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HomeMy WebLinkAbout194 Wapiti Way - 247106303003INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone:328-8755 10 / /� 0� YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1638 Please call for final inspection before covering any portion of installed system. OWNER: 1)_niiglas Clark PHONE: (970) 963-1038 MAILINGADDRESS: 54 Palo Verde city: C:arhOndal P State: C:0 zip: 81 621 APPLICANT: same PHONE: SYSTEMLOCATION: 0194 WLapitj Way TAX PARCEL NUMBER: 2471-063-03-003 LICENSED INSTALLER: c Y LICENSE NO-rT4 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1600 GALLON SEPTIC TANK minimum tank Size ABSORPTION AREA REQUIREMENTS: / `J 37 SQUARE FEET OF SEEPAGE BED ` SQUARE FEET OF TRENCH BOTTOM. via infiltrators as requested by gener- SPECIAL REQUIREMENTS: al contractor, TnG ll in Serial distribution with trPnrhPG rrinning alnng the contour of the slope. Install a cleanout between the tank and the house, and inspection ports or final inspection prio r to back filling any part of the installation, or if you have any ue 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: 1125 SQUAREFEET. via 37 infitrator units INSTALLED SEPTIC TANK: 1250 GALLON 220 DEGREES 10 FEETFROM foundation SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY �_ 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: X DATE: February 11, 199 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE-INSP CTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT# CHECK# (Site Plan MUST be attached) ISDS Permit 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: APPLICANT/CONTACT PERSON:-5Aj4li - PHONE: 1 MAILING ADDRESS: LICENSED ISDS CONTRACTOR: PHONE: COMPANY/DBA: ADDRESS: *************************************************************************** PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED IN�D/I�VGIDUAL SEWAGE DISPOSAL SYSTEM: Building perm i t # ' �.�{ `%J ( ;_ f known) Legal Description: Subdivision: 17/ yNC -C.5 Filing:_ lock:--4--.Lot No. c Tax Parcel Number: I9 Y-- I 6 3--_L3_-_o a .3. Lot Size: _ C Street Address: () l q 14-214P%T ] *************************************************************************** BUILDING TYPE: (Check applicable category) (�} Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) () Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: RQU c)l SNo'V-5 *These system requi esign by a Registered Professional Engi ee SIGNATURE: Date: ************ * ************************************************** ******* TO BE COMPLETE BY, THE COUNTY a �j /,l AMOUNT PAID: ,%5Z� • (� RECEIPT # : D 3 f l DATE: cw) CHECK #: I L 2 0 CASHIER: (, Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 DATE: August 27, 1996 TO: Frying Pan Construction FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1638-96, Tax Parcel #2471-063-03-003. Property Location: 0194 Wapiti Way, Basalt, CO., Clark residence. Enclosed is your ISDS Permit No. 1638-96. 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 February 12, 1998 Douglas Clark 119-H AABC Aspen, CO 81611 Eagle County Building P.O. Box 179 500 Broadway Eagle. Colorado 81631-0179 RE: Final of ISDS Permit #1638-96, Tax Parcel # 2471-063-03-003. Property location: 0194 Wapiti Way, Basalt, CO. Dear Mr. Clark: 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 (970) 328-8755. Sincerely, Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Informational Brochure Final ISDS Permit cc: files OwL1 ISDS Permit # � o�'"T Date (p �P ISDS Final Inspection Completeness Form Tank is gal. Tank Material r(pp y�ptfAf-_ Tank is located /0 ft. and degrees from l.� la c.