HomeMy WebLinkAbout1769 Brush Creek Rd - 210909200011INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N° 0762
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: William & Wendy Griffith Telephone: 926-3752
Address: P. 0. Box 1766, Vail, CO 81658 3;29--
System Location: 1.5 mile up Brush Creek - 0 (.19 13(2u5h Ci'c, f2e'l
Licensed Installer: Self License Number:
Conditional installation approval is hereby granted for the following:
Minimum requirements: 12 Gallon Septic Tank or - Aerated Treatment u it
Absorption area of dispersal area computed as follows: �� hr e-
Percolation rate: Inch in Minutes ('
Absorption area per bedroom Sq. Ft. s T?
Number of Bedrooms 2 X Sq. Ft. minimum requirement per bedroom -
equals Total Sq. Ft. minimum requirement
Special Requirements: ISDS site plan required - Any changes from the plans submitted must be
Date: 8 - 7 - sEnvironmental 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 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: t ®� SQ. FT.
INSTALLED SEPTIC TANK: 2 52v GALLONS; DEGREES; FEET
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEM:- U2M PHONE
32-9
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�'NO
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES ENO
COMMENTS :. w tee ,.o N U 1 � � by % T '01a"
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.)
DATE (Final Approval) 7ENVIRONMENTAL HEALTH OFFICER: 5/n yr4
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: William Griffith Name of Owner: Same
Amount Paid: $150.00 Receipt Number:- 2029 Date: 6/1 S/R6 Cashier: F uuenink
Check 111044
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APPLICATIO`; FOR I-`;DIVTDUAL SEWAGE DTSPOSAL SYSTEM PERMT-1
PERMIT APPLICATION FEES:
NAME Off' M NER: 1AhA
ADDRESS:
E:,VIRONMENTAL .iEALTH OFFICE - EAGLE COL.;T'�i'
P.O. Box 850
Eagle, Colorado 81631 No.
$150.00 328-7311 PERCOT_XTION TEST FEE: $50.00
_L 1 L . _/ _ /), .-- i I
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTEM (if applicable):
ADDRESS:
z J i7 PHONE: �_Ln'-` 9j S 2-.
�2e-1131
�d PHONE:
�n �� 7.�7/er�sn�i►o!. S
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:��
Licensed Installer (see attached list): YES NO
ADDRESS: PHONE:
PEP -MIT APPLICATION IS FOR: (',X) New Installation
( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address: "J, Gpgg< /6
Lot Size: _ �, j_jeer•
Legal Description: 1,01-=2 TYr aer4.4<t KA, 4 <•,F. 4 TC_ t?OiL I A
BUILDING OR SERVICE TYPE (check applicable category):
Residential - Single Family
( ) Residential - Duplex
( ) Residential - Triplex
NUMBER OF PERSONS:
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
yqp Garbage Disposal
No ) Automatic Washer
( ) Other
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( ) Residential _ Quadplex
( ) Commercial (state usage)
NUMBER OF BEDROOMS:
( ) Dwelling
( ) Transient Use
( ) Dishwasher
( ) Spa Tub
(�()
Septic Tank
( )
Composting Toilet
( )
Incineration Toilet
(
)
Vault Privy
()<)
Greywater
( )
Chemical Toilet
(
(
)
)
Pit Privy
Other 4&2r4jc,
(X)
Aeration Plant
( )
Recycling, Potable Use
UjM&
rg2raVj,_
0,,2XeA' c/",w1on
( /()
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
(0 NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES
(x ) NO ( )
(16 yeas, see attached wastewateA 62ow neduc ti.on methods)
NOTE: The EnviiLonmentat Health 064icen may reduce the tegwined absotcpti-on area upon
appnova.2 of an adequate cvastavateA stow teducti.on plan.
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring
( ) Creek/Stream
Give depth of all wells within 200 feet of system: vJ'm-im
�p
_0-wt'
If supplied by community water, give name of supplier:
ys
SIGNATURE: DATE:
- - - - - - - - - - - - - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONiVENTAL HEALTH OFFICER:
- - - - - - - - - - -
GROUND CONDITIONS: Percent Ground Stope
Depth to Bedrock (pen 8' Pno 6.i to Hote) -7
Depth to Gnoundwaten Tabte
SOIL PERCOLATION TEST RESULTS:.
riutes pen inch in
Hote #1
,\
Al i.nuta pen inch to
Hone # 2
f1
Minutes pen inch to
Hote #3
-FINAL DISPOSAL By: -
( ) Absonption Tneneh, Bed on Pit ( ) Evapottranspi, ati.on
( ) Above Ground Dispetursae ( ) Sand F,iQtek
( ) Unde.`cgnound DZSpeA.Sae ( ) Wastewater
Pond
e ) Other
Amount Paid: s .t�e,�so Reecipt Nwnben Date: /
--------------------- - - - --- G,C/D5«{_-------------
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-83)
November 1988
Lined evapotranspiration ISDS
Design Parameters
2 bedrooms and 2 people/bedroom
75 GPCD
4 Persons
300 Gallons per day
Area = GPD x 237 = 300.x 237 = 71,100 = 2221 square feet
3211/yr. 32 32
Sand specification
Effective size
.25 mm to 1.0 mm
with a uniformity coefficient of 4.0 or less
Construction Specifications:
1. Synthetic liners should have a thickness of at least 10 mil; it
may be preferable to use a double thickness of liner material
so that the seams can be staggered if seams are unavoidable.
2. Synthetic liners should be cushioned on both sides with layers
of sand at least 2 inches (5 cm) thick to prevent puncturing
during construction.
3. Surface runoff from adjacent areas should be diverted around
the system by berms or drainage swales.
4. Crushed stone or gravel placed around the distribution pipes
should be 3/4 to 211�, in. (2 to 6 cm)
5. Filter cloth or equivalent should be used on top of the rock or
gravel to prevent.sand from settling into the aggregate, thus
reducing the void capacity.
6. Care should be exercised in assembling the perforated distri-
bution pipe (4 in. - 10 cm) to prevent pipe glues and solvents
from contacting the synthetic liner.
7. The bed surface should be sloped for positive drainage.
8. A relativeley porous topsoil., such as loamy sand or sandy loam,
should be used if required to support vegetation to prevent
erosion, or to make the appearance more acceptable.
0762 Griffith 1.5. miles up
,JOB N Brush Creek 1769 Brush Creek - cl o - (91.1 '-7
Rd JOB NO.
Imo(x 3oq 9- --731,1
r7777 ION If
BILL TO
DATE STARTED DATE COMPLETED DATE BILLED
V13 loq �
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
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