HomeMy WebLinkAbout310 Little Andorra Rd - 210701403006INDIVIDUAL 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. 2168-02 BP NO. 14036
OWNER: ROBERT SHAW PHONE: 847-295-3777
MAILING ADDRESS: 100 FIELD DRIVE, SUITE 150, LAKE FOREST, IL 60045
APPLICANT: SCOTT S. TURNIPSEED, AIA PHONE: 970-328-3900
SYSTEM LOCATION: 310 LITTLE ANDORRA, EDWARDS, CO 81632 TAX PARCEL NO. 2107-014-03-006
LICENSED INSTALLER: GRAEF CONSTRUCTION OF VAIL, ROB GRAEF LICENSE NO. 7-02 PHONE: 970-926-2059
DESIGN ENGINEER: LKP ENGINEERING, LUIZA PETROVSKA PHONE NO. 970-926-9088
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR AN 8 BEDROOM RESIDENCE
2500 GALLON SEPTIC TANK, 2263 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 73 INFILTRATOR UNITS, AS PER ENGINEER'S DESIGN
SPECIAL INSTRUCTIONS: INSTALL AS PER ENGINEER'S DESIGN DATED 6/11/02, WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE AND
INSPECTION PORTALS IN EACH TRENCH. THE ENGINEER AND EAGLE COUNTY MUST FIELD VERIFY DEPTH TO BEDROCK AT TIME OF INSTALLA-
TION TO ENSURE A FOUR FEET SEPARATION TO BEDROCK. INSTALL THE CHAMBERS AT A MAXIMUM DEPTH OF 12 INCHES IN NATIVE SOIL CALL
EAGLE COUNTY ENVIRONMENTAL HEALTH AND THE DESIGN ENGINEER FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF
THE INSTALLATION OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. THE BUILDING CERTIFICATE OF OCCUPANCY WILL NOT
BE ISSUED UNTIL THE SEPTIC SYSTEM HAS BEEN INSPECTED AND APPROVED.
ENVIRONMENTAL HEALTH APPROVAL: Q {//i &JAA::Q ' DATE: JUNE 19, 2002
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: 2263 SQUARE FEET (VIA 73 INFILTRATOR UNITS AS PER DESIGN )
INSTALLED CONCRETE SEPTIC TANK: 2500 GALLONS IS LOCATED '162 DEGREES AND '38 FEET 9 INCHES
FROM THE CLEAN -OUT ON THE NORTH WEST CORNER OF THE HOUSE.
COMMENTS: THE FINAL INSPECTION WAS DONE BY THE DFSTGN FNGTNFFR ON TTTNF 18, 9Qn, I) TATTRA -PA CE
OF EAGLE COUNTY ENVIRONMENTAL HEALTH ON JUNE 27, 2002 THE FNGTNFFR'S FTNAT CFRTTFTCATTOIN WAS
RECEIVED ON JULY 17, 2002, THTS SYSTEM TS T ARcF FNnTTa14 FOR AN g RFnRo nm RESILIFN(-,E
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 APPROVALDATE: AUGUST 2. 2002
Incomplete Applications Will NOT Be Accepted
(Site -Plan MUST be attached)
ISDS Permit #
Building Permit # t40 3-A
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
Eagle (970)328-8755, Fax (970)328-0349, El Jebel (970)927-3823
****************************************************************************
* FEE SCHEDULE
* APPLICATION FEE $350.b0
THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PERCOLATION TEST,
* SOIL PROFILE OBSERVATION) AND FINAL INSPECTION
* ADDITIONAL FEES MAY BE CHARGED IF A REINSPECTION IS NECESSARY, OR A
* PRE -CONSTRUCTION SITE VISIT OR CONSULTATION IS NEEDED
* REINSPECTION FEE $47.00, PRE -CONSTRUCTION SITE VISIT FEE $85.00
* MAKE ALL --REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER:
MAILING ADDRESS:
.�7 -,OQS-,-3 77'j
APPLICANT/CONTACT PERSON: �, I(l��( � � A�
yY-4- PHONE: _a
_ LICENSED SYSTEMS CONTRACTOR: Vr- VC- PHONE: gZ��Og o
COMPANY/DBA: �=�l feeVj ADDRESS: ` [`�( Z � l�1Gl ,CC��.
************************************************************************
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Tax Parcel Number:
Physical Address:
BUILDING TYPE: (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 ( ) Surf
00 Public. Name -of Su Tier: 1
APPLICANT SIGNATURE: Date:
******************-*7�************************f*****/A****************************
AMOUNT PAID :A ' V RECEIPT DATE:
CHECK #: ' O/(a 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
August 2, 2002
Robert Shaw
100 Field Drive, Suite 150
Lake Forest, IL 60045
Raymond P. Merry, REHS
Director
RE: Final of ISDS Permit #2168-02, Tax Parcel #2107-014-03-006. Property
location: 310 Little Andorra. -Edwards, CO 81632.
Dear, Mr. Shaw:
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
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
Date: February 14, 2002
TO: Graef Construction of Vail
FROM: Environmental Health Division
Raymond P. Merry, REHS
Director
RE: Issuance of Individual Sewage Disposal System Permit No.2168-02. Tax Parcel
# 2107-014-03-006. Property Location: 310 Little Andorra, Edwards, CO., Shaw
residence.
