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HomeMy WebLinkAbout15390 Hwy 6 - 210906200016INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ***REPAIR PERMIT** Eagle County Department of Environmental Health PERMIT N2 07' P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFOR BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTE' Owner: Robert L. Kesterson Address: 15390 Hwy 6 - P.O. Box 131 - Eagle, CO 81631 Telephone: 328-6927 System Location: 15390 Hwy 6 - Eagle, CO Licensed Installer: Hobbs Excavating License Number:. 85-21-I Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 20 Minutes Absorption area per bedroom200 Sq. Ft. Number of Bedrooms 3 X —200 Sq. Ft. minimum requirement per bedroom - equals 600 Total Sq. Ft. minimum requirement Special Requirements: Date: ! (1 (I�� Environmental Health Officer:_ 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, C.R.S. 1973, as amended. 2. This permit is valid only for connection to structures which have fully complied with County zoning and buildir 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 am 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 system is approved prior to covering any portion of the system. INSTALLED ABSORPTION OR DISPERSAL AREA:SQ. FT. INSTALLED SEPTIC TANK: 2� GALLONS;, DEGREES; FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES //"" NO PROPER MATERIALS AND ASSEMBLY: YES NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES�L�10 COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO COMMENTS: (Any item checked NO requires correction before final approval of system is made. Arrangee�a re -inspection wh6 work is completed.)� 0� DATE (Final Approval(��ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Robert L. Kesterson Name of Owner: Same Amount Paid: $150.00 Receipt Number: C0382 Date:10/11/85 Cashier: Erik Edeen White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLI ;41004 'ii..�. AGE ER`tIT PER`fIT APPLICATION FEE: NAME OF OWNER: ADDRESS: ENVIRON`fENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 350 Eagle, Colorado 81631 No. �jn $150.00 328-7311 PERCOLATION TEST FEE: S50.00 NAME OF APPLICANT •(if different from pwner) : ADDRESS: Q �C PHONE: PHONE: DESIGN ENGINEER OF SYSTDi (if ,applicable) 6 1 A 5� UC4 ADDRESS: � tsCf M C-)L, 6„ PHONE Phi�S iv 1-1-1; INSiALLA'i,iON Or SYSTEM: . Licensed ffIrnstaller (see attached list) ADDRESS: 9iShb� Fwe..i(%i 1 /nei YES NO PERMIT APPLICATION IS FOR: ') New Installation LOCATION OF PROPOSED INDIVID AL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: Lot Size: E�$ Legal Description: _ BUILDING OR SERVICE TYPE (check applicable category): ( ) Residential - Single Family O Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: r WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non-,pomestic Wastes ( ) Garbage Disposal ( Automatic Washer (' ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank ( )' Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other r. `J Z 514 PHONE: c19 - 7 6-0 1- ) Alteration ( ) Repair ( ) Residential _ Quadplex ( ) Commercial (state usage) NU:IBER OF BEDROOMS: ( ) Dwelling ( ) Transient Use Dishwasher Spa Tub ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (x ) IS SYSM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (a/') NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO () (I6 Yeas, see attached twastevatet �Zow teduction methods) NOTE: The Envii Lonmentat Heath 066icetc may teduee the tegu,itc.ed ab5otption area upon apptovaZ o6 an adequate. wastelvatet 62ow teduction plan. SOURCE AND TYPE OF WATER SUPPLY: () Well ( ) Spring ( ) Creek/Strean Give depth