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 -------------------- ---------------------
------------------------------------------------------------------------------
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JOB NAME - Lot#28, Block II, CLARK
Filing#2, Ruedi Shores
0194 Wapiti Way
EOLDER
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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: