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HomeMy WebLinkAbout3406 Upper Cattle Creek Rd - 239122203001 - 1098-91ISINDIVIDUAL 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. 1098 Please call for final inspection before covering any portion of installed system. OWNER: Douglas Grant PHONE: 927-3201 MAILING ADDRESS: BOX 1027, Basalt, CO 81621 AGENT: PHONE: SYSTEM LOCATION: 3406 Upper Cattle Creek Rd. LICENSED INSTALLER: Grant Brothers Const . LICENSE NO. 02-91 DESIGN ENGINEER OF SYSTEM - INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK OR 114ae- GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 604 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 604 sq. ft. of trench/200 ft of 10" SB2/20 infiltrator chambers 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 Ill, 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. �(jy� INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET. At /�/�� rC'.' � G�erZIYiD�'s. INSTALLED SEPTIC TANK: J �000 GALLONS sWaGREC�#0 FEET fpom �Ov�• SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALSAND 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: DATE: O + O ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK M: CASHIER: ISDS Permit # /l1 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 PROPERTY OWNER: -bov-91�S MAILING ADDRESS: F1-2 S� �y� �gj, 51C PHONE: /o27- 3 Z d APPLICANT/CONTACT PERSON: PHONE: LICENSED SYSTEMS CONTRACTOR: C�Irc,. w� ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ('?C) LOCATION OF PROPOSED INDIVIDUAL Legal Description Parcel Number: p Physical Address: -2-a NEW INSTALLATION ( ) ALTERATION ( ) REPAIR L SEWAGE DISPOSAL SYSTEM: Lot size: BUILDING TYPE: - (Check applicable category) ('q Residential / Single Family Number of Bedrooms . ( ) Residential / Multi -Family* Number of Bedrooms ( j Commercial / Industrial* Type HOT TUB . �?. - Y e s ( ) No x WATER CONSERVATION PLAN: Yes ( } No ( ) TYPE OF WATER SUPPLY: Well(\A Spring ( ) Surface ( ) Public n Name of Supplier: Give depth of all wells within 200 feet of system: *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" SIGNATURE: ********** DATE: ************************* AMOUNT PAID : _-_�-��— RECEIPT# DATE • 9 CHECK # CASHIER: TIME LOG Travel Perc Final 3 a f upply" txi RN <3�i'4 3.e1 I-1 , i co I Doug'! -AA Gra-iYt P..D- j3ox. 1.027 Basal, RF! ' Final of. 2SDS Fermat Nb. 1-098 k . Dear Mr. Grant: ''his let r is to inform you that the move rc-'fe— erLcFd isim Permit has been inspected and final=wed— E!;c.lcsed is a coy_; to reta.iaz o .rour rec-6tcfs . 4u sc enclosed are '.-nfnrmationa - Eh_ --&ts ea%"ii317t the care o -your septic Sy;•t.eu. if YoL. have any que;st1.ons regarding this Perm it, ple'ase the Eagle county Health Div-Lsion, P.O-. Box r79 , Eagle, Colorado B1631. We can also be .reached, depending oi: y1: ur dalling area, at the fo,llowa:ng numbers; Eagle- Valley .8:�-3altjEl ri'�be3. 9-2"�.