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601 Kings Row Ave - 239121401001 - 0612IS
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLJASE-tALL•FOR FINAL P. U. Box 850 - 550 Broadway PERMIT MUST BE POSTED INSPECTION BEFORE COVERTf4G' Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF INSTAL-LEO SYSTEM 328-7311 or Y49-5257 or 927-3823 PERMIT NO. N 612 OWNER: Mitchell L. Sydoryk ADDRESS: P.O. Box 871 - Aspen, CO 81612 SYSTEM LOCATION: Kings Row Avenue - Missouri Heights (west of Red Table Acres) LICENSED INSTALLER: Joe Zamora LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1,250 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: one inch in 40 minutes. Absorption Area per Bedroom * sq. ft. -*per engineer design No. of Bedrooms 2 x sq. ft. minimum requirement per bedroom total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: May 3, 1983 INSPECTOR: Erik Edeen- **CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal System Regulations, adopted pursuant to authority granted in 25-10-104, C.R.S. 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 building and zoning departments 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, 3.21 requires any person who constructs, alters, or installs an individual sewage disposal system to be licensed according to the Regulations. FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Eagle County Individual Sewage Disposal System Regulations until the installed system is approved prior to covering any part. Installed Absorption or Dispersal Area: sq. ft. Installed Septic Tank: te'Z 1(2 gallons. Degrees: OF 3©6 Feet: Design Engineer of System: A,j,9,, tK' Installer of System: -\Dq- '2:C VV\oN Phone: Septic tank cleanout to within 12" of final grade or aerated access ports above grade? Yes Y No Proper materials and assembly? Yes X No Compliance with permit requirements? Yes_ No Compliance with County/State regulations requirements? Yes. No COMMENTS: -r - - -/ � I `v v...d 1Vt PE„. IT 1 EE = $150 BOX Ego EAGLE , COLORACO 81 C 31 FE=-CL."TI TEST FEE = SRO APPLICATION FOR iNDIV IDUr"L SE:-:I'.GE DISPOSAL SYSTE?-1 PER:'.'.IT -NAME OF OI NER: M i+c1d L L. Sj,)iat2-,4j<_ d- kn+ALEErj M. Lite!, ADDRIESS: P'Q•1-3ox Q"7/ P45PF-- C- : gl�Pl�--- PHONE: NA MI: OF APPLICANT (IF DIFFERENT FROM 01-INER): ��— ADf,RESS: PHONE: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PHONE: -PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEI1.: ADDRESS: /1'KX 7S ��t� � ' �I�P�-� PHONE: PERMIT APPLICATI0'1 IS FOR: (✓) "leer Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County E qo L Lot Size City or Town, if within City or To;•rn Limits LEGAL DESCRIPTION: Z.21/,QG; A10, - �i,��5 K�G� Su�LY✓i51a�1A��� STREET (RURAL) ADDRESS: )KjAj65©r�S✓✓�'✓.tsZ. i. IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( ) Yes ( ) No BUILDING SERVICE TYPE: (Check applicable category) (Residential - Single-family dwelling ( ) Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex 1 rnmmerc al - State usage Persons �—. % Bedrooms - WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional (v .) Dwelling ( Garbage Grinder -( ) Non -domestic wastes ( ) Transient Use (`� ish�rasher °( ) Other (Automatic Masher SOURCE AND TYPE OF 14ATER SUPPLY: Wel1 ( ) Spring ( ) Creek or Stream Give depth of all wells within 200 feet of the system: lV If supplied.,by community water, give name of supplier: i 42 Iip�f� ) _f ;TYPE OF 7Septic IDUAL SEWAGE •DISPOSAL SYSTEM PROPOSED: ( Tank. ( ) Aeration Plant ( ) Chemical Toilet i .Y alal 1. Pf lYy .i ) t,. ��ir. .��1•���� iUi i:. 1. *=•.f�_1 �iltif vLaV.t_' i.•Ji= - ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other WILL EFFLUEIT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (%_,,�'No '`.Signature QJ� Cate * INFORMATION BELO!