of all wells within 200 feet of system: :266 ` e., If supplied by conynunity water,,give name of supplier: SIGNATURE- - - -=d'�`�'l/'<C1�6�11_- - - - - - - - DATE_ -/C7_ // _D- - - INFORMATION BELOW TO BE PILLED OUT BY ENVIRONit1ENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent Gtound Slope Depth to Bedtcock (pet. 8' PAo 4it e Hole) Depth to GAoundwate'L Tabte SOIL PERCOLATION TEST RESULTS: h cnute� pelt .cn tin fTo l Z(j Minutes pet inch to HoZe #2 C2 jkl nutes pet .iitch to Hot e # 3 FINAL DISPOSAL BY: ( ) AbSoAptioA TAench, Bed of Pit ( ) Evapot,xa.nspiAation ( ) Above Gtound Dizpmsat ( ) Saud FiZte't ( ) Unde7gtound Dispeua:2. ( ) (Vas-tcivate-`c Pond ( ) Othetc Amowit Paid: /'S-0' CEO Receipt Nutnbe•,L f Z Date: /Q NOTE: Site Plan must be attached to'application. (Env. Health Department - Rev. 4-07-83) 4 11 10 ISDS PERMIT # l M . 9 i PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH .OWNER: •PHSYSICAL ADDRESS: 15390 -h , LEGAL DESCRIPTION: MAILING ADDRESS: l92oo�. G fs/l�aU TYPE OF DWELLING: Y, s. NUMBER OF BEDROOMS: s TEST HOLES PRE-SOAKED: YES NO ` SOIL TIME WATER DEPTH INCHES OF FALL CRATE s is PROFILE 4°v' 0� ►s s � �'�v 1 2� 5 Ile E r p 2 1 10 41 f 10 12 40 1b 10 5� i to it I 1 31V 2 t3,3 10 61 71 p-:,44 1all9 3i$ 11y 'lZ 13.3 '?,o 10 i 81 w ►�3/`� t3 ►� ��z 31� 10 IIi % 91 110 � TIME TO DROP LAST INCH: Io.0 PERC RATE: 20 ^-r (;/ ' ry- Y yo 214wldwn4 y- ', I � I `'co bid Yd tc. MINIMUM LEACH FIELD SIZE MINIMUM SEPTIC TANK SIZE: I ao s yd..+,, COMMENTS: ��2�/yyGnl�t� 1,000 aL( 6AV4 Bid • �'���r d`�a..%a"�% � .^t.-. ��' �S<)S �' 7 a �/ inS�f.���f �"®o � Z LG�� � t ENVIRONMENTAL HEALTH SPECIALIST DATEn Ali- & o o = sas F{' �i� I? �n1,11r•f ISDS Permit # Date ISDS Final Inspection } Completeness Form Tank is /' /i gal. Tank Material ao f,41 i� Tank is located 13ft. and _degrees from&_"4_4VGt)�' (permanent landmark) Tank is located ft. and degrees from (permanent landmark) Tank set level. Tank lids within 8" of finished grade. Size of field' ft2 � units lineal ft. Technology 1 Cleanout is installed in between tank and house(+ 1/100ft). 0 There is a�"T",that goes down 14 inches in the inlet and outlet of the tank. l/ 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 ft. Soil interface raked. � S Inspection portals at the end of each trench. \J Proper distance to setbacks. Chambers properly installed as P per manufacturers specifications. <� P (Chambers latched, end plates pr9Perly installed, rocks removed from trenches, etc.) $CV- 3 --) i .?v .�� /� ��2 Type of pipe used for building sewer line_ leach field) Other00 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 50 10 * 10 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 October 17, 1985 Robert L. Kesterson P.O. Box 131 Eagle, CO 81631 RE: Septic Permit #724 Dear Mr. Kesterson: Enclosed you will find a copy of the above referenced Individual Sewage Disposal System Permit.for property located at 15390 Hwy 6, Eagle, Colorado. This system has been inspected and finalized by Erik Edeen on October 16, 1985. Sincerely yours, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY /gp Enc. 