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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 ESSE LTE R 753 • - - ------ -- - - -- -Tiv (v t r��6 �� ,� i � --- TO vu h 0 A A14 ce (N --- 1vb -� -- Eye Cr,- .� _(���,C� Cam. Ca oIoRjAi d. L- --------------------- UZ 6wt- COO- -F/t CAIV �md.ak CO, 3o q 6 o Aoaw��(r- 441cadows 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 celvf,,p-elo lw-ti 1neah*,,:5 c