HomeMy WebLinkAbout328 Strohm Cir - 211106407003INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 972,
Please call for final inspection before covering any portion of installed system.
OWNER: Andy Rogstad PHONE: 524-7153
MAILING ADDRESS: P.O. Box 352 Vail, CO 81658
AGENT: PHONE:
SYSTEM LOCATION: 328 Strohm Circle, Lot 21 Bertroch Subd•
LICENSED INSTALLER: Owner LICENSE NO.
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 800ft- SQUARE FEET OF TRENCH BOTTOM. or 260 linear feet of S132 (10"
SPECIAL REQUIREMENTS: Inspection portals must be located at the end of each trench
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ENVIRONMENTAL HEALTH OFFICER: - DATE:
CONDITIONS:
1. ALL INSTA I I A TIOA ST COMPLY WITH ALL REQ REM NT THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GRANTED /N 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 Ill, 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: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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.
INSTALLED SEPTIC TANK: i_-= GAL''L�NS� r� DEGREES FEET t
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALSAND ASSEMBLY YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
COMMENTS:
ENVIRONMENTAL HEALTH OFFICER: DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION I NEC )
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK N: CASHIER:
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number:,�
P. 0. BOX 179
EAGLE, COLORADO 81631
949-5257 Vail 328-7311 Eagle 927-3823 Basalt
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00
MAILING ADDRESS:
NAME OF APPLICANT (If different from owner):
ADDRESS:
276PHONE: 5r��" 11713:5
—r
PHONE:
DESIGN ENGINEER OF SYSTEM (If applicable): N
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
LICENSED INSTALLER: ) YES ( NO _
ADDRESS: �/�m�J,p0;(� PHONE:
PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address: r c
Parcel Number: Lot Size: o
Legal Description: j,�T , (, ' p_r t z �14 , , U,'S(`t�'�
BUILDING OR SERVICE TYPE (Check applicable category):
Residential - Single Family ( ) Residential'- Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential - Triplex
NUMBER OF PERSONS: -3 NUMBER OF BEDROOMS:
WASTE TYPES Check applicable categories):
-�— Commercial or Institutional (>C) Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( x) Garbage Disposal (x) Dishwasher
( X) Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
DC) Septic Tank Composting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use
( ) Other ( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES (,C) NO:
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: (bl-) YES ( ) NO
WATER CONSERVATION PLAN: ( ) YES (pC) N0
NOTE: The Environmental Health Office may reduce the required absorption area upon
approval of an adequate water conservation plan.
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring N ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supp d by community water, give name of supplier: mac r� r� rc&DSU�
SIGNATURE:) L DATE:'��-
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope s - 1,5-
SOIL PERCOLATION
Depth to Bedrock (Per 8` profile hole) > $
Depth to Groundwater table ?_$
TEST RESULTS: Minutes per inch in Hole #1
Minutes per inch in Hole #2
Minutes per inch in Hole #3
FINAL DISPOSAL BY:
Absorption Trench, Bed or Pit
{ ) Above Ground Dispersal
( ) Under Ground Dispersal
{ ) Other
AMOUNT PAID: �� RECEIPT NUMBER
( ) Evapotranspiration.
( ) Sand Filter
( ) Wastewater Pond
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION.
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER".
(Environmental Health Dept. - Rev. 4/88)
DATE:
EAGLE COUNTY
551 Broadway -
Eagle, Colorado 81631
(303) 328 7311 -
3,
x
_ t
Date: May 17,
1990
Andy Rogstad
P.O. Box 352
Vail, CO 81658
Re: Issuance
of Individual Sewage Disposal System Permit No.972
Enclosed
is your ISDS Permit No. _972 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. If you have any questions,
don't hesitate
calling. From Vail/Avon 949-5257; Basalt/El Jebel
927-3823; Eagle
area 328-7311, indicate extension 530 after
reaching the County
Operator.
Sincere
R and P. Merry, R
Environmental Heal Officer
xc: File
Board of County Commissioners Assessor
Clerk and Recorder
Sheriff
Treasurer
L_
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
IZ121ZIs) RiZIINZ
DATE: May 17, 1990
TO: ISDS File #972
FROM: R.P. Merry, R.S.
