HomeMy WebLinkAbout125 Rolling Hills - 210508211002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT Telephone: (970) 328-8755 P.O. Box 179 - 500 Broadway, Eagle, CO 81631 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. ISDS PERMIT NO. 2672-08 BUILDING PERMIT# BP- 1s 90 OWNER: HAP STEIN PHONE: 970-926-8703 MAILING ADDRESS: 121 W FORSYTH ST SUITE 200; JACKSONVILLE FL 32202 APPLICANT: ALEX COLEMAN PHONE: 970-376-4900 SYSTEM LOCATION: 125 ROLLING HILLS; TAX PARCEL NO. 210508211002 CREAMERY RANCH LICENSED INSTALLER: WILLIAM STENSON, STENSON LICENSE NO. 06-08 PHONE: 904-1661 EXCAVATION DESIGN ENGINEER: LUIZA PETROVSKA, LKP PHONE: 970-926-9088 OR 390-0307 ENGINEERING SYSTEM SIZED TO ACCOMODATE A 6 BEDROOM RESIDENCE INSTALLATION GRANTED FOR THE FOLLOWING: 2,000 GALLON 2 COMPARTMENT FRONT RANGE PRECAST TANK AND 2,260 SQUARE FEET OF ABSORPTION AREA CREDIT VIA 113 INFILTRATOR Q4 UNITS ARRANGED IN FOUR SHALLOW TRENCHES WITH SERIALLY DISTRIBUTION AS OUTLINED ON LKP ENGINEERING DESIGN DRAWING STAMPED, SIGNED AND DATED 3-27- 08. LKP PROJECT NUMBER 08019. SPECIAL INSTRUCTIONS: DOUBLE ENCASE THE WATERLINE FOR TEN FEET EITHER SIDE OF THE BUILDING SEWER CROSSING DO NOT INSTALL IN WET WEATHER CALL THE DESIGN ENGINEER FOR FINAL INSPECTION PRIOR TO BACK -FILLING ANY PORTION OF THE INSTALLATION OR WITH ANY QUESTIONS BUILDING OCCUPANCY WILL NOT BE ALLOWED UNTIL THE SEPTIC SYSTEM HAS BEEN CERTIFIED AND APPROVED FOR USE ENVIRONMENTAL HEALTH APPROVAL: DATE: April 10, 2008 CONDITIONS: I . ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN 25-10-101 ET SEQ, 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: SQUARE FEET (VIA_) INSTALLED GALLON SEPTIC TANK LOCATED DEGREES AND FEET INCHES FROM COMMENTS: 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: DATE: Work Classification: NewPermit 121 Forsyth ST W Jacksonville FL AddressOwnerInformation Permit Status: Final Project Address 210508211002 Permit Type: OWTS Permit Permit NO. IS-2672-08 Expires: 7/19/4746IssueDate: 3/4/2008 Parcel No. 000125 ROLLING HILLS DR LAKE CREEK, EDWARDS, CO Private Wastewater System Environmental Health Department P.O. Box 179 500 Broadway Eagle, CO 81631-0179 Phone: (970)328-8755 Fax: (970)328-8788 Phone: (970)926-8703 Cell: Inspection For Inspections call: (970) 328-8755 Inspections: IVR OWTS Final Inspection 095 PhoneEngineer(s) 970)926-9088LKPEngineering, Inc Contractor(s)Phone PrimaryContractorLicenseNumber Stenson Excavating, Inc.(970)926-3849YesOWTSInstallerandCleanerLicense Hap Stein Permitted Construction / Details: This system consists of a 2000 gallon 2 compartment precast concrete septic tank, 113 Q4- Standard Infiltrator chambers in 5 trenches. 2 cleanouts were constructed between the septic tank and the building one was constructed near the house and one just before the septic tank. The system was installed in overall compliance with the septic system design drawing 08019SD.DWG dated March 27, 2008. To keep your system in good working order have it pumped every 3-5 years Information on your system will be kept on file at the Eagle County Environmental Health office Issued by: Environmental Health Department, Eagle County, CO October 15, 2008 Date Customer Copy Terri Vroman CONDITIONS: 1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT 2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED 3. 