HomeMy WebLinkAbout202 Blue Creek Trl - 239127107006 - 0982ISINDIVIDUAL 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. 9'82_
Please call for final inspection before covering any portion of installed system.
OWNER: Michael Colangelo PHONE:516-759-0740
MAILING ADDRESS: 388 Forest Ave. Locust Valley, NY 11560
AGENT: PHONE:
SYSTEM LOCATION: 0202 Blue Creek Trail, Lot 6, Mountain Meadow Ranch, Filing 1
LICENSED INSTALLER: LICENSE NO.
DESIGN ENGINEER OF SYSTEM:Associates
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 640 SQUARE FEET OFF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: '40
CRT U e �t
ENVIRONMENTAL HEALTH OFFICER:
`� DATE:
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 1/1, 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: 12.5o GALLONS. DEGREES 30 FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY
�//I _ 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-INSPECTI I ARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: 5D9
P. 0. BOX 179
EAGLE, COLORADO 81631
949-5257 Vail 328-7311 Eagle 927-3823 Basalt
PERMIT APPLICATION FEE $150.00
NAME OF OWNER:
MAILING ADDRESS:
- NAME OF APPLICANT (If different from owner):
DESIGN ENGINEER OF SYSTEM (If applicable):
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
LICENSED INSTALLER: ( jv<� YES ( )
ADDRESS: 6,)-J%171 IL10,9�5 Za P e 6a 0
PERCOLATIONd TEST FEE $125.00
�2 7-3Y-
PERMIT APPLICATION IS FOR: (aC) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM
Physical Address:
Parcel Number: 4,0 Lot Size: 9 7 oe.
Legal Description • /,/ �d��� .�artn f� . "� Ji o•
BUILDING OR SERVICE TYPE (Check applicable category):
Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential - Triplex
NUMBER OF PERSONS: NUMBER OF BEDROOMS: 3
WASTE TYPES Check a licable categories):
Commercial or Institutional (X) Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( ) Garbage Disposal ( ) Dishwasher
( ) Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
YQ 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 (1'vQ NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ()) YES ( ) NO
WATER CONSERVATION PLAN: ( ) YES (>() NO
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: ( x) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
IfpaRlied by community wat _ give name of supplier:
SIGNATURE: O � 1 DATE: O
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope
Depth to Bedrock (Per 8' profile hole
Depth to Groundwater table
SOIL PERCOLATION 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 ( ) Evapotranspiration
Above Ground Dispersal ( ) Sand Filter
( ) Under Ground Dispersal ( ) Wastewater Pond
( ) Other
AMOUNT PAID• ��" RECEIPT NUMBER 4q b DATE:
riIrry Ill n.nnrn T' _ r-ACUTCD.
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION.
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER".
(Environmental Health Dept. - Rev. 4/88)
r EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
Date: June 19, 1990
Michael Colangelo
388 Forest Ave.
Locust Valley, NY 11560
Re: Issuance of Individual Sewage Disposal System Permit No.
Enclosed is your ISDS Permit No. 982 This copy of the
permit must be posted on the installation site. You must
call our offics for final inspection before covering any
portion of the installed system. If you have any questions,
please feel free to contact us at the following numbers for
your calling area: Vail/Avon 949-5257; Basalt/El Jebel
927-3823; Eagle area 328-8730.
Sincerely,
Ravm
Envi:
xc: ISDS file
•:.
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
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
Date: July 12, 1990
Michael Colangelo
388 Forest Ave.
Locust Valley, NY 11560
Re: ---Final of ISDS Permit No. 982
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 ounty 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,
Raymo,P. Merry, RS
Environmental Health Of i'er
encl: Information Sheets
ISDS Permit ---
xc: ISDS File No.
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
Johnson, Kunkel & Associates, Inc.
LAND SURVEYING • CIVIL ENGINEERING • MAPPING
June 12, 1990
Eagle County
Department of Community Development
P.O. Box 850
Eagle CO. 81631
RE: Percolation Test, Lot 6, Mountain Meadow Ranch, First Filing
Soils at the site consist of stony clay loam and stony clay. Three
holes were dug to a depth of 2.5 feet. Hole A was too stony for a
test to be conducted, Hole B and C consisted of reddish brown stony
clay, suitable for leach field Development. The measured percolation
rate for hole B was 10.5 min/inch, and the rate for hole C was 7.5
minutes per inch. Because of the variability of the soil, a
percolation rate of 20 minutes per inch should be used for design.
Sincerely,
James S. Kunkel, P.E. & L.S. No. 23089
P.O. Box 409 • 113 East 4th Street • Eagle, Colorado 81631 • Phone: (303) 328-6368
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ENVIRONMENTAL HEALTH
APPROVED* DISAPPROVED.
WATER
ISDS
APPLICATION
# .
SEWAGE D+SPaSAL,ISDS
PERMIT
#
The permitibe nggara issued. eqttired to be submitted prior to a building
Applicant contacted on
COMMENTS:
IDQ
Signed G'F
Hate -7/ 1,q l q
*This approval applies to the building permit issuance only. The
applicant must be aware that where an =SDS permit is required
the final inspection on the septic system must be completed prior
to occupancy. In addition, the applicant must understand that
certain site caaracter'istacs may. require the ZEDS be designed by
a Registered Professional Engineer.
� z-7 1,((9, 1
i
ROUTE FORM
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
Da Ro ted
Application 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 -
YFS Ply
RFVTFijFn RY
nATF
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
3UILDING: 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 NO REVIE
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval: f
COMMENTS:
.,.,I -- !/ / P r /
DATE
JOB NA JOB NO,
JOB FOLDER Produpt 278 �® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA. 01471 Printed in US.A
JOB FOLDER
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