�382-3. Sine~'re:tY., iz AT _a C- EnCl:_ s ., fo.rma.t ion She•ets `-Mal ISDS Permit cc: Chrono File IVLV File Huildinca Rermit File DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX: (970) 328-8788 TOLL FREE: 800-225-6136 www.eaglecounty.us , P.O. Box 179 500 Broadway Eagle, CO 81631 www.eaglecounty.us EAGLE COUNTY 'ERMIT APPLICATION FOR ONSITE WASTEWATER TREATMENT SYSTEM Awn OWTS PERMIT # ow75 iy - 63 — WET BUILDING PERMIT # - 3 - INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED) FEESCHEDULE APPLICATION FEE $800.00 MAJOR REPAIR FEE $800.00 MINOR REPAIR FEE 00.00 This fee includes the OWTS Permit, Site Evaluation (Percolation Test, or Soil Profile Observation) and Final Inspection. Additional fees may be charged if a re -inspection is necessary, or a pre -construction site visit or consultation is needed. The re -inspection fee is $135.00 Make all remittance payable to: Eagle County Treasurer. Property Owner: sL Cr to,-1 _orbs j� Phone: `1,>0 -9 -17 — 3 2p I Mailing Address: O 10 x l0 27r�a:a(fd T/"email Jo Registered Professional Engineer: !" /A Phone: rr C_Q_ P Applicant or Contact Person: 5 L G >1T Phone: F?6 - 2-74®O5 �3 f( s .0 Licensed Systems Contractor: I- . G�S License # Company / DBA: / Phone: Mailing Address: '�d J% A 72 Yz06 � � (,Q ?l/6 2�email Permit Application is for: New Installation Location of Proposed Onsite Wastewater Legal Description: 3 A 6 U j,2 X Alteration Repair L r G lev, K4 wLI A16 r, Sul, Lv ( 6 Tag Parcel Number: -;Z 3°( 1 2zz 63 od 2 Lot Size: /. (�/c[- Assessor's Link: www.eaglecounty.us/natie/ Physical Address: 3 Building Type: / Single Family Residential / Multi Family 4 Number of Bedrooms: X Number of Bedrooms: Commercial / Industrial* Type of Use: *These systems require design my a Registered Professional Engineer Type of Water Supply: )Q Private Well Spring Surface Public If Public dame of Supplier: Applicant Signature: Iv,U5 Office Use Only Amount Paid: I' n Receipt #: 02� Check #: Date:1101��JiD �p N N t \� BEHCHWK: ASSUUED O 1Y \ d v er--go. -P 4(C)' t '3t,o Weil Sec--o,-Z 7?S.) , 4 4il :L " OT A, f -tl'& I RD 39 lip-pier COL R DIVISION OF 1NAlran RESOURCES b li WRJ-5.11Vv.76 O ADO 818 Centennial Bldg., 1313 Shaman St., Denver, Colorado 80203 Application must be complete whereRE� applicable. Type or print in BLACK APR 2 7 1989FOR INK. No overstrikes or erasures unless �R initialed; (1) APPLICANT - mailing address PERMIT APPLICATION FORM R-4+0E1 ( y) A PERMIT TO USE GROUND WATE111L41i�89 00 A PERMIT TO CONSTRUCT A WELL ( fc) A PERMIT TO INSTALL A PUMP rM i ) REPLACEMENT FOR NO. { } OTHER WATER COURT CASE NO. Ae.l&-eek FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN NAME U,q�a�( _. G rc, L Receipt No. �� 1 STREET 1 JQ,Q5 r .no V! Str. CITY Aft 5- 0-14 C L Wle A ( (State) (Zip) TELEPHONE NO. -30 -9A%` 3Ao I (2) LOCATION OF PROPOSED WELL County & `v '/. of the N W X. Section ala Two. _ ? , Rng. I? W to P.M. M,S1 MW1 � (3) WATER USE AND WELL DATA Proposed maximum pumping rate (gpm) S Average annual amount of ground water t { to be appropriated (acre-feet): '% +� o•er� 9 a'_ Number of acres to be irrigated: Proposed total depth (feet): 3Oo C,+ Aquifer ground water is to be obtained from - Owner's well designation )1�111 ) HOUSEHOLD USE ONLY - no irrigation (0) ESTIC (1) ( ) INDUSTRIAL (5) { ) LIVESTOCK (2) ( ) IRRIGATION (6) ( ) COMMERCIAL (4) ( ) MUNICIPAL (8) ) OTHER (9) DETAIL THE USE ON BACK IN 01) (4) DRILLER Name _ h s c b s ej - ]b r: / lr Street City (State) (ZIP) Telephone No. Lic. No. Basin Dist. CONDITIONS OF APPROVAL This well shall be used in such a way as to cause no material injury to existing water rights. The _• ;,a issuance of the permit does not assure the applicant that no injury will occur to another vested water right or preclude another owner of a vested water right from seeking relief in a civil court action. 