-I tD�lj/tc Ct�z�v� ryA. � - (permanent landmark) Tank is located ft. and degrees from (permanent landmark) �C Tank set level. Tank lids within 8" of finished grade. —A Size of field ft2 12 units lineal ft. Technology Lac(i74-- a4 B ! Cleanout is installed in between tank and house(+ 1/100ft). There is a "T" that goes down 14 inches in the inlet and Pi'( CYVS 4� �outlet of the tank. , 'fe5 n Inlet and outlet is sealed with tar tape, rubber gasket etc. pr(4Lcre-5 Y Tank has two compartments with the larger compartment closest to the house. A Measure distance and relative direction to field. X Depth of field 1-2 ft. 04 Soil interface raked. >1" Inspection portals at the end of each trench. Proper distance to setbacks. L'C-h o'exinstalled as per manufacturers specifications. mberslatched,)end plates properly installed, rocks removed from tren es, _. Type of pipe used for building sewer line leach field Other _ NO Inspection meets requirements. Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: QQA Y16 :W5 dri Setbacks 1'; a]L 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 JOB i LI-3 I's EAGLE COUNTY ENV. HEALTH SHEET NO. OF P.O. BOX 179 EAGLE, CO 81631 CALCULATED BY J=+20411LIr DATE CHECKED BY DATE Lc 1 ca bCt 7 PRODUCT 2r 1 S c,e S,eatsi 265 1 PaCaa! �— nc Grots vass ..... . : Or.-;: TOLL RH 1-900 225-6380 Community Development Department 970)328-8730 Fax: !970) 328-1-185 TDD: 970) 328-8797 DATE: May 16, 1997 TO: Demco Construction FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Reissuance of Individual Sewage Disposal System Permit No. 1638-96, Tax Parcel 92471-063-03-003. Property Location: 0194 Wapiti Way, Basalt, CO., Clark residence. Enclosed is your ISDS Permit No. 1638-97. 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 Enclosure: ISDS Final Inspection Completeness Form PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: MAILING ADDRESS: 0 Cpwboi d TYPE OF DWELLING: NUMBER OF BEDROOMS 7 TEST EnLES PRE-SOAKED: YES I/ NO TIME i;"Amrej nvnmxy ­ --- 2 3 i f 2 3 1 2 3 1 2 3 bulL FROFI 08 0' 0 (j 5 C/ /D ILI . ..... 33 -6, I. 21 L2 /0 17, Iq 12- L ILI "I L 3' 3 4 5, Z-7 _Zj_�L_ 7,1 2-7-5 _J4 6 J)� 7' cl 318 7 1 D CD 8 Ell Iq Ar4 i 0 Time to drop last inch— PERC RATE: aD MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: I COMMENTS: ,A01-i-r , :,, PERC TEST DONE BY: Environmental Health 0 rev. 6/90ks cer DATE: / � 7 TO: EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION MY NAME IS DOUG CLARK. I HAD A PERCOLATION TEST DONE ON MY LOT IN RUEDI SHORES EARLY THIS FALL AND WAS ISSUED PERMIT # 1638- 96. I WILL NOT BE PUTTING IN ALLOWS IN THE SPRING OF 1997, SO EXTEND MY ISDS PERMIT INTO 1997 THANK YOU FOR YOUR TIME, INFORMATION. THE SEPTIC SYSTEM UNTIL WEATHER I AM MAKING A FORMAL REQUEST TO CONTACT ME IF YOU NEED FURTHER SINCERELY, DOUG CLARK 119H,AABC ASPEN,CO 81611 (H) 970-963-1038 (W) 970— 20-4071 Building 119, Unit HAABC • Aspen, Colorado 81611 Community Development Department (970) 328-3730 Fax: (970) 328-7185 TDD: (970) 328-8797 EACDU COUNTY, COLORADO December 2, 1996 Doug Clark 11 9H, AADC Aspen, CO 81611 Dear Mr. Clark: Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 Our office has received your request to extend your Individual Sewage Disposal System (ISDS) permit # 163 8-96 into the 1997 construction year. If there are any changes in your building plans, please be sure to notify us, so the appropriate changes can be made on your permit. If our office can be of further assistance, please call us at 328-8755. Sincerely, Heather Savalox Environmental Health Specialist cc: isds file 91638-96 INSPECTION REQUEST :A