HomeMy WebLinkAbout7663 Frying Pan Rd - 246908201002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N® 0837
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:
Julia C. Jacobsen
Address: 7663 Frying Pan Road, Basalt, Colorado 81621
System Location: 7663 Fryi nq Pan Road, Basalt, Colorado 81621
Telephone:
Licensed Installer: Ed Draeger License Number: -
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: Inch in Minutes
Absorption area per bedroom Sq. Ft.
Number of Bedrooms 3 X Sq. Ft. minimum requirement per bedroom -
equals Total Sq. Ft. minimum requirement
927-3290
Special Requirements: Two (2) dry wells, to be a minimum of 10 feet in diameter and 12 feet deep,
with a diversion valve. Dry wells must be at least 30 feet apart, as built site plan required.
Date: 5-16-88 Environmental Health Officer: 51D X (Sid Fox)
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: SQ. FT. a 1)(21 Oe 115
INSTALLED SEPTIC TANK: W S0 GALLONS; l80 DEGREES;___I I FEET
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEM: D + f NT e2p2'S 0s — Fc� PHONE:
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR /
AERATED ACCESS PORTS ABOVE GRADE: YES NO
PROPER MATERIALS AND ASSEMBLY: YES Ll NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YESNO
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO
COMMENTS: Wsat2ibaow ba )ys:s llc?J Ws-mPrA or 4 oj' eje s iyok/ 4W
A\ u L .
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.) _
DATE (Final Approval) 9 -,3� ENVIRONMENTAL HEALTH OFFICER: 510 F�
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: Julia C. Jacobsen Name of Owner: Same
Amount Paid: 1275,00 Receipt Number: 4830 Date: 5-5-88 Cashier: Apri 1
Check # 768
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
t
APPT T_CA;' FOR -"-'AL Sr.'::\t; DIc .qALFr.o•.rT-
ENV IRONNENTAL HEALTH OFF :CE - EAGLE COUNTY
P.O. 30:: ,i50
�- Eagle, Colorado 51631 1:0. f-- �d
( PER.%!IT APPLIC:.TION FEE • S150. 00 328-7311 PFRCOL1TION1 T!"S T FF .- • $123,00
NAME OF OT.'\ER: L% ` / Cl/
ADDRESS: G /_1/ 4_1
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTDI- (if applicable) :
P110,:E: 91-7 _�? _�
PHONE:
ADDRESS: P M7E :
PittvViV L\LJ1 virJiLuL IO;; INS ALL.NTION OF SYSTEM: 45'�L � - � %� Lpeq F CcP,
Licensed Installer (see attached list): YES- ✓ NO (GdAr7,,,V
ADDRESS: row t3I(S
PHONE:
PER`fIT APPLICATION IS FOR: New Installation ( ) Alter tion ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL ET., -AGE DISPOSAL SYSTE'i: �'2�� � �8 �" � (' ���
Street/Rural Address: -7 3 L 7-
Lot Size: Y
Legal Description: L o ,L L CC, OL Wo Sef [/f S/ 0"!%
BUILDING OR SERVICE TYPE (check aoplicable cate2orv_):
Residential - Sir. -le Family
( ) Residential - Duplex
( ) Residential - Tr_olex
NUMBER OF PERSONS: 13
WASTE TYPES (check applicable cate^ories):
( ) Commercial or Institutional
( ). Non -Domestic Wastes
( ) Garbage Disposal
(�5 Automatic Washer
( ) Other
-HYPE
OF
INDIVIDUAL =.-:AGE
DISPOSAL SYS= PROPOSED:
Septic Tank
(
)
Cor,:posting Toilet
(
)
Vault Privy
(
)
Greywater
(
)
Pit Privy
(
)
Aeration Plant
(
)
Other
( ) Residential - QuadDles
( ) Commercial (state usage)
MMER OF BEDROOMS:
(>,:::�r Ihaelling
( ) Transient Use
6.4 Dishwasher
( ) Spa Tub
( ) Incineration Toilet
( ) Chemical Toilet
( ) Recycling, Potable Use
( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY P:TO ?'AT_RS OF THE STATE: YES ( ) NO >Gf
IS SYSTDI DESIGNED FOR LESS -MAN 2,000 GALLONS PER DAY: YES (7� NO ( )
WASTEWATER FLOW REDUCTION' PLAY: YES �; NO ><r
(IS Ya, See attached was.te,,cate;t S.QC(U .`e'duCIt on met'Lc'ds)
NOTE: The EnvZLo;vnen tae Heae t:L O 3'�.icc matt ',educe tt, e •`ceou ,ted ab.s o tpti on a lea upon
�' Q,}J/p, o aZr U 3 ail ad a ua t CC S i l'a i 2 5 (CCU `Leduc O i�p ZC 7
