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HomeMy WebLinkAbout1620 Copper Spur Rd - 168904400016INDIVIDUAL 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. 2269-03 BUILDING PERMIT NO. 14910 OWNER: STEPHAN MUELLER PHONE: 970-328-4445 MAILING ADDRESS: P.O. BOX 1658, EAGLE, CO 81631 APPLICANT: SAME PHONE: SYSTEM LOCATION: 1620 COPPER SPUR RD., BOND, CO TAX PARCEL NO. 1689-041-01-001 LICENSED INSTALLER: STEPHAN MUELLER LICENSE NO. 61-03 PHONE: 970-328-4445 DESIGN ENGINEER: PHONE NO. INSTALLATION GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 3 BEDROOM RESIDENCE 1000 GALLON SEPTIC TANK, 843 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 27 CHAMBERED UNITS AS RE- QUESTED BY OWNER. SPECIAL INSTRUCTIONS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEAN -OUT 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. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR THE 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 IN- SPECTED AND APPROVED. ENVIRONMENTAL HEALTH APPROVAL:.VICTOR CROCCO DATE: MAY 13, 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: 843 SQUARE FEET (VIA 27 INFILTRATOR UNITS ) INSTALLED PLASTIC SEPTIC TANK: 1500 GALLONS LOCATED 168 DEGREES AND 170 FEET FROM THE CLEANOUT COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT OF EAGLE COUNTY ENVIRONMENTAL HEALTH ON DECEMBER 1, 2003. AT THE TIME OF INSPECTION IT WAS NOTED THAT THE TRENCHES WERE ONLY THREE FEET APART FROM SIDE WALL TO SIDE WALL, AND SHOULD BE SIX FEET APART FROM SIDE WALL TO SIDE WALL. THIS SYSTEM IS LARGE ENOUGH TO ACCOMMODATE A THREE 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 &iz aJt.A u_ DATE: DECEMBER 9, 2003 Inbomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit #� J 7 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, E1 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: rf7►v MU MAILING ADDRESS: Fes• 0. � 0)0 I (% L�- PHONE:AAJ 2S 4945" AP PL I CANT/ CONTACT PERSON: �pl�J iV I V PHONE: q7o 328 441T _LICENSED SYSTEMS CONTRACTOR: PHONE: COMPANY/DBA: ADDRESS: PERMIT APPLICATION IS FOR: (V NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Lo s Tax Parcel Number: —o Lot Size: �° o-3-4 Ar-as Physical Address: BUILDING TYPE: (Check applicable category) ( ) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ of Bedrooms. 5 of Bedrooms *These systems require design by a Registered Professional Engineer TYPE OFWATER SUPPLY: (Check applicable category) (Well ( ) Spri g ( ) Surface ( ) Public. Name of plier: % APPLICANT SIGNATURE: Date:& 4 / AMOUNT PAID: RECEIPT #: ! rl DATE: 3 CHECK # : "� D CASHIER: _ DEPARTMENT OF ENVIRONMENTAL HEALTH (970)328-8755 FAX: (970) 328-8788 TOLL FREE:800-225-6136 www.eagle-county.com December 9, 2003 Stephan Mueller P.O. Box 1658 Eagle, CO 81631 FAG LE COUNTY RAYMOND P. MERRY, REHS Director RE: Final of ISDS Permit #2269-03, Tax Parcel #1689-041-01-001. Property location: 1620 Copper Spur Rd., Bond, CO. Dear Mr. Mueller: 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: Educational Brochure Final ISDS Permit cc: files, December 2003 Chrono file OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 DEPARTMENT OF ENVIRONMENTAL HEALTH (970)328-8755 FAX: (970) 328-8788 TOLL FREE:800-225-6136 www.eagle-county.com DATE: TO: 6wel-kril EAGLE COUNTY May 13, 2003 Stephan Mueller. Environmental Health Division RAYMOND P. MERRY, REHS Director RE: Issuance of Individual Sewage Disposal System Permit #2269-03, Tax Parcel #1689-041-01-001. Property Location: 1620 Copper Spur Rd., Bond, CO., Mueller residence. Enclosed is your ISDS #2269-03. 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. If you have not been contracted to install this system please contact Eagle County Environmental Health. Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. Do not back fill any part of the installation until it has been inspected. If all items are not completed, a reinspection fee of $45.00 must be paid before a reinspection is made. Please call our office well in advance to allow for scheduling of final inspection. Your building permit TCO will not be issued until final approval has been given for the ISDS Permit. 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. If you have any questions, please feel free to contact the Environmental Health Division at 328- 8755. cc: files Enclosures: ISDS Permit # 2269-03; ISDS Final Inspection Completeness Form OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 ISDS PERMIT # 2 PERCOLATION TEST EAGLE COUNTY .OWNER 6 % N ENVIRONMENTAL ✓`'l e HEATLH PHSYSICAL ADDRESS:1 O e c ,� e ;� n LEGAL DESCRIPTION: MAILING ADDRESS: b o t co TYPE OF DWELLING: 5 r i2 s ER OF BEDROOMS: -3 TEST HOLES PRE-SOAKED: YES NO TIME, .. WATER DEPTH INCHES-OF=FALL RATE' SOIL PROFILE j 1y6 4ii _ 4 5, r 05 1 ,7 I h58 17.S t"'7.,S 1, 5ij 5 tis L3, 7S 21 75_ f�75 ?,5 ► �� � 94 .`._1r75 G S 61 � Zs 11.0 'LL , S- 1. zS V7 5 a'S ' ai7, S 114,50 air, 1,Q So 25 (0 O � 75 7,5 TIME TO DROP LAST INCH: PERC RATE: St MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: COMMENTS: 0 a b e� r a c �Z d s CA r��w� r `r �d cr C ENVIRONMENTAL HEALTH SPECIALIST DATE Golden Eagle Drilling Corp. P.O. Box 475 Frisco, Co. 80443 (970)668-3564 C(OPY Lie. # 388 Name : Stephan Mueller c% Address : P.O. Box 1658 - - City, St, Zip : E e, CO 8163I _ Phone # : 970-328-4445 Bole size Depth Type Casing OD Casing OD From - To ' Steel 1/ " 711 1 / " 1021 PVC 5 1 2" 4 -1 2' Recommended Pump Set Depth Ft. Pumping Invoice # : 2856 Date : 7/3/2002 Permit #: 232141 Location : Copper Spur Perforated Ft : 55 ft Estimated : 15+ gpm Static Level: 50 ft Total Drilled : 102 ft GPM Instructions : The cost of your well is the minimum charge of $3,500 plus a $300 mobilization fee. Please remit to address on invoice. Price Per Foot --Feet @ $ Per Foot = $0.00 Feet @ $ _ Per Foot = $ 0.00 Total Footage Charge $0.00 Minimum Well Charge (if applicable) ................................... $ 3,800.00 Conditions Of Payment : pay $ 1. *WE STRONGLY RECOMMEND A VALID PUMP TEST BE CONDUCTED BY A LICENSED PUMP INSTALLER TO DETERMINE THE ACTUAL WELL PRODUCTION AND WATER QUALITY. THIS SHOULD ESTABLISH THE ACTUAL WELL PRODUCTION PARAMETERS WHICH CANNOT BE DETERMINED WHILE DRILLING 2. OUR GUARANTEE Is VALID ONLY IF A LICENSED PUMP INSTALLER .RR jNSIALL.S THE PUMPING SYSTEM ;1 3. The landowner is ultimately responsible for the plugging and abandonment of dry holes or replaced wells. according to State Rules and Regulations. Please contact us for details and/or prices. A. ALL INY010ESS DUE AND PAY BL , WITHIN 10 DAYS of INVOICE DATA UNLESS PRIOR ARRANGE.— 161i V7Q A DIV IW A nV A t t0/_ u A WnT Tart'_' f4TX A nd' C uvn Rinl►rru "A v U10 ♦ rILIMUn 1 An A vs vn^iLs imme-r Please call us if you have any questions. WELL CONSTRUCTION AND TEST REPORT STATE, OF COLORADO, OFFICE OF THE STATE ENGINEER FOR OFFICE USE ONLY (C(Dply APPROVAL 0GWS3IAI-03 i• WELL PERMIT NUMBER 232141 2 Owner Narne(s): Stephan Mueller Mailing Address: P.O. Box 1658 City, State, Zip: Eagle, CO 81631 Phone # : 970-328-4445 3 WELL LOCATION AS DRILLED SE 1 /4 NE 1 /4 See: 4 Twp: 2 S Range: 83 W DISTANCES FROM SEC. LINES 3700 ft. from North Sec. line and 4100 ft. from West Sec. line OR Northing: 4428032 Easting: 355732 SUBDIVISION: Spur LOT: I BLOCK: FILING (UNIT): STREET ADDRESS AT LOCATION 4 GROUND SURFACE ELEVATION ft. DRILLING METHOD Air Rotary DATE COMPLETED: 6/28/2002 TOTAL DEPTH: 102' DEPTH COMPLETION: 102' 5. GEOLOGIC LOCI ' 6. HOLE DIAMETER (in) FROM (ft) TO (ft) D Type of Material Size Color, and Type) 11" 0 47' 0-102' Morrison formation 6 1/2" 47 102' 7. PLAIN CASING OD (in) Kind wall Stu From (ft) To (ft) 7" Steel 0.231 0 47' 5 1 /2" PVC 0.250 42 47' PERF. CASING: Screen Slot Size 3/8" 51/2" PVC 0.250 47 102' Water Located: 62' Remarks : 8. Filter Pack Material : Size : Interval 9. Packer Placement Type Depth 10. GROUTING RECORD Material Atnount Density Irmervol Placamt Cement 30 al 5-1 5-29 Gravity 11. DISINFECTION Type : HTH Amt. Used: 3 TBS 12. WELL TEST DATA : () Check Box If Test Data Is Submitted On Supplemental TESTING METHOD: Air Compressor Static Level : 50 ft. Date/Time Measured 6/28/2002 Production Rate 15+ gpm Pumping Level : Total ft. Date/Time Measured 6/28/2002 Test Length : 2 hours Test Remarks : 13. 