Enclosed is your ISDS Permit No. 2168-02 and a field copy of the engineer design stipulated on
the permit. It is valid for 120 days, or for the duration of your current building permit for this
property. 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 Environmental Health
must also view the installation prior to back filling. Please call well in advance for your
final inspection. Your TCO will not be issued until our office receives this certification
from the engineer, and views the installation.
Due to the onset of inclement weather, Eagle County will not perform final
inspections after December 1, 2001. All field work will resume, weather
permitting, on March 15, 2002.
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
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
LADLE COUNTY, COLORADO
Date: June 19, 2002
TO: . Graef Construction of Vail
FROM: Environmental Health Division
Raymond P. Merry, REHS
Director
RE: Reissuance of Individual Sewage Disposal System Permit No.2168-02. Tax
Parcel
# 2107-014-03-006. Property Location: 310 Little Andorra, Edwards, CO., Shaw
residence.
Enclosed is your ISDS Permit No. 2168-02 and a field copy of the engineer design stipulated on
the permit. It is valid for 120 days, or for the duration of your current building permit for this
property. 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 Environmental Health
must also view the installation prior to back filling. Please call well in advance for your
final inspection. Your TCO will not be issued until our office receives this certification
from the engineer, and views the installation.
Due to the onset of inclement weather, Eagle County will not perform final
inspections after December 1, 2001. All field work will resume, weather
permitting, on March 15, 2002.
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
OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179
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FAX TRANSMISSION
LIF ENGINEERING, INC.
P. 0_ Box 2837
Edwards, CO 81632
(970)926-9088
Fax: (970) 926-9089
E-mail: lk en s onvca net
To: Ms. Janet Kohl Date: July 17, 2002
Environmental Health Department
Fag: 328-0349 Pages: 3 including this cover sheet.
Phone: 328-8756
From.: Luiza Petrovska, PE Project: 02004
Subject: Inspection of septic system Installation, 310 Little Andora Road
ISDS Permit No. 2168-02
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Eagle, CO 81.631
Lot 65 Cordillera, Filing No, 3
Eagle County, Colorado
Proiect No., Q2004, ISDS Perm. it No, 2168-02
Dear Scott:
At the request of Rob Graef on June 1.8 and 27, 2002, we visited the construction site on. 310
Kittle Andora, Lot 65, Cordillera, Filing No. 3, Eagle County, Colorado. The purpose of our site
1 .s Ct was t,E~., lil]L+G4t thG �a,stalla4�w Al. ll.Lt.tj, + O7 tjLAV jyCYvJL +
They installed the system in overall compliance with the septic system design, Drawing No.
02004SD.DVVG, dated June 11, 2002. The system was installed as 5bown on t1aE affac ea, asmbuilT sk etch+
They installed a 2500-gallon, two compartments, a precast, concrete septic tank. A cleanout was
installed between the mouse anal the septic tank.
Seventy three, Standard Infiltrator Chambers were installed in trenches as shown on the attached
as built sketch. The infiltrators were connected with serial distribution. In the first and last infiltrator of
each tre.ne..11, inepectinn nrtrN were ingtAllad.
If you have aay questions, please do not hesitate to call..
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LKP Engineering,;\�� Prl/
Lulza 1='etrovska, p ��� �b
President
Enclosure
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P.O. Box 2837, Edwards, CO 81612, (970) 926-9088 Tel, (970) 926-9089 Fax
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ISDS PERMIT #
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATER
,OWNER:
-PHSYSICAL ADDRESS:
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS:
���M(E����N(F��I(E��NiF�MIE�IIE��IIE���I�N(E��i(E��NtE�ItE��I�NIF���I(E���MHN(E�I�N(EjN(E���N[F�N(E�NiE�MIF�N(F�N(E�MtE�IIF
TEST HOLES PRE-SOAKED: YES NO
SOIL
TIME WATER DEPTH INCHES OF FALL RATE PROFILE
n►
TIME TO DROP LAST INCH: PERC RATE:
MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE:
COMMENTS:
ENVIRONMENTAL HEALTH SPECIALIST DATE
01,
a6 3bo So h[ 6-310
1
U Tp-q-
ISDS Permit # alLOrp
Date (IPIZZ 1102-
iSDS Final Inspection
C=leteness Form
Tank is e�)6M gal. Tank Material
�t
Tank is located � g ft. and 3 -degrees from
(pesaaoaat Inadmazk)
Tank is located ft. and degrees frog
1pe=ammt laaam"w
✓
Tank set level. Tank lids within 6" of finished grade.
�-.— Size of field ft2 units lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
__L��.There is a "T" that goes down 14 inches in the inlet and
outlet of the tank:
Inlet.and outlet is sealed with tag•,tape; rubber gasket etc.
!/ dank 1 s: twa :compartments with the.; • ;arger...,c apartment closest to the
house. _.
Measure. distance and relative direqt#Oa: tofle1
�-Deipth of field. -J ft. �}.fR['1onnv
A Soil interface raked.
Inspection portals at the .end_of each trench.. t
Proper distance to setbacks. 14
Chambers properly installed as per manufacturer$ specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
Type of pipe used for Ibuilding sewer line , leach field
Other
Inspection meets requirements.
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
Tan)c 50 10 5 10 50 10 * 10
2168-02 Tax# 2107-014-03-006
JOB NAME. Lot #65, Filing 3, SHAW
Cordillera Subdivision
310 Little Andora. Edwards
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