HomeMy WebLinkAbout121 Walter Rd - 246511301003 - 0739IS - 1526-95ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N® 0739
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 BEFORE
BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM
Owner: Rick 9 Chris Kemp Telephone: 963-1504
Address:—P.O. Box 7115 — Aspen, CO 81611
System Location: Lot 3 — Draeger Subdivision
Licensed Installer: License Number: -
Conditional installation approval is hereby granted for the following:
Minimum requirements: 1250 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 bedroom 275 Sq. Ft.
Number of Bedrooms t X_275 Sq. Ft. minimum requirement per bedroom -
equals 1100 Total Sq. Ft. minimum requirement
Special Requirements: �= DaA�w �i dd wusi 191' AT- ZeAsr 2,00'
Date:
CONDITIONS:
tal Health Officer:
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 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. 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:11M SQ. FT.
INSTALLED SEPTIC TANK: _ 17 GALLONS; DEGREES; FEET
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEM: ,7��2 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 NO
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO
COMMENTS:
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.)
DATE (Final Approval) 6AZ ENVIRONMENTAL HEALTH OFFICER: r _
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: Rick & Chris Kemp Name of Owner: Same
Amount Paid:_ $200.00 Receipt Number: 1592 Date: 4/17/86 Cashier: Gail Parker
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
� 1
APPLICATC. FOR I`;DI':ID AL Sr:�AGE DISPOSAL SYS —7-t PF^�!IT
E`% IRO,',.ME:;TAL HEALTH OFFICE - EAGLE COUN-71
P.O. Box 850
� Eagle, Colorado 81631 `To.
C-PEMIT APPLICATION; FEE: 8150.00 328-7311 PERCOLATION TEST FEE: S50.00
NA.fE OF OWNER:A K'D Sleall
ADDRESS: LOf 03 ,�rearf-i �(c�cQrU�S�or
PHONE: /Stay
NAME OF APPLICANT (if different from oirner) : Sa „e
ADDRESS:
PHONE:
DESIGN ENGINEER OF SYSTDI (if applicable) : h�r�
ADDRESS:
PHONE:
PEZ,6Lv INSTALLATION OF SYSTLH: //IQI/�h/
Ql� ��&d V,Pat &)ill 6400Se Sorhean
Licensed Installer �1
(see attached list): YES ,/
�(✓re.-L S`ei�
NO
ADDRESS: -
PHONE:
PERMIT APPLICATION IS FOR: (✓) New Installation
( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address:��
Lot Size:
Legal Description:
BUILDING OR SERVICE TYPE (check applicable cateaorv):
(-) Residential - Single Family
( ) Residential - Quadplex
( ) Residential - Duplex
( ) Co=.,ercial (state usage)
( ) Residential - Triplex
NUMBER OF PERSONS: 5
NUMBER OF BEDROOMS: y
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
Dwelling
( ) Non -Domestic Wastes
( ) Transient Use
(✓f Garbage Disposal
(L,-) Dishwasher
(✓f Automatic Washer
( ) Spa Tub
( ) Other
J.
TYPE OF, TrTDIVIDU4L SEMK—E DISPOSAL SYSTEM PROPOSED:
( Septic Tank ( ) Composting Toilet
( ) Incineration Toilet
( ) Vault Privy ( ) Greywater
( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant
( ) Recycling, Potable Use
( ) Other
( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE
STATE: YES ( ) NO (�)
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY:
YES (7.) ] NO ( )
WASTEWATER FLOW REDUCTION PLAN:
YES ( ) NO ( )
(I6 yes, see attached tvas-tewatet SZoty tedLLCti.on methods)
NOTE: The Envi;to,zmentaZ HeaLth 03"O'.i.eetc may .teduce
the &egUiAed absoAption aAea upon
app,tovat o6 an adequate was exatet 6.ZoW Aeduc_tton p.Zan.
