HomeMy WebLinkAbout61 Sage Grouse Trl - 210716103001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, CO 81631 Telephone: (970) 328-8755 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 2023-00 BP NO. 13323 OWNER: DAVID ADKINS PHONE: 970-280-5880 MAILING ADDRESS: P.O. BOX 2691, EDWARDS, CO 81632 APPLICANT: JIM DUNN, GROUND CONTROL EXCAVATING PHONE: 970-904-6000 SYSTEM LOCATION: 061 SAGE GROUSE TRAIL. EDWARDS, CO TAX PARCEL NO. 2107-163-01-001 LICENSED INSTALLER: GROUND CONTROL EXCAVATION, JIM DUNN LICENSE NO.44-00 PHONE: 970-904-6000 DESIGN ENGINEER: LKP ENGINEERING, LUIZA PETROVSKA PHONE NO. 970-926-9088 INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 6 BEDROOM RESIDENCE 2000 GALLON CONCRETE SEPTIC TANK, 1000 GALLON ELECTRIC LIFT STATION, 1350 SQUARE FEET OF ABSORPTION AREA, VIA MOUND DESIGN WITH 8775 SQUARE FEET OF BASAL AREA AS PER ENGINEER'S DESIGN DATED 6/15/00. SPECIAL REQUIREMENTS: INSTALL AS PER ENGINEER'S DESIGN. BE SURE TO MAINTAIN ALL APPLICABLE SET BACK REQUIREMENTS ENGINEER IS RESPONSIBLE FOR FINAL INSPECTION. DO NOT BACK FILL ANY PART OF THE INSTALLATION UNTIL THE ENGINEER HAS INSPECTED AND APPROVED IT. THE BUILDING CERTIFICATED OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS BEEN APPROVED ENVIRONMENTAL HEALTH APPROVAL: LAURA FAWCETT DATE: AUGUST 17, 2000 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, 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. INSTALLED ABSORPTION OR DISPERSAL AREA: 1350 SQUARE FEET (VIA MOUND DESIGN ) INSTALLED CONCRETE SEPTIC TANK: 2000 GALLONS IS LOCATED 210 DEGREES AND 14 FEET INCHES FROM THE CLEANOUT ON THE WEST SIDE OF THE HOUSE. THE 1000 GALLON LIFT STATION WAS ALSO INSTALLED ACCORDING TO THE DESIGN. COMMENTS: THE FINAL INSPECTIONS WERE DONE BY LAURA FAWCETT OF EAGLE COUNTY ENVIRONMENTAL HEALTH AND THE DESIGN ENGIN- EER ON JUNE 5 AND 6, 2001. THE ENGINEER'S FINAL CERTIFICATION WAS RECEIVED ON DECEMBER 20 2001. THIS SYSTEM IS LARGE ENOUGH TO ACCOMMODATE A SIX 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 LAURA FAWCETT DATE: DECEMBER 31, 2001 Incomplete Applications Will NOT Be Accepted (Sites Plan MUST be attached) ISDS Permit # 16CZ3 _0 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) ************************************************************************** * FEE SCHEDULE * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * SIZING AND SITE VISIT FEE $85.00 (WHEN ENVIRONMENTAL HEALTH SIZES THE * SYSTEM USING YOUR SOILS REPORT) * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" D PROPERTY OW R: MAILING ADDRESS: PHONE: qa l-�X APPLICANT/ CONTACT PERSON: k1 w., Q�&cv ttA L+4 -QC) PHONE: g t0N- (.non LICENSED SYSTEMS CONTRACTOR: 9Peuj,4 J SONI-124F) L- PHONE: qQ+(D CA,10 COMPANY/DBA: CjyLVK .its Lg,"j gei-- ADDRESS: �.B . ��,'1-lc� ,A dnt4 gZt6-)-o *************************************************************************** PERMIT APPLICATION IS FOR: �^' NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: L_c, r ' 3 Ft1--1t-1 i '3(-n , 0 r,X&,, -).tcrr IL3 610401 Tax Parcel Number: --tol t(.')- b1Cn3 Lot Size: _ ,!$A,t.Sf,- Physical Address: b 1^Ly l AALI, / �1441 k1lWe'011- BUILDING TYPE: (Check applicable category) (X Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ r� -Tlja�z of Bedrooms L of Bedrooms *These systems require design by a Registered Professional Engineer TYPE OF WATER SUPPLY: (Check applicabl r c Iegory) ( ) Well ( ) pring Surface �C) Public Na f Su er: APPLICANT SIGNATURE: Date: ld Is lop AMOUNT PAID: C� RECEIPT #: �� DATE: t4k- -- CHECK #: CASHIER: ��'��'�, DEPARTMENT OF ENVIRONMENTAL HEALTH (970)328-8755 FAX (970) 328-8788 TDD: (970) 328-8797 TOLL FREE: 800-225-8136 www.eagle-county.com EAGLE COUNTY, COLORADO December 31, 2001 Adkins Kloosterman P.O. Box 2513 Edwards, CO 81632 r-�' a ( 0'7 -- RE: Final of ISDS Permit #2023-00 