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HomeMy WebLinkAbout550 Castle Peak Rd - 193922301007INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 i�� , Telephone: 328-8755 r YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. Please call for final inspection before covering any portion of installed system. PERMIT NO. 1539 OWNER: Gerald and Ramona Dillon PHONE: (970) 328-6296(h),926-3208( MAILING ADDRESS: P.O. Box 381 CO, Eagle SIM. CO 2�p_ 81631 APPLICANT: Gerald Dillon PHONE: (970) 328-6296 SYSTEMLOCATION: Lot 14, Castle Peak Ranch TAX PARCEL NUMBER: 1939-233-01-007 Edwards Excavating, Don Jotinson 69-95 LICENSED INSTALLER: _ LICENSE NO: DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS- SQUARE FEET OF SEEPAGE BED 750 SQUARE FEET OF TRENCH BOTTOM. SPECMLREQUIREMENTS: Install 21 infiltrator units as requested by owner. Install_.in se'•ial distrib- ution. If you -have questions about this technologgy please call us. Install cleanouts every 100 feet of PiRe line and also ins ection Dortals. in each tunch Do Not install during re cipitation, and rake all trench surfaces. Call the County for a final inspection prior to back -filling. ENVIRONMENTAL HEALTH APPROVAL: DATE: 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 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: 792 SQUARE FEET. via 22 infiltrators. INSTALLED SEPTIC TANK: 125() GALLON 125' N^DEGREES 97' FEET FROM the cleanout attached to the house SEPTIC TANK ACCESS TO WITHIN 8- OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X YES NO COMPLIANCE WITH COUNTY ISTATE 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: Barn wash bay drainage of grass swale or E.T.A. infiltration as per Ray Merryls comments on the Dillons letter dated June 26,19 ENVIRONMENTAL HEALTH APPROVAL DATE' 241. ENVIRONMENTAL HEALTH APPROVAL: _ _ _ DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: PERMIT PERCOLATION TEST FEE OWNER: RECEIPT * CHECK* (Site Plan MUST be attached) ISDS Permit # i f 3 ` 1 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM ERMIT 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: _ d�� �%Pdh1 A I„2, %,eAl- PHONE: (%iA MAILING ADDRESS: a X 3,9y-/ • l'�J i 411A r?,, e - APPLICANT/CONTACT PERSON* MAILING ADDRESS: J-4A LICENSED ISDS COMPANY/DBA: L-7�11gA.9 ADDRESS: PHONE: (�%94/4 PHONE: *************************************************************************** PERMIT APPLICATION IS FOR: YN New Installation ( } Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # Legal Description: (if Subdivision known) ,4j,e x'dwet Filing:_Block: Lot No. % Tax Parcel Number: 1 3 Lot Size:. 35 ACrr'S Street Address: .t v i` l �/ / 9/v�� a"l /�� -V,,� w *************************************************************************** BUILDING TYPE: (Check applicable category) ( Residential/Single Family { ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (jA Well ( ) ( ) Public Name *These systems require (Check applicable category) Spring ( ) Surface of Supplier: Number Number Type _ of Bedrooms 13 of Bedrooms gn by -,a Registered Professional Engineer SIGNATURE: _ /��%�� Date: /5— TO BE COMPLETED BY THE COUNTY j AMOUNT PAID:.35b lib RECEIPT #: is DATE1 Rs CHECK #: CASHIER: Community Development Department :970) 328-8730 Fax: (970) 328-7185 TDD: ?970) 328-8797 EAGLE COUNTY, COLORADO June 26, 1996 Gerald And Ramona Dillon P.O. Box 381 Eagle, Co 81631 RE: Final of ISDS Permit No. 1539-95 Parcel #1939-233-01-007. Property location:0550 Castle Peak Ranch Rd., Eagle, CO. Dear Mr. And Mrs. Dillon: Eagle County Buildin,, 11.0. Box 179 500 Broadwav Eagle. Colorado 81 hj 1 -0179 This letter is to inform you that the above referenced ISDS Permit has been inspected and finalized. Enclosed is a copy to retain for your records. This permit does not indicate compliance with any other Eagle County requirements. Also enclosed is a brochure regarding