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 8163 INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, CO 81631 Telephone: (970) 328-8755 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. ALTERATION PERMIT NO. 1851-99 BP NO. MI-11181 OWNER: MANUEL PILAS PHONE: 970-845-9091 MAILING ADDRESS: P.O. BOX 19200, AVON, CO 81620 APPLICANT: SAME PHONE: SYSTEM LOCATION: 15390 HWY 6, EAGLE, CO TAX PARCEL NO. 2109-062-00-015 LICENSED INSTALLER: MANUEL PILAS LICENSE NO. 43-99 PHONE: 970-845-9091 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON ONE COMPARTMENT TANK 525 SQUARE FEET OF ABSORPTION AREA VIA 17 CHAMBERED UNITS SPECIAL REQUIREMENTS: INSTALL THE NEW TANK WITH BAFFLE REMOVED IN FRONT OF THE EXISTING TANK TO ALLOW FOR PROPER RE- TENTION TIME, BUT KEEP IT AT LEAST 5 FEET FROM THE HOUSE. INSTALL.THE NEW LEACH FIELD IN THE AREA WHERE THE PERC TEST WAS DONE. INSTALL IN SERIAL DISTRIBUTION IN TRENCHES AND CONNECT TO THE EXISTING FIELD. BUT BE SURE TO MAINTAIN SIX FT SETBACK FROM IT. INSTALL A CLEANOUT BETWEEN THE NEW TANK AND THE HOUSE AND INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES, AND DO NOT BACK FILL WITH COBBLES LARGER THAN 8" IN DIAMETER. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS RE//C//EIV(ED FINAL APPROVAL. ENVIRONMENTAL HEALTH APPROVAL: DATE: APRIL 8, 1999 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 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: SQUARE FEET (VIA ) INSTALLED TANK: GALLONS IS LOCATED DEGREES AND FEET FROM COMMENTS: ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL DATE: Incomplete Applications Wi71 NOT Be Accepted (Site Plan MUST be attached) q ISDS Permit # Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. 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: J ' i ul lyI:A 1 1 lu,> MAILING ADDRESS: K I�12, U PHONE: 5 � APPLICANT/CONTACT PERSON: M GrIUL I PHONE: LICENSED SYSTEMS CONTRACTOR: PHONE: COMPANY/DBA: ADDRESS: { PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ALTERATION ( ) REPAIR i LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Tax Parcel Number: z.1 fl906 2-6 OD ►5 Lot Size: A C Physical Address: 6 "v KUJ b C BUILDING TYPE: (Check applicable c tegory (%,Residential/Single Family. ( ) Residential/Multi-Family* ( ) Commercial/Industrial* n Q Number of Bedrooms Number of -Bedrooms Type TYPE OF WATER SUP LY: (Check applicable category) (?Well ( Spring ( ) Surface ( ) Public N e of Supplier: *These systems r ire design by a Registered Professional Engineer SIGNATURE: Date: Z AMOUNT PAID: 3 RECEIPT #: ( DATE: / (91 l I CHECK #: _ h a CASHIER: Community Development Department (970) 328-8730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com EAGLE COUNTY, COLORADO DATE: April 8, 1999 TO: Manuel Pilas 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. 1851-99, Tax Parcel #2109-062-00-015. Property Location: 15390 Hwy 6, Eagle, CO., Pilas property. Enclosed is your ISDS Permit No. 1851-99. 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. 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. Please call our office well in advance to allow for scheduling of final inspection. Your building permit TCO 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 Enclosures: ISDS permit # 1851-99; ISDS Final Inspection Completeness Form 0724 Kesterson 15390 Hwy A1851-99 Tax #2109-062-00-015 JOB NA11ll Y 6 15390 Hwy 6, Eagle PILAS QP IOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED I.-� /-.3 0 /� F U v , 9A 0")j�- �D rM k-j �;42AC 11A"�ID-e 041 M, 1. LZI1 A j d vy' 41 , 4` OL times 6' PERMIT #724 REPAIR PERMIT OWNER: Robert L. Kesterson LOCATION: 15390 Hwy 6 - Eagle, Colorado Installer: Hobbs Excavating SIZE OF TANK: 1000 DWELLING: Single Family - 3 Bedroom PERC RATE: 1 inch in 20 minutes ABSORPTION AREA: 600 S.F. FINALIZED: 10116185 BY: Erik Edeen OWNER: Robert L. Kesterson lbon Box 133 - Gypsum` LOCATION: Tract 46A - Sec. 6 - T5S - R84W - of 6th pm Eagle INSTALLER: T & T Excavating SIZE OF TANK: 1600 gallons DWELLING: Single family - 3 bedrooms PERC RATE: one inch/25 minutes Finalized: 8-2-75 Erik Edeen /'006 y'p I-Ank o4r-11- I LDER f - - - t 3 c y T -