1) APPROVED PURSUANT TO CRS 37-92-602(3�b}(II)- (A) AS THE ONLY WELL ON A RESIDENTIAL S TS OF 2.201 ACRES DESCRIBED AS THAT PORTION OF THE SE 1 4 OF THE !IW 1/4 OF SECTION 22 VS, R87W OF Tt 6TH P.M. RMiLS COUNTY iI�lOk AS LOT A, BRING MORE PARTICULARLY 60CAIBED ON THE t7ACHED EXHIBIT "A". TER FROM THIS WELL IS 'ION OIWINARY HOUSEHOLD $ FINILY DMBLLINt3 An R' S NONCOMMERCIAL GWXXIND WATER SHALL NOT OR OTHER PURPOSES. 3) THE RETURN FLOW FWK THE USE OF THIS WILL MUST BE THRU AN INDIVIDUAL WASTE WATER DISPOSAL SYSTEM OF THE NON—BVAPORATIVI TYPE WSW TOR WATER IS RETURM TO THS SAME STREAK SYST24 IN W11ICH THE WELL IS LOCATED. C W SJ)9 'Ig9' APPLICATION APPROVED PERMIT NUMBER _ J F541 ! 6 DATE ISSUED t1 2 { EXPIRATION �A STATE ENGI ) BY p C I.D. - .". _.4 {Ah1iVfi`r•r•...� .,.Y (5) THE LOCATION OF THE PROPOSED WELL and the area on which thi: water will be used must be indicated on the diagram below. Use the CENTER SECTION 0 section, 640 acres) for the well location. +-+-+ - + -a--+---+- + I �%— t MILE, 6280 FEET -- lb I — — NORTH SECTION LINE C NORTH t T W � z 0 4 - + c~t J W if � T 4- 1 I I � I i I rn a N m O Z J II _r 2 m } 1 ► I SOUTH SECTION LINE I The scale of the diagram is 2 inches = f mile Each small square represents 40.acres. WATER EOuIVALENTS TABLE (Rounded Figures) An acre-foot covers I acre of land t foot deep 1 cubic foot per second (cfs) ... 449 gallons per minute (gpm) A family of 5 will require appr4ximately'1 acre-foot of water per year. I acre-foot ... 43.560 cubic feet ... 325,900 gallons. LOW gpm pumped continuously for one day produces 4.42 eore•feet. (10) LAND ON WHICH G ROL Owner(s): Legal description:, 5 IE 2 Ai( (6) THE WELL MUST BE LOCATED BELOW by distances from section lines. 17 .d ft. from — aY'tZt sec. line (norm or south) . _ft. from we, line (east or west) LOT BLOCK FILING SUBDIVISION Q) TRACT ON WHIG"ELL WILL BE LOCATED owner: �,l "Cira hk— No. of acres_ 12, Al I . Will this be the only well on this tract? (8) PROPOSED CASING PROGRAM Plain Casing .— in. from ft. to --A !6 IM _ ft. in. from ft: tv ft. Perforated casing / ,� �_ in. from ft. to ?" 6 ft. in. from ft. to ft. (9) FOR REPLACEMENT WELLSgivedistance and direction from old well and plans f or plugging it: No. of acres: 2. � t 01) QET 1LED DESCRIPTION of the use of ground. water: Household use and domestic wells must indicate type of disposal system to be used. [ ea1 511 : e lei 4. _ %* S arr"_ (12) OTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers. Type or right Used for (purpose► Description of land on which used jaIse - AM THE APPL}CANT($). STATE(S) THAT THE INFORMATION SET FORTH HEREON IS TRUE TO THE BEST & HIS KNOWLEDGE. SIGNATUgf OF APPLICANT(S) Use additional sheets of paper if more space is required. 77777�- 415 . I-, 1 1 A L. GRA N T TYPE A MINOR SUBDIVISION SECTION 22, T7S.,'.R.87W. of toe 6th'PM. EAGLE COUI C4 - X'A t;4r u 09fe cc> PC Scale: V-4& w Mb% AM k,rar Es%E.� N-"St4vc2- lm� �(• (� QLC29\ \P1'w dQ6 Z"e++teZL Ln -c ev Scale. 