HomeMy WebLinkAbout2370 E Lake Creek Rd - 210518100008INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION Telephone: (970) 328-8755 P.O. Box 179 - 500 Broadway, Eagle, CO 81631 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT# 2206-03 BP # 15039 OWNER: JAMES GILBERT PHONE: 970-926-2398 MAILING ADDRESS: P.O. BOX 780, EDWARDS, CO 81632 APPLICANT: SAME PHONE: SYSTEM LOCATION: 002370 EAST LAKE CREEK RD., EDWARDS, CO TAX PARCEL NO. 2105-181-00-006 LICENSED INSTALLER: BOSSOW EXCAVATION, REX BOSSOW LICENSE NO. 29-03 PHONE: 970-471-3239 INSTALLATION GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 5 BEDROOM RESIDENCE AND THE CARETAKER UNIT ABOVE THE BARN FOR A TOTAL OF 8 BEDROOMS 2250 GALLON SEPTIC TANK, 2951 SQUARE FEET OF ABSORPTION AREA CREDIT VIA 96 INFILTRATOR UNITS AS RE- QUESTED BY INSTALLER. THE FIRST COMPARTMENT OF THE TANK MUST HAVE AT LEAST 1125 GALLONS OF STORAGE. SPECIAL INSTRUCTIONS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES, WITH A CLEANOUT BETWEENTHE TANK AND THE HOUSE AND INSPECTION PORTALS IN EACH TRENCH, AND EVERY 100 FEET IN THE EFFLUENT LINE RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS, AND DO NOT INSTALL IN WET WEATHER DO NOT BACK FILL WITH ANY COBBLES LARGER THAN 8 INCHES IN DIAMETER. BE SURE TO MAINTAIN ALL APPLICABLE SET BACK REQUIREMENTS, AND FROM THE LEACH FIELD SPECIFICALLY 164 FEET TO SPRINGS WELLS AND WATER LINES, 114 FEET TO LAKES, STREAMS OR OTHER WATER COURSES, AND 89 FEET TO ANY DRY GULCHES CALL EA- GLE COUNTY ENVIRONMENTAL HEALTH FOR THE FINAL INSPECTION PRIOR TO BACKFILLING 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: VICTOR CROCCO DATE: JULY 17, 2003 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: 2951 SQUARE FEET (VIA 96 INFILTRATOR UNITS AS REQUESTED) INSTALLED CONCRETE SEPTIC TANK: 2250 GALLONS LOCATED 270 DEGREES AND 43 FEET FROM THE CLEANOUT ON THE SOUTH SIDE OF THE BARN/CARETAKER UNIT. COMMENTS: THE FINAL INSPECTION WAS DONE BY RAYMOND MERRY OF EAGLE COUNTY ENVIRONMENTAL HEALTH ON 9/29/03. THIS SYSTEM IS LARGE ENOUGH TO ACCOMMODATE THE MAIN RESIDENCE WITH FIVE BED- ROOMS AND THE CARETAKER'S UNIT CONTAINING 3 BEDROOMS. ANY ITEM NOT MEETING REQUIREMENTS WILL BE CO -T- F PROVAL OF SYSTEM IS MADE. ARRANGE A RE - INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL - ATE: OCTOBER 23, 2003 Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # ..�S` 7- 06 Building Permit # 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 $350.00 * 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 $85.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" **************************************************************************** PROPERTY OWNER: CiA1L1 K'- , &/ I- eK 127 MAILING ADDRESS: IJ• 0 . B 0 X kp we A ,D S e-0 P ONE : Sl bdo? APPLICANT/CONTACT PERSON: ID"A-7 V A LE QS XY PHONE: 9a LICENSED // SYSTEMS CONTRACTOR: /P 6 A B D SS 1) W `` PHONE: q l ".5 a�3l COMPANY/DBA: B-0-53 6a 1PA iA91A?ec� ADDRESS: 1PD BO4t TbT � (T-y P,F 17 jAt D 16 3 ********************************************** **************************** PERMIT APPLICATION IS FOR: (sue}' NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: �4JQ �FG ALgK"OG13 0&�..