-/ TO BE FILLED OUT BY ENVIRnNME�lTAL HEALTH OFFICER GROUND CONDITIONS: Percent nround Slope: Depth to Bedrock (per 8' Profile Hole): SOIL PERCOLATION TEST RESULTS: FINAL DISPOSAL BY: ( ) Depth to Groun-'-Ovrater Table: Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 !1i nutes per inch in Hole No. 3 Absorption Trench, Bed or Pit ( ) Evanotransoiration Above Ground Dispersal; ( ) Sand Filter Underground Dispersal' ( ) ,!aste'.ihter Pond O t"e r i 1 ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Name -U3 g3 8� Date Routed > Application No. Location Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form to the Environmental Health Office. PLANNING: Complies with - . YES - NO REVIEWED BY DATE Subdivision Regulations: Zoning`Regulations: Recommend Approval: - COMMENTS: BUILDING.: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: YES NO REVIEWED BY DATE COMMENTS: ENGINEER: with - Roa s.� Grading: Drainage: Recommend Annroval: YES NO REVIEWED BY DATE - --_ _ - `— COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YES NO REVIEWED BY DATE 1� COMMENTS: E LOAN INSPECTION FORM LOCATION: REQUESTOR:- 5 TO: DILL to � * �'c � 9c 9c � 9c 4c 3c 4c � 9c 9c it •�c 4e ' 9t �e 9c �'t •3c it it 9c � * it 9c * � * * * � ISDS rERMIT # INSPECTION INFpORMATION: /so INSPECTION DONE BY: � Z5 SlCL 47crf DATE: To: First Colorado Mortgage P.O. Box 1378 Aspen, CO 81612 Attn : Bonnie in account with EAGLE COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT P. 0. BOX 179 EAGLE, COLORADO 81631 DATE AMOUNT 08/20/86 Loan Inspection Fee for property located at 25.00 0601 Kings Row / Lot 10, Kings Row Subdivision TOTAL AMOUNT DUE 25.00 Guideline Technical Specifications Scope of Work: These technical specification guidelines are directed towards construction of individual sewage disposal systems. All building sewer installations as designed shall meet the 1972 revised Colorado Technical plumbing code. The disposal system can be located to suit individual dwelling locations and shall meet the requirements of the county regulations. Septic Tank General: The septic tank shall have a minimum of two.(2) compartments with two (2) twenty (20) inch diameter access holes or manholes, one each located in inlet and outlet chambers. The size and shape may vary, however minimum dimensions and capacities shown in the drawing and as specified by county regulations shall be met. The invert of the inlet shall be at least three (3) inches above the invert of the outlet. A baffle or tee shall be provided to divert the influent downward and shall penetrate at least six (6) inches below the liquid level and at a level not below that allowed for the outlet device. The outlet shall have a baffle or tee extending to a minimum of fourteen (14) inches below the invert of the outlet invert and one (1) inch below the tank cover. The outlet shall be distinctly marked on the exterior of the tank. No septic tank shall be located within the horizontal distances from the various facilities listed below and on the drawing. 50 feet from springs, wells or suction lines 10 feet from potable water supply line, dwelling, property lines, dry gulches 50 feet from cistern, lakes, water course or stream -2- Material/Construction: The septic tank shall be constructed of water tight material. Precast reinforced concrete septic tanks are acceptable by the county. However, metal or coated metal tanks are not acceptable. Cement for a concrete tank shall be Portland Type II, sulfate resistant. The tank shall be reinforced with welded wire mesh of not less than 10 gauge with 6" x 6" spacing or heavier. The walls and floor of the tank shall be a minimum of four (4) inches thick. The top cover of the tank shall also be four (4) inches thick minimum and reinforced in the same manner, and including #4 rebar eight (8) inches from each side and thirty (30) inches crossways from each end as well as on inside of the access holes. Installation: The tank shall be installed on a solid base and must be level. The finished grade shall be within