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HomeMy WebLinkAbout110 Mountain View Rd - 239122401003 - 0865ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0865 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: Curtis Cleveland/Hattie Shaffer Telephone: 923-6365 Address: P. 0. Box, 221, Woody Creek, Colorado 81656 System Location: 0110 Mtn. View Rd., Lot 4, Oak Ridge I Aspen Mtn View Sub Licensed Installer: �J—OsegrI ?_aVVAC)(ZA License Number: Conditional installation approval is hereby granted for the following: Minimum requirements:1000 Gallon Septic Tank or N� Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate:_ Inch in -2 i Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms 1 (3 1 X Sq. Ft. minimum requirement per bedroom - equals Total Sq. Ft. minimum requirement Special Requirements: Installation to be as per Engineered design. Date: 8-16-88 Environmental Health Officer: 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. j� /ov ` LeN�-H,S o lU S�3 2 INSTALLED ABSORPTION OR DISPERSAL AREA: /' -: INSTALLED SEPTIC TANK: 10015 GALLONS; /ego DEGREES;�FEET DESIGN ENGINEER OF SYSTEM ���F 5)M6IVSdN Sc�Y"Oe5O.Z- �e.0ati I'�.! f2 INSTALLER OF SYSTEM: +y)wzA PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES NO PROPER MATERIALS AND ASSEMBLY: YES t/ NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES 'NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO COMMENTS: TiispecT C)N t7" Sl3 2 cN e— (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) _ DATE (Final Approval) 12I 2'yg ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Curtis Cleveland/Hattie Shaff rName of Owner: Same Amount Paid: $275.00 Receipt Number: 19 Date: 6-22-88 Cashier: E. Hueni ck Check # 8492 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner � iyy Appr ICAT:^' FOR:': �' .aL :;F.:�:\(' DI���S:�L -;�- iir.r•.rT l ENVIRONMENTAL I:EALTii OFr ICE - EAGLE COON • P.O. BON 1150 I Eagle, Colorado 51631 No. , J PERMIT APPLICATION FEE: S150.00 328-7311 � PE. f OLMO., TEST FEE: $125,-00 NAME OF • OVN ER : J ADDRESS: __ 30� �� ��.,p�''• �rct� � NAME OF APPLICVNT (if different froiu owner): ADDRESS: PI[O::E: p,2-3 PHONE: DESICN ENGINEER OF SYSTDI.(if applicable): ADDRESS: P rccav�4 iCi :i: V:+JlUuL i :: Ii4S,.ALL1TION OF SYSTEM:— Licensed Installer (see attached list): YES- ADDRESS: • PHO"E: NO PHONE: PER`IIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL —SET —?AGE DISPOSAL SYSTE`•I: Street/Rural Address: p D Lot Size: Legal Description: �v f `f 0,9KR(Z26E- _ BUILDING OR SERVICE TYPE (check applicable cate^_orv): ( ✓� Residential - Single Family ( ) Residential - QuadDlex ( ) Residential - Duplex ( ) Residential ( ) Co--m-ercial (state usage) - Tr_Dlec NUMBER OF PERSONS: rT :IBER OF BEDROOMS: l WASTE TYPES (check applicable cateeories): ( ) Commercial or Institutional M,7elling ( ) Non -Domestic Wastes (✓) Transient Use (�) Garbage Disposal ( ) Dish::asher Automatic Washer ( ) Spa Tub ( ) Other -TYPE OF I-DIVIDUAL SET -.AGE DISPOSAL SYS=-1 PROPOSED: ( vT• Septic Tank ( ) Composting Toilet ( ) Incineration Toilet ( ) Vault Privy (" ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Rec,;cling, Potable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTL`i INTO WATERS OF THE STATE: YES IS SYSTc 1 DESIGNED FOR LESS T'r?M 2,000 GALLONS P; R DAY: YES - ( ) NO ( ) WASTEWATER FLOW REDUCTION' PLAN: YES ( ) NO ( } (T S Yes , see attached wastexa tet S.Cc•ro Aeducti.on met'cods ) NOTE: The Er1LZto;u,7ejitaL` Heae-th 0S6.C.Ce•t mail •teduce tie •'C2GL(i. 2d ab.sa%Lpt(on area upon appnavaC aS an adequate (ca5.Lz;cr, t2 StCcv Aeduct%orc p.Ca;i. SOURCE AND TYPE OF DATER SUPPLY: (� T•:e11 ( ) Spr;no ( ) Creek/Stream Give depth of all wells within 200 feet of system: /(/o If supplied by community w ter, give name of supplier: SIGNATURE:Zrn-4— _ DATE: ---------------------------- ,;.