HomeMy WebLinkAbout2200 Bellyache Ridge Rd - 194127204001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
ORIGINAL PERMIT NO. 1408-94
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. ALTERATION PERMIT NO. 2161A-01 BP NO. 13859
OWNER: JAY PETERSON PHONE: 970-926-3729
MAILING ADDRESS: P.O. BOX 1582, VAIL, CO 81658
APPLICANT: REX BOSSOW PHONE: 970-471-1811
SYSTEM LOCATION: 2200 BELLYACHE RIDGE RD., WOLCOTT, CO TAX PARCEL NO. 1941-272-00-049
LICENSED INSTALLER: BOSSOW EXCAVATION, REX BOSSOW LICENSE NO. 23-01 PHONE: 970-524-9888
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
INSTALLATION OF THE EFFLUENT LINE LEADING FROM THE GARAGE ADDITION TO THE EXISTING 1250 GALLON SEPTIC TANK WITH A CLEAN
OUT BETWEEN THE TANK AND THE HOUSE.
ENVIRONMENTAL HEALTH APPROVAL: LAURA FAWCETT DATE: NOVEMBER 27, 2001
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: SQUARE FEET (VIA )
EXISTING SEPTIC TANK: 1250 GALLONS IS LOCATED 68 DEGREES AND 39 FEET INCHES
FROM THE SECOND CLEANOUT BETWEEN THE TANK AND THE FIRST CLEANOUT.
COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT ON 11/27/01.
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:_DECEMBER 4, 2001
Incomplete Applications Will NOT Be Acceptet to Y-q"
(Site, Plan- MUSS' be attached) � a L
ISDS Pmit
Building Permit # 8W
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 nI0�
* THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PEilCOLATiON TEST,jt#SI
* SOIL PROFILE OBSERVATION) AND FINAL INSPECTION
�r
* ADDITIONAL FEES MAY BE CHARGED IF A REINSPECTION IS NECESSARY, OR Abu w,
* 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: -Pekr-50 4
MAILING ADDRESS: X ( 1f �L CO $ I Vo S PHONE:
APPLICANT/CONTACT PERSON: P_QX 0-r Zk5 i 4 Too 55 a Uj PHONE. 7 /`
-LICENSED SYSTEMS CONTRACTOR: -Rel- 6055 o VJ PHONE:
COMPANY/DBA : Y�65, 0 0 jA C'1.WG,h a ADDRESS: Pb8aX 40
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION (� ALTERATION ( ) REPAIR
hooky trL�a eXis-Fi
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:��
Legal Description: h t D
,,II u _
Tax Parcel Number: , P14 ( - `7a- 00-04ct Lot Size: 3� 0XAXA
Physical Address: 0-00 6e(Lca I cPLe ZAae iU Wo tt-
Ij -
U
BUILDING TYPE: (Check applicable category)
(>Q 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:
APPLICANT SIGNATURE: Date: i167/0/
******************************************✓✓►►******7*******************/*********
AMOUI`IT PAID : ,#15 D.� RECEIPT fV: ' t) f DATE: _71
CHECK #: CASHIER:
lc>tT
ISDS Permit # Date {I/�7�b/
ISDS Final Inspection
Comflleteness Form
9`Tank is gal. Tank Material�� 3
Tank is located ft. and g des fromi� H
1petwa"jr
X�.
Tank is located -�—Ift. and -- degrees from 1
�`� a, -v c
�ank set level. Tank lids within 8" of finished grade.
size of field ft' units lineal ft.
Technology
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.
Tan
k +has:-tyro--ddnvartments with the._.= ai��er-..;C.p ipax'tment closest to the
house. _.
Measure: distance and relative direra-t - };
Depth of field. ft.
Soil interface raked.
Inspection portals at the -end of each trench._
Proper distance to setbacks.
Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks 'removed from
trenches, etc.)
Type of pipe used for building 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
Zdlk 50 10 5 10 50 10 * 10
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1408
Please call for final inspection before covering any portion of installed system.
OWNER: Jay K. Peterson PHONE: 476-0052
MAILINGADDRESS: Bo> 1582 city: Vail State: CO Zip:81658
APPLICANT: Jay K. Peterson PHONE: 476-0092
SYSTEM LOCATION: Parcel D, Wolcott Springs TAX PARCEL NUMBER:
LICENSED INSTALLER: BOssow Excavating LICENSE NO: 24-94
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK New pert test info, so disregard last permit.
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 8 0. _ _ SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 22 infiltrators as per installers request. Rake trenches if there
is any smearing of clays.:_Install clean -outs ba-tween house nad_tank, and install inspection
portals at the end of each trench. Cal for final inspection before,-backfilling, and
ENVIRONMENTAL HEALTH APPROVA • DATE:
CONDMONS:
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 CAUSE FOR 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: 803 SQUARE FEET.