1 1184 ra d dw.� made herein and know the ice dmvof, and that they are true to my knowledp. (Pursuant to S 24.4-1-4 (13)(a) ,the mainug of false stetemdtts oonmututes perpOry sat a seeaatd a and is punishable as a class E misdemeanor.) CONTRACTOR Go den Eagle Drilling Corp. Phone: (970) 669-3564 Mailing Address: P.O. Box 475 Frisco, Co. 80443 Lic. No. 388 Name / Title (Please Type or Print) Jerre SLelton / President Signature Date 7/3/2002 Y% ��W AAW &M -ffl 9457 e6w�Mllvw Mir- /-/-W AEC 0'27 03 '7n ,q"Ir*- �JE ly)117-1)r-1 to-���ic P-elpwbe egr— AP /tOAk, 141177Cd 4Mt-4r76h✓ © M r�2-41 -0'3 A�� " 1 I RECEIVED DEC 0 0 2003 ENVIRONMENTAL HEALTH DEPARTMENT ISDS Permit # Inspector ISDS Final Inspection Completeness Form Date 1 Z1 l t b,3 Tank is ��JD� gal. Tank Material ' / d 1� Tank is located LoLft. and degrees from Tank is located ft. and degrees from Tank set level. 0 Tank lids within 8" of finished grade. z _ Size of field units lineal ft. Technology V Cleanout is installed in between tank and house(+ 1/100ft). ','�"T" that goes down 14 inches in the inlet and outlet of the tank. Effluent filter on outlet- Yes or No Inlet and outlet is sealed with tar tape, rubber gasket etc. Tank has two compartments with the larger compartment closest to the house. B � 1t7 Measure distance and relative direction to field. `� U �- ✓�— Depth of field a-3ft. Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. O 0L ✓Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) Splash plate(s) installed at least in first trench inlet. L*fType of pipe used for building sewer line5Ck leach field Stk2- 0 Other % a a" aLk . 3 ` 16 �. Cj 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 Field Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 Tank 50 10 5 10 50 10 * 10 EAGLE COUNTY ENVIRONMENTAL HEALTH FINAL AS -BUILT SKETCH 3DS PERMIT # DATE! 2 C 1 1 U LOCATION ADDRESS l 6z o r �1 C� t J t. E +"�' . �` � . yam• i.1. � i 1 "vr. y .L • a \. IA .al ` YIN AOL- Apo 'jR•.. � "w•. �•y '� ' ,. ,i'. , F \ 'yam �c ,,_ .' t y. �J `+!� •x' •i�,4't� ti•� t� k1�`t, ' � �; . 1i�+ + }. ; i fi r-' )„� � yy�,, ���y��lyya1��+j{}}'.Y� '•�'x' � ,Y� 1'�a , �� C � 1'14 �• • �• T\ �• y M� O C O CN T- L.- 70 LL � ry C L C nL V, rrQ� W MCL L M t"" O U C) .�� 0 CQ N C,q CL7 N i-a U N H 2269-03 Mueller LF 12/1/03 1620-Copper Spur Rd., Bond l�c„�Spur. Sub. Cleanout _% 269-C .OtS S20 C Cleanout Inlet pur 0 r Rd.. R 0 it s f •,�� 0 cu N U 71 �� 7 O r— I0 W I N V-- C/) 70 H ry I Z) L C " U) CC/)I- CY) � N N � Q r O � o N N � CNO r- 2269-03 Tax #1689-041-01-001 JOB NAME. Lot #1,2,&3, Spur Subdivision MUELLER 1620 Copper Spur Rd., Bond +;-et JOB LOCATION e6 BILL TO DATE STARTED DATE DATE BILLED JJOB NO. bP-- /G //( 2 1 -�' �/17 L4 c 3- icA Sdr-4 5 1A so owgi-�- I J('OXI 0 6 I 0 c e--t t d./t) e TI ) e c/l cue \�'y V\1 CA, e C" 0 0 t TL e- 12 (0 0 f, t-,' e (2 (4 c� L.4j Cc c'c (L�' S 15 g t'--' L 'Aj 0 c 0 -'V t VV VL C-c ewCc a (U 9 r cli W C. e 6D, 4 9 S C/,— f c. o 4 cl 0 4-0 JOB COST SUMMARY Q VL- N e e e s N TOTAL SELLING PRICE f 7 TOTAL MATERIAL Li TOTAL LABOR I -AL i44ffit- C* �.e INSURANCE SALES TAX rr LAC-, MISC. COSTS 6� JOB FOLDER Product 278 JOB FOLDER TOTAL JOB COST GROSS PROFIT -LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT Printed In U.S.A. / (i) Recycled Content 10% Post -Consumer U _ - � _ _ _ -_ .. _ - � � _ _ � - _ - - - - .. - _ - - _ - - _ - _ "- - _- - _ _ � _ _. c _ - - _ - - - _ __ .. _ _ _ _ -- _ � __ - - -. - - -__ _ _ _ _ __ _ _ _ - _ f *r , � .