� v--c IS --- INFORMATION BELOW TO BE FILLED OUT BY FNVIRON-'IENTAL HEALTH OFFICER: --� GROUND CONDITIONS: Peneertit G.tound Slope (Jj s Depth .to Bedtoeh (pen 8' PAo S,_Ce Hot e) r Depth to GnoundIcatet Tab.Ce SOIL PERCOLATION TEST RESULTS:. A eclat pe,t .crick in Ho.Ce P r ,1 ALuuLtes pen inch .to F � L teS Ho.Ce # 2 to pen •(.iidt Lo rrot q � FINAL DISPOSAL BY: Absoap-t(or'L Tnenck, Bed o.t Pit [ ) Bvapo.ttaasp.itati.ar2 ( ) Above Gncund D.ispet aC ( ) Sand Fie-tet ( ) UndetyLowid D.ispnsa.0 ( J Was.t:Lratc.t Pond G Amowit Pacd: '/ `-'" Recei,,_Q Ncwibvi. •------------- - - - - -- � 8----- --- ' L7---- -__ NOTE: Site Plan must be attached to'application. AUG mQ 1988 (Env. Health Department - Rev. 4-07-83) EAG�,_ r). ' ." Y BUILDING L)iaJ- T, I PERCOLATION TEST ENVIRONiNE"ITAL HEALTH DEPARTi•1ENT Eagle County. ET FEE: $50.00 ISDS APPLICATION iIO. OWNER: I '�.a [Z �s ���C'u�IGi,, LEGAL DESCRIPTION: (,0-1- .RURAL ADDRESS: n I I p IM TYPE OF DL•lELLING: �� a �� NUMBER OF BEDROOMS: reo So DATE OF PERCOLATION TEST: AI cc2dv TYPE OF SOIL: hJ?� TEST HOLES PRE-SOAKED: YES NO a� 3q ;s l;ry WATER DEPTH 2 37'16 3 e �/& 4/0 z 1 %v INCHES OF FALL PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: IpO� GAt1o�.1 RECOi•1MENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIE1,4ED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer e tDa Date COMMENTS: Rev. 5/31/84 ::Zc _�wu........ RATE 3 a 1 2 I 1. I� i1 40 1 N(r , 1134.V7 Zo PERCOLATIO�d TEST ENVIRONMENTAL HEALTH DEPARTi•lENT FEE: 550.00 Eagle County E-.r ISDS APPLICATION N0. 014NER: LEGAL DESCRIPTION: L..o-r �-� - ���< �10 � — RURAL ADDRESS: 1 l O N U,(&u TYPE OF DWELLING: " ojv'^ NUMBER OF BEDROOMS: TOP Sol' DATE OF PERCOLATION TEST:le�:f. --7-f3-cgs TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: ►p00 GAt\oc.1 RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIE!-JED AND TESTED FOR PERCOLATION RATE. Environmental Health OfficerDate COMMENTS: T)CisU-eazd ]cj "aClm+.eeee Rev. 5/31/84 SCHMUESER GORDON MEYER, INC. 1512 Grand Avenue Suite 212 GLENWOOD SPRINGS, COLORADO 81601 LIEU E D (01F �O C SOMOVUL (303) 945-2004 TO WE ARE SENDING YOU Attached ❑ Under separate cover via_ ❑ Shop drawings C�4jPrints El Plans El Samples ❑ Copy of letter f(❑l Change order ❑ DATE JOB N `7 ATTENTI O RE: the foUing Ams88 of G..ggtwn' V. e�#Ilt�,4s COPIES DESCRIPTION ,jD�AT jNO. THESE ARE RANSMITTED as checked below: For approval ❑ Approved as submitted For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections For review and comment ❑ VN ❑ FOR BIDS DUE 19 REMARKS ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints ❑ PRINTS RETURNED AFTER LOAN TO US COPY TO A1511 SIGNED: - PRODUCT 240-3 Ees Int, GroWn, Mm 01471. If enclosures are not as noted, kindly notify us at once. SCHMUESER GORDON MEYER, INC. 1512 GRAND AVENUE, SUITE 212 • GLENWOOD SPRINGS, CO 81801 (303) 945-1 004 -� DATE } L TO 6eW AAP�F RECEIVED u C.-� I- J mUU1 •_ Dept umal My. 0i Eagle CO 91631. aq..,y /VVj7Livojao -o 1 S 7Y�@Lr.AA AA, oAj �1 WtC r BY Rom a NN73 The Drawing Board, Dallas, Texas 75266-0429 ® Wheeler Group, Inc, 1962 INSTRUCTIONS TO SENDER: 1. KEEP YELLOW COPY. 2. SEND WHITE AND PINK COPIES INTACT. SIGNED INSTRUCTIONS TO RECEIVER: 1. WRITE REPLY. 2. DETACH STUB. KEEP PINK COPY_ RFTIIRN WHITE MPV Tn —1— SCHMUESER GORDON MEYER, INC. 1 512 GRAND AVENUE, SUITE 212 • GLENWO0D SPRINGS, CO 81601 (303) 945-1 004 T DATE TO DATE -} i .-- OFFe 1� BY SIGNED hem h eler The Orc, 19 Board, Dallas, Texas 75266-0429 ` �� w , ® Wheeler Cxalp, Inc, 1962 Jv INSTRUCTIONS TO SENDER: RU TIONS TO CENER: 1. KEEP YELLOW COPY. 2 SEND WHITE AND PINK COPIES INTACT. 1. WRITE REPLY. 