INSTALLED SEPTIC TANK: 1250 GALLON 35 DEGREES 65 FEET FROM NE corner of north side Of house.
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY X YES NO
COMPLIANCE WITH COUNTY/STATE REQUIREMENTS: X YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS:
ENVIRONMENTAL HEALTH APPROVAL: - DATE:
t / ' I
ENVIRONMENTAL HEALTH APPROV : DATE: U
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
aEffl 01 6-22-04 12:13 ;CommunityDevelopment� 303 479 0467;# 3/ 5
{Site •-ti P,Ian MUST be attached) err nos ticceptett
Ire '
ISDS Pemit # I L/�j
Building permit ,
APPLICATION 'ON IDVIVIDUAt SE'FAGE DISPOSAL SYSTEM ;iSERMIT
ENVIRONMENTAL HEALTH OFFICE.- EAGLE COUNTY
P. o. Box 179
EAGLE, CO 81631
328-8755/927-3823 (Basalt)
* PERMIT APPLICATION FEE $1. 5 0 .. 0 0 * *'�
* PERCOLATION TEST FEE $200.00
* MAKE ALL REMITTANCE PAYABLE2'O: nEAGLE re
OUNTY TREASURER"
PROPERTY OWNER;
MAILING ADDRESS: � � / � �'PHONE:
AFPLICANT./CONTACT PERSON:
LICENSE] SYSTEMS CONTRACT011:
COMPANY / ABA :9 lob
ADDRESS: C
PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION { j REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Tax Parcel Number: jq�) _ 272-` " G
4t 'z 0-
Lot Size:c�� 00%110 n
Physical Address:
BUILDING.TYPE:. ;r+�ee?; applic:aAle category){`aC} Residential/Single Family
( ) Residential/.Multi-Family*
( ) commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicablo category)
Well ( ) Spring ( ) Surface
Public Name cif Supplier:
Number of Bedrooms ��
Number of Bedrooms
Type -
*These systems require design by a Registered Professional En in ct eer
IIGNATU1tE :
kMtakdttkkIrk* rk kh** *$ykyF7kk
NOUNT PAID: I Sa py RECEIPT
CHECK 0:
$ a200 ^010'e, 44;d 1w
DATE: d� 2 �i
CASHIER: --
,CP
PERCOLATION TEST REPORT .
Site No. 2 ,
Property.Owner's'Name and Address:
LSF Ranch ,
c/o Scott Skelton
2765 Bald Mountain Road
Vail,: CO. .81657
Legal Description:
Lot 2, Parcel D, Wolcott Springs Parcels
T. 4 S. , .R.•, 83 W. , 6th P.M.
Eagle County,.' -Colorado.
Water Table Depth or Elevation:
Water -table is..more than 8 feet below the surface.
Bedrock Location or Elevation:
Bedrock is more than 8 feet below the surface.
Soil'Classification:
Topsoil is approximately, 1.25.feet deep and is high quality'
black loamy soil with considerable organic matter. The
subsoil. from 1.25 feet to: 8 fe,et. below the, surface is .variable..•
tan to dark.brown and orange brown, consisting of fire sand
and silt in the varicolored silty clay matrix..-. Also included
throughout are irregularly shaped sandstone rock up to about 8
inches.
Profile Hole Log 'Percolation Test Results :...;'..
Hole No.'2 13.04 min./in.
- —N_7
-- G1
LSF Ranch, Lot 2
Job No. 91-608
Page l of 2
Legend
;
organic matter
..
fine sand and sl.i.t ". '`` '
— — — — — —
clay
medium to large sandstonE
i.. Geologic Conditions:
----------------
1 Unusual•. None:,.
2. Hazardous: None
3. Mitigating: None''
Test Hole Location Plan:
See Site.` Plan.
Suitability Evaluation:
Site is suitable.for'standard•.absorp
tanktion field with standard 'septic
, if constructed•.in accordance'with�all applicable st
local regulations pertainin ate .and to .construction, installatioate nd
an
maintenance of individual sewage disposal systems ..within Ea
County, Colorado: gle
The percolation test results, as herein stated,••,
are preliminary. Final -design of any individual sewage system shall
be based upon actual percolation results within the
posed`.
absorption field when the -location has been determined ":
Engineer's Certification:
1 hereby certify that these. -percolation tests were done by me or
under my direct supervisi.on.on'November 7,"1991, and that. .
percolation .rates and soil the
conditions are as stated -herein.