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 4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED Work Classification: NewPermit 121 Forsyth ST W Jacksonville FL AddressOwnerInformation Permit Status: Final Project Address 210508211002 Permit Type: OWTS Permit Permit NO. IS-2672-08 Expires: 7/19/4746IssueDate: 3/4/2008 Parcel No. 000125 ROLLING HILLS DR LAKE CREEK, EDWARDS, CO Private Wastewater System Environmental Health Department P.O. Box 179 500 Broadway Eagle, CO 81631-0179 Phone: (970)328-8755 Fax: (970)328-8788 Phone: (970)926-8703 Cell: Inspection For Inspections call: (970) 328-8755 Inspections: IVR OWTS Final Inspection 095 PhoneEngineer(s) 970)926-9088LKPEngineering, Inc Contractor(s)Phone PrimaryContractorLicenseNumber Stenson Excavating, Inc.(970)926-3849YesOWTSInstallerandCleanerLicense Hap Stein Permitted Construction / Details: This system consists of a 2000 gallon 2 compartment precast concrete septic tank, 113 Q4- Standard Infiltrator chambers in 5 trenches. 2 cleanouts were constructed between the septic tank and the building one was constructed near the house and one just before the septic tank. The system was installed in overall compliance with the septic system design drawing 08019SD.DWG dated March 27, 2008. To keep your system in good working order have it pumped every 3-5 years Information on your system will be kept on file at the Eagle County Environmental Health office Office Copy October 15, 2008 Issued by: Environmental Health Department, Eagle County, CO Date Terri Vroman CONDITIONS: 1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT 2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED 3. 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 4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED Department of Environmental Health P.O. Box 179Eagle (970) 328-8755 MAR l 500 BroadwayFax: (970) 328-8788 ZOOS Eagle, Broadwaydway El 3ebel (970) 704-2700 w le, CO 81631us TOLL FREE: 800-225-6136 r, IRON,!?iNIYAv ILi`,LTH Q DEPARTMENT APPLICATION FOR INDIVIDU,AL SEWAGE DISPOSAL SYSTEM PERMIT ISDS Permit # r-o/Building Permit # lk9yo INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED) FEE SCHEDULE APPLICATION FEE $373.00 This fee includes the ISDS Permit, Site Evaluation (Percolation Test, or Soil Profile Observation) and Final Inspection. Additional fees may be charged if a re -inspection is necessary, or a pre -construction site visit or consultation is needed. The re -inspection fee is $55.00. Make all remittance payable to: Eagle County Treasurer. Property Owner: qp - ti Phone: 9 o--? Mailing Address: Applicant/ Contact Person: 32Zc5z A q-0 - 6000 Licensed Systems Contractor: S- cw.Otj ey( U(&k o.,License # 0 (9 r0 m-cs4- Company/ DBA: Mailing Address: Permit Application is for: New Installation Alteration Location of Proposed Individual Sewage Disposal System: Legal Description: I ' 7 C_J R 9(,n s Co Co- r Repair Tax Parcel Number: ,(j-j Z Z Lot Size: 3 6(0 Assessor' s Link: www.eaglecounty.us/patie/ Physical Address: Building TypeXResidential/Single Family Number of Bedrooms: Cp F Residential/Multi Family Commercial/ Industrial* Number of Bedrooms: Type of Use: These systems require design by a Registered Professional Engineer Type of Water Supply: ]! Private Well )- Spring F Surface If Public Name of Supplier : A Applicant Signa Office Use Only Public Amount Paid: 3 c Receipt#: Check#:a Q Date:.] J a Ott DEPARTMENT OF ENVIRONMENTAL HEALTH 970) 328-8755 FAX: (970) 328-8788 TOLL FREE: 800-225-6136 www.eagle-county.com EAGLE COUNTY RAYMOND P. MERRY, REHS Director April 10, 2008 Stensen Excavation PO Box 876 Edwards, CO 81632 RE: Issuance of Individual Sewage Disposal