7_" OURCE AND TYPE 0 L; TER SUPP ( Well, '
( ) Spr_ng ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied-4 community water give name of supplier:
-C SIGNATURE:
------------�----�-------DATA'--- �'-- -�
��`` Lw
INFORR�fATION GB�LOW 70 BE FI LLED UT By ENVIRON-'fENTAL HEALTH OFFICER:
GROUND CONDITIONS: Peneent G.tou►td Slope /p - I a70
Dept, to BedYoeh (peg �' P,7o �tiee Ho ee) g g '
Depth to GAoundLL'ate,`L Tab& `7 Q �
SOIL PERCOLATION TEST RESULTS:. M-citu tcs pelt .bLCA in Hoxe T l P4 V � -�i 0v,
Ali.nutcs peA inch to Ho.ee #2 ��s - ,�� 6P0
1 L_i.lLui t o pe%l. itic L to Hoze #3
FINAL DISPOSAL BY:
( �() Ab s o.tp tZo►'l T,%enck, Bed o hL Pit ( ) Evapot,=Ls pLta Uon
( ) Above Gncu►td D.i,spe mac ( ) Sand FZUct
( ) Unde tg.%ound Dispnsa.E ( ) Was.t,ira.tzt Pond
Amvu;Lt Paid: $ 275. oo Receipt NLnnbe.% 4830------------------------------------------------
Date: 5'S�88 A�.
NOTE: Site Plan must be attached to -application.
(Env. Health Department - Rev. 4-07-83)
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPAR7,1ENT _
Eagle County E—T
FEE: $50.00 ISDS APPLICATION NO.
OWNER: a, CCA3S£N
LEGAL DESCRIPTION:
RURAL ADDRESS:
TYPE OF DWELLING:
)�Co� F2„< : _
NUMBER OF BEDROOMS: --f
S%T-t 1w3Ppc4A00£0
DATE OF S=(C� -c��j TYPE OF SOIL: l60,M
TEST HOLES PRE-SOAKED: YES NO
�20 /L
TIMEIF
WATER DEPTH
�� INCHES
OF FALL
RATE
1
2
3
1
2
3
1
2
3
l
2
I
Ap%��T%
+ ATE: _ 6 lid — F 03- l
RECOMMENDED MINIMUM SEPTIC TANK SIZE: I to%s
nr CnlnGn Mrnirnniin� icnru crr�B-�-I - ( j �� 1yJl�i�^ (� ✓�i(jenic)tJ L)A-ILA
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
i Environmental Health Officer
�Jc COMMENTS: Qq LkJ e
Rev. 5/31/84
Date 10
i eresi o o o a I j L Cr- e.1(S v)q js-T-
s hU I f a> l u;2sr
EAGLE COUNTY �\
. 551 Broadway
Eagle, Colorado 81631
(303) 328 7311
Date: May 16, 1988
Julia C. Jacobsen
7663 Frying Pan Road
Basalt, Colorado
81621
RE: Issuance of.Individual Sewage Disposal System Permit # 837
Enclosed is your ISDS Permit # 837 . This yellow copy of the 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 328-7311, Ext. 229.
If you have any questions regarding this permit, please contact the Eagle
County Environmental Health Office.
Sincerely,
.1�
Eagle ounty Communi y Development
Environmental Health Office
/jb
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
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
_shi l i n C . Ja ceb se,n
Name
Day Routed 7603 FrVing Fbn Rd. Ro jbIOW) Application No.
ocation
Please review the attached Individual Sewage Disposal System Permit Application and
return it with this completed form the 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:
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
Yt5 NU REVIEWED BY DATE
YES NO REVIEWED BY DATE
ENVIRONMENTAL HEALTH: Complies with - YES NO
Floodplain Permit Necessary: v
I.S.D.S. Regs..Compliance: t�
Recommend Approval:
COMMENTS: yZ" ry1 ! v I I-_7
REVIEWED BY DATE
I ?. 0 �`� �P Lv u.
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970) 328-8755
FAX: (970) 328-8788
TOLL FREE: 800-225-6136
www.eaglecounty.us
EAGLE COUNTY
June 25, 2008
Jeffrey Jacobsen
7663 FRYING PAN RD
BASALT, CO 81621
Dear Mr. Jacobsen,
RAYMOND P. MERRY, REHS
Director
Per our conversation last week, I am providing you with the section in the Eagle County Land
Use Regulations that requires an individual sewage disposal system to meet current code when a
repair or alteration is necessary. The specific section is in Chapter IV of our regulations, section
4.03.08, and reads as follows:
PRE-EXISTING NON -CONFORMING SYSTEM:
Upon failure or need of repair or alteration, pre-existing, non -conforming systems must be
brought up to current regulations of a two -compartment septic tank and the required square
footage of absorption area.
