HomeMy WebLinkAboutLot 15 Colter Creek Ranch - Buck Point - 218922301009 - 0991ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway a Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 99`Y
Please call for final inspection before covering any portion of installed system.
OWNER: Ann Kurz Chambers PHONE:715-887-3755
MAILINGADDRESS: 0305 Original Road Basalt, CO 81621
AGENT:
PHONE:
SYSTEM LOCATION: Lot 15 Colter Creek Ranches
LICENSED INSTALLER: (Owner) LICENSE NO.
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Vault Privy
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 111, 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
rORRtDISPERSAL AREA: N SQUARE FEET.
INSTALLED SEPTIC TANGALLONS DEGREES FEET Y-o
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: i� V
PROPER MATERIALS AND ASSEMBLY 'YES NO
f
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: V
ENVIRONMENTAL HEALTH OFFICER:�✓ DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
t 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
NAME OF OWNER: ,� ct� �v� C4�;m4crr
MAILING ADDRESS: /c'yoh -Kyr� �705_ PHONE: _
NAME OF APPLICANT (If different from owner): 5oa-,
ADDRESS: 03n,— 6, ig 162 i PHONE: �1_2 ? — (g-
DESIGN ENGINEER OF SYSTEM (If applicable):
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF
LICENSED INSTALLER: ( ) YES
ADDRESS:
SYSTEM: ,ohm<< h Kvr--,
(� NO
PHONE: vi (I -
PERMIT APPLICATION IS FOR: (..NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address:
Parcel Number: ",Xi, ;Lot Size: SS' AccQS
Legal Description:
BUILDING OR SERVICE TYPE (Check applicable category):
Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential - Triplex
NUMBER OF PERSONS: NUMBER OF BEDROOMS:
WASTE TYPES Check applicable categories):
Commercial or Institutional (Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( ) Garbage Disposal ( ) Dishwasher
( ) Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Septic Tank Composting Toilet ( ) Incineration Toilet
(L-,;r 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: ( ) S ( � 0
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( S ( ) 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: ( ) Well ( ) Spring ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier:
DATE:
SIGNATURE:
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
( 10) Other Va'- ! /0r/ -/
G 7/17/90
AMOUNT PAID: IS'RECEIPT NUMBER �. 9 DATE:
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION.
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER".
(Environmental Health Dept. - Rev. 4/88)
: EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
Date:"I-I�-9
Re: Issuance of Individual Sewage Disposal System Permit No.ggl
- Enclosed is your ISDS Permit No.1`91 This copy of the
permit must be posted on the installation site. You must
call our office for final inspection before covering any
portionofthe installed system. If you have any questions,
please feel free to contact us at the following numbers for
your calling area: Mail/Avon 9.49-5257; Basalt/El Jebel
927-3823; Eagle area 328-8730.
Sincerely,
R
E:
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
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
October 4, 1990
Dear Applicant:
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 323-7207
Please be advised that this office will not be conducting
percolation tests between November 15, 1990 and March 15,
1991. Additionally, all final inspections on installed
systems must be completed prior to December 1.
If you have any questions, please call me at 328-8730 or
927-3823 ext. 730 in the Basalt/El Jebel area.
Sincerely,►
Roger Hosea
Asst. Environmental Health Officer
RH/alm
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
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
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WATERCOLORS • OILS • LOGOS • NOTECARDS • GRAPHICS
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1631 4TH STREET
PORT EDWAROS. WI 54469
Roger Hosea JA Gd qqj
Asst Environmental Health Officer
Community Development Dept FP.r E COUNTY
P O Box 179 r-~ "" '�ELOPMENT
Eagle,CO 81631
RE: Individual Sewage Disposal System PErmit 991
Dear Roger,
Enclosed is a photo and cross -sectional drawing of the
Vault Privy so that we can finalize the ISDS permit.
Additional specifications:
All openings have been screened including the vent pipe.
Structure affords complete privacy
Earth and 10" gravel -mound around top of the vault and
below floor level slopes downward away from structure base.
Inside floor covered with ceramic tile; tile 4" high around
base of inside walls.
Seat and cover is easily cleanable, stained and varnished top
of seat, metal lining inside seat and hinged, self closing
toilet seat.
Capacity of vault is 500 gallons.
Walls inside are finished and washable.
No odor.
4' x 8' outside dimensions of building
As you know we have had difficulty getting things done and
in meeting with you because of snow and mud and inaccessibility
during large part of year. If you have any further questions
before finalizing the permit please feel free to call me.
Yours truly, s
,-
'r
Ann Kurz Chambers
Enclosure: photo, drawing
(715) 887-3755
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
January 21, 1993
RE: Final of ISDS Permit No. 991
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
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. This permit does not indicate
compliance with any other Eagle County requirements. Also
enclosed is a brochure regarding the care of your septic system.
Be aware that later changes to your dwelling may require
appropriate alterations of your septic system.
If you have any questions regarding this permit, please
contact the Eagle County Environmental Health Division at
328-8755.
Sincerely,
Brenda Henderson
Office Assistant
Environmental Health
/bh/ca
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP# 991
ROUTE FORM
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
7-/7
Date Routed
340
Application No.
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:
ENVIRONMENTAL HEALTH: Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
COMMENTS: V �r�{`�t�/ r �,/V
YES NO REVIEWED BY DATE
YES NO REVIEWED BY DATE
-S NO RFVIF14Fn RY nATF
DESIGN STANDARDS
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VAU I
-H-vau�z sna rr-nave a minimum 1,000 gallon effective capacity and
may be permitted under limited use occupancy for water carriage sewage
systems on property which cannot accommodate a sewage treatment system.
A signal device shall be installed to indicate when pumping is necessary.
Vaults shall meet the.same installation and construction standards as
apply to septic tanks except that no effluent outlet shall be provided.
VAULT PRIVY
A vault privy shall be built to include:
1) Fly -tight construction;
2) A superstructure affording complete privacy;
3) An earth mound around the top of the vault and
below floor level which slopes downward away from
the superstructure base;
4) A floor and riser of concrete or other impervious
material; and
5) Seats and covers of easily cleanable, impervious
material, hinged, self -closing and fly -proof.
All venting shall be fly -proofed with No. 16 or tighter mesh
screening. Effective capacity of the vault shall be no less than
400 gallons.
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JOB FOLDER Product278 Q® NEW ENGLAND BUSINESS SERVICE, INC„ GROTON, MA 01471
JOB FOLDER
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DATE. BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL.
TOTAL LABOR
INSURANCE
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MISC. COSTS
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GROSS PROFIT
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