the care of your septic system. Be aware that later changes to your building may require appropriate alterations of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division at 328-8755. Sincerely, Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Information Brochure Final ISDS Permit cc: files Peter Sherowski, Vail Associates, Inc. ISDS PERMIT PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: ) J k W1 ! LEGAL DESCRIPTION:�Vo i�LT j MAILING ADDRESS: ! TYPE OF DWELLING: _R S NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES�T• NO i_t.o�j " TIME WATER DEPTH INCHES OF FALL RATE SOIL PROFI PjAvl lU 1 2 3 i 2 3 1 2 3 I 2 1 3 a' 2 VA �A /U � �(� I� i �� c �,n�` `�,�� 1 �•• 1 `I� 'j f, 1 `� Z ''�1J /�i � 3� 3' 6. Time to drop last inch PERC RATE: MINIMUM SEPTIC TANK SIZE:/ Qf� MINIMUM LEACH FIELD SIZE: �-)-ze-04 G� ba�'r. pct�raow� COMMENTS: � i 1v� ► li�cc4w" � a Sir . ...a•r s+.a .. a Mva�L 1.71 w DATE Environment i Health Officer rev. 6/90ks ISDS Final Inspection Comp eteness Form ` Tank is gal. Tank Material O t-)U/LZtCC Tank is located qo'7 dA ft. and -$agrees from �f�Jr>n.l� 4e':�a 34 (permanent landmark) Tank is located �r / ft. and �0� Y degrees from 1�L�1;d lrt �� �,��U,� (permanent landmark) an i s within 8" of finished grade. �G Size of field ft' L units lineal ft. Technology CA- 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. `Z Inlet and outlet is sealed with tar ta.P7. rubber gasket etc. Tank has two compartments with the larger compartment closest to the house. /5, _ Measure distance and relative direction to field. i Depth of field ft. Soil interface raked. Inspection portals at the end of Proper distance to setbacks. Other 14 UgaiLd 6nd Lj Inspection meets requirements. each trench. copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: - 4, i� *"(W� co-e Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream G lch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 a �� \ y�x .\� � y� ~ � \ � � � � ` � \ �. \� � ` � ®`zz \ x`\ \ .- z� � � . � \ ' � � 2 . \\\\/ � \\\\/ � \��/ -?? 7 � 7 �3 1,9�J;-' ti F .�Co woo r` Y yi . i 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 _______________________________________License Number __________ Email Address _____________________________________ Phone ______________________________ Service Technician __________________________________Phone______________________________ Tax Parcel # ________________________ Address of Service ___________________________________ Person Requesting Service ___________________________ Phone______________________________ Property Owner____________________________________Phone_______________________________ Septic System Permit Number ________________________ Tank Size ____________________________ Date of service _________________________ Tank Material ___________________________________ Sewage Disposal Site ___________________________________________________________________ General Condition and Functionality of the System ___________________________________________ ____________________________________________________________________________________ Recommended Repairs __________________________________________________________________ _____________________________________________________________________________________ Site sketch showing location of the septic tank access lids measured from at least 2 fixed points (Photos Encouraged) Signed ____________________________________________ Date ______________________________ Altitude Septic, LLC C1-17 Altitudeseptic@gmail.com 970-471-0913 Jason Daubs 970-471-1330 1939-223-01-007 550 Castle Peak Ranch Rd. Mary Ann Hagedorn Bruce & Mary Ann Hagedorn 1250 gallon 10/31/17 Concrete South Canyon Landfill This system is functioning properly. No recommended repairs. 80'60' tank cleanout 2 laterals of leach field inspection ports house fence Jason Daubs 10/31/2017