—oS.2L A gg-D Tax Parcel Number: .210.s ^ /$ 1 -00 0_6& Lot Size: 3 !� AcRrS Physical Address: !90 0 4Ar-5 Cje49E X P-o#4 BUILDING TYPE: (Check applicable category) (34) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ of Bedrooms of Bedrooms *These systems require design by a Registered Professional Engineer TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface Public Name of Supplier: L,00 r (AiE X /jW4XX>&A5 APPLICANT SIGNATURE: Date: Z JL ALwst 20O2-- ******************************************12 DATE: ,** ****************************** o� Z 1 AMOUNT PAID: ��L� ✓ RECEIPT #: Cowry CHECK #: OO CASHIER: RA 01'%)q-0io R 37 2 T 0 AqS 010D5"00 A9L9-; fl,� M wft .d )I ... ^"1 — " sue. (4, 'Z Lf ISDS PERMIT # Z 2 a 6.6.3 PERCOLATION TEST EAGLE COUNTY ENVIRQNMENT i HEATLH /e o o •n-t 0 OWNER:. .) A i`I C, 5 `r 1 1 b e t+ PHSYSICAL ADDRESS. 7 d f, LEGAL DESCRIPTION: S e_ ► is ! w �/ S i PA W S 7 �G,< e 64 MAILING ADDRESS: Pe to i 9-6 TYPE OF DWELLING: NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES NO SOIL TIME-. , .. WATER DEPTH. INCHES OF FALL RATE PROFILE D 1, r� .),_ 0.61 f7,0 T7-a let r U i-c IA./ lJ e v- 1 c +� MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: ENVIRONMENTAL HEALTH SPECIALIST DATE r U i-c IA./ lJ e v- 1 c +� MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: ENVIRONMENTAL HEALTH SPECIALIST DATE ISDS PERMIT # a ao � . o ) PERCOLATION TEST EAGLE COUNTY ENVI1tONNIENTAL MATLH .OWNER: -sN M z C- k \ r -PHSYSICAL ADDRESS: D 0 ); 3 `7 D � � � # C A (e C° r a e Vc Q � ® LEGAL DESCRIPTION: see PA r ,A MAILING ADDRESS:_ Po R o x '7 1� o TYPE OF DWELLING._ L f iz NUMBER OF BEDROOMS: _1� - °� � ��NhII��IIE���MIE�MhINE���IME��NtE�I(E�IIIE� �IIE�����11[E�INE�111EjINHMIE.�INE�NH1MFj11��NHINE�ItF�iNE��� TEST HOLES PRE-SOAKED: YES NO TIME_.. U S- � V 15 WATER DEPTH , INCHES OF FALL RATE TIME TO DROP LAST INCH:�,�`(RC R�� s mC c, 2D M (N/� C i� MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: t/tc,i, 1) , __s — I � 0-3- ENVIRONMENTAL HEALTH SPECIALIST DATE SOIL PROFILE nr i W ` !� �1 r a l- 3 .�>��t� .. b Z- opt ZSDS Pez"t #—ate 04 --- �"' �a ¢�ra�i T�.e�etion 4/ Tanis is '5� ,.,,. S �y gal . Tank l�lsterial Goh � l' Tanis is located Wit- and a__.degrees Tank. is 1mated Wit. and a6=.�3=ees f VW� o'"� ✓ Tazils set level. ✓ Tank lids within 6" of finished grade. ✓ Siae of field fV' —L— units — �O - lineal ft. Technology `A - ✓ Qn.Q,. c, U, AUL 1 n AN!S Cl,eanout is installed in between :tank and - house t+ 11100ft) _/. Other ?V Inspection mests Copy .fora to installer's file if reccmendations for --oves►ent were suggested- / / �/� 'i'o .�� ! v � � os S s�^� S�✓'v�S �o� .e s�iiS 1�G2 rP.S CG�ce �i..f wfi`� ACTION TAIGSId : ` I kc� - h�,r �. `7 �e s� I�,,� ore ��e. o,�-� v P, �s 1`1% a h� Sa e 1 f� w Gl �a.,.o..+ �' tin i � � a -F q 7 � 1 ou cr.-e.� i �ui �c�t `o� s-� s ' � L .c.� !o> 1 n s o� Iva n ��t �C t Lsl" Setbacks, a a a .l QS.- r,�T�'�' t�ielf Jotable Rouse Propert- Lake Dry Tank Drain W to L i nes line Stream Gulch Field 100 25 20 10 50 25 10 10 50 10 5 10 50 10 * 10 ZSDS permit Date.- 2 g 673 'rig Fisal �isnset_iar. ��•� stesass Lbrm Tame is _._ gal. Tads !Material Tasty is located -ft. and __degrees fr Tank is located _ft. and _degrees fz --- Tank Bet level. Tank lids within 61 of finished grade. Sine of field _f0 units _ lineal ft. JTechnology Cleancut is installed is between tank and house(* 1/100ft). There is a "T" that goes dorm 14 inches in the inlet and outlet of the tank: inlet. and outlet is sealed with tax ;taper rubber gasket etc. :taco=.iddmpartments with the. ,a#g1m,<a taeeat closest to they - l�dcta�ture that 9mce and relative di 4. . _ Depth of field. €t _ _ 'Soil interface raked. Inspection portals at the _ end _ of each trench Proper distance to setbacks. Chambers properly installed as per manufacturer* specifications. (Chambers latched, end plates properly installed, rocks removed from trenches etc.) - Type of pipe used for building sewer. line leach field_ other iaapection meets Copy fora to installer's file if recomeadatious far improve■►emt Vero suggested. ACTION TAKEN: l N 5 0 rs,4- �rvr� rohuso setbacks well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch F t L00 25 20 10 50 25 10 LO T_dak 50 10 5 10 50 10 10 P.O. BOX 179 SHEET NM a a EAGLE, CO 81631 CMCUtATEDsv V �dU i DATE `13 C . CHECKED DATE % 63 SCALE ..... _-......... i 4 c z i gE E E E 1- • z E I E 4 E I 'S 3 _ �... �(S -Y E * s 'ry _ __- E. E .. F E-,.,r.•.-...-:•..{_..+..__' E - �- E v � F E ryo. E 9 I .. e � E ._._i_...-..... ... .. _ _ E i - } gE�E! , ASH � '" •-- ._ 4--E 3 i f•�J i "�"'tll 3�1' �} - v : ..._ ._ ..... _..__.E_...�_.i-.._ _._ __ -•_ - ••-•_- — _ _ - E. • i . ........... 6 1 F i .... .-._-_... ._.._-:._........._�.__.. -i.._ ..._ .. - E ..........s.. _-- -o- ._z.... .. - ............. ........ _...... _._--_..._.:__....._ ._._ ......... E - i 'v _...... _.... ..... ...... -_... _ ..._.. _ .._._ _ ..... _ -..... _....... t 4 ` ....?....: ._i... i i i :...._.._.._..:........._.>..._....:......._.._._._.._._... ........ ...... ....... _........ _...........__ ...... - F : - s E - . _...._....._..... ............_....__. 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A," , r �Y . a •-'�1� r C 'j Ik If i 4411 .l Mpetui C4 v JOB NAMrz_ 2206-02 Parcel#2105-181-00-006 GILBERT 002370 E. Lake Creek JOB NO. - /j6 3 9 LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED X/ ILA U, 6z,�o � < Y L 16) P—e-i4 By-a4o-t�,— CA-�t Z-I-IL k7 5 1 SOIL o I L )c- Z,, s J"L\k,-& it Jr 00- �,jroA- r Q v (f 0 C? lo- ,u !r c-;, �0 (,-j /Laic-- 6-- R v = 1 e 36a4 7 L- -7 5 0 k4b t C, --a-L) U -W7 0 C JOB COST SUMMARY TOTAL SELLING PRICE $ lo,,Le? TOTAL MATERIAL v e- e^(4 TOTAL LABOR INSURANCE SALES TAX L MISC. COSTS c) rvt e- o C, 5!3 L/ c e 0 12 e, TOTAL JOB COST GROSS PROFIT b Ar LESS OVERHEAD COSTS % OF SELLING PRICE GI NET PROFIT JOB FOLDER Product 278 JOB FOLDER Printed In USA IS.-Api PeV,c c ���C2}C`1S� t 12�� X ►,S = �$v0-Jawp 9 Ait S�st tb,,,, �a�at� �o/a rc�t�Nc�c� N1©S<z. 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C, , C �► G, tv o S i C s g c, r✓ i 0 t�' l eN. � . -�y7 as AQ Lw- to (�41�� �-/C{4© .�ol �/s o/`.'(7� ll�c.s��,�j J�¢ l/�✓y �uo�i(Q /eL ��l.J o�Q�.%� '1O �S ce Conte 10% Pt•Consu SysT- cv+� icr �s o QTd( T 1 �osmer)—��„�., bo�,�t��'-`-���-- Date 05.01.2013 Drawn by HDB Checked by SLJ Scale 1 if = 90'-01, SITE PLAN A.OA 2