A.' R/T�
Herbert A. Ritschard, P.E. L
62 6 ;
OF Go
.1 . P4
1-ju- rtKru 1 = 1qLJ-�,
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION:-Z)
MAILING ADDRESS:
TYPE OF DWELLING: �� NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES %C NO
TIME wnmrn nvpmv
P
1
2
3
1
2
3
1 2
3
rATE
1
SOIL ' PROFII
2
01
Z
Z'
10.
f�
�
i
1� 11�
3'
/
4'
`\
5'
.
6
t
g
q
i1
J-4
Time
to drop
last inch
2�
PERC
RATE:
MINIMUM
SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE:��
COMMENTS :
PERC TEST QOtNE BXY --C _
Environment
rev. 6/90ks
DATE:
th Officer
I . o
-75-75�
�c
------------
-7you
i• e
;t
J
•� = '
APPROXIMATE SCALE I 250
LOT I
P
ACCESS
• v� UTILITY / / •
/ .EASEMENT / // p
/ BORING I /
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/ BUILDING O
ENVELOPE
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73So
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PARCEL D
I �JJC. LOCATION OF EXPLORATORY QORINGS Fib 2
1408-94 PC+er"5p n
JOB Parcel ➢, Wolcott Springs
2161A-01 Tax#1941-272-00-049
Lot D, Wolcott Springs PETERSON
2200 Bellyache Ridge Rd..
JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
_
^ OTAL SELLING PRICE
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TOTAL MATERIAL
-A
TOTAL LABOR
a
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 ®p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPYOF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 4 0 S
Please call for final inspection before covering any portion of installed system.
OWNER: Jay K. Peterson PHONE: 476-0092
MAILINGADDRESS: Bo" 1582 City: `]ail 31Ne. co 4:81658
APPLICANT: Jay K. Peterson TT -- PHONE: 476Z0-09.2 -- _-- -
SYSTEM LOCATION: Parcel 0, Wolcott Springs TAX PARCEL NUMBER:
LICENSED INSTALLER: Bossow Excavating LICENSE NO: 24-94
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK New perc test info, so disregard last permit.
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 80 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: . Install 22 infiltrators as per installers request. Rake trenches if there
is any smearing of clays. Install clean —outs between house nad tank, and install inspection
portals at the end of each trench. Cal for f' al inspection before backfilling, and
before
ENVIRONMENTAL HEALTH APPROVA DATE:
t�W!!��
CONDMONS:
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 CAUSE FOR 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 REGUTATIONS UNTIL THE SYSTEM 15 APPROVED
PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
INSTALLED ABSORPTION OR DISPERSAL AREA: 803 SQUARE FEET.
INSTALLED SEPTIC TANK: 1250 GALLON 35 _ DEGREES 65-_ FEET FROM NE corner of north side of house.
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY X YES _ NO
COMPLIANCE WITH COUNTY ISTATE REOUIREMENTS: X YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE F1NAL APPROVAL OF SYSTEM IS MADE. ARRANGE A REANSPECTiON WHEN WORK IS CORRECTED.
COMMENTS:
ENVIRONMENTAL HEALTH APPROVAL: ' r� DATE:
J
ENVIRONMENTAL HEALTH APPRO DATE:
{RE -INSPECTION IF NECESSARY)
APPLICANT / AGENT:
RETAIN WITH RECEIPT RECORDS
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT A ._ CHECK x
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING: S NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YESNO
TIME WATER DEPTH INCHES OF FALL RATE SOIL PROFI
1 2 3 1 2 3 1 2 3 111 2 �'01
a SAW
min
MM
■1�37�1�1
�I�lA�IO�
lam
�I
%
=110IMM
0
3'
4'
5'
6'
7'
0
Time to drop last inchlC�
PERC RATE: MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE: r ^
COMMENTS: ���~ V CXG i
PERC TEST E
DATE:
Environmental ealth officer i
rev. 6/90ks
�7i
Q
wr
J
LA
oo
�IrS-
iift
NA'
INDIVIDUAL 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. 1779-98 BP NO. 10549
OWNER: JAY PETERSON PHONE: 970-926-3729
MAILING ADDRESS: P.O. BOX 1582, VAIL, CO 81658
APPLICANT: PATRICK BOURKE PHONE: 471-4474
SYSTEM LOCATION: PARCEL D. WOLCOTT SPRINGS, WOLCOTT, CO TAX PARCEL NO. 194-272-00-049
LICENSED INSTALLER: PATRICK BOURKE LICENSE NO. 43-98 PHONE: 471-4474
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
MINIMUM OF 750 GALLON SEPTIC TANK 375 SQUARE FEET OF ABSORPTION AREA VIA 13 INFILTRATOR UNITS AS REQUESTED BY
INSTALLER.
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE GARAGE AND THE TANK
AND INSPECTION PORTALS IN EACH TRENCH. RAKE TRENCH SURFACESTO PREVENT SMEARING OF SOILS. REMOVE ALL BOULDERS,
AND DO NOT BACKFILL WITH COBBLES LARGER THAN 8" IN DIAMETER. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL
INSPECTION PRIOR TO BACKFILLING ANY PART OF THE INSTALLATION. OR WITH ANY QUESTIONS REGARDING THE INSTALLATION.
BUILDING CERTIFICATE OF OCCUPANCY WILLLL NOT BE ISSUED WITHOUT SEPTIC SYSTEM FINAL APPROVAL.
ENVIRONMENTAL HEALTH APPROVAL: DATE: JUNE 2. 1998
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 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: 403 SQUARE FEET (VIA 11 TNFTT,TR ATOR TTNTTq )
INSTALLED CONCRETE TANK: 1000 GALLONS IS LOCATED 69 DEGREES AND _�L FEET FROM THE C ..ANOIJT
COMMENTS:
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED EFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE: OC:TOBER 6, 1998
i .�Vlll�llCl..0 tiEJEJ11l:d1.1V11�T W1.11 1VV1
- e Plan MUST be attached)
be Accepzea
ISDS Permit # ! /-/ C 7u
Building Permit # jb5-q j
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (El Jebel)
**************************************************************************
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
**************************************************************************
PROPERTY OWNER: MAILING ADDRESS: .b. 9r)x � ��� �/GI<� '?1L ?PHONE: %Z(o- 372-9
APPLICANT/CONTACT PERSON: �/�T21 ,ice �o� PHONE: 47 Z - 4424
LICENSED SYSTEMS CONTRACTOR: PHONE : 47/ - 44
COMPANY/DBA: r +u� ��� -��ai /d=RESS : -Pb I�,hx ���ZE
***************************************************************************
PERMIT APPLICATION IS FOR: (/\/) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: 7P-9-r'C-e l F) wo ILz� rlr�,i
Tax Parcel Number: 194/-272.-OD-oSgj Lot Siz
Physical Address:
BUILDING TYPE: (Check applicable
(X) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY:
�O Well ( )
( ) Public Name
category) "
OaA-/u�, 4: —Number o-&e-drooms
Number of Bedrooms
Type
(Check applicable category)
Spring ( ) Surface
of Supplier:
*These systems sere desnby a Registered Professional Engineer
SIGNATURE : Date:
AMOUNT PAID: RECEIPT #: 01 DATE:
CHECK #: CASHIER: �lfitlf�%
ISDS PERMIT # f 119 -q ff
PERCOLATION TEST 6/Z-/
EAGLE COUNTY ENVIRONMENTAL HEATLH
OWNER JAI fikrs�';' L
PHSYSICAL ADDRESS: , `<f
LEGAL DESCRIPTION: ilfr 60Q +Jd O S,"14
;
MAILING ADDRESS: e.o . & x /s �4, G f /vTe
TYPE OF DWELLING: ''/ I16A rv\ NUMBER OF BEDROOMS: /
TEST HOLES PRE-SOAKED: YES NO 7
p
TIME WATER DEPTH INCHES OF FALL RATE
SOIL — 4oze-
PROFILE
Sn
0► Pr�q kR
jh F�l�
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TIME TO DROP LAST INCH: lb 'dD PERC RATE: a D
MINIMUM LEACH FIELD SIZE:31S5{ MINIMUM SEPTIC TANK SIZE: 7fV q,:Q Z- 3 ff •Dam
s, ++
COMMENTS: 6'n o 1,e All , hal /4l0 s 1'o � I", A a n f " XM l,% u W e%�
/4 settu z ge 44o x 2;? a
ENVIRONMENTAL HEALTH SPECIALIST DATE --- _ a b 0. f
2
HEMOICHI-PAWLnK GEOTEC11N1Cn1, INC. 511211 Road 154
Glenwood Springs, CO 81601
August 19, 1996 Pax 970 945-8454
Phone 970 945-7988
Jay Peterson
108 South Frontage Road West, Suite 307
Vail, Colorado 81657 Job No. 196 392
Subject: Evaluation of Subgrade Conditions, Observation of Excavation and
Report of Moisture -Density Testing, Proposed Barn, Bellyache Ridge
Road, Eagle County, Colorado
Dear Mr. Peterson:
As requested, a representative of Hepworth-Pawlak Geotechnical, Inc. observed the
subgrade conditions at the subject site on August 1 and 13, 1996 to evaluate the soils
exposed for foundation and slab support. In -place moisture -density testing of imported
fill material in the slab area was performed on August 5 and 6, 1996. The findings of
our work and recommendations for the foundation design are presented in this report.