twelve (12) inches from the manholes. Roof drains, surface and subsurface drains or cistern overflows can not be diverted into the tank or around any part of the disposal system. The discharge line from the building sewer to the septic tank shall be laid to a grade as shown in the drawing.: Sewer pipe connections to and from the septic tank shall be of cast iron and bends shall be limited to 450 ells or longsweep quarterbends. The inlet and outlet shall be grouted and sealed with waterproof material. Backfilling around a septic tank must be conducted in a manner to prevent any settlement and avoid undue strain on the tank and the pipes entering and leaving the tank. -3- Distribution Box General: The distribution box is installed to collect liquid effluent from the septic tank and to distribute it evenly into the next phase of the disposal systems. The distribution box shall have one (1) inlet and seven (7) outlets. All outlet inverts shall be at the same level and at least one (1) inch below the invert of the inlet and three (3) inches to six (6) inches above the floor of the box. Material: A precast, reinforced, concrete box will be acceptable. Cement for the concrete shall be Type II Portland, sulfate resistant. Reinforcement shall be 10 gauge 6" x 6" welded wire mesh or heavier. Concrete shall achieve a 28 day strength of 3000 psi. Installation: The distribution box shall be installed on solid ground and must be level. Backfill around the box shall be carried out in a manner to prevent box misalignment and eliminate any voids. Granular backfilling under the box is recommended. Evapo-transpiration (E.T.) Bed With or Without Subsurface Sand Filters General: The effluent from a septic tank is collected into a distri- bution box and discharged into an E.T. bed through four (4) inch diameter perforated PVC lines or into the subsurface sand filter and finally carried into an E.T. bed as shown in the drawing. In case of a disposal system through subsurface sand filtration, an additional distribution box is required. Construction of the evapo-transpiration system shall be performed as per the drawings and specifications herein. Evapo- transpiration and.subsurface sand filter beds shall not be located within the distances from various facilities as listed below and on the drawings. -4- rAOTT .T'PV DISTANCE IN FEET FROM: E.T. BED SAND FILTER BED Springs, wells or suction lines 75 75 Potable water supply line 10 25 Cistern 15 15 Dwelling or occupied building 15 15 Property line 10 10 Subsoil drains 10 10 Lakes, watercourse, stream 25 75 Dry gulches 15 15 Evapo-transpiration beds: The effluent from a septic tank shall be carried into -the distiibution box through four (4) inch cast iron pipe. In order to achieve an excavation and fill balance, the bed may b'e laid perpendicular to general slope of the ground. Twelve (12) inches of washed gravel, 3/4" to 2 1/2", shall be placed in the excavation and distribution lines shall be laid to a slope as shown in the drawing. All pipes must be covered with gravel to a depth of at least four (4) inches. The remainder of the excavation shall be filled with fine grained soils and capped with top soil. The finished grade shall be crowned to eliminate infiltration of surface runoff into the bed. Four (4) inch PVC air vent pipes shall be placed vertically and must extend six (6) inches above finished grade. Each vent will be capped, with air vent holes in the surface extension. The subsurface sand filter bed, where applicable, shall be uniform, coarse, clean and shall have the following gradation: SIEVE SIZE PERCENT PASSING #4 100 #10 30 - 80 #20 0 - 5 #60 0 y 1. ME Gravel for the sand filter bed shall pass through a 2 1/2" sieve and retained on a 3/4" sieve. Prior to laying distribution lines, the sand shall be thoroughly flooded and settled. Four (4) inch PVC perforated distribution lines shall be laid to a grade