HomeMy WebLinkAbout3408 Upper Cattle Creek Rd - 239122203002 - 1121-91ISINDIVIDUAL 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. 1121
Please call for final inspection before covering any portion of installed system.
OWNER:_Douglas L. Grant PHONE: 927-3201
MAILING ADDRESS: P.O. BOX 1027
AGENT: _ PHONE:
SYSTEM LOCATION: 3408 Upper Cattle Creek Road
LICENSED INSTALLER: Grant Brothers Construction LICENSE NO. 10-92
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
Install inspection portals
DISPERSAL AREA REQUIREMENTS: In each row of Infiltrators
555 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Trenrb Configuration- 427 ft — 50% for Unfiltrator = 713-5 ft
213.5 / 18.75 = 11.4 (use 12 Infiltrator units)
Bed Configuration: 427 ft X 1.3 for bed = 555ft - 40% for Infiltrator- in bed
t _ use 18 Infiltrator, units
ENVIRONMENTAL HEALTH OFFICE DATE:
MA
CONDITIONS:
1. ALL INSTA ATIONS MUST CoeLY 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.
INSTALLED ABSORPTION OR DISPERSAL AREA: Il SQUARE FEET. VI al 2n T- i 1461" in Q ��CX
INSTALLED SEPTIC TANK: � GALLONS f • DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY N YES NO
COMPLIANCE WITH COUNTYISTATE 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: / �1?2_—
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
ISDS Permit # 112
Building Permit # 51b
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
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PROPERTY OWNER: G, VOL P1\
MAILING ADDRESS: Xf)ai L0.Sc,l7` �cD,. '3—/6J/ PHONE: 1�43
APPLICANT/CONTACT
PERSON: ja,,�
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PHONE: J
'LICENSED SYSTEMS
CONTRACTOR:
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ADDRESS: PHONE:
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PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Descripti c.. a7 �? S
Parcel Number: ` L �� ,�; S �� Lot size:
Physical Addr ss.-i,40%-
( ) REPAIR
BUILDING TYPE: (Check applicable category)
GX) Residential / Single Family Number of Bedrooms "N
( ) Residential / Multi -Family* Number of Bedrooms
( ) Commercial / Industrial* Type
HOT TUB Yes ( ) No
WATER CONSERVATION PLAN: Yes ( ) No ( )
TYPE OF WATER SUPPLY: ,Well(>0 Spring ( ) Surface ( }
Public ( ) Name of Supplier:
Give depth of all wells within 200 feet of system: 0�,1,4-A,;z-S-o'
*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"
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SIGNATURE: 0 `' d DATE:
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AMOUNT. PAID:� 9_7� RECEIPT# ✓ DATE:
CHECK # CASHIER: <
TIME LOG
Travel Perc Final
COUNTY,EAGLE COLORADO
April 3, 1992
Douglas L. :grant
P.O. Box 1027
Basalt, CO 81621
RE : Final of ISDS Permit. No. 1121,
Applicant,
This letter j s to inform you that the above referenced ISDS
Permit lids been inspected and finalized. Enclosed is a e,;ov to
retain for tour records. axis permit does not indicate
compiiance 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 quewtions regarding this permit, please
Contact the Eagle County Environmental Stealth Division at
328-8755.
Sincerely,
Brenda Henderso-n
Office Ass.Lstant
Environmental Healt2.
/bih
ENCL: Information Sheets
'Filial ISDS PernBi
ISDS PERMIT n
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS 3
TEST HOLES PRE-SOAKED: YES NO
TTME warrrD nrprru 7ATr1tr 0 P%V VAT T Wrenn
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PERC RATE: USE MINIMUM SEPTIC TANK SIZE: 1000 1�
MINIMUM LEACH FIELD SIZE-: 555 W in , beel
COMMENTS: Nqa sf L
PERC TES
ErkvironWnta
rev. 6/90ks
►BY:
For lAy Al-,k DATE:
3ealth officer
la x 675
4a7 , 1.3 = 555
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RECEIVED
WRJ-S-Rev. COLORADO DIVISION OF WATER RESOURCE
'MAY 2 2 ISM 818 Centennial Bldg., 1313 Sherman St., Denver, Colorado 001fty 1 0 1989
WAYER RMOURM
UA78 a
Application mu
he complete where
applicable. Type or
print in BLACK APR 2 71989FOR
INK. No overstrikes
or erasures unless >
initiated. eati�
oft
address
PERMIT APPLICATION FORM am mmom
Oct A PERMIT TO USE GROUND WATER ��
00 A PERMIT TO CONSTRUCT A WELL
00 A PERMIT TO INSTALL A PUMP :. -t 1 _;)u ` ; 01B; r'
( ) REPLACEMENT FOR NO.