The work was done in accordance with our agreement for geotechnical engineering
services to you dated August 1, 1996.
The proposed barn will be a wood frame structure with slab -on -grade floor supported
on structural fill. A spread footing foundation has been assumed for design.
On our initial site visit the topsoil was being removed and cut depths varied from 1 foot
to 3 feet. A slightly gravelly sandy clay was observed underlying the topsoil.
Scattered cobbles and small boulders were encountered in the southwest corner of the
excavation. At the time of our August 13, 1996 visit to the site, the foundation
excavation had been cut in multiple levels from 1.5 to 8 feet below the adjacent ground
surface. The soils exposed in the bottom of the excavation consisted of sandy clay with
_.sca_tW.r �grayel, cobbles and boulders. Results of swell -consolidation testing
performed on samples taken from the site, shown on Figs. 1 and 2, indicate the clay
soils are slightly compressible under conditions of natural moisture and light loading.
A low expansion or compression potential was noted when wetted under a constant light
loading. No free water was encountered in the excavation and the soils were slight
moist to moist. -
Considering the conditions exposed in the excavation and the nature of the proposed
construction, spread footings placed on the undisturbed natural soil designed for an
allowable soil bearing pressure of 2,000 psf should be adequate for support of the
proposed barn. The exposed soils tend to expand or settle when wetted and there could
be some post -construction movement of the foundation if the bearing soils become wet.
Footings should be a minimum width of 16 inches for continuous walls and 2 feet for
columns. Loose and disturbed soils or existing fill encountered at the foundation
bearing level within the excavation should be removed and the footings extended down
to the undisturbed natural soils. Exterior footings should be provided with adequate
soil cover above their bearing elevations for frost protection. Continuous foundation
walls should be reinforced top and bottom to span local anomalies such as by assuming
Jay Peterson
August 19, 1996
Page 2
an unsupported length of at least 12 feet. Foundation walls acting as retaining
structures should be designed to resist a lateral earth pressure based on an equivalent
fluid unit weight of at least 55 pcf for on -site soil as backfill. A perimeter foundation
drain should be provided to prevent temporary buildup of hydrostatic pressure behind
retaining walls. Structural fill within the floor slab area should be placed and
compacted to at least 95 % of standard Proctor density at a moisture content near
optimum. Our in -place density testing, taken on August 5 and 6, 1996, indicates the
structural fill was adequately compacted. The in -place density testing results are
presented in Daily Report Nos. 1 and 2, attached. Backfill placed around the structure
should be compacted and the surface graded to prevent ponding within at least 10 feet
of the building.
The recommendations submitted in this letter are based on our observation of the soils
exposed within the foundation excavation and do not include subsurface exploration to
evaluate the subsurface conditions within the loaded depth of foundation influence.
This study is based on the assumption that soils beneath the footings have equal or
better support than those exposed. The risk of foundation movement may be greater
than indicated in this report because of possible variations in the subsurface conditions.
In order to reveal the nature and extent of variations in the subsurface conditions below
the excavation, drilling would be required. It is possible the data obtained by
subsurface exploration could change the recommendations contained in this letter.
If there are any questions or if we may be of further assistance, please let us know.
Sincerely,
HEPWORTH - PAWLAK GEOTECHNICAL, INC.
v %
Louis E. Eller
Reviewed by:
v
Steven L. Pawlak, P.E.
LEE/kmk
attachments
15222 7
e 3 � Q� A
Q
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�. �O
�OF GOiE7�0�
cc: Continental West Constructors: Attn: Ron Haugland
H-P GEOTECH
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6
Moisture Content = 13.3 percent
Dry Unit Weight = 113 pcf
Sample of: Sandy Clay
From: Below Topsoil at
Northwest Comer
upon
0.1 1.0 10
APPLIED PRESSURE - ksf
Moisture Content = 9.8 percent
Dry Unit Weight = 111 pcf
Sample of: Slightly Gravelly Sandy Clay
From: Bottom of Excavation at
Compression
upon
0.1 1.0 1u
APPLIED PRESSURE - ksf
196 392 HEPWORTH - PAWLAK SWELL - CONSOLIDATION TEST RESULTS
GEOTECHNICAL, INC.
X+
200 = 61
100
Fig. 2
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. DESCRIPTION
sity = ,.Clayey
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Date:
nd
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HEPWORTH - PAWLAK GEOTECHNICAL, INI:.
