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Home My WebLink About1492 Ute Forest Ln - 210703301002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 4 I L Please call for final inspection before covering any portion of installed system. OWNER: Lyon Chaves MAILING ADDRESS: 4396 Columbine Rd APPLICANT: Lori Russel SYSTEMLOCATION: Tot B3 Ute Forest, W. Sq LICENSED INSTALLER: Davis Excavati DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 402 . 5 SQUAR SPECIAL REQUIREMENTS: Install 402.5 square f questions regarding a specific tech portals at the end Af ach trench a ENVIRONMENTAL HEALTH APPROVAL: CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREI TO AUTHORITY GRANTED IN 25- 10. 104. 1973, AS AMEN 2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRI TO OR USE WITH ANY DWELLING OR STRUCTURE NOT I REQUIREMENT OF THE PERMIT AND CAUSE FOR BOTH 1 3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON I FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EA PRIOR TO COVERING ANY PORTION OF THE SYSTEM. INSTALLED ABSORPTION OR DISPERSAL AREA: 657 SQU/ INSTALLED SEPTIC TANK: 1250 GALLON 84 DEG SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE Flh COMMENTS: ENVIRONMENTAL HEALTH APPROVAL: ENVIRONMENTAL HEALTH APPROVAL' RETAIN WITH RECEIPT RECORDS tl APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT A CHECK 8 Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit . # ri Building Permit # �n � cr�ur►v�-� �� APPLICATION FOR I.NDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE.- EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * MAKE ALL REMITTANCE PAYABLE'.TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: L E1e�i _ _ 0--�h av&5 MAILING ADDRESS: � a/C? Cp (u�tm 10 (vim, �/Z PHONE • zI -76 - 72-'7Z APPLICANT/CONTACT PERSON: �v21 R61,55&PHONE: 3%iS-'532,q LICENSED SYSTEMS CONTRACTOR: 6fo�- DAu(s PHONE: Tq 7 9-70& ? COMPANY/ DBA : bA1) LS L /&0&b A ADDRESS: ************************************************************************* PERMIT APPLICATION IS FOR: ('�) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: �0T - g .3 U+Cfo UCc-w C ? Tax Parcel Number: 2107 033 0/ DO Z Lot Size: Yb AG/Los- Physical Address: n 'G{%&)W d 5 . BUILDING_TYPE:. (Check applicable category) (�) Residential/Single Family. ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) (4) Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: Number Number Type _ of Bedrooms �- of Bedrooms *These systems require design by a Registered Professional Engineer SIGNATURE: Date: *************************************************************************** AMOUNT PAID: V 3-0.Cc). RECEIPT DATE: CII V5 CHECK #: Spy T_ CASHIER: E& ISDS PERMIT !�(-(2 -`l� PERCOLATION TEST EAGLE COUNTY ENVIRd ENTAL HEALTH DEPT. OWNER: i_ q o n Cha v e s LEGAL DESCRIPTION: Lo+ 0 �3 Use's+ SG(�� r,, CYee MAILING ADDRESS: 4,396 Col mkiyu- Rd Va't ( CO BiL6_7 TYPE OF DWELLING: &S NUMBER OF BEDROOMS wit ,rwwwwww** TEST HOLES PRE-SOAKED: YES NO 'PTMR wnmvn nvnmv r%T/ Ty"e. P%" "itIr T r.w..... ----- --- --- - — •1z�+. ►71J1L rlSVC 1L 1 2 3 1 2 3 1 2 3 1 2 3 0' 00 Ala I7.3-76 15,15 -1l a i .8i 56 /� ✓'� s� -� 1, :0� 75 I��Si2� 1�. �5 ,3�1� ,��5 , 3�� 13,3 �, 13.3 2� 10 1117.9 I�12'6 19�Ps 6z5 la�� 3i25 3�S a0.� 1("D 3.3 31 /037< IG, uid,J �OZ A37S 75 Hag II,4 �, 7 5' 2�_7 ►9.5 ('7.0c.A5 41�5 , 305 'i-D,0 �a.a -,3,3 6 1(,,D 11,4 V '35 IQ `Z 1 .75 2,2 0( 2_5 ��375 , 3-75' 1.q 13.3 )0.0 81 19.a l�`�?5 aa,�5 oo�2S ,1z5 ,i8�5 go,D 40-D j Iq,S Time to drop last inch PERC RATE: MINIMUM SEPTIC TANK SIZE.: LSD MINIMUM LEACH FIELD SIZE: COMMENTS: � 0 �SC9 ( I InAo nr 4-e, r7Q►-, -I-,,,A- h I waj rlsi( PERC TEST DONE BY: Environmental Hea rev. 6/90ks cer 4 I) I8" w'%�,-_ xQom " DATE: `! "/ 1qL� de�� (Sez back) o %,-S ISDS PERMIT PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: L%v� ��-11=7 LEGAL DESCRIPTION: MAILING ADDRESS: UAxc TYPE OF DWELLING: < NUMBER OF BEDROOMS ��yr��*��er��x,t�yt�rx, 'fir � ar�reter�r,r*�ryrrr�r�t,rer�r�r�r,r�r*;r,r TEST HOLES PRE-SOAKED: YES_7Z NO TIME wamry nrvmu rwrnvrc nr rrT T T%% - 1 2 3 1 2 - 3 -- --- - - 1 2 - 3 •••-�+u 1 2 3 Dv1L rtSUr 1L 0' 3 / • 3 1 y % % to jo 2' �l �N2 ► : fr-'N j I. r 1-7 LZ 1 20 4 y wv N I Sj 1N % j l 3 % G ` 6 5' '52 o,53 to-: 5N j0q 15-1 Y ��- ( d 6' b- i %q to ,' 1-7 LL I > v 13 is ► 1 % 1(. %- lq � � �L ► to tv 2d Time to drop last inch PERC RATE: d_o MINIMUM SEP'IC TANK SIZE: MINIMUM LEACH FIELD SIZE: — COMMENTS: PARC 5ST DOS BY: DATE: 7/ / Y vj,�ronmenta,,' ",0,eralth .Officer rev. "6/90 hole `gar �t ;< ,L �o� # 7!, l(v UAL 1412 CHAVES, Lyon 2107-033-01-002 Q JOB, N Lot B3 Ute Forest West Squaw Creek -a JOB NO, JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 4� v85 oC� I/Vz d)mc— C-e�'flJZ4,'(Q /4 j v �j I U 7 - F - - 'i- �F ri J.