627 t Y-I-IAaydi"C- 3e J ------r- ---- ---- Colorado Department of Natural Resources Colorado's Well Permit Search Well Constructed Receipt: 0299661E Division: 5 Permit #: 154176- - Water District: 38 Well Name / #: County: EAGLE Designated Basin: Management District. Case Number: WDID: Help Last Refresh: 3/24/2013 12:01:10 AM [-] Applicant/Owners History Date Range Applicant/Owner Name Address City/State/Zip Unknown - Present GRANT DOUGLAS 110 W HOMESTEAD DR BASALT, CO 81621 [-] Location Information Approved Well Location: Q40 Q160 Section Township Range PM Footage from Section Lines SE NW 22 7.OS 87.OW Sixth 1700 N 2440 W Northing (UTM y): 4367101.2 Easting (UTM x): 319630.5 Location Accuracy. Spotted from section lines Physical Address Subdivision Name City/State/Zip Filing Block Lot Parcel ID: Acres in Tract: [-] Permit Details Date Issued: 05/23/1989 Date Expires: Use(s): HOUSEHOLD USE ONLY Aquifer ALL UNNAMED AQUIFERS Special Use: (s): Area which may be irrigated: Maximum annual volume of appropriation: Statute: Permit Requirements: Totalizing Flow Meter No Cross Reference Permit Number Permit(s): Comments: Geophysical Log No Receipt Abandonment Report No Description [-] Construction/Usage Details Well Construction Date: 06/16/1989 Pump Installation Date: Well Plugged: 1st Beneficial Use: Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate 280 220 280 215 10 Lic # Name Address Phone Number Driller 1193 CERISE, DELTON BOX 1059 BASALT, CO 81621 970-945-2994 L-] Application/Permit History Well Construction Report Received 09/14/1989 Well Constructed 06/16/1989 Permit Issued 05/23/1989 Application Received 04/27/1989 [A Imaged Documents Document Name Date Imaged Annotated Original File 12/06/2007 No Colorado.gov I Contact us http://www.dwr.state.co.us/wellpermitsearchNiew.aspx?receipt--0299661 B 3/24/2013 e Maos, Deeds and Legal Descriotions 10/04/2007 No Copyright © 2009 Colorado Division of Water Resources. All rights reserved. Home I Contact Us I Help j Water Links I Colorado.gov I DNR I Privacy Policy I Transparency Online Project (TOP) http://www.dwr.state.co.us/wellpermitsearchNiew.aspx?receipt=0299661 B 3/24/2013 ISDS PERMIT # 1J11y OWNER: LEGAL DESCRIPTION: PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. 6 MAILING ADDRESS: SOX /0� % �g��% Co S716zl TYPE OF DWELLING: SF�j��s NUMBER OF BEDROOMS _3 TEST HOLES PRE-SOAKED: YES NO ' TTMF. T.1nTF'D nL'DTT? r. TT T ­,. /9lSSO e� f 1 2 3 1 2 3 1 2 3 1 2 loa- 0' VJ, �o z1j :yz 5 l p 5.7 # ;�7 6g ��� �'� I 6.7 i3.3 5 3' '30 -'5/ ;5Z lad 171 14 s$ �4 5 a0 8 4 ;s :56 77- i7 'S 3 i �Z 3 's 6.7 to 13.3 5 62. 73, 'y 15, g ao 40 �0 6' ,1 07 $ � I l � 15 :5? �Z � � 10 4-0 13.3 7 ld :l1 12 $ z % ID 40 /0 8 14 I� y y zo 24 o q� �� L Ida__ g ' 13.3 2.0 1 q0 IV j ro �5a Time to drop last inch 15_3a PERC RATE: JSE _20 MINIMUM SEPTIC TANK SIZE: IDD� 2 / MINIMUM LEACH FIELD SIZE: ozl P /d//SB2/0 COMMENTS: lea,7;��,, fi�Z& i PERC TEST DONE B a Enviro nt Health 0 rev. 6/90ks DATE: q-IL'9/ cer iao 6� S /0 �lr � 41c), t NI .�rOKP- Set;,0 �.���7s. J��. llA►,T �,eV Lod �, 1,�s�.9Ac a �S. \°c�Cac�k 9D ,2o \ 35 o 30 L.6 T A, QO v JOB NAM! 1098-91 JOB Q o� inc' rire•rnn_. L. ©- l D a 1. e Lcffl e BILL TO DATE STARTED DATE COMPLETED DATE BILLED 3 e> si o1 ad �- s c <J. f 4, ar- n I -7 91 d y► c1'lI cvE,s , aof u.>%et_ ' c l 1 IJ 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 JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.