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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 $247Ap NE -rd ,7 C, 7C761 4L raw 1 Z7 9A 1, rA on 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 / I 1 p Q / BUILDING O ENVELOPE / �BORIN / cn CL \ BORING 3 J ' � O 3 \ / LOT 3 73So -73- 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 Q f S `7 `7� JOB COST SUMMARY _ ^ OTAL SELLING PRICE /—'-7-A I 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 Jay �-%'Son WOO i�tr�,co bullldlyt rc Sewer 1 aGQdo-fitsl` Cmx,1.5 rn ct�-a �F5°L 7� 'tom' bu; fJ I rtq �r JOB FOLDER Printed in USA 0 'Z 01) Q10 ,� ��� �� Vea �co�s 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 ic L i< -x 0 Ic • ie O _ t` i it CD 4c O it a Al O C H * -x W W � W P 0-3 is il? ie m� T a H Ci a `r4 04 to U 4Jr-q 1 U rit 0 > to ul <LFpp F-t I rr 40 �1 CT � W oti cl t4 * V a •� �7 is �' r-1 � _ 0 H uf Hin m°emu �'>x 0craic �* q keg 0'�'* a i< o 1-r x w LO cc LO Nplc ih ci * w 1 oa t3 A4 * W it a * w DH 0 H* ,Q H * H 49 � fH V Eq a ..1 10 .44-1 i '.4 * P4 GC w w 0 a i< +O" # O 0 0,60 w = i*c Li ta W x a LQ 0 H u z a u H a Wd 10 t E-� 0 ..ta�y w W u H PA i< u49 %-0 0 H 9 v '1z a H E4 V)1-4 I 0 w H a H H w OF f. a N to 0 En H n w a ra H H a z H D w Eq C4 a c., w 0 O 0 0 P w 44 00 zzH .71 N 0 er a) v di v E) �tn r{ V a a ..�J4 ru w %-z a D v J, q} bi 0 w 0 [�Q N CI W 0 14 C4 R m >1 m N en m 49 is �a �h i P • a 4J 1� _ . 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"*�S � ' 7 a7 to a � .O �-' 7 77 • w-Ur�' arGO•i • xtcti • -H.Gtor . r, p-t Haa0.) .-i +aa's '�p`� fGc4tO 4'%»" Uo •rpi G iT� s Q•� -a-� • tpa) E-C •M -t a) m aiJa (D tz, W n -3 ° °0)0 +Ic o+) -4 o o iL fJ O 'OatG H a' 4a 03 ti W 41k�' o t0 " o o 4-4 Uo a UuC a w a p -1 O {' al a7 O Gbm y _ r t N M C% aj QJ a to W C4 ri +, - r-, a, 4-Y a W to it to to o 0 07 d w Fi U �Gi 0 a3 0 w E a Vj o to a .Cl CA V .•-I Ej U ed .0 �:".c`Jir t o �. _•.Y-sc�:.f!„�t, zr.fe � - ��^.. ��--"s%u��_ - :.�-- -- �. - . . , - - .. c N ' ' S ° 0 _ a m I N .0 � qa • _ .0 .• O ay O N a - - 44 .0b* • coocd 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� to 9SlTq 1' fv o, r . l5 1 E3/� /o�fy �/ 3I't q S,'ll 0�47 � � �►)I 2 < 2( 1� °p� �I� 2� �s'�v 12, '°9 ► �' S 3' g � 3 3141 1 � 13 "l 1 Sr 116 v 2 �l fl l C� /0 I3 6' qo 1 -7 7— 114 i s'lz �i 3/4 ,��. �� �,� ►/N r� �,� '�L, ►,Z 10 to 81 3' 6''� �'2- e 'Z / 10 r O i 3. a ' 3/8 3/9 1 O 1, 3 13. 3 1 �' v vr\ 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 /n y i . �. �O �OF GOiE7�0� cc: Continental West Constructors: Attn: Ron Haugland H-P GEOTECH 0 C 0 0 .N C O Q. ti� 1 C O_ �2 2 w L a E v 3 0 1 0 2 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 ■■■■■■■■■■■■■■►\■■■■■■ MEN ■■■■■■ ■■■■■■■■■■■■■ ■■■■■■■■■■■■■ MEN ■■■■■■■■■■■■■■■a■■■■■■■■■■■ ■■■■■■■■■■■ NONE ■■■■■■■■■■■■■■■ EE■E■■■NNE■■NN�:i■\�\�■■■N■■■■■ . ■■■■■■■■■N■■►/NOON■■■\■■■■■■■■ ■NNE■■■■■■■/% mom ■MMM■M\E OMEN E■ - ■NEE■■■E■■�%■■■N■E NEON O■\M■MEM■ . ■ENE■ NOON/ rMEN ■MMME ■EMMO MMMEM ■■■■■■OR%EMMMM■MMMM■M■MM\ME■■ ■ ■■■■M■■■■■■mom ■■■■■M■MMM■■&ME■ ■NEE■NEE■mom ■■■■■■■■■■MEMO■WIRE ■OMME■M■M■■NEON■■■■■■■■■■■■■ ■■N■■NEE■■■■■■■■■■■■■■■MN■E■■� MEN E■■EMM■■N■■ENMEMM■MEMMIMME■ ■MEM■■■MM■■MEMM■EMEM■MM■E OMEN _. . Hw E , _.TEST Classification M �FRVN� m RESULTS. . DESCRIPTION sity = ,.Clayey .. - _.Gravel Project:ravel .. ... Date: nd - .. .. �, .. ._ 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 IA(, ksi c>*oo cvwa e.� lam" �� . svi1 r 1-InA lip - G� 5r)5 ' ILkb�-� ,3g9 krv-4-c 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� r JOB FOLDER • fig S �SDS /7-T- f ,s -7y- qb Printed in USA �1� x X 7870.3 �` X X 7 j�.9 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