REPORT OF FIELD NUCLEAR DENSITY TESTING
TO: Jay Peterson JOB NO. 196 392 DATE: 8-5-96
P.O. Box 1582
Vail, Colorado 81658 DAILY REPORT # 1 PAGE 1 OF 1
PROJECT: Peterson Barn, Bellyache Ridge Road, Eagle County, Colorado
GENERAL CONTRACTOR: EARTHWORK CONTRACTOR: Continental West Constructors
EARTH MOVING UNITS: loader THICKNESS OF LIFT: 10"-12"
TYPE & # OF COMPACTION UNITS: vibratory sheepsfoot NUMBER OF PASSES: as needed
METHOD OF ADDING MOISTURE: none added
rnMPACTION STANDARD: ASTM D-698 IStandard)
TEST LOCATION DEPTH LABORATORY
NO. OR
ELEV MAX ORV OPT
DENS cl MOIST °
1 northeast corner of barn 2' below 123.0 11.0
PART TIME OBSERVATION
PRELIMINARY OBSERVATIONS AND/OR TEST RESULTS VERBALLY REPORTED TO: Valerie with Continental West Constructors
THE NUCLEAR DNSOMETER METHOD OF TESTING WAS USED IN SUBSTANTIAL ACCORDANCE WITH ASTM D2992 AND D3017
THIS REPORT PRESENTS ONS OF FILL PLACEMENT, WE HAVE RELIED ON THE CONTRACTOR TO CONT
APPLYING THE RECOMMENDED COMPACT VE EFFORT AND MOISTURE TO FILLIONS FORMED AS A RESULT OF OUR I DURING THE TIMES WHEN OUR OBSERVER IS NOT OBSERV NG OPERATIONS'NUE
PROGRESS REPORT: The building area had been grubbed and interior underslab backfill was being placed in the northern section of
the barn. No additional moisture was being added to the imported soil. The native subgrade was moistened and compacted before
placement of fill. The area tested appeared dense with adequate moisture. A sample was obtained for index properties and standal
Proctor testing.
COPIES:
Brent Cole
Michael Evans
FIELD OBSERVER REVIEWED BY
HEPWORTH - PAWLAK GEOTECHNICAL, INV.
REPORT OF FIELD NUCLEAR DENSITY TESTING
TO: Jay Peterson JOB NO. 196 392 DATE: 8-6-96
P.O. Box 1582
Vail, Colorado 81658
DAILY REPORT # 2 PAGE 1 OF 1
PROJECT: Peterson Barn, Bellyache Ridge Road, Eagle County, Colorado
GENERAL CONTRACTOR: EARTHWORK CONTRACTOR: Continental West Constructors
EARTH MOVING UNITS: loader THICKNESS OF LIFT: not observed
TYPE & # OF COMPACTION UNITS: vibratory sheepsfoot NUMI51:I1 Ur rmOOr-O: as nucucu
METHOD OF ADDING MOISTURE: none added
COMPACTION STANDARD: ASTM D-698 (Standard)
TEST LOCATION DEPTH LABORATORY FIELD :.%'> :::.iNiN:'ds;`: SOIL TYPE
OR COMP . COMP.
ELEV MAX DRY OPT DRY MOIS NO. T 0BE(Z,
DENS pcf MOIST % DENS pcf
1
northern section of garage
6" below
subgrade
123.0
11.0
124.3
7.9
1..0.0;'+:>
95<:: >
clayey sandy
gravel
2
west section of barn
6" below
subgrade
123.0
11.0
125.7
8.9
:10:Q`.95:'
clayey sandy
gravel
3
east section of barn
subgrade
123.0
11.0
128.3
10.09.5.,::
clayey sandy
gravel
PART TIME OBSERVATION
HEPWORTH - PAWLAK GEOTECHNICAL, INC.
REPORT OF FIELD NUCLEAR DENSITY TESTING
TO: Jay Peterson JOB NO. 196 392 DATE: 8-5-96
P.O. Box 1582
Vail, Colorado 81658 DAILY REPORT # 1 PAGE 1 OF 1
PROJECT: Peterson Barn, Bellyache Ridge Road, Eagle County, Colorado
GENERAL CONTRACTOR: EARTHWORK CONTRACTOR: Continental West Constructor:
EARTH MOVING UNITS: loader THICKNESS OF LIFT: 10"-12"
TYPE & # OF COMPACTION UNITS: vibratory sheepsfoot NUMBER OF PA55E5: as needed
METHOD OF ADDING MOISTURE: none added
COMPACTION STANDARD: ASTM D-698 (Standard)
ISDS Permit # / 7 7 /' Cf�
Date /0 9
ISDS Final Inspection
Completeness Form
Tank is 11a00 gal. Tank Material
Tank is located 3-3' ft. and Li' degrees from
(permanent landmark)
Tank is located *3 ft. and degrees from
(permanent landmark)
Tank set level. Tank lids within S" of finished grade.