RE: Septic System location on Lot 21 Bertroch Subdivision
Gypsum, 328 Strohm Cr, owned by Andy Rogstad
On May 7, 1990 a site visit to 328 Strohm Cr. was made to
perform a percolation test. Upon my arrival I observed the area
designated for a leach field was already partially constructed.
The bed was apparently dug and crushed rock placed upon it. 3
percolation test holes were dug beyond the bottom of the bed.
The perc test was performed and the results largely exceeded the
rate allowable for a conventional seepage bed. This may have
been due to compaction of soils from heavy equipment. The owner
was informed of the problem of constructing the bed prior to the
perc test. Further discussions with Mr. Rogstad let to
rescheduling another percolation test in another area on his
lot. A letter from him dated May 12, 1990 indicated that he
wished to utilize SB2 piping in the new area and included a site
plan depicting the location.
A second percolation test was performed on May 16, 1990 and had
satisfactory rates (see file). Therefore, the original area was
abandoned by the owner and the new area proposed.
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
Date: June 6, 1990
Andy Rogstad
P.O. Box 352
Vail, CO 81658
Re: Final of ISDS Permit No. 972
This letter is to inform you that the above referenced
ISDS Permit has been inspected and finalized. Enclosed is a copy
to retain for your records. Also enclosed are informational
sheets regarding the care of your septic system.
If you have any questions regarding this permit, please
contact the Eagle County Environmental Health Officer, P.O. Box
179, Eagle Colorado 81631. Or we can be reached from Vail/Avon
949-5257; Basalt/El Jebel 927-3823; Eagle area 328-7311, indicate
extension 530 after reaching the County Operator.
Sincerely,
Raymo71P. Merry, RS
Environmental Health Of i er- --- :,
encl: Information Sheets r
ISDS Permit —
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t
xc: ISDS File No. `x;safi,7
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Board of County Commissioners "Assessor Clerk and Recorder Sheriff �Treasure�
P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 �ti� P O Box 479
Eagle, Colorado 81631 _',Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado_81631 Eag1e, Colorado 81.63 =
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PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $125.00
ISDS APPLICATION NO. ...33 7
OWNER: /f,Pig/ /,c o 4'
LEGAL DESCRIPTION:
RURAL ADDRESS: 8
TYPE OF DWELLING:�'%� NUMBER OF BEDROOMS:
DATE OF PERCOLATION TEST: ,r7 Iq a TYPE OF SOIL: p - .2
TEST HOLES PRE-SOAKED: YES �_ NO
TIME
I WATER DEPTH
it INCHES OF FALL
RATE
1
2
3
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PERCOLATION RATE:
RECOMMENDED MINIMUM SEPTIC TANK SIZE: 07 SC% a
RECOMMENDED, MINIMUM LEACH FIELD SIZE:
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
EnvironmeWl Tiealth Off'cer Date
COMMENTS: - - kJ 4u.? cam `
-L // G
Rev. 5/31/84
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $125.00
OWNER:
ISDS APPLICATION NO. 3.3 �
LEGAL DESCRIPTION:
RURAL ADDRESS:
TYPE OF DWELLING: 1 q �s� NUMBER OF BEDROOMS:
DATE OF PERCOLATION TEST: S" /A9 TYPE OF SOIL: Se
TEST HOLES PRE-SOAKED: YES / NOv
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TIME
I WATER DEPTH II
INCHES OF FALL
RATE
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PERCOLATION RATE: /-5- /19 /`�,
RECOMMENDED MINIMUM SEPTIC TANK SIZ • % d/d1,,
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RECOMMENDED MINIMUM 4"0"24 0lre�c,-,l',���J�� �a "l
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: abD d C4
SITE HAS BEEN REVIEI,•lED__AN(D TESTED FOR PERCOLATION RATE.
Environme Healt Officer Date
COMMENTS: D i Pf ca � S�'Z
S c� 7`
Rev. 5/31/84
ROUTE FORM /06 5 S9
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
ame i,'
""Date Routed 711 Appl4cation No.
Location
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:
YES NO REVIEWED BY DATE
YES NO REVIEWED BY DATE
ENVIRONMENTAL HEALTH: Complies with - YES
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
COMMENTS:
NO
REVIEWED BY DATE
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972 Rogstad Lot 21 Bertroch
JOBNAME Sub 328 Strohm Circle
JOB NO.
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BILL TO
DATE STARTED
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 j %@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471
JOB FOLDER
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