� 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 JOB FOI DER Product 278 �® NEW ENGIAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER or Printed in U.S.A. �i. J k7 y r\J N Iy/Z�y �Ya /- r a-tA(/,)Cs �-oT 8 3 , +'�� L0 7—"57 3 V'i r i�/�ia"S�; w SV.iL-cnk *************************************************************************** APPLICATION FOR ON-SITE WASTEWATER TREATMENT SYSTEM (OWTS) PERMIT INCOMPLETE APPLICATIONS MAY NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED) FEE SCHEDULE APPLICATION FEE FOR NEW OWTS OR MAJOR REPAIRS $800.00 MINOR REPAIR FEE $400.00 Fee includes the design review, permitting and maintenance of OWTS records Make all checks payable to: Eagle County Treasurer Property Owner: _______________________________________Phone: ________________________ Owner Mailing Address: ________________________________ email: _________________________ Professional Engineer: __________________________________ Phone: ________________________ Applicant / Contact Person: ______________________________Phone: ________________________ Licensed Systems Contractor Name / Company: ___________________________________________ Contractor Mailing Address: _________________________________ Contractor License #:_______ Contractor Phone Number: ________________________ email: ______________________________ OWTS Permit Application is for: ____ New Installation ____ Alteration ____ Repair Tax Parcel Number: _________________________________ Lot Size: ________________________ Assessor’s Link: www.eaglecounty.us/patie/ Physical Address: _____________________________________________________________________ Legal Description: ____________________________________________________________________ Building Type: _____ Residential / Single Family _____ Residential / Multi Family _____ Commercial / Industrial Number of Bedrooms: ______ Number of Bedrooms: ______ Type of Use: _______________ *As of 06/27/2014, all systems require design by a Registered Professional Engineer. Type of Water Supply: ____ Private Well ____ Spring ____ Surface ____ Public If Public, Name of Supplier: ____________________________________________________________ Applicant Signature: ______________________________________Date:_______________________ **************************************************************************** Office Use Only: OWTS PERMIT # __________________ BUILDING PERMIT # ____________________ Amount Paid: ___________ Receipt #: ___________ Check #: ___________ Date: ______________ DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX: (970) 328-8788 TOLL FREE: 800-225-6136 www.eaglecounty.us P.O. Box 179 500 Broadway Eagle, CO 81631 environment@eaglecounty.us December 6, 2018 X 3X Home 1492 Ute Forest Lane, Edwards, CO 81632 35.075 ac. JCS@seger-co.com601. East lake terrace Milwaukee WI 414-915-7820Johan Segerdahl 397-05-8414 C4-18 X Altitudeseptic@gmail.com PO Box 1534 Eagle, CO 81631 970-471-6292 Altitude Septic, LLC 970-471-0384Charles Ragnar Segerdahl 970-390-0307Luiza Petrovska Received on 12/07/2018 Chk# 2174 - $800 N/A $800 2174 12/07/2018 12-18-20510 June 2nd, 2019 Mr. Johan Segerdahl jcs@seger-co.com Po Box 865 Eagle, CO. 81631 RE: Final approval of the: Septic System Installation, OWTS-12-18-20510 Property location: 1492 Ute Forest Ln, Edwards Area. Mr. Segerdahl: This letter is to inform you that the above-referenced, OWTS-12-18-20510 permit, has been inspected and finalized. This OWTS permit was approved and sized to serve a three (3) bedroom residence. Additional information about the maintenance your septic system needs can be accessed through our website links, provided on the Environmental Health Department’s septic system resource page. Be aware that changes in the use of your property or alterations of your b uilding may require commensurate changes to, or relocation of, your septic system. Landscape features, trees with tap roots, irrigation systems and parking areas above the soil treatment area can cause premature system failure. It is equally important th at you notice and immediately repair dripping faucets and hissing toilets as this will certainly cause the system to fail. If you have any questions regarding this information, please contact us at (970) 328-8755 and reference the OWTS septic permit number. Best Regards, Giovanna Harkay. Administrative Fiscal Tech IV Attachments: Certification Letter and Design – Septic System Flyer – Final Letter PUBLIC HEALTH & ENVIRONMENT (970) 328-8755 FAX: (970) 328-8788 Environment@eaglecounty.us ! G 1492 Ute Forest Lane, Colorado G Lot B-3, Ute Forest at Squaw Creek, Eagle County, Colorado. G There is an existing residence G The existing well is just west of the existing garage/shed, on the north side of the driveway. G There are records of existing septic system on the property. The old system was permitted in 1994 and final inspection was done in 1995. The old permit number was 1412. G The topography of the leachfield site is steep with an average slope of about 28-30 percent. G The profile holes were excavated and observed on October 9, 2018. The soil exposed in the profile holes was as follows: Profile Hole #1 0 to 20 inches Topsoil 20” to 2.5 feet Blocky clay with roots 2.5 feet to 5.5 feet Clayey, sandy gravel, Clay Loam (from weathered siltstone, sandstone and shale) 5.5 to 7 feet Sandy gravel with angular cobbles and boulders (from weathered bedrock) No ground water encountered Profile Hole No. 2 0 to 2 feet Topsoil 2 to 3 feet Blocky clay with roots 3 feet to 7.5 feet Clay Loam (from weathered siltstone, sandstone and shale) to clayey sandy gravel cobbles, flat to angular No Ground Water encountered PROFILE HOLE # 1 Sample at 48-inches, Clay Loam, Type 3, <35% Rock (>2mm) LTAR = 0.35 gpd/sf, PROFILE HOLE # 2 Sample at 4.5 feet, Clay Loam, Type 3, >35%-65% Rock (>2mm) with >50% of the rock <20mm (3/4"), R-1; Option 1 REQUIRES: Minimum of 2-foot deep unlined sand filter with Pressure Distribution, with a maximum LTAR = 0.8gpd/sf for the soil type corresponding to the soil matrix Used design long term acceptance rate = 0.35 gpd/sf (due to the location of the proposed soil treatment area at an elevation of 8400'+ and no natural resources nearby) G ! G The proposed leachfield site will be located in the Back /Side Position of the site and south of the existing residence. G The topography of the proposed leachfield site is steep and the infiltrator chambers will be installed in a trench configuration, running along the contours. G The vegetation within the proposed leachfield site consisted of tall, dry grass, sage brush and service berries. The site surrounding the leachfield was similar with grass, sage brush, and service. G The property is on a side of a hill about 2 miles west from Squaw Creek and Squaw Creek Road. G The current use is residential. It appears that previous use was possibly grazing for livestock. ! G G ! G This site evaluation was completed by Luiza Petrovska, PE, of LKP Engineering, Inc. LKP Engineering, Inc., is located at 67 Robins Egg Lane, Eagle, Colorado. The phone number is 970-390-0307 and Luiza=s email is luiza@lkpeng.com G October 9, 2018. G Attached G From the well to the septic tank is 193 feet, to the STA 253’+/-, from STA (Soil Treatment Area or leachfield) to tank, about 200 feet, STA to building about 206 feet, STA to the north property line about 233 feet and to the west about 445 feet, septic tank to building about 17 feet. G : Items 1-4, observed. G # # # # # # # G Some difficulties in excavating trenches due to the steep slopes of 30% might be anticipated. G None known G There were no difficulties encountered during the site evaluation.