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
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