HomeMy WebLinkAbout445 Rolling Hills Dr - 210508211005INDIVIDUAL 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. 2058-00 BP NO. 13437 OWNER: JOHN AND SANDY BLACK PHONE: MAILING ADDRESS: C/O KC BUILDERS, INC., P.O. BOX 689, EDWARDS, CO 81632 APPLICANT: KEVIN COOK PHONE: 970-926-9889 SYSTEM LOCATION: 0445 ROLLING HILLS, EDWARDS, CO TAX PARCEL NO. 2105-082-00-005 LICENSED INSTALLER: T. NOTTINGHAM CONSTRUCTION, TERE NOTTINGHAM LICENSE NO. 37-00 PHONE: 970-471-2711 DESIGN ENGINEER: LKP ENGINEERING LUIZA PETROVSKA PHONE NO. 970-926-9088 INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 5 BEDROOM RESIDENCE 1500 GALLON CONCRETE SEPTIC TANK, 1860 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 60 INFILTRATOR UNITS, AS PER ENGINEER'S DESIGN SPECIAL REQUIREMENTS: INSTALL AS PER ENGINEER'S REVISED DESIGN DATED 9/27/00, WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE, AND INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS. AND DO NOT INSTALL IN WET WEATHER. 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 CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL EPT SYS S BEEN INSPECTED AND APPROVED. ENVIRONMENTAL HEALTH APPROVAL: c.® DATE: NOVEMBER 27, 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: 1860 SQUARE FEET (VIA 60 INFILTRATOR UNITS PER DESIGN ) INSTALLED CONCRETE SEPTICTANK: 15 0 OGALLONS IS LOCATED 12 DEGREES AND 13 6 FEET INCHES FROM THE CLEANOUT ON THE NORTH SIDE OF THE HOUSE CLOSEST TO THE HOUSE. COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT OF EAGLE COUNTY ENV. HEALTH, AND THE DESIGN ENGINEER ON 8-3-01. THE FINAL CERTIFICATION WAS RECEIVE ON 10-4-01. THIS 'SYSTEM IS LARGE ENOUGH TO ACCOMMODATE A 5 BEDROOM RESIDENCE. ANY ITEM NOT MEETING REQUIREMENTS WIPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. LL TED B FIN AP ENVIRONMENTAL HEALTH APPROVAL DATE: c�"� 0 Incomplete Applications Will NOT Be Accepted ,(Site Plan MUST be attached) ISDS Permit #��� Building Permit # i3 4 3--� 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" PROPERTY OWNER: J0hY) - `a�Lkj P-,)`taC-'— MAILING ADDRESS: 4() I& RZA -t I S G� L ( 1/1 U APPLICANT/CONTACT PERSON: ra-yvv, Coo k-- .LICENSED SYSTEMS CONTRACTOR 1�O+ /L of COMPANY/DBA:�� PHONE: PHONE: M PHONE : 4q 1 �4 1 �s &Icon *************************************************************************** PERMIT APPLICATION IS FOR: ( �XNEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: ��&- u ��y V-OA/IaL &,' - L0+ Tax Parcel Number: Al Qr20 ,?- H OOS Lot Size: Physical Address: T'�!) T7 < <<S D / BUILDIN /TTYPE: (Check applicable category) ( Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type *These systems require design by a Registered Professional Engineer TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Sur, w S ( Public Nam f Sup Tier: � '!"\ APPLICANT SIGNATUR Date: ************************************************************************** �- 0 AMOUNT PAID: % RECEIPT # : / �� DATE: 49 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 October 19, 2001 John and Sandy Black c/o KC Builders, Inc. P.O. Box 689 Edwards, CO 81632 Raymond P. Merry, REHS Director RE: Final of ISDS Permit #2058-00, Tax Parcel #2105-082-00-005. Property location: 0445 Rolling Hills, Edwards, CO. Dear Mr. & Mrs. Black: 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: November 27, 2000 TO: T. Nottingham Construction 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.2058-00. Property Location: 0445 Rolling Hills, Edwards, CO., Black residence. Enclosed is your ISDS Permit No. 2058-00. 