( ) OTHER
WATER COURT CASE NO. ,,:;_
it.
NAME fJ-
- .�
STREET_1/tA�..►1C-1 -Firth S)+r
CITY �Sa. 7 cin. %�% a I
(state) (Zip)
TELEPHONE NO. 303— 9�? - i2--O 1
;2) LOCATION OF PROPOSED WELL
County_ � e
5 E '!a of the W 'le, Section _
Twp. -- -7_ 5 , Rng.17 W _—__12—P.M.
(N.S) (EX
(3) WATER USE AND WELL DATA
Proposed maximum pumping rate (gpm) 5 a ► m
Average annual amount of ground water
to be appropriated (acre-feet): 6&te- S4
Number of acres to be irrigated: &LAua cx
Proposed total depth (feet): 300 �-+_
Aquifer ground water is to be-Qbtained from:
Owner's well
Mae W64-
...
D) HOUSEHOLD U NLY - no irrigation (0)
OMESTIC (1) { ) INDUSTRIAL (5)
( ) LIVESTOCK (2) { ) IRRIGATION (6)
( ) COMMERCIAL (4) { j MUNICIPAL (8)
{ 1 OTHER (91
DETAIL THE USE ON BACK IN (11)
(4) DRILLER
Name _
Street
City
(State) (Zip)
Telephone No. Lic, No.
FOR OFFICE USE ONLY: DO NOT WRITE IN TA.tw. 1� _I• , '
0 1
Receipt No.-
r�.
Basin Dist.
This well shall be used in such a way as to cause
no material injury to existing water rights. The
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.
tllf<ktcJ41,4 1)'.FJi,:i.�)�41
(l(A))AS�THEONLY
pPURSUANT
WELL { ON A RESIDENTIALS7TE�OFI}�
N09 ACRES DESCRIBED AS THAT PORTION OF THE SW
OF THE NW 1/4 OF SECTION 22 T7S R87W OF
THE 6TH P.M_ EAGLE COUNTY BRUM WME PARTIC—
UUWLY DESCRIBED AS "LOT B" ON THE ATTACHED
$IT "A".
2)THE USE OF GROUND WATER FROM THIS WELL IS
1!>�l►lITED•TO FIRE PROTECTION ORDINARY HOUSEHOLD
PURPOSES INSIDE A SINGLE V ILY WRIL SING AND
THE WATERING OF THE USER'S NONC0015RCIAL
DOMESTIC ANIMALS. THE GROUND WATER SHALL NOT
3� THE RETURN FLAW FROM THE USE OF THIS WELL
MUST BE THRU AN INDIVIDUAL WASTE WATER DISPOSAL
SYSTEM OF THE NON -EVAPORATIVE TYPE WHERE THE
WATER IS RETURNED TO THE SAME STRE44 SY7TEM IN
WHICH THE WELL is LOCATED . G VC, 5/ Z5 J
APPLICATION APPROVED
PERMIT NUMBER i `,
DATE ISSUED MAY 2 5 1989
EXPIRATION DATE %MAY 1991
(STATE ENG R)
SY
COUNTY
•(5) THE LOCATION OF THE PROPOSED WELL and the area on
which the water will be used must be indicated on the diagram below. '
Use the CENTER SECTION (1 section, 640 acres) for the well location.
! F4--'NAILE, 5280 FEET
— — i NORTH SECTION LINE
!