SOURCE AND TYPE OF WATER SUPPLY: (✓) Well (
) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier:
SIGNATURE: Jrv�, E C
• -
DATE: Z-6
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT By ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent Gnound Slope F4T
Depth to Bedtco ck ( peg. 8' P�Lo bite Ho.Ze )
Dep l2 to Gnoundcva to t Tab.Ze
SOIL PERCOLATION TEST RESULTS: h-cnuteS
pets .cnCh in Ho.Ze n 1
1 Iinu te,3
1YLi.,:u to
pen inch to Ho.Ze # 2
#
s
pe& -i-ricrL to Ho.Ze 3
FINAL DISPOSAL By:
( }�) Abso,,LptioA Trench, Bed o& Pit ( )
Evapotfcansp.itta ,ion
( ) Above Gtcound D.ispe,ua('_ ( )
Sand FiLt&t
( ) Unde;`cy,%ou►td DispemaZ { )
Was.tclvatc.'c Pond
Amount Paid: �,�}' Recei,)t Ntunbe.`c %3�� Date:
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-83)
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $50.00 ISDS APPLICATION NO. _3c_Q�
OWNER: \G}C O-)ri
LEGAL DESCRIPTION:
RURAL ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS:;"
DATE OF PERCOLATION TEST: I -A— V) — � TYPE OF SOIL: 4. /1` . ,;,I t A,
TEST HOLES PRE-SOAKED: YES ,/J NO
TIME
11 2
3
II
1
WATER DEPTH
2
3
II INCHES
1
OF FALL
2
3
RATE
1
2
�v
/s
PERCOLATION RATE:
RECOMMENDED
MINIMUM
SE TIC TANK SIZE:
RECOMMENDED
MINIMUM
L ACH FIELD SIZE:
/lD Q
RECOMMENDED
MINIMUM
SQ RE FOOTAGE PER
BEDROOM: 7S
SITE HAS BEEN REVIEWED AND TE TED__FOR PERCOLATION RATE.
Environmental Health Officer Date
COMMENTS: WC�J + (` I S.D S Q.d�►� �..— -� .
Rev. 5/31/84
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
-
(Name) _
Da e outed
5-a2�.r- Sub.
L ation
Application -No.
Please rev.ie,,i 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 REVIE1,11ED BY
DATE
Subdivision Regulations:
Zoning Regulations:..
Recommend Approval:
r_nN1MFNTC .
BUILDING: Complies with -
Building Permit Applied For:
Building Permit Issued:
1. Recommend Approval:
COMMENTS:
,ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
ENVIRO?li MENTAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
C01"IMENTS :
YES
I NO
REVIEI-IED BY
DATE
YES I NO I REVIE1,1ED BY
DATE
YES
NO
REVIE14ED BY
DATE
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
May 14, 1986
Rick & Chris Kemp
P.O. Box 7115
Aspen, CO 81611
RE: ISDS Permit #739
Dear Mr. & Mrs. Kemp:
Enclosed is your ISDS Permit # 739 for property located at
Lot 3 - Draeger Subdivision. The information on the permit
does not indicate who will install the system. Would you please
contact our office with this information as soon as you have
made a choice?
The enclosed yellow copy of the ISDS Permit must be posted on
the installation site. You must call our office for a final
inspection before covering any portion of the installed system.
We can be reached at 927-3823.
If you have any questions regarding this permit, please
contact our office.
Respectfully,
Gail Parker, Secretary
Environmental Health Office
EAGLE COUNTY
Enc. 2 LC I
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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
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1526 .95 Tax Parcel#2465-113-01-00.3 2 �,, I�� r
�$ NAME 121 Walter Rd.; J ((� LEDERER 7 SOB �Oy
Basalt; CO REPAIR
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JOB FOLDER Product.278 ®® NEW ENGLAND BUSINESS SERVICE, INC„ GROTON, MA 01471
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
REPAIR
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1526
Please call for final inspection before covering any portion of installed system.
OWNER: Jeanne Lederer PHONE; (970) 927-9275
MAILINGADDRESS: 121 Walter Rd. OIry: Basalt g,ada: CO ZIp:81621
APPLICANT: Jeanne Lederer PHONE: (970) 927-9275
SYSTEMLOCATION: 121 Walter Rd., Basalt, CO TAX PARCEL NUMBER: 2465-113-01-003
LICENSED INSTALLER: Aspen Diggers LICENSE NO: 51-95
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1688 MiAhLON SEPTIC TANK with at least 675 gal. in first chamber. Attach with the existing 1250gal.
to make the total tank capacity
ABSORPTION AREA REQUIREMENTS: at least 1688 gallons.
1463 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Place inspection portals within the leachfield.