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 V/ u41 /-uriI I1). Ll 7 rKJ7LD7CJa7 Lrlrl t11R11114=KllYU INLI tlAut Ul Lam'1 Engineering., one. CAIU020ACAMCAL October 4, 2001 Mr. Kevin Cooke KC D-ilders P- 0. Box 689 Edwards, CO 81632 DearKevin: RE: Inspection of Septic system Installation Lot 6, Creamery Ranch O045 Rolling 14ills Drive Eagle County, Colorado Project No. 20184 - ISDS Permit No. 2058-00 At your request, on August 3, 2001, we visited the constructiotx site on Lot 6, Creamery Ranch, Eagle CountY5 Colorado. The purpose of our site visits was to inspect the installation, oi`the septic system.. Due to construction traffic over the proposed leach field are an additional pert test was done to verify the original pert rate. The pert results are appended to this letter and were identical to the original Perc,results. They installed the system in..overall compliance with the septic system design, Drawix�g No. 201845D_DWG, last revised September 27, 2000. The system was installed as shown on the attached, as - built sketch. They installed a 1500-gallon, two compartments, a precast, concrete septic tank. A cleanout was installed between the house and the septic tank, Sixty Standard Infiltrator Chambers were installed in a trench, configuration, with six trenches of infiltrators; The first trench contained 9 infiltrators, the second and third treiichels each had 1.0 , the fourth artd fifth trenches each had 1.1 and the sixth trench had 9 for a total of 60. Theinfiltrators were connected with serial distribution. In the fist and last ihfiltxator of each trench, inspection ports were installed. If'you have any questions, please do not hesitate to call. LKP Eugianeerin ..�� oar Luiza Petrovsk 29626 g President4N Enclosure cc: Mrs. Laura Fawcett, Eagle County Building Department, :Fax. 328�0349 +\"'N'4���MYF;4+talwroldodwpvp�31201 BAOII[.w�p PD. Box 2837, Edwards, Co 81632, (970) 926-9088 Tel, (970) 926-9080 Fax r-1F•T !1 '" -Md — III Md . A — --I I 1— F+!'S1 IL I-1 1-411 1 1 1-1 — 1 1 tit ti4l 4CJg1 1j-. L1 17 fU'7 zO' tUOl LKr LINUINLttKINU INN ifiut Ud Lam' ENGINIEF .I G9 INC. P.O. BOx 2837 Edwards; CO 81632-2837 (970) 926-9088 Fax (970) 926-9089 PERCOLATION TEST RESULTS Client: Mr. Kevin Cooke ]Location: JIBE: Inspection of Septic F.O.Box KC Builders89 System Installation dsLot 6, Creamery Ranch Edwards, COCO 81632 0045 Rolling i-Ii11s DrivP, Eagle County, Colorado PrOjecti Rio.: 20184 Average Pefcolatioxx Hole Diameter: 10 Inches Hales Dug and presoaked: July 24, 2001 Test Run! July 25, 2001 By: Pete P&ovski R .71:3 a ISDS Permit # 0 b - 0 6 Date ISDS Final Inspection Completeness Form Tank is gal! Tank Material Tank is located ,ft. and degrees from' Q D ffl c�' �� is af,v (Pexunent IYudmerk) Tank is located 1j_ft. and I degrees from M-j`- -gyp kft4k Ipecsewac laumerk) Tank set level. Tank lids within 6" of finished grade. C,6 Size of field L(Oy ft2 W units lineal ft. Technology Stu � j .P A& bn 4D 10 i/ 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. t.k ;has:;t*o Compartments with the ,la' ar..-..cq partment closest to house. N+easure. distance and relative direpon to _field; q Depth of field. �' ft. a Soil interface raked. �C7 Inspection portals at the.end of each trench.. Proper distance to setbacks. Chambers properly installed as per manufacturers specificattons. (Chambers latched, end plates properly installed, rocks 'removed from i/ trenches, etc.) Type of pipe used for building sewer line 52_"S , leach fields• a�� `� Other Inspection meets reMlirements. ScJ 40 48 Copy form to installer's 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 TAII& 50 10 5 10 so 10 * 10 2058-00 Tax #2105-082-11-005 JOB NAME Lot #6, Creamery Ranch BLACK 0445 Rolling Hills Drive Edwards JOB NO.3 P- 13q -5 2 BILL TO DATE S ART D DATE COMPLETED DATE BILLED t� f�� -/ c7?% �d Q- -2-3 --v JOB COST SUMMARY TOTAL SELLING PRICE gi3 0 J-tIAA��//_ [T�/� �i�, 1]1_ Z��` . � o� TOTAL MATERIAL Xz +r) (� l Q� TOTAL LABOR L INSURANCE ,O �i�CQ.�fJ < _ _ SALES TAX M ISC. 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