4- NORTH +
f x
! 2
+ m
— 4-
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(C) THE WELL MUST BE LOCATED BELOW
by distances from section lines.`
7 C) 6 ft. from r t 6. sec. line
�rrl(north or south) �_ftIL;�.si.
sec. fine
(east or west)
LOT BLOCK ` }} FILING #
SUBDIVISION Q �'` k'sF�� br1C: •,�Cc��
(7) Tj3A9T ON WHiCIfWELI WILL BE
LOCATED Owner: 17 L ,&MJ
�L. $C9
No. of acres rt*� Will this be
the only well on this tract? "r%;s yr S
(8) PROPOSED CASING PROGRAM
Plain Casing
52� in. from _Q_ ft. to dZ (o ft.
i I in. from ft. to ft.
jPerforated casing
-� -i- 4-
1
- + - + -- + - -t- -- + - + - -1-
The scale of the diagram is 2 inches = 1 mile
Each small square represents 40 acres.
WATER EQUIVALENTS TABLE (Rounded Figures)
An acre-foot covers 1 acre of land 1 foot deep
1 cubic foot per second lcfs) ... 449 gallons per minute lgpm)
A family of 5 will require approximately 1 acre-foot of water per year.
1 acre-foot ... 43,560 cubic feet 325,900 gallons.
1,000 gpm pumped continuously for one day produces 4.42 acre-feet.
(10) LAND ON WHICH GROUND WATER WILL BE USED-.
(o — in. from -2(e O ft. to o O ft.
in. from ft. to ft.
(9) FOR REPLACEMENT WELLS givedistance
and direction from old well and plans for plugging
it:
Owner(s): 3�0111hq 5 I- C r!tk w 4 No_ of acres: J, $�
Legal description: �S_f O %J s c } 1� U-7� f. PM -
0.1) DETAILED DESCRIPTIQN of, the use of groundwater: Household use and domestic wells must indicate type of disposal
system to be used. �, (� �»ec s [ L. lk_ e�
Rw.9. L�� t �,. D.rt4e. w
(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
(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF HIS KNOWLEDGE.
APPLICANT(S)
Use additional sheets of paper if more space is required.
a _( n oca..1Vn LnYc
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y
y
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n _L_ — (,
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0
2
r_
rn
m
(C) THE WELL MUST BE LOCATED BELOW
by distances from section lines.`
7 C) 6 ft. from r t 6. sec. line
�rrl(north or south) �_ftIL;�.si.
sec. fine
(east or west)
LOT BLOCK ` }} FILING #
SUBDIVISION Q �'` k'sF�� br1C: •,�Cc��
(7) Tj3A9T ON WHiCIfWELI WILL BE
LOCATED Owner: 17 L ,&MJ
�L. $C9
No. of acres rt*� Will this be
the only well on this tract? "r%;s yr S
(8) PROPOSED CASING PROGRAM
Plain Casing
52� in. from _Q_ ft. to dZ (o ft.
i I in. from ft. to ft.
jPerforated casing
-� -i- 4-
1
- + - + -- + - -t- -- + - + - -1-
The scale of the diagram is 2 inches = 1 mile
Each small square represents 40 acres.
WATER EQUIVALENTS TABLE (Rounded Figures)
An acre-foot covers 1 acre of land 1 foot deep
1 cubic foot per second lcfs) ... 449 gallons per minute lgpm)
A family of 5 will require approximately 1 acre-foot of water per year.
1 acre-foot ... 43,560 cubic feet 325,900 gallons.
1,000 gpm pumped continuously for one day produces 4.42 acre-feet.
(10) LAND ON WHICH GROUND WATER WILL BE USED-.
(o — in. from -2(e O ft. to o O ft.
in. from ft. to ft.
(9) FOR REPLACEMENT WELLS givedistance
and direction from old well and plans for plugging
it:
Owner(s): 3�0111hq 5 I- C r!tk w 4 No_ of acres: J, $�
Legal description: �S_f O %J s c } 1� U-7� f. PM -
0.1) DETAILED DESCRIPTIQN of, the use of groundwater: Household use and domestic wells must indicate type of disposal
system to be used. �, (� �»ec s [ L. lk_ e�
Rw.9. L�� t �,. D.rt4e. w
(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
(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF HIS KNOWLEDGE.
APPLICANT(S)
Use additional sheets of paper if more space is required.
