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)
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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