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HomeMy WebLinkAbout14600 Hwy 6 - 211101100004INDIVIDUAL 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. Please call for final inspection before covering any portion of installed system. PERMIT NO. 1272 OWNER: Eagle Baptist Church PHONE: 328-6530 MAILING ADDRESS: P.O. BOX 411 City: Eagle State: CO Zip: 81631 APPLICANT: Bruce Dunsdon PHONE: 329-7799 SYSTEM LOCATION: 14600 Hwy 6, Eagle TAX PARCEL NUMBER: 2 111 -O 1 1-O0-o04 LICENSED INSTALLER: Roger Sellen LICENSENO: 35-93 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 358 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 10 infiltrator units is trenches, Or 120 lineal ft. SB2 in trenches. -Install inspection portals at the end of each trench. I ENVIRONMENTAL HEALTH APPROVAL: 4 CONDITIONS: DATE: 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. / fJ ail.. INSTALLED ABSORPTION OR DISPERSAL AREA: > SQUARE FEET. �� ti �/'] I INSTALLED SEPTIC TANK: GALLON �� DEGREES-- L—ZTY L FEET FROM e X_k1I0y_ 4C- SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY XX 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: ENVIRONMENTAL HEALTH APP APPLICANT! AGENT: PERMIT FEE PERCOLATION TEST FEE (RE-INSftet N IF NECESSARY) RETAIN WITH RECEIPT RECORDS OWNER: RECEIPT # CHECK# DATE: ..1 ISDS Permit (� Building Permit APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT l� ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY Q� P.O. BOX 179 EAGLE, CO 81631 328-8755/927-3823(Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200. PROPERTY OWNER: MAILING ADDRESS: APPLICAIJT/CONTACT PERSON: U.y\Sdoyl PHONE: LICENSED SYSTEMS CONTRACTOR: ADDRESS: V D 0cnv ` j G I�'l C i.,e^ t o � L 2 t) 4� 3 PHONE S U as PERMIT APPLICATION IS FOR: (✓f NEW INSTALLATION ( ) ALTERATION ( ) REPA LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal D cription: 1 r0c- I Parcel Number: _jlll - oil - 00 004 Lot size: �. Physical Address: f46co 4A w�, la t✓� i G3 BUILDING TY E. (Check applicable category) (Residential / Single Family Number of Bedrooms _ ( ) Residential / Multi -Family* Number of Bedrooms — Commercial./ Industrial* Type TYPE OF WATER SUPPLY: Well(✓ Spring ( ) Surface ( ) Public ( ) Name of Supplier: *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" SIGNATURE: DATE: AMOUNT PAID: -ems RECEIPT# 1� �vI DATE: f_3 CHECK # j o & ,0 R I CASHIER: `� COMMUNITY DEVELOPMENT DEPART%iENT (303) 32.-3730 EAGLE COUNTY, COLORADO October 13, 1993 Bruce Dunsdon P.O. Box 411 Eagle, CO 81631 500 BROADWAY P.O. BOX 171 EAGLE. COLORADO S 1631 FAX (303) 32S.7207 RE: Final of ISDS Permit No.1272-93 Parcel #2111-011-00-004 Property located at: 14600 Hwy. 6, Eagle.. 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 dwelling 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, Tania M. Busch -Weak Environmental Health Specia st ENCL: Information Brochure Final ISDS Permit COMMUNITY DEVELORMENT DEPARTMENT (303) 32S-S 730 DATE: TO: FROM: EAGLE COUNTY, COLORADO September 2, 1993 Roger Sellen Environmental Health Division 500 BROADWAY P.O. BOX 179 EAGLE. COLOR.ADO S 1631 FAX (303) 32S-.7207 RE: Issuance of Individual Sewage Disposal System Permit No.:1272-93 Parcel #:2111-011-00-004 Property Located at:14600 Hwy 6, Eagle Enclosed is your ISDS Permit No.1272-93 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. The final inspection is to be done before any portion