• /f
Size of field 0 3 ftz units lineal ft.
Technology - 1at..i``s"Z r. (r�k�a
1,
✓ 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.
V/ Inlet and outlet is sealed with tar tape, rubber gaske etc.
Tank has two compartments with the larger compartment closest to the
house.
✓ Measure distance and relative direction to field. I-f//
V Depth of field 3 ft.
Soil interface raked.
✓ Inspection portals at the end of each trench.
Proper distance to setbacks.
Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
_J ' Type of pipe used for building sewer line ,L4"P✓ , leach field S0IZ3S
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
Tank
50
10
5
10
50
10
*
10
�,:. .�.ms.n, -emv c 6om .ass 014.1 C.-,P+-ETDUS P-&)D-22:-!!:
' 1779-98 Tax #1941-272-00-049
Parcel D. Wolcott Springs PETERSON
JOB NAME Bellyache Ridge Rd. , Wolcott3liti►•
JOB NO.
JOB LOCATION
BILL TO
DATE S.(TAAR��E^^D p
DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
lo
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 277
cs�
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JOB FOLDER
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EM
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
ORIGINAL PERMIT NO. 1408-94
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. ALTERATION PERMIT NO. 2161A-01 BP NO, 13859
OWNER: JAY PETERSON PHONE: 970-920-3729
MAILING ADDRESS: P.O. BOX 1582. VAIL, CO 81658
APPLICANT: REX BOSSOW PHONE: 970471-181 l
SYSTEM LOCATION: 2200 BELLYACHE RIDGE RD.. WOLCOTT. CO TAX PARCEL NO. 1941-272-00-049
LICENSED INSTALLER: BOSSOW EXCAVATION, REX BOSSOW LICENSE NO. 23-01 PHONE: 970-524-9888
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
INSTALLATION OF THE EFFLUENT LINE LEADING FROM TI4E GARAGE ADDITION TO T14E EXISTING 1250 GALLON SEPTIC TANK, WITH A CLEAN
OUT BETWEEN THE TANK AND THE HOUSE.
ENVIRONMENTAL HEALTH APPROVAL: LAURA FAWCETC DATE: NOVEMBER 27, 2001
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLECOUNTY 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: SQUARE FEET (VIA )
EXISTING SEPTIC TANK: 1250 GALLONS IS LOCATED 68 DEGREES AND 39 FEET INCHES
FROM THE SECOND CLEANOUT BETWEEN THE TANK AND THE FIRST CLEANOUT.
COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT ON l 1/27/01.
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 APPROVALI�GC.(/CL�� DATE: DECEMBER 4, 2001
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
ORIGINAL PERMIT NO. 1408-94
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. ALTERATION PERMIT NO. 2161A-01 BP NO, 13859
OWNER: JAY PETERSON PHONE: 970-920-3729
MAILING ADDRESS: P.O. BOX 1582. VAIL, CO 81658
APPLICANT: REX BOSSOW PHONE: 970471-181 l
SYSTEM LOCATION: 2200 BELLYACHE RIDGE RD.. WOLCOTT. CO TAX PARCEL NO. 1941-272-00-049
LICENSED INSTALLER: BOSSOW EXCAVATION, REX BOSSOW LICENSE NO. 23-01 PHONE: 970-524-9888
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
INSTALLATION OF THE EFFLUENT LINE LEADING FROM TI4E GARAGE ADDITION TO T14E EXISTING 1250 GALLON SEPTIC TANK, WITH A CLEAN
OUT BETWEEN THE TANK AND THE HOUSE.
ENVIRONMENTAL HEALTH APPROVAL: LAURA FAWCETC DATE: NOVEMBER 27, 2001
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLECOUNTY 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: SQUARE FEET (VIA )
EXISTING SEPTIC TANK: 1250 GALLONS IS LOCATED 68 DEGREES AND 39 FEET INCHES
FROM THE SECOND CLEANOUT BETWEEN THE TANK AND THE FIRST CLEANOUT.
COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT ON l 1/27/01.
