Address Parcel Number 8778 COLORADO RIVER RD, GYPSUM AREA,193503400010 Owner Information Address Clayton Stump 8778 Colorado River RD CO Phone: (970) 948-0593 Cell: Email: cdstump@centurylink.net Inspections: For Inspections Call: (970) 328-8755 Engineer Phone Email Contractor License Number Phone Email Altitude Septic LLC altitudeseptic@gmail.com(970) 471-6292OWTSPL-000120-20 21 Permitted Construction / Details: Replacement of the existing tank, permit IS-0771, with a 1,000 gallon for a like-in-kind tank and install a effluent filter on the outlet tee. The new tank must be a minimum of 1,000 gallons two compartment tank, and be on the CDPHE approved tank list. Contact Eagle County Environmental Health well in advance of requesting inspections prior to backfilling any component of the OWTS. The licensed installer is responsible for providing photos and a record drawing that must be submitted to and approved by Eagle County Environmental Health prior to the use of the system or occupancy of the dwelling. THIS PERIMT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT Issued by: Environmental Health Department, Eagle County, CO Claire Lewandowski Date CONDITIONS 1. 2.ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY PUBLIC HEALTH AGENCY ON-SITE WASTEWATER TREATMENT SYSTEM REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN CR.S. 25-10-101, et seq., AS AMENDED 3.THIS PERMIT IS VALID ONLY FOR PERFORMING WORK ON OWTS ASSOCIATED WITH 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 4.1.6(A)(1) EAGLE COUNTY PUBLIC HEALTH AGENCY ON-SITE WASTEWATER TREATMENT SYSTEM REGULATIONS REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN ON-SITE WASTEWATER TREATMENT SYSTEM TO BE LICENSED Thursday, October 7, 2021 1 INSPECTION WORKSHEET (INSP-511191-2021) FOR EAGLE COUNTY GOVERNMENT OWTS-022634-2021Case Number:Case Module:Permit Management 11/11/2021 ApprovedInspection Status:Inspection Date: OWTS Final InspectionInspection Type:Inspector: Job Address:Parcel Number:8778 Colorado River Rd Gypsum Area, CO 193503400010 Company Name NameContact Type Contractor Altitude Septic LLC Travor Dunsdon Owner Clayton Stump CommentsPassedChecklist Item True From the southeast corner of the garage to the first lid is 46-feet and 49-feet to the second lid. From the northeast corner to the first lid is 49-feet and 54-feet 6-inches to the second lid. Site and Soil - Site & Soil True A new Norwesco, 1,000-gallon tank was installed and connected to the existing pipe from the house and the existing STA. Septic Tank - Septic Tank True Received 11/9/2021 from Altitude Septic.Record Photos - Record Photos True The new tank was installed and connected to the existing pipe and existing STA. Soil Treatment Area (STA) - Soil Treatment Area (STA) True Altitude Septic was the licensed installer.Identification of Systems Contractor - Identification of Systems Contractor November 11, 2021 Page 1 of 1P.O. Box 179, 500 Broadway, Eagle, CO 81631-0179 INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT Np 0771 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner: Clay Stump Telephone: 524-9799 Address: 8778 Colorado River Road - Gypsum, CO 81637 System Location: Same Licensed Installer: Schultz Construction License Number: - Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 5 Minutes Absorption area per bedroom 200 Sq. Ft. Number of Bedrooms 3 X 200 Sq. Ft. minimum requirement per bedroom - equals 700 Total Sq. Ft. minimum requirement Special Requirements: Locally availabel screened gravel inspected and approved for use. Date: 11119I86 Environmental Health Officer: Sid Fnx 4t:4 . Zi 1L ZL;� 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 andcause 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 system is approved prior to covering any portion of the system. INSTALLED ABSORPTION OR DISPERSAL AREA: 290 SQ. FT. INSTALLED SEPTIC TANK: l000 GALLONS; DEGREES; FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: Scltd_ PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE.: YES PROPER MATERIALS AND ASSEMBLY: YES ✓NATO NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES �O_ COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO COMMENTS: (Any item checked NO requires correction before final approval of system ism rrange a re -inspection when work is completed.) ` DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Clay Stump, Name of Owner: Same Amount Paid: $200.00 Receipt Number: 2537 Date: 11 03 86 Cashier: Earlene Hueni nck White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner Appr Il ATIO FOR I;.vi`: T i AL St.•r / DTSaOSAL S'i S7. F =' '.TT E`'VIRO"%MENTAL H-ALTH OFFICE EAGLE COI:;.—Y' P.O. Boy: .S50 r Eagle, Colorado 81631 :;o. PERIMIT APPLICATTO` FEE: S150.00 328-7311 PERCOLATION TEST Fri;: 550.00 NAME OF OVER: �L.A \/ > YM ADDRESS: NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTE21 (if applicable): ADDRESS: I1,SIAL1FITION OF SYSTEM: PHONE: PHONE: Licensed//Installer (see attached list): YES- , NO p ADDRESS: (�a� �1� PHO:;E: 1 PERMIT APPLICATION IS FOR: (�) New Installation LOCATION OF PROPOSED INDIVIDUAL SEWAG TSPOSAL SYSTL Street/Rural Address: Lot Size: ;$'/ rip Legal Description: ►-�� PA 2, PE _BUILDING OR SERVICE TYPE (check applicable cate;ory): ( ) Residential - Single Family ( ) Residential - Duplex ( ) Residential - Tr_ olec NUMBER OF PERSONS: 5 WASTE TYPES (check applicable cate?ories): ( ) Commercial or Institutional (•� Non -Domestic Wastes !i'1 Garbage Disposal (t%f Automatic Washer ( ) Other ( ) Alteration ( ) Repair ( ) Residential Quadplex ( ) Con-::ercial (state usage) NUMBER OF BEDROOMS: (,4' Dwelling ( ) Transient Use Dish:7asher ( ) Spa Tub TYPE OF Ib7DIVIDiJ?.L SE! -.AGE DISPOSAL SYSTEM PROPOSED: ( 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 (,X) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) _. NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES (16 Yes, see attached tyastexatet J&w .,Leduction rnet,'tcds) � �' No NOTE: The EnVtito;Unenta'_' Heae,_th 063'.icat may .teduce the-teatLi�ed abso,tpti.on ctea upon apptovat o5 an adequate tyas.i exat2t 6-C.G'ty n.eductCon ,pZa;i. SOURCE AND TYPE OF WATE SUPPLY: 06 Well ( ) Spring Give depth of all e is within 200 feet of system: �® n ( ) Creek/stream If supplied by uni ve name of supplier: l��1r4 SIGNATURE- - - - - - DATE- - - -- - - - - - - INFORtfAT1ON BELOW TO BE FILLED OUT BY ENVIRON!.fENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent Ground Slope Depth to Bedtoeh (pen 8' Pro gee Ho �e )� Depth to GAoun&ate,t TabZe SOIL PERCOLATION TEST RESULTS: h iautcs p&. -6Lc i, in Ho-ee # 1 ✓! ` Afi;luted pe/t.inch to HoZe #2 i­( i, - l e s pe%inc h nch to Ho.Ce. # 3 FINAL DISPOSAL BY: - ( ) Abso.tptoil TAench, Bed o,t Pit ( ) Evapot,=LspiAcrtion ( ) Above GAcund DZs pe,,usa2 ( ) Sand F,i 2te-t ( ) Undotptound D.i,spensae ( ) (Uastc�catct Pond Arnvu;tt Paid: 60 00 � Recei,_ t Nul,ibe-t Date: ---------/�D°_°--------C 4#_51,-5 �3/-------- - - - - -- NOTE: Site Plan must be attached to -application. (Env. Health Department - Rev. 4-07-83) ' ' � -_^_'~`` -___--______� ' � ! v v~ �[ � T7� / u !~ �8���\ | PERCOLATION 1-EST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County �� FEE: $50.00 ISDS APPLICATION NO.Y OWNER: �A S��V� V LEGAL DESCRIPTION: 7 w, T RURAL ADDRESS: .TYPE OF DWELLING: ��� �?f��� NUM -- � BER OF BEDROOMS: DATE OF PERCOLATION TEST: TEST HOLES PRE-SOAKED: TIME 'I 1 2 3 l 61 /1- S-ac- YES ✓� WATER DEPTH F2 2 3 � Ile, do 6 PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: (� RECOMMENDED MINIMUM LEACH FIELD SIZE: -= TYPE OF SOIL: Lam= > P NO 12 INCHES OF FALL M RATE 2 3 1 2 s X/ RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: an�) SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer Dat COMMENTS: /'r➢ .. �n� r.. r t s :' ? e U/-/I Stump Parcel B 8778 JOB NAM[ Colorado River Rd - JOB NO)$ JOB L®CAT10N BILL TO DATE STARTED DATE COMPLETED DATE BILLED 7000 4 JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SRLLING PRICE NET PROFIT JOB FOLDER Product.278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Printed in U.S.A. JOB FOLDER