The system installed on your property predates our current regulations. Thus, a Colorado
Certified Engineer must provide certification that the current system, or a redesigned system, can
meet the requirements for safe disposal of onsite wastewater. Providing our office with this
certification will satisfy the requirement of this regulation.
If you have any questions, please do not hesitate to contact us.
Sincerely, n
AndrewVess6n
Eagle Courity Environmental Health
OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179
PO Box 2844
Glenwood Springs, CO 81602
Ph970-618-5033
g4
Fax 303-216-2796
June 27, 2008
Jeff Jacobsen
7663 Frying Pan Road
Basalt, CO 81621
Onsite Wastewater System Evaluation
7663 Frying Pan Road
Lot B2, Peach Blow Subdivision
Eagle County, Colorado
Jeff,
Project No. 1485
As requested, ALL SERVICE septic, LLC performed an onsite wastewater system (OWS) evaluation
on May 27th, June 1 lth, and June 241h 2008 for the subject property.
The subject property is located in Eagle County, outside of the town of Basalt, Colorado. The subject
OWS consists of one concrete septic tank followed by two drywells. The OWS was permitted by
Eagle County in 1988 under permit #IS-0837.
According to Eagle County Environmental Health Department the residence has an OWS permitted
for 3-bedrooms, and consists of a 1250-gallon septic tank and two drywells. Each drywell is 10-feet
in diameter and approximately 12-feet deep. A distribution box directs effluent to the drywells.
OBSERVATIONS
A 1250-gallon, two -compartment concrete septic tank is located next to the residence as indicated on
the attached figures. The septic tank was holding liquid at an appropriate level prior to pumping.
After pumping the tank the PVC tees were observed and were in place. Both compartments of the
septic tank were accessible. The septic tank appears to have good integrity and appears to be
functioning properly.
The area of the drywells were observed and probed for excessive moisture. The area of the drywells
had adequate vegetation, and the drywell areas showed no signs of surfacing effluent, and had
no indication of failure.
RECOMMEDATIONS AND/OR CONCLUSIONS
1. As an upgrade - Place an effluent filter on the outlet of the septic tank. This helps prevent
the migration of solids to the drain field. Bring tank lids to grade, and secure lids.
OWS Evaluation
Project No. 1485
June 27, 2008
Page 2
2. The septic tank and effluent filter should be pumped and cleaned every three years, or as
needed.
This evaluation is not a guarantee of any future drain field performance, in any way. ALL
SERVICE septic, LLC evaluated the OWS, and has no further knowledge of use and/or performance,
and/or any changes.
Please call with questions.
Sincerely,
ALL SERVICE s tic, LLC
Timothy R. P P.G.
NAWT Certification No. 1060041 C
2 copies sent
pRADO
G HERR—
Reviewedcc AB;
38gg2 ti
Richard H. 'E.
OWS Evaluation
Project No. 1485
June 27, 2008
Page 3
s,x G
1 LQNF CUPY Chit1£ biLiST ..BEWARE
Bli Pt}5 i 61a A 41 T�t,1 Zit N SME
i.. _ y�yT - 'i1�t�Af,LED•3Y5�'EM
I Owxler dU ja C daEob Y
-k7-tea
Address: 1663 Frvina Pact RQa»#
System lvcatioq: 7663.:.Fryirin Pain Road tl77's�ai % y
LtCett981�Ci': , : ''�
_. .. 1.
.'T
pprovai ax tuxehy x
s
Ttt iR[lit'13"Ot►letit3 _ "
Absorption !!iC$:Of Fl1Sp[5$l.arC COQipJ.
tZted i 4lraCtna�t ''
.Percolation rate: _ Inch ku g g
ibso=gtiOI! are&. per. bedtoom p kr K F3
. _ [Umber 63f Bedsoorns .:.3Nuak
Ft-
,<x .
Specsel RegWtements Twd f 2? dry 'sve315, tp b sk it-- - n` .and 22 #eet deems+
with a diversion valve... Dry hells miter be a
t s`xteslap. required,
Date 88
iroa4talI�.: js Si Fox
! .411 tPtstailarta�ts must tom
W.
lLeRttlatitrns adopteclrgsudtrrv�rsi4
*P*Sy stem _
z n�
21 ebss pe=it is sOtuf nhl�t for conuecmo-i¢ s s
qumntenti Comuc#tr to or use ar+rtOWN
' zanrng and..buldding
e tsriasbai aieeRpatipicst�rbea � t .zOMWand building
ducat oir of t 6e penalt, F fax �o , .legtd actio�t and;
3:'Sectsoti ll 3 2t,regq*es any person tadtt�c +�
r
6e'kce�rsed accordiagto tbe' �s ��3 R ' 2p Lrsuurt Sysaem to
�egulatso t
FiNA# APP+lOi!Ai OF! SYS!~EM.