2 DETACH STUB. KEEP PINK COPY RFTI IRN WwTF rncv — -- WO - JOB NAME JOB NO._ i �a1 NN ei:E DATE COMPLETED DATE BILLED 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 JOB FOLDER Product 278 �® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed irlU,$. A. i E { PLUG: _ _ 45' MJ - - ELBOW - = 45• MJ 4 " PVC 5' JP 1. GENERAL NOTES All materials, installation practices, setback requirements, etc., shall comply with the Eagle County Individual Sewage Disposal System Regulations.'` 2. The absorption trenches shall -be constructed so that -the bottom is �` -OUT OV T DETAIL level + 0.1 inches. Place trench in natural ground, no portion of the trench be in fill. CLEAN shall placed ;Provide positive drainage away from trenches. 3. r,,A 1= areas disturbed=by-eanstructiori=pia = reseeded _wit)i e�aCi - i gasses_- to prevent -- - - 4. ne location of the trenches may be adjusted in the field to better fit the site, provided all setbacks are met. f 5. Use risers as needed to bring septic tank access hatch -within 6"_ of i' finished grade. _ F 6. Cast iron pipe or pipe of equal strength or other pipe properly supported to prevent failure by settling shall extend from tank for a distance of at least five feet (5') from the inlet and outlet ends 7. The Contractor and Owner shall take whatever measures -are necessary- - to assure that (a) septic tank and sewer lines =are : completely k water -tight to prevent infiltration of groundwater into - the system, and (b) the system is to be installed to prevent freezing of all _ gravity sewer lines. 8. The location of existing utilities. must be verified by Contractor prior to commencing work. 9. The Eagle County Environmental Health Department and the Engineer _ shall be notified when construction commences and kept abreast of { the- construction progress, so that sufficient. inspection can be. performed to assure conformance with .these plans. 10. Site map'& topography supplied by Owner._ 11. An alternative absorption bed may be substituted for the absorption trenches. Design criteria: 1.95 (450) - 0.055 (450) _ 1570.7 S.F.= (Use 24 x 66 bed size) Bed to consist of Al 4" solid wall Class 160 PVC header pipe.- Slope 0"/ft. _ P - B) 4"-perforated Class 160 PVC distribution piping at 6' centers k with looped ends. Slope 0"/ft. -. C) Minimum 12" of 1/2" to 2-1/2" washed gravel distributed evenly over entire bed. _ D) Mirafic filter fabric or 4".of straw over gravel.' E) Minimum of 10" backfill over gravel with top 6" to be topsoil. Construction Procedures: _ { A) Bed to be constructed level. 0.1' + with no portion of bed in t fill. - B):Scarify bottom of bed and place gravel. 4" PVC to be placed with a minimum 6" of gravel below pipe and minimum 2" gravel - - above pipe. Pipe to be laid level.-- Q Place fabric or straw and backfill to finished grade. No vehicular traffic to be allowed on bed. DESIGN CRITERIA- - I. Number of bedrooms = 3 (Use 1000 gallon septic tank) 2. Percolation -rate = 27.3 min./inch - _- (For percolation rate of 27.3 MPI, use loading rate of 0. 55gal/SF/day) 3.- Determine design flow = - (3 BDR) (2 persons)_(75 9Pcd) = 450 gpd . } 4. Determine area of trench A = 1.5 Q - 0.055 Q F ; L F - i- A = 1.5 (450) - 0.055 (450) 0.55 - E RECEIVED. A = 1202.52 S.F. , -For AUG 0 5 88 5. 3'0".wide trench or 10" ADS SB-2 graveless leach bed. Dept of Comm. Dev. F L = A 1202.52 =- 400.84 L. F. 180& CO $16.31 3 3 4 �- s trenches at 80.50 feet -each. SCHMUESER-GORDON MEYER INC. -Use �G ENGINEERS & SURVEYORS 1512 GRAND AVENUE, SUITE 212 GLENWOOD SPRINGS, COLORADO ; 81601 13031 945 - 1004 . REVISIONS HAr/E SHaFFER EAGLE COUNTY NO; DESCRIPTION DATE BY CHKD. RESIDENCE _ COLORADO - - SB2 DISPOSAL S YS TEM F _ r%ArC I IAPPR. BY _ B8/26A 728.88 1 HMS NOTED JSS - of j