HomeMy WebLinkAbout531 Buck Point Dr - 218922301008 - 1591-96ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone:328-8755 BP-10413 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 15 5 9 1 `` 9
Please call for final inspection before covering any portion of installed system.
OWNER: Sam Chambers PHONE: (970) 945 1531 PPX
MAILINGADDRESS: P.O. BOX 572 city: Glenwood Spring&ate: CO zip: 81602
APPLICANT: Same PHONE:
SYSTEMLOCATION: 531 Buck Point Dr., Coulter Creekx PARCEL NUMBER: 2189-223-01-008
LICENSEDINSTALLER: Frying Pan Construction, .Tim Hnitan LICENSENO: 55-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK YDCbvL5.
ABSORPTION AREA REQUIREMENTS:
)iv3 18
SQUARE FEET OF SEEPAGE BED �12-9- SQUARE FEET OF TRENCH BOTTOM. via ,�� infiltrator units as requested by
SPECIAL REQUIREMENTS: owner, Install in Serial di Gtrihuti on in f-renrheS, With cl—Cl.Bai19Ut bet:WORP
the tank and the house, and insppection ports in each trench. Rake trench surfaces to pre-
vent smear' Call h t
of the insta lation, of if you have any questions regarding technology. Do not instal in
wet weather.
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: 648 SQUAREFEET. via 18 infiltrators
INSTALLED SEPTIC TANK: 1250 GALLON 85 DEGREES31 ' 10" FEETFROM - the corner of the house
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY _— YES —NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: 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:
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
CN'i7i1:113
PERMIT FEE PERCOLATION TEST FEE RECEIPT# CHECK#
'Site Plan MUST be attached)
ISDS Permit # 5-- l - ' 6:�,
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: Oa ,U PHONE: _976)
MAILING ADDRESS: _ 2 /t A riv �f .- _ ` S/d 6 2-
APPLICANT/ CONTACT PERSON: PHONE: ( )
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR: e,--AA �f! PHONE: ( )
COMPANY/DBA: ADDRESS:
***************************************************************************
PERMIT APPLICATION IS FOR: �Q New Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # Ll� (if known)
Legal Description: Subdivision: Co,lf« Cevc' 44-1- Filing: :Z-Block: Lot No.
Tax Parcel Number: . g _Z-2 3 - / - 6 J Lot Size: 3_57'_aC�c f
Street Address:
***************************************************************************
BUILDING TYPE: (Check applicable category)
Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY:
( ) Well >4
( ) Public Name
(Check applicable category)
Spring (><) Surface
of Supplier:
Number
Number
Type _
of Bedrooms 2-
of Bedrooms
*These systems require designfpy a Registered Professional Engineer
SIGNATURE: Date:
***************************************************************************
TO BE COMPLETED BC THE COUNTY
AMOUNT PAID:L RECEIPT
CHECK #:
# DATE:
CASHIER:'
Community Development Department
'970) 328 8730
Fax: (970) 328-7185
TDD: 970) 328-8797
EAGLE COUNTY, COLORADO
DATE: July 11, 1996
TO: Frying Pan Construction
Ea.,,le County Buildin ,r
P.O. 13ox ? 79
500 Broadway
Eal-le. Colorado :S 1 fi3
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System Permit No. 1591-96, Tax Parcel
#2189-223-01-008. Property Location: 531 Buck Point Dr., Coulter Creek
Ranch, Basalt, CO, Chambers residence.
Enclosed is your ISDS Permit No. 1591-96. It is valid for 120 days. The enclosed copy of the
permit must be posted at the installation site. Any changes in plans or specifications invalidates
the permit unless otherwise approved. Please call our office well in advance for the final
inspection.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special conditions
which may have been placed on the permit. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made. Your building permit CO will not be
issued until final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755.
cc: files
Community Development Department
(970)328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
September 6, 1996
Sam Chambers
P.O. Box 572
Glenwood Springs, CO 81602
RE: Final of ISDS Permit No. 1591-96 Parcel #2189-223-01-008.
Property location: 531 Buck Point Dr., El Jebel, CO.
Dear Mr. Chambers:
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
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,
l
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL:Information Brochure
Final ISDS Permit
cc: files
ISDS Permit #i l—g Date
TSDS Final Inspection
Completeness Form
Y, Tank is 12JU gal. Tank Material Of-j�, O�� 1tl
Tank is located 3% 10�' ft. and ( 5 degrees
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. y, Tank lids within 8" of finished grade.
k Size of field ftZ cS units lineal ft. x( 3
Technology I ( c��
9-
k Cleanout is installed in between tank and house(+ 1/100ft).
u There is a "T" that goes down 3-4 inches in the inlet and
outlet of the tank.
'x Inlet and outlet is sealed with tar tape, rubber gasket etc.
Tank has two compartments with the larger compartment closest to the
house.
_ Measure distance and relative direction to field.
Depth of field -75 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.)
Others " t
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 so 10 * 10
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
3'dew
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OWNER: V
LEGAL DESCRIPTION: ) oz f4- N4,-g C p& rjaJb c+ D2
MAILING ADDRESS:
TYPE OF DWELLING: �e i)�NUMBER OF BEDROOMS Z_.. SIZE r��
TEST HOLES PRE-SOAKED: YES \ NO
TIME
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1
2
3
1
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3
1 2
3
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1 2
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Time to drop last inch 0 a I
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PERC RATE: �.0 r MINIMUM SEPTIC TANK SIZE: ` gnki o,1
MINIMUM LEACH FIELD SIZE: j/Z� c3jp+ ln�ilC4a�5 �� i�wnes t�e���esf
COMMENTS:
PERC TEST DONE BY:
DATE:
nv nmental Health Officer
rev. 6/90ks
ee.s tr -by
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