shown in the drawing and be capped at the ends. Vegetation To provide favorable transpiration, after the topsoil is placed and finished, seeding and mulching shall be done over the finished grade. Seeding shall be of a meadow grass or lucern grass although rye or wheat will be acceptable. r _, EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 August 20, 1986 First Colorado Mortgage P.O. Box 1378 Aspen, Colorado 81612 Attn: Bonnie RE: Loan Inspection for property located at 0601 Kings Row / Lot 10, Kings Row Subdivision Dear Bonnie: All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03-A(7), adopted by the Eagle County Commissioners on October 8, 1985. An onsite inspection of the sewage disposal system on August 19, 1986 revealed that the system appears to be functioning properly with no apparent problems. This septic system was permitted and finalized on August 2, 1983 under Permit #612. Enclosed is an invoice in the amount of $25.00, the fee for this loan inspection. If you have any questions concerning this inspection, please contact this office. Sincerely, Sid Fox Asst. Environmental Health Officer EAGLE COUNTY /gP Enc. _ t Y. u ti ; V .." .. 1. ._., _ t. .. y ➢ Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 ` Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631, Eagle, Colorado 81631 u .rt.[�ii.%xt1;u43...Y.udAIN�.fniSi+rrSa.'E�p`+d`e ieeFF sY. ...�bF�.'..�� .r ;. ;__' , _ _.. ::' a-. _, .._ fr.^'. �•)'.. .. ...- ., .<av ... EAGLE COUNTY memorandum To: Mr. Mitchell L. Sydoryk Subject: Enclosed ISDS Permit #612 From: Environmental Health Office File No.: Date: August 4, 1983 This is to inform you that your ISDS Permit #612 has been finalized and signed off by Richard Pylman on August 2, 1983. I am enclosing a copy of this permit for your records. -- Lorraine Funke, Secretary Environmental Health Office Eagle County Enc. PERCOLATION TEST FEE: $50 I.S.D.S. APP. # LEGAL DESCRIPTION: RURAL ADDRESS: TYPE OF DWELLING: # OF BEDROOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: C la TEST HOLES PRESOAKED? Yes No WATER DEPTH INCHES OF FALL _- ___I��-1--■ ME IMEMMINIM! ME WOMEN 1111MEN IMEMEN WOMEN PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: %o� �i�t�s���✓, RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested for percolation rate. Date Environmental -Health icer COMMENTS: /ee EAGLE COUNTY memorandum To: Subject: Mitchell L. Sydoryk Enclosed - ISDS Permit #612 From: File No.: Date: Environmental Health Office May 5, 1983 Enclosed is your ISDS Permit #612 for property located on Kings Row Avenue. The information on the permit application indicates that the system will be agent (Joe Zamora) installed. Therefore, he will be responsible for the installation of the system. This green copy of the ISDS Permit must be posted on the installation site. The owner/agent must call our office for final inspection before covering any portion of the installed system. We can be reached at 328-7311, est. 23E 927-3823. If you have any questions, please contact our office. -- Lorraine Funke, Secretary Environmental Health Office Eagle County /if Enc. ;= a06 NAME, 0612 Kings Sydoryk Missouri Heights Row Avenue 5k,lUlS, i't ftW'I;`� I� /z" B BILL DATE STARTED I DATE COMPLETED ka% )ten Svinry VC P&6ss ; WN0 k,hgs Rove Ap, � , �X0 aces #! z_N c- 2)q -- o [-00 PERMIT # 612 / OWNER: . Sydoryk C:,�-°�� e. s,V P.O. Box 871 - Aspen, CO 81612 >01090q/ LOCATION: Kings Row Avenue - Missouri Heights (West of Red Table Acres) L-0 10 3,SR0XVe& INSTALLER: Joe Zamora - AIC Inc. (Engineer Designed) SIZE OF TANK: 1250 gallons Degrees 300 NE - Feet: 25' DWELLING: Residential Single Family -- 2 bedrooms PERC RATE: one inch/40 minutes - per engineer design Finalized: 8-02-83 By: Richard Pylman DER DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS I TOTAL JOB COST I GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT Printed in U.S.A-