No sysrern sba!!'&e deemed to be iafc�omp%at ,a y Q#sposai system ,
Regulations until the -system is approved PnDT°{
YNSTALI ED ABSOUMN OR D RSA u4 Y4 Awl 6k i 15 .
iNS'i1#isi..lsE3.4EPT�(
VIESEN ENS
FAT
.. ...SiA•.�.R f%3`.J'3':. Qik±'L.Ail3+•�>,a `i:..l�.' ;n
SErM TANK CLEANOU . To W.UM lJ»vd a
AERATED ACCESS PORTS ABOVEGRADIR . .
PROPER MAT-iEMLS AND-MKY r '
a �
(Any item checked NO requires correCtian bed � } �,� ,�� � ��
work. is completed.). �� a�'� coon
biZ :&d 6Z:88 88-8£-58 Hl'Id3H ANH 88L88Z£8d6 fiq }uas xled
Permit from Eagle County
Pro No. 1485
OWS Evaluation
Project No. 1485
June 27, 2008
Page 4
ENV HEALTH 05-30-08 08:30 Pg: 4/4
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As -built of OWS from Eagle County
Pro No 1485
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837 Jacobson Lot 2 Block 2
JOB NAME_ Peachblow 7663 Frying Pan Road
JOB NO.g-2,'�
s f�
a
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
i�%c / 7vice i�6�Ge u ,- - �Q� ���Mal �
'- �L
IV
YZ
✓� v - o ,- O l S W k / ago artt is od A'f z l/
s a .wl r, � ' ,�A, V
`[zi 2�
JOB COST SUMMARY
/
TOTAL SELLING PRICE
s t.�,,,,_ ti q - ILt t - I Li [ c ` t-ro - 1 2- L{ 2�-� . CA , � t,�k, � � � ! � � 4? 'Il
TOTAL MATERIAL
UU
j / / / / / / ��Y"� ""p �`S
+� a,cr-� u�av C.� v� C..-GZ� �'Lt�" `o �-a�ES� , Cu.�..a•r wa - -
TOTAL LABOR
INSURANCE
fiL�� fvv^•. �-�,� ,fv b�- ��1" S�Gv�X tom'`-d,1h,� a.�vobi� �
SALES TAX
c �� ` d
MISC. COSTS
CL Q C3
`e- A1,4,
TOTAL JOB COST
GROSS PROFIT
( G' N t"
5 /\ �
LESS OVERHEAD COSTS
/o OF SELLING PRICE
�4 A Se M_e2 t �
NET PROFIT
JOB FOLDER ProdWt 278 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 ®B FOLDER
PERMIT # 837
OWNER: Julia C. Jacobsen
LOCATION: 7663 Frying Pan Road, Basalt, Colorado 81621
INSTALLER: Ed Draeger
SIZE OF TANK: 1250 Gallons (2 dry wells)
DWELLING: 3 BR Residence
PERC RATE: .75 GPO EPA manual table 7-2
ABSORPTION AREA:
Distribution box installed instead of a diversion valve.
FINALIZED: 8-3-88 BY: Sid Fox
Printed in' U.S.A.
SIP PC ke,&�61,9710k 'IS
0,, e6 S - -7 - o g - 1 -7 (o
6/4,
c .-
j2e�ar F c�z� P
CAssu1'A_eCL
5�'�e- '-P a
co \
,1'uL uC3
o
i
Al
� 7
76
35wJ 1CL, F—yw e op e
y , �
v
L
` G4.7 oC��
\ + So.{
R = 32S.00 �8o°�o'y �,,w • 583'33 55„� t +`?•c' f'
t Qom.
n\
NOTES:
�� • -indicates found rebar and cap
+ -indicates relative ;round e1pvation
\ There is a 7.5 foot wide easemc-nt of right-of-way for utilities inside all lot. lines.
LEGAL DESCRIPTION
Lot 2, B1^ck 2, Peachbinw Subdivision, Eagle County, Cnloradn.
�9�_
Go
8b
1
I�Bu_ _(A,v%_Q,
N
I
'Lie'
Lo 2 , .� o c� �2.CL L O`tV Sc�.�Glly LS l01
L /N S /N SPAtE
SYDNEY L /NC/COME (L. S. l4HI)
BOX J21 C.RBONDALE COi ORADO 81623 303- 963-3332
EV,T E: i 6 c-�%- A g B 8 I s C A t F: I " = t-.s v�o��