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 APPROVALI�GC.(/CL�� DATE: DECEMBER 4, 2001
,•� Incomplete Applications Will NOT Be Accepte
(Site -Plan MUST be attached)
P'tW
ISDS P mit #
Building Permit # /.SW_ __
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 -�,,P &L�
* APPLICATION FEE $ SrnC2 00
..�� �e-1-i r� o e[.I�rre eP
* THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PEiCOEATiON TEST,juV_-
* 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: 0—aIA f6er-so in
MAILING ADDRESS:
x 1'5 8 z Vag
APPLICANT/CONTACT PERSON: ,-Q Of (&S474 P)a55aW
LICENSED SYSTEMS CONTRACTOR: �Re"- 6C75 o1,J
PHONE: l a% 637�q
PHONE: 7IT .317
PHONE:
COMPANY/DBA: 605500 ADDRESS: Pb 8DX C7L10.5UIy! (�O G� �0 39
iicPi ► Seciler rn , a-v"
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( �)ALTERATION ( ) REPAIR
h oo k_ 11 -0
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: 5 rh
Legal Description: &t
,,II
Tax Parcel Number:* IC "i I-V7'o - 00-
Physical Address:-'
BUILDING 'TYPE: (Check applicable category)
(N Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Lot Size: 35 ILCA_�A
Number
Number
Type —
w
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:�2
APPLICANT SIGNATURE: �' 60 ll Date: '!�7kl
AMOU-117T PAID: D. ' RECEIPT Jr: d. U5 r DATE: NA7161
CHECK #: CASHIER
�.` _ fir. � \� ��' _—� _.✓ �-� �`� �
�r
MAI) \
-7575
4cA l %
•tea
�D
7
l
appROXIMATE SCALE' I = 250'
LOT I
5
e`G ACCESS
• �,�- UTILITY
�/ .EASEMENT// 0
/ BORING 1 /
/BUILDING
7. ENVELOPE
BORIN
l� c�
BORING 3
o
3
• // L O T 3
� 1
PARCEL D
�j>,�ln,I1lC. LOCATION OF EXPLORATORY k30f�li�1GS�Firs. 2
15 L)-) 11 cue =t+ ILJu a- `7 4f
ISD5 Pern►it #
ISDB Final Ingpeation
Tank is +_ gal. Tank Material
Tank is located ft. and gr+ as from
Tank is located 3-1ft. and degrees fro0L
Date d /'q?/0/
3
i
%nk set level. Tank lids within 6" of finished grade.
Size of field ft' units lineal ft.
Technology
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.
rnlet and outlet is sealed with taz•,tape, rubber gasket etc.
T ;has two compartments with the AaiVer- .:cgWartment closest to the
house.
Meanure. distance and relative
Depth of field ft.
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 femoved from
trenches, etc.)
Type of pipe used for building sewer line , leach field`„
Other
Inspection meets reauirementa.
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
Zd& 50 10 5 10 50 10 * 10
ISDS Permit # 1 I 11. qr
Date /017-19
ISDS Final. Inspection_
Com-pleteness Form
Tank is 11V00 gal. Tank Material I remit-1 Lk-
Tank is located SD ' ft. and Lj -degrees from C/ of '
(permanent landmark)
Tank is located _ft. and degrees from
(permanent landmark)
Tank set level. 'L Tank lids within S" of finished grade.
•
Size of field �a ft2 units lineal ft.
Technology
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, r�bergaskp etc.
Tank has two compartments with the larger compartment closest to the
house.
Measure distance and relative direction to field. J'
Depth of field 3 ft.
Soil interface raked.
► Inspection portals at the end of each trench.
Proper distance to setbacks.
Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.) _
// Type of pipe used for building sewer line'Yk, leach field
Other
/ . Inspection meets x2mA=enta.
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
Fielgi 100 25 20 10 50 25 10 10
Tank 50 10 5 10 50 10 * 10
| CALCULATED OAT;
CHECXM DAW
SCALE
11�u� It) L)�> =t=� (-j U 0- -j -�-
ISDS Permit # Date ltl7lo/
.per CgWlsteaeee_ Form
9 X� Tank is gal. Tank Material
1�
_ Tanis is located f t . and ��tesfr
f /� a `0
Tank is located 3ift. and degrees fro
? ` lank set level. Tank lids within B" of finished grade.
size of field ft2 �— units lineal ft.
Technology
cleanout is installed in between tank and house(+ 1/100ft).
There is a "T" that goe
outlet of the tank.
M-let and outlet is sea
T -has two ooMartmen
house.
Xwe&Ure distance and re
DeEpth of field ft
Soil interface raked.
Inspection portals at t
Proper distance to Beth
L
Chambers properly inert
(Chambers latched, end
trenches, etc.)
�. Type of pipe used for,
other SJa� r2�n �j 117/a/
220D �:l(a�c�lc�id�e,l�d• gu�IdinS sewsr
Inspection meets
r CAYV,g r n COL Q 454'4
copy form to installer's file it recvmwnt...� t�tA°rbusfd+
suggested.
ACTION TAKEN:
to the
ono.
wed from
`iel
anent were
setbacks
Well Potable House Property Lake Dry Tank Drain
Water Lines line stream Gulch____
Field 100 25 20 10 50 25 10 10
TI& 50 10 5 10 50 10 * 10