of the installed system is covered. The deadline for the final inspections done by Eagle County Environmental. Health is December 1. Systems designed by a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County does not perform final inspections on engineer designed systems. Be aware that the specifications on the permit are minimum requirements only. Installers should bring this to the attention of the property owner. This permit does not indicate conformance with other Eagle county requirements.. If you have any questions, please feel free to contact us at 328-8755. cc: file ISDS PERMIT �22 2, PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: ICI -CX1 MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES_ NO TTMF whmcn nvnmv Tw,....,.e. 1 2 3 1 2 3 1 2 3 1 2 oviLij [0' -A 17 1� 2_2, . 5 5 1,125 1 Z 4,9 HA 14, 12,L ):Z5 zL0,51� I �5 �6J i , c� 1, D �S r1.6 j..)� . z I.- [5,5 11,25 j i , ,, A5 LO .215 66L1,2 � Y1 o P _A (0, — 8 , v � �� ", �, `7_5 1 D 1 �5 7J ,.� Time to drop last inch PERC RATE: �(_ MINIMUM SEPTIC TANK SIZE:_CILI MINIMUM LEACH FIELD SIZE: 353� COMMENTS: / PERC TEST DONE BY: DATE: Environmental Health -officer rev. 6/90ks JOB NAME 1 14600.9j _ k� is area JOB NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED v,. i IV v I; =� JOB COST SUMMARY TOTAL SELLING PRICE i • f JOB FOLDER Product 277 ®© NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER nted in U.S.A. EAGLE (, UNTY DEPARTMENT OF ENVIRONN/"�TAL HEALTH 'RM1T MUST BE POSTED BOX 850 Bmfijk 6th & Broadway CALL FOR FINAL INSPECTION BEFORE / Eagle, Colorado 81631 COVERING ANY PORTION OF INSTAL- LED SYSTEM PERMIT®58 (this does not constitute a building or use permit) Owner EAGLE BAPTIST CHURCH System Location 14600 Highway 6 - 2 mi west of Eagle Licensed 675KN'INSTALLER: * Conditional Construction approval is hereby granted for a 750 gallon xx :Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 10 absorption area per bedroom # of bedrooms May we suggest minutes 500 no bedrooms MINIMUM REQUIREMENTS: sq. ft. 750 gallon septic tank 500 sq. ft. drain field x sq. ft. minimum requirement Date August 26, 1980 Inspector FINAL APPROVAL OF SYSTEM: Erik W. Edeen No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved,yprior to covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. dequate absorption (or dispersal) area. Adequate compliance with permit requirements. G Adequate compliance with County and State regulations/requirements. Date �-J Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE * CONDITIONS: 1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 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 structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.2&requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or hnth_ ENVIRONMENTAL HEALTH PERCOLATION TEST FEE BOX 850 PERMIT FEE $50.00 EAGLE, COLORADO 81631 $ Z, -e6 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO NAME OF 01,7NER.: Eagle Baptist Church PHONE 328-7792 ADDRESS: Box 411, Eagle, Colorado 81631 NAPS OF APPLICANT: Same ADDRESS: DESIGN ENGR.. FOR SEPTIC (if necessary): ADDRESS: LICENSED INSTALLER: ADDRESS: IS PERMIT FOR: PHONE PHONE PHONE (-X) New Installation ( ) Alteration ( ) Repair T.nCATTnm nF PRnPngrD FACILI'PV• Count E le Lot Size City or Town, LEGAL DESCRIPTION - • y 145 10 acres plus or if. within City or Town Limits minus Parcel in Tract 46 A. Section 1, Township 