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
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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
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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