Tax Parcel #2107-163-01-001 location: 0317 Sage Grouse Trail, Edwards, CO. C olc( Dear Mr. Kloosterman: Raymond P. Merry, REHS Director l(,c - 03 -001 Property 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, f Janet Kohl Eagle County Environmental Health Department ENCL: Informational Brochure Final ISDS Permit cc: files OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX (970) 328-8788 TDD: (970) 328-8797 TOLL FREE: 800-225-8136 www.eagle-county.com EAGLE COUNTY, COLORADO December 31, 2001 Raymond P. Merry, REHS Director David Adkins P.O. Box 2691 Edwards, CO 81632 RE: Final of ISDS Permit #2023-00 Tax Parcel #2107-163-01-001. Property location: 061 Sage Grouse Trail, Edwards, CO. Dear Mr. Adkins: 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 Eagle County Environmental Health Department ENCL: Informational Brochure Final ISDS Permit cc: files OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 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, COLORADO Date: August 17, 2000 TO: Ground Control Excavation 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.2023-00. Property Location: 0317 Sage Grouse Trail, Edwards, Adkins/ Kloosterman property. Enclosed is your ISDS Permit No. 2023-00. 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. Please note any special requirements that may have been added to the design by this department. Systems designed by a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County does not perform final inspections on engineer designed systems. Your TCO will not be issued until our office receives this certification. 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. Please notify this office if you have not been contracted to perform this installation. If you have any questions, please feel free to contact the Environmental Health Division at 328- 8755. cc: files LKP Engineering, Luiza Petrovska 1�/2u/2uul lu::;l LKP ENGINEERING INC PAGE 01 �J LI P'j Engineering, Inc. December 20, 2001. Mr. Bob Armstead Timberland Homes P.O. Box 4537 Avon, CO 81620 Dear Bob: RE: Inspecti.00 of septic System Installation Adkins Residence Lot 3, Block,2, Cordillera Filing No. 36 61 Sage Grouse Trail Eagle County, Colorado Project No. 201.11 - Permit No. 2023-00 At the request of Scott with +Ground Control Excavating, on June 5 and 6, and 12, 2001, we visited the con$truction. site for the Adkins Residence on Lot 3, Block 2, Cordillera Filing No. 36, 61 Sage Grouse Trail, Eagle County, Colorado. The purpose of our site visits was to observe the installation of the septic system, They installed the system in overall. compliance with the septic system design, Drawing No. 20111 SD.DWG, dated June 15, 2000. The system was installed as shown on the above -named drawing. They installed a 2000-gallon, two -compartments, a precast, concrete septic tank and a 1000-gallon, electric lift station. A, cleanout was installed between. the house and the septic tank as shown on the design drawing. The effluent line was 3" diameter, sch 40 pvc, connected to the 3" diameter, central rnanifold. Six laterals were constructed, three on each side of the central manifold. The laterals were a 1-1/2" diameter, perforated at their inverts with 1/4" holes at 36" intervals, The ends of the laterals were capped. The gravel absorption area was 85 feet by 14 feet. The mound perimeter consisted of mortar type sand with an upslope dimension of 15 feet, 25 ]Feet on each side of the gravel bed and 50 feet below. The inspection ports on both sides of the gravel bed were installed at the time of our last site visit. The pump was installed and tested and a letter (attached) was submitted to us by Mike with Timberland Homes. 1t' you have any questions, please do not hesitate to call. Sincerely, LKP 1i ugineerh i r6- suiza Petrovska,' President '29526 r1 c "f z zC7. 01 CC! Ms. Laura Fawcett, Eagle County Environmental.Health Division, fax. 328-0349 C:1ATyFi��R�c1�POCSl201 1 I pSI-movnd.SVpj] P.O. Box 2837, Edwards, CO 91632, (970) 926-9088 Tel, (970) 926-9089 Fax 11JLb{1��1 1b:31 yibybybki� LKP ENGINEERING INC PAGE 62 .I� 4 �� �s i ohs rmJt T€41k"VR'--7D 7V ZKP 12. On-v/ CS, �y �aS c CM lIV2i1 3800 p� o 3113G kGVI b°p w o a �� 6 1� N Fs.T n �Gm ,n 'P r dry�� �12l0 3NR1 f0 a d 47 AY'M liSl ZO �N`NSR'S 10 3S/3 r -N7 ANNU d0 loo c 0 dd 'AM OLb yp�N 06/13/2001 08:42 9708459797 GROUND � so's CONTROL INC Inc. T EXCAVATING To: F o-1ll; s dd L1eliG"-- — A i1 Sr w--- No- of pages Z- (ikacl. cover sheet) Comments; -- j+-''R=•'%n+r�s-r-SAS'��.�-�!R'T!!.r,��1�■�''��.:.-:=C�:�Z�i�- Thank you, Ph' 970-904-6400 • Fx: 970-845.9797 1 PO. Box 8309 • Avon, Colorado 81620 PAGE 01 J'UN-13-E001 WED 09:40RM ID:EAGLE COUNTY ENV HEALTH PAGE:1 C:) m C) 06/13/2001 08:42 9708459797 (.,Rni iNT) c,.nNTpnl TNr. CL in • rp � a a, 2 rn ul CL, Z cl AIR PL M13 .......... ....... .. ... ...... .. 0 klq PAGE 02 m m Sn 0 Z un 14 14 ol ,;,, '4 4 P 4 co M; 2'Zo— w o) Z ro ------------------- TUN-13-2001 WED 09:40AM ID:EAGLE COUNTY ENV HEALTH PAGE:2 ism Permit # v �°J Y� `�z ®I Date 4"l `3Cb l ISDS Final Inspection 5¢ ' Comflleteness Form Tank is 4�al .'TTanank Material l Tank is located �ft. and degrees frotq, 1pere rent lanam.rk) Tank is located ft. and degrees front Ipenaeneat laadsark) Tank set level. Tank lids within 6" of finished grade. Size of field ft2 units lineal ft. Technology btxvd, d P pm '. 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 dbmpartments with the ..argar..�,cpmpartment closest to the house. Xea_ ure: distance and relative direct .Depth of field. ft. Soil interface raked. r Inspection portals at the .end of each txei.. In��0 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 �=[DP, "s l , leach field Insp ioMe. ._ Copy form to installers 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 ZdIilS 50 10 5 10 50 10 * 10 ZU23-UU Tax #2107-161-01-001 JOB NAME , Lot #3, Filing 36 ADKINS/ Cordillera Sub. Ki�rer.T /Sage Grouse Trail JOB NO. Z3 3 9 -3 —A aio�7- i6�- LOCATION 03-001 BILL TO DATE STARTED DATE COMPLETED DATE BILLED OK �`94-mac 6-4 04 �l�slo� 2000 = --- 20a 1 3 ^� 6�2`�� dZ ,,,� 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 FOLDER Product 278 03(-7 .' G(' )vim 1rci�l Lbt 3 I i ire,3i, D 1-7 So- Gnoj-s I1-a Cord'tl era- Printed in U.S.A. - - - --�-- - - - �� �•� �� •�•�- -G �-�, zwwii «vvv rcrriuvunie covers or mannoies-to w1u7n shall be covered with a vent cap. GROSS NET: DISCHARGE KEIGHT inches of the finished grade, for inspection and cledning: CHECKED BY L.P. i VOLUME VOLUAC PER CYCLE TANKAID c r J. Avoid vehicle traffic over the s tem. O50 PRO✓ECt NO • 20111 GAL 900 GAL 1762 AL/1ar , /N. 9300 LBS � 4. All installations shall meet the rules and regulations of the Eagle Count Environmental Health DA7F' 06-15-2000 NOTE: The above septic Conk s produced by Front Range Precast Concrete Individual Sewage Disposal Systems. t Division, for 9 Y Div' NO TE.• — SITE PLAN BY VA/L ARCHITECTURE GROUP. 5. The 11 SD. D WG in q Engineer t Septic System 7nstallat�on shall be inspected b the Design En In DRAWING NO.: 201 P y g prior o backFlling. The lift station must be tested at final inspection. SHEET 1 OF 1 4. All installations shall meet the rules and regulations of the Eagle Count Environmental Health DA7F' 06-15-2000 NOTE: The above septic Conk s produced by Front Range Precast Concrete Individual Sewage Disposal Systems. t Division, for 9 Y Div' NO TE.• — SITE PLAN BY VA/L ARCHITECTURE GROUP. 5. The 11 SD. D WG in q Engineer t Septic System 7nstallat�on shall be inspected b the Design En In DRAWING NO.: 201 P y g prior o backFlling. The lift station must be tested at final inspection. SHEET 1 OF 1