5 south, Range 85 west. WASTES TYPE: ( ) Dwelling ( ) Commercial or Institutional :`don -Domestic Wastes (X ) Transient Use ( ) Other IS SYSTEM DESIGNED FOR 2,000 GALLONS PER. DAY OR LESS? (--X) yes ( ) no BUILDING OR SERVICE TYPE: Church Number of Persons 120 Number of Bedrooms ( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher Cistern SOURCE AND TYPE OF WATER SUPPLY: ( X) WE% ( ) Spring ( )Stream or Creek Give depth of all wells within 180 feet of system: None If supplied by community water, give name of supplier: GROUND CONDITIONS: Percent Ground Slope: Depth to Bedrock: Depth to Groundwater Table: TYPE OF INDIVIDUAL SE1,?AGE DISPOSAL SYSTEM? PROPOSED: ( X) Septic Tank (> ) Aeration Plant ( ) Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 irC irC ire irC irC J` J� J irC JiC i� irC J� r� J` J` i` ire ire iV ire irC irC irC J' �T' � i� i� n i� L irC ire IMPORTANIT i f j APPOINTMENT FOR. FINAL INSPECTION MUST BE MADE PRIOR TO COVERING BY CONTACTING THE INSPECTING ENVIRONM'IENTAL HEALTH OFFICER. REFER. TO PEkMIT NUMBER. NO APPROVAL WILL BE GIVEN ON ANY SYSTEM 1.7ITHOUT FINAL INSPECTION. TOLL-FRFt NUMBERS 328-7311, Ext. 238 (Eagle area) 949-5257, Ext. 238 (Vail area) 927-3823, Ext. 238 (Basalt area),, - - J (OVE x FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Underground Dispersal ( ) Wastewater Pond ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? lkl� SITE (PLOT) PLAN: Include location of wells, springs, potable water supply lines, subsoil drains, lake water course, streams, dry gulches. Show location of proposed system by direction. Show distance of proposed system from dwellings and other fixed reference objects. Please indicate scale of reference, if any. Attach additional pages if necessary to give complete information. SIGNATURE=?ALL - �-,-�/ DATE PERCOLATION TEST FEE: $SO OINER : APPLICATION NO. LEGAL DESCRIPTION: l� RURAL ADDRESS: %�c.e G��✓`Z G`y' �Qq� TYPE OF DWELLING: ` # OF BEDROOMS: DATE OF TEST:—" TYPE SOIL: c e TEST HOLES PRESOAKED: YES NO ! TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 J1 1 2 3 -1.......�....�—_� . _._3. 0 i PERCOLATION RATE: l_(J ' O/� SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested for e We recommend: APPROVAL DATE:��'� rcolation rate. DISAPP TANK SIZE: LEACH FIELD SIZE: ROVA EAGLE COUNTY ENVIRONMENTAL HF°kLTH OFFICER EAGLE COUNTY ENVIRONMENTAL HEALTH ROUTE FORM D DATE REFERRED �o POCCATION NO. LOCATION Please review the attached application and return it and this completed form to the Environmental Health Office HILA NINC Complies with: Yes No Reviewed By Subdivision Regulations I' Zoning Regulations Recommend Approval Comments: BUILDING Set Backs LI/ Site Az:aes Other i Recommend Approval J Comments: E GTNEER (not alwa Roads Gradin Draina Recomm Comments: 14//5-/kd i T 2 M1 W of Eagle 14600 ` JOB NAME _ Hwy 6 EAGLE BAPTIST` (� ,� - ! . CHURCH ;..: JOB "NO. Parcel # 211101100004 IN .IOR LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT # 458 OWNER: Eagle Baptist Church �/ LOCATION: 14600 Highway 6 - 2 1 c4 AC`'ES INSTALLER: SIZE OF TANK: 750 gallons DWELLING: Church PERC RATE: one inch/10 minutes 500 sq.ft. leach field A 'k 11 �-- miles west of Eagle (500 sq.ft.) (� t1vt ) ` I�i� 4��'? TOTAL .LABOR INSURANCE SALES TAX Misc. COSTS TOTAL JOB COST GROSS PROFIT VERHEAD COSTS LESS OF SELLING PRICE NET PROFIT Finalized: 9-29-80 By : Erik Edeen Printed in U.S.A. 10