System (ISDS) Permit #2672-089 Tax Parcel #210508211002, Property Location: 125 Rolling Hills, Creamery Ranch Dear Bill, Please find enclosed ISDS permit, #2672-08 to conduct the construction exactly as indicated on the engineer design signed, stamped, & dated 3/27/08. It remains valid for 120 days or for the duration of a current building permit. The enclosed copy of the permit must be posted at the installation site. Any changes in plans or specifications must be pre -approved by this department. If you are receiving this permit and have not been contracted to perform the installation, please contact us immediately. Also enclosed is a final inspection completeness check list to assist you in making sure all of the detailed points of an inspection have been properly addressed before calling for your final inspection. It is important to pay close attention to the special conditions which may have been included to address site specific issues. All components of the system must be exposed for our inspection. Projects that require multiple inspections will be assessed a re -inspection fee of $55.00 payable before or at the time of inspection. It is extremely important to remember to rake all infiltrative surfaces and avoid installing systems in wet or frozen ground. If unfavorable conditions prevail between the installation and the final inspection (such as snow) special precautions must be taken to protect the drain field area from the elements. Please keep this office informed regarding the progress of your installation so we can provide responsive customer service when scheduling your final inspection. The Temporary Occupancy Permit (TCO) associated with the building permit cannot be issued without the septic system being finally inspected. Systems designed by a registered professional engineer must be inspected and certified by the design engineer. If you have any questions, please feel free to contact us at (970) 328-8755. Sincerely, I/ Terri Vroman, Administrative Technician IV cc: electronic permit folder electronic chronological file hard copy permit file LKP Engineering Enclosures: ISDS Permit # 2672-08 Final Inspection Completeness Checklist Engineer design OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 KP Engineering, Inc. October 13, 2008 Alex Coleman RE: Inspection of Septic System Installation Alpine MountainBuilders Stein Residence P. O. Box 69 Lot 1, Creamery Ranch Edwards.., CO 8163" 125 Rolling .Hills Drive alex i!.arnbvail.coni Eagle County., Colorado Project No. 08019- ISDS Permit No. IS-2672-08 Dear Alex: At the request of Mr. Bill Stenson, on April 30 and May 12., 2008, we visited the construction site at. Lot 1, Creamery Ranch, 125 Rollin.1c, Hills Drive, Eagle County, Colorado. The purpose of our site visits was to inspect the installation of the, septic system. F hev installed the system in overall compliance with the septic system design., Drawing No. 08019SD.DWG, dated March 27, 2008, and as shown on the attached as -built sketch. They installed a 2000-gallon, two compartments, concrete septic tank. Two cleanouts were constructed between the septic lank and the building. One was constructed near the house and one just before the septic tarry. One hundred thirteen, Q-4. Standard 111filtrator Charnbers were installed in five trenches. There were twenty five infiltrators in the first four trenches, and thirteen infiltrators in the last trench. There was a mininium of six feet separation between the trenches. In the first and last infiltrator of each trench, inspection ports were installed. The trenches were less than 36 inches deep. Theus in both compartments were at least 14-inches long. If you have any questions, please do not hesitate to call. Sincerely, LISP Engineering, Inc 2952 1,; uiza Petrovska, PE Enclosure cc: Eagle County Environmental Health Department, e-rnail: Terrh LIS; JA—WP I 2-LKM80190S1Q4.%vpd P.O. Box 2837, Edwuds, CO 81632, (970) 926-9088'Fel, (970) 92/6--9089 F',-Ix PROJECT DESCRIP170V. PROJECT NO.: Engineering, Inc- AS —BUILT ISOS PERMIT LOT 1, CREAMERY RANCH 08019 NO.: 125 ROLLING HILLS DRIVE CIVIL/GEOTECHNICAL SKETCH EAGLE COUNTY, COLORADO 2627-08 STEIN RESIDENCE DATE. 08-29 & 9-5-08 v X No 7454.9 A C-4 H p I V OUT= 70 PROPOSED 6" SDR 35 PVC AT 1* Z j W / 7— PROPOSEDIJOSAM INL SEE NOX v I CONNECT T01 (DJ4IPOWNSPOU " 0 LOWER LEVEL FF =Z476MAINLEVELFF7_8i P.O. Box 2837, Edwards, CO 81632, (970) 926-9088 Tel, (970) 926-9089 Fax Name of Systems Cleaner: Name of Service Person: Date of Service: r — Date of Installation: Septic Pumping Report Form Please Print) 00, Property Owner: -Aelt l Telephone # 7``— Physical Address: Estimated Tank Size: Material of Tank t of Manholes: Depth to Manhole Covers: stimated Volume Pumped: 2Z2rV of Compartments ledge Thickness: 3 inches Scum Thickness inches raffle or Sanitary Tee in Place? _Inlet _X' Outlet L1NK ffluent Filter in Place? y % N losing Mechanism Pump Siphon None losing Mechanism / Alarm Functioning Properly y Devious Pumping Date, if known eneral Comments (include any signs of failure and all work in addition to pumping) Sketch (Location of Tank) l 110"t,44 p -oil 7Ax1 ;,fIU,',' -c //vL): PROJECT LOT I 6p- /MILI) PROJECT_ 6'- ATE, A) project description. &i r 4- ,_ - - _ -- --- date task/action follow-up start date completion date w 6 . i( by /J- a c Ok 4 sf C 00 C6-,- i PROJECT CONTACTS name phone/fax e-mail S nvide Vt,( m7 9aY 7 4 i6 -1661 aYX notes There are no other warranties either expressed or implied. I MI ` ray w- 41x. o fit ©°\\d\ 2 « : . < yr -<» d ?> \ z » \< \ y :. 2 ! w:d?\ \ \ \ \. # . . 22 ~» / £ 2 2; \/ 2 : y§\ . d.\\§ /© mƒ: y/ 2\ \ c.\\ a s . : ^\ y « ` y,. 2 y * a= }\ :. aJ: a 9 © a 2.7 : . < a& ° Jc r, EAGLecou y Eagle County OWTS Systems Cleaners Reporting Form NOTE: Required to be submitted to Environmental Health within 10 days of cleaning an OWTS system Systems Cleaner Company Snowbridge, Inc. License Number C6-18 Email Address office@snowbridgeinc.com Phone 970-453-2339 Service Technician I ° a 6 1 n2,P_f Phone 970-453-2339 Tax Parcel # Z I0 Sbv Z 1100 2 Address of Service 6olh(?q t-tl 1I S D6 Person Requesting Service V Zn Phone (9-ro) Property Owner P ch n a(?A rl Phone U (IK, Septic System Permit Number 2-YJ I Z - 08 Tank Size good `ia Date of service (1 /(a l U Tank Material _ WnCr Sewage Disposal Site M r- I Jnn i I c_\ (C7 r a) Snn'' General Condition and Functionality of the System coodf-b U/l Recommended Repairs 1 VOA, Site sketch showing location of the septic tank access lids measured from at least 2 fixed points Photos Encouraged) Signed Please see attached for . LKP : Engineering, Inc. • AS—auic CIVIUGEOTECHNICAL SKETCH LOT 1, CREAMERY RANCH 125 ROLLING HILLS DRIVE EAGLE COUNTY, COLORADO STEIN RESIDENCE 6 0 7454: / I / C PROPOSED 6' SOR 33 AT 1.7 1 / / n I.' hs A ROXCT NO: 08019 VS PERMI T NO.: 2627—OR AM, 08-29 do 9-5-08 1 PROPDXIJJOSAY INLETS SEE Net1.z, LOWER LEVEL FF - T =t` MAIN LEVEL FF 7487-8' P.O. Box 2837, Edwards, CO 81632, (970) 926-9088 Tel, (970) 926-9089 Fax