(C) THE WELL MUST BE LOCATED BELOW
by distances from section lines.`
7 C) 6 ft. from r t 6. sec. line
�rrl(north or south) �_ftIL;�.si.
sec. fine
(east or west)
LOT BLOCK ` }} FILING #
SUBDIVISION Q �'` k'sF�� br1C: •,�Cc��
(7) Tj3A9T ON WHiCIfWELI WILL BE
LOCATED Owner: 17 L ,&MJ
�L. $C9
No. of acres rt*� Will this be
the only well on this tract? "r%;s yr S
(8) PROPOSED CASING PROGRAM
Plain Casing
52� in. from _Q_ ft. to dZ (o ft.
i I in. from ft. to ft.
jPerforated casing
-� -i- 4-
1
- + - + -- + - -t- -- + - + - -1-
The scale of the diagram is 2 inches = 1 mile
Each small square represents 40 acres.
WATER EQUIVALENTS TABLE (Rounded Figures)
An acre-foot covers 1 acre of land 1 foot deep
1 cubic foot per second lcfs) ... 449 gallons per minute lgpm)
A family of 5 will require approximately 1 acre-foot of water per year.
1 acre-foot ... 43,560 cubic feet 325,900 gallons.
1,000 gpm pumped continuously for one day produces 4.42 acre-feet.
(10) LAND ON WHICH GROUND WATER WILL BE USED-.
(o — in. from -2(e O ft. to o O ft.
in. from ft. to ft.
(9) FOR REPLACEMENT WELLS givedistance
and direction from old well and plans for plugging
it:
Owner(s): 3�0111hq 5 I- C r!tk w 4 No_ of acres: J, $�
Legal description: �S_f O %J s c } 1� U-7� f. PM -
0.1) DETAILED DESCRIPTIQN of, the use of groundwater: Household use and domestic wells must indicate type of disposal
system to be used. �, (� �»ec s [ L. lk_ e�
Rw.9. L�� t �,. D.rt4e. w
(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
(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF HIS KNOWLEDGE.
APPLICANT(S)
Use additional sheets of paper if more space is required.
- + - + -- + - -t- -- + - + - -1-
The scale of the diagram is 2 inches = 1 mile
Each small square represents 40 acres.
WATER EQUIVALENTS TABLE (Rounded Figures)
An acre-foot covers 1 acre of land 1 foot deep
1 cubic foot per second lcfs) ... 449 gallons per minute lgpm)
A family of 5 will require approximately 1 acre-foot of water per year.
1 acre-foot ... 43,560 cubic feet 325,900 gallons.
1,000 gpm pumped continuously for one day produces 4.42 acre-feet.
(10) LAND ON WHICH GROUND WATER WILL BE USED-.
(o — in. from -2(e O ft. to o O ft.
in. from ft. to ft.
(9) FOR REPLACEMENT WELLS givedistance
and direction from old well and plans for plugging
it:
Owner(s): 3�0111hq 5 I- C r!tk w 4 No_ of acres: J, $�
Legal description: �S_f O %J s c } 1� U-7� f. PM -
0.1) DETAILED DESCRIPTIQN of, the use of groundwater: Household use and domestic wells must indicate type of disposal
system to be used. �, (� �»ec s [ L. lk_ e�
Rw.9. L�� t �,. D.rt4e. w
(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
(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF HIS KNOWLEDGE.
APPLICANT(S)
Use additional sheets of paper if more space is required.
v
—s— . —
Colorado Department of Natural Resources
J1. ealJ4) IQ1-iI0.�a
Colorado's Well Permit Search
Well Constructed
Receipt: 0299661A Division: 5
Permit #: 154254- - 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 2600 W
Northing (UTM y): 4367098.7 Easting (UTM x): 319679.2
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: 05/25/1989 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: 06/14/1989 Pump Installation Date:
Well Plugged: 1st Beneficial Use:
Elevation Depth Perforated Casing (Top) Perforated Casing (Bottom) Static Water Level Pump Rate
260 220 260 215 5
Lic # Name Address Phone Number
Driller 1193 CERISE, DELTON BOX 1059 BASALT, CO 81621 970-945-2994
[-] Application/Permit History
Well Construction Report Received
09/14/1909
Well Constructed
06/14/1989
Permit Issued
05/25/1989
Application Received
04/27/1989
[A Imaged Documents
Document Name Date Imaged Annotated
Orioinal File 12/06/2007 No
Colorado.gov I Contact Us
http://www.dwr.state.co.us/wellpermitsearchNiew.aspx?receipt=0299661A 3/24/2013
1121 Douglas Grant
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