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HomeMy WebLinkAbout9177 Brush Creek Rd - 219501202001INDIVIDUAL 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. 1065. Please call for final inspection before covering any portion of installed system. OWNER: Helmut Lillischkies PHONE: 476-0241 MAILING ADDRESS: 2575 Davos Trail, Vail, Colorado 81657 AGENT: PHONE: 949-5221 SYSTEM LOCATION: 9177 Brush Creek Lot 007, Brush Creek LICENSED INSTALLER: Tim Benedickt, Vail Builders LICENSE NO. 22-91 DESIGN ENGINEER OF SYSTEM, INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1 250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 697 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 697 SQ. Ft, of trench bottom, 240 linear feet of 10" SB2 piping; 23 infiltrator units in trench configuration. Place inspection portals at the end of each trench. ENVIRONMENTAL HEALTH OFFICER: - DATE: ere ' L 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 Ill, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPO�AL 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: '7 Q SQUARE FEET.. �( / INSTALLED SEPTIC TANK: /j S-0 GALLONS Vv DEGREES •DFEET 4-vY'L &1�4 +- "4 SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND 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: Wr DATE: �O ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF ESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT M: CHECK N: CASHIER: ISDS Permit Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY P.O. BOX 179 EAGLE, CO 81631 328-8730/927-3823(Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00 ********��t�r,�,r�*�r�r�t�rx�r�r�r*�r*sr�r�t�rsr�r�t�r,r�tsrsrit�r�r�r��r��t�t�r�r�r*�r�rresr�rsrx�r�r�r�t�c�rx*�rsr�rxit�r�r,r PROPERTY OWNER: 41641 1n//I _ I/ ,'/%,"e,41Ct MAILING ADDRESS:Z��,J©S �j___ PHONE: APPLICANT/CONTACT PERSON: LICENSED SYSTEMS CONTRACTOR: ADDRESS: : 5 i �Oii.51L✓l 7klYlt7ky[7k**7k7k7k 17tlt7K7k�]k1kX]rYrtwwww� e PHONE: � _�Dj in it applicable category) Single Family Number of Bedrooms Multi -Family* Number of Bedrooms Industrial* Type Yes ( No Yes ( ) No ( (� Well ( v)''` -Spring ( ) Surface ( -) Public ( ) Name of Supplier: wells within 200 feet of system:_,,, *These systems require design by a Registered Professional Engineer PHONE: -- -- * * * w w w w k Yc 7k 7k Yt 7k * * 7t * tt * * * * PERMIT APPLICATION IS FOR: (Vf NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM* Legal Description: 007 ,3�m� A 0. 0 Parcel Number: Lot size: f Physical Address: / r BUILDING TYPE: - •- (Check (Vf Residential / ( ) Residential./ ( ) Commercial / HOT TUB WATER CONSERVATION PLAN: TYPE OF WATER SUPPLY: Give depth of all NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" SIGNATURE: DATE: AMOUNT PAID: oc 7 RECEIPT# CHECK # TIME LOG Travel Perc Final DATE: o"? 1 /g() CASHIER: ,,� e. ..e APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAL;LE COUNTY Number: P. 0. BOX 179 EAGLE, COLORADO 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 Prprnj_ATTnN TEST FEE t1.''F.n9 NAME OF OWNER: o 9119 - 6 3 92 MAILING ADDRESS: QIL-%PHONE : —p a,4 / NAME OF APPLICANT (If different from owner): ADDRESS.: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): /V ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: 5 Q LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ('v�NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: q/T! Parcel Number: ` Lot Size: z�Jt2S Legal Description: Shp uL, BUILDING ORSERVICE 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 IND VIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: 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 ( O IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( ✓) YES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( k,�'NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water nservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by co, munity water give name of supplier: SIGNATURE: �� _� DATE: I© INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope - / --6- Depth to Bedrock (Per 8' profile hole) > g Depth to Groundwater table 7-91 SOIL PERCOLATION TEST RESULTS: _� do Minutes per inch in Hole #1 is Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY- ( Absorption TPis6Fersal Bed or Pit ( ) Evapotranspiration Above Ground ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: %j 66i;"' RECEIPT NUMBER 'q4l 6) DATE: g)aIzm CHECK NUMBER 9IJ co v C:ASHTFR NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) �F COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO July 11, 1991 Helmut Lillischkies 2575 Davos Trail Vail, CO 81657 RE: Final of ISDS Permit No. 1065 Dear Mr. Lillischkies: 725 CHAMBERS AVE. 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. 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 Division, P.O. Box 179, Eagle, Colorado 81631. We can also be reached, depending on your. calling area, at the following numbers: Eagle Valley 328-8730; Basalt/El Jebel 927-3823. Sincerely, Raymon Merry, R. H. - Environmental Health icer RPM:ckc Encl: Informational Sheets Final ISDS Permit cc: Chrono File Building Permit File 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) 328.7207 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, r/ Roger Hosea Asst. Environmental Health Officer RH/alm ISDS PERMIT # y PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: /7� _ t1t4 _ a,c.�_dG � � l l SC/ kl ef' LEGAL DESCRIPTION: �I / 0cJ7 AlaJ7/ MAILING ADDRESS: dS 7 .. J/fat/0j 7 ,r. TYPE OF DWELLING: ��� �� I y NUMBER OF BEDROOMS ��k�1C�YYc�c�C�yt�kYe�k��icytyttYt�c'� ��cxxxxieizir�i�xxxxxit�ryrrr�Ic�Y�1tY[�rYe��Yt7kyltYt�It��kYrYtycYt�c�ItYt TEST HOLES PRE-SOAKED: YES- NO TTME WAg rp nrpTHI_./>.i TNCRRC nr rAT.T. D 71 rnr 1Nd 0 / I QnTT- 1010n% TT V 1 2 3 1 2 3 1 2 3 1 2 3 0' o :v6 ;07 kq r , 1/7Lt ?? 11 L)J�jt1 L9 3 / /n / 0 /D 6' 1,10 ys '2 < ® Up 0 Time to drop last inch n PERC RATE: GSl' MINIMUM SEPTIC TANK SIZE: /a�S 4vo T MINIMUM LEACH FIELD SIZE: q % 0t"low X ewe ' S f J /j ``�- COMMENTS: 1.SSue ®Filo,i. Assl'a- aq u L . �o / p 7 -,,9.2 o� 7.// �c/ O"/t ., o?qo .1 PERC T E BY: Envir m nt�ealtOr rev. 6/90 s 4 S. y• r N A y eM-LLSH GRF.MIG 0m O�A,' w� Xea►ar ^^ 1 M H i M Ap O f IQ o �p $ �$•< y �• I O` O i�.01-Oso eO..A N00�YX 62 000 °o owk; 6� - � J." pVp t"gJ0 O � is • M �O e� 11 ' W' A � v 0 ro• d �l •Q a i . g Q asro M '4111,o� M Ool000 Z ro C fy,0 rl M . ci 4040 `. u �r to O r gp _�Qj' .9 r" M O M o h m � p�p •i p• p• • 10 ) do � H F 4 Ill o lL IL Z 4) 'S = - 3 0 0 MADE IN U.S.A. NO. R7.52113 JOB NAME, �1065-91 L.,1111cl-kI?S BILL TO DATE.STARTED �/S-X - — --z 114-fe a a I'L� 's 1, i'L DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL7/7 TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Printed in U.S.A. JOB FOLDER 12/19/22. 2:31 PM Eagle County Government Mail - 47 chelsea ECHDA Closing Instructions for 47 Chelsea final.docx 41K wt IF. .� I v • �i - �"mod r "_ice - - - - https://mail.google.com/mai I/u/0/?ik=17e3ef6ed6&view=pt&search=all&permthid=thread-f%3Al 752667502339713460&simpl=msg-f%3A17526675023... 2/2 12/19/22, 2:31 PM Eagle County Government Mail - 47 chelsea LK ECHDA Closing Instructions for 47 Chelsea final.docx 41K 411 Clt 7/jf 1 4-,% j� /0 4;--r/ ft 7 7 4wW 6&,k a bra 'a �* to* ro.2 .P ?;z 6 if hftps://mail.google.com/mail/u/O/?ik=l 7e3ef6ed6&view=pt&search=all&permthid=thread-f%3A1752667502339713460&simpl=msg-f%3A17526675023... 212