ENVIRONMENTAL HEALTH APPROVAL:� DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL RErUfRSMSNTS-0E 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: MC)SQUARE FEET. VIA 66 A&o CA
/ a,S'U t�e�
INSTALLED SEPTIC TANK* / �� W�gL1l �-L� DEGREES Os {fET FR/O'�^�
SEPTIC TANK ACCESS TO WITHIN IN 8" OF FINAL GRAD�D `� /�' �� �L r J �, j
P . 'ga lea-e-47 ,e de---;
PROPER MATERIAL AND ASSEMBLY X YES —NO vc�.7� u�- q� /mot bL /✓
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: Repair initiated without a permit. Installer began a bed configuration with
66 Biodiffuser chambers. Rather than further disturb the site O.K. to leave.
�7
ENVIRONMENTAL HEALTH APPROVAL: DATE:
ENVIRONMENTAL HEALTH APPROVAL: U DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
(Site Plan MUST be attached)
ISDS Permit # / 5;4 -- ?J
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: PHONE • () ?'k 7 �d 7S'
MAILING ADDRESS: �-L _ ,yr� �'D •r
APPLICANT/CONTACT PERSON* y9�� may, PHONE: ( )
MAILING ADDRESS: g
LICENSED ISDS NTRACTO liI%f%/� PHONE: !�Z 7 �g
COMPANY / DBA : aj,2 /2/.�o ADDRESS: 0-�'7`z'1 rlzene
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit #
Legal Description:
(if known)
Subdivision:Filing:—Block: Lot No.,3
Tax Parcel Number: .9—/- _�_ �Lj 0--L L J -L L-_L 1 Lot Size: --,<,' 4crc"
Street Address: A 2 / &/ C9 ems. %2., oe 13-- /77 . 6"o . JO-1 <__ 'j j
***************************************************************************
BUILD NG TYPE: (Check applicable category)
Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
*These sys
SIGNATURE:
**********
TO BE COMPLETED BY THE
AMOUNT PAID:
Number
Number
Type _
of Bedrooms
of Bedrooms
ig/ by a Registered Professional Engineer
Date: C
COUNTY
RECEIPT #:
CHECK #:
DATE: _
CASHIER:
19
-7Y J t'
j
d"� d a /, �(6 3
39
9717
6WN
�Q ISDS Final Inspection
"1 Completeness Form
Tank is gal. Tank Material
Tank is located ft. and degrees from
(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
Technology
units. lineal ft.
Cleanout is installed in between
tank and house(+ 1/100ft).
There is a "T".that goes down 14
inches in the inlet and
outlet of the tank.
_
Inlet and outlet is sealed with tar tape, rubber gasket
etc.
Tank has two compartments with the larger compartment Vy�
Q
closest to the house.
Measure distance and relative direction to field.
—O
Depth of field ft.
Soil interface raked.
_
Inspection portals at the end of
each trench.
Proper distance to setbacks.
Other
Inspection meets requirements.
V-,D
Copy form to installer's file if
recommendations
improvement were suggested.
ACTION TAKEN:
.cam C ° YAreJ
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
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ISDS Final Inspection
Comp eteness Form
Tank is gal. Tank Material
1 1( o
Tank is located ft. and 2 degrees from yll-v �� h(U
(permanent landmark)
Tank is located Ih ` �i ft. and degrees from Old -i71 k'
(permanent landmark)
r/ .Tank set level. Tank lids within 8" of
finished grade.
Size of field q&'® �ft2 �� units lineal ft.
Technology ,,;6 C
A Cleanout is installed in between tank and house(+ 1/100ft).
--ZThere is a "T".that goes down 14 inches in the inlet and
outlet of the tank.
Inlet and outlet is sealed with tar tape, rubber gasket
etc.
-�.ZTank has two compartments with the larger compartment
closest to the house.
Measure distance and relative direction to field.
�' lX Depth of field ft.
Soil interface raked. -
I pection portals at the end of each trench.
Proper distance to setbacks.
Other
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
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ISDS Final Inspection
Completeness Form
VIA- Tank is gal. Tank Material
41A- Tank is located ft. and degrees from
(permanent landmark)
j Tank is located ft. and degrees from
(permanent landmark)
Tank set level. Tank. lids within 8" of finished grade.
!�f'size of field ft2 ill units. lineal ft.
Technology
N Cleanout is installed in between tank and house(+ 1/100ft).
- werr There is a "T".that goes down 14 inches in the inlet and
outlet of the tank. .
,JA- Inlet and outlet is sealed with tar tape, rubber gasket
etc.
A- Tank has two compartments with the larger compartment
closest to the house.
Measure distance and relative direction to field.
Depth of field
✓Soil interface raked. -
inspection portals at the end of each trench.
Proper distance to setbacks.
Other
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
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