G J-. E COUNTY 13P-11208 �O,,IMUNi'!'Y DEVELOPMENT single Family -9 BOX 11 EAGLE, CO 81631 INSPECTION NUMBER none : (19700028-8730 Fax : (970028-7185 1 J REQUEST AN iNSPECTION, CALL (9-10) 328-8106 ------------------------------------------------------------------------------ aLe RequesLed 11/06/1,997 ilue RequesLed 16:05:2""'- 0 ,eady Da Le 1'ri 11/07/1997 aller : 379-0296 Ulleduie,U IrispecLor : 130B PLUMBiNG:Rough ixispeQLion DOUG CLARK 0194 WAPITI WAY RUEDi-SHORES COMMENTS / NOTES no specify, which Lype of plumbing LhuL lie needed SDS PERMIT 416'0-8-96 ISSUED ON 8/27/96 .L.G. REQUIRED PRIOR TO FRAMING INSPECTION QTY - 3- QTY - 3 AVATORY ( WASH BASIN.) QTY - 3 HOWER Q'ry - I ,ITCHEN SINK & DISP QTY 1 ISHWASHER QTY - 1 Laf 7o LOTEES WASHER QTY 1 ATEK, HEATER QTY LOON, SINK OR DRAIN QTY 2 AS SYSTEMS:NUMBEH OF OPENINGS QTY 3 ATER PIPING & TREATMENT EQUIP. QTY ACUUM BREAKERS (NOT INCLUDED ABOVI�.) QTV 1,V7T)) a'JA•Dt-'-- CAS -f t �1) mi v hAOI-A-1- li-VS 7Z--- — 6L'hvL)'1- (?/<- / " d-, /s, '/2' t- /" ',' ------------------------------------------------------------------------------ J-, APPROVED [] Upon Lie 1~'ollawirig correcLioris [ ] 'DJ SAPPROVED [ I REINSPECT -------------------------------- 7 -------------------- --------------------- ------------------------------------------------------------------------------ I file -- ---------- ------------------------------- ------------ 9g�L9� o�rzi r� r i oz 0 IN \qoO� lDt*� kvfSecj b� (i�J T ESL r'Ch v 0 x&7S- ��}I 5� a6 l�zs x 37- hl�v� pis t SS A b/& lq-7 cued SlW Cti�efz (o/& I q7 blab D f q4 Uap;-Ii Wal iu-)o—jo iax# JOB NAME - Lot#28, Block II, CLARK Filing#2, Ruedi Shores 0194 Wapiti Way EOLDER 14 JOB�--� tNO. �0Tv? R�rOTFR PLIIIIRBEPS I t_LR P County Owner: Address: City, State, Zip: Phone: " 7/01 Inspector: License No. 1 Address: Cell: Ern --'I: City, State, p . ,�� ���., : , r . i � = CII I f _ I SITE DESCRIPTION Residential Occupied If vacant, how iong Commercial !Vacant SITE CON®MONS Proper grading, no evidence of erosion ;' N Proper vegetation, cover G N Any evidence of compaction from heavy machinery or livestock Proper discharges (no straight pipes) (D N Any evidence of high grOUnd water y 0 Y Q TANKS (fist add'ituona� tanks) Tank capacity gallons ld)Lb Tank rnater,lai . iINUmber of compaqments 0SSrfb r� a Date of last pumping Lids/Risers Y r fyS er C -clew Risers to grade Y Risers height in inches - /' fS-e-C "O'boIle- q rot /V( QJ1G� " Riser condition/water tight W l k- inlet Sanitary T./Baffle ilo esS /A te_jL Cutlet Sanitary T/Baffle Q N Effluent Filter Y Condition of tank material Tank Pumped for inspection 0 N 1f Yes; List Pumping Company - If No: Date of last pumping Scum level 13' compartment in inches N A Sludge levei 1st compartment in inches fU A Scum level 2"d compartment in incises Sludge level 2nd compartment in inches --tell Backflow (if pumped) Y (�V Midtank baffle (�) N Water tightness (describe) -� Pump or siphon present Y 6D Is pump in good condition Y n /UM High water alarm working y N /iIiq ABSORPTION AREA Effluent surfacing Y Evidence of past surfacing Y Surface dampness Y Excessive odors Y , a Meld location verified by observation ports or probing (D N Liquid in observation port Y � if Yes, depth in inches. - Distribution box part of original design Q N If YES is it accessible from grade Y V A_1 If YES is it level and in good condition Y Does Absorption ASS)FAIL Are there any problems with the system that were not addressed above? List any recommendations for the continued use of the Were any repairs done as a result of this inspection? Y G Description; Additional Notes: