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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 4k0\ l<u(,r z. C—La m �,O - s w Slcl 4., (- Pet w,, f Q Q l 7/S` i i eea��~---1 — — — `5D(= D WoOa doa�r -It4-10 4 �� O 6d OU v oGG 6 O Glibc 00 11 collar ex IL (owes? 0 ept -� P1 p -e- --le-5ccQe� --I „eA L �—q, W e1rsf wa l -� fpite� �a lr C� l scut roll � al l" ro xo r � fee f Cran&rU Ori7ina(s WATERCOLORS • OILS • LOGOS • NOTECARDS • GRAPHICS � 02 (Vlf A, 5 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 f/ ►1, v1 vim® I 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. .7 1 f 1Y If- a� C ►-3 P O N N Ul c+ (D C+ O m It � � n G N• (D N• W 0 ✓ C+ ':S Q'•s �C P Fh N CD P C+ O 5 :3 10 aq w v N c71 (D M `l (D O (D .� C+ ri G N' C+ (D 1 JOB NAME, 2 ` I .cos Na 2-L.- JOB LOCATION BILL TO DATE STARTED DATE COMPLETED JOB FOLDER Product278 Q® NEW ENGLAND BUSINESS SERVICE, INC„ GROTON, MA 01471 JOB FOLDER ■ 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 Printed in U.S.A