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HomeMy WebLinkAbout135 Hardscrabble Mountain Rd - 210923100010INDIVIDUAL 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. 1 1 3 8 —92 Please call for final inspection before covering any portion of installed system. OWNER: Steve B. Jones PHONE: 328-6920 MAILINGADDRESS: 5244 Brush Creek Road AGENT: PHONE: SYSTEM LOCATION: 0135 Hardscrable Mountain Road LICENSED INSTALLER: Lee Roundtree 21-92 LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: 1 SQUARE FEET OF SEEPAGE BED 427 SQUARE FEET OF TRENCH BOTTOM. or SPECIAL REQUIREMENTS: 13 Infiltrators in trenches Or 160 lineal feet of 10" SB2 in trenches. Install inspection portals in each trench. _/ - ENVIRONMENTAL HEALTH OFFICER: C 2-Sid 3_q 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 /S APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. INSTALLED ABSORPTION OR DISPERSAL AREA: 419 SQUARE FEET. INSTALLED SEPTIC TANK: '� l� GALLONS IV DEGREES �K' FEET 7/''0"4 G/lv✓1 SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY \ YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: \\V 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: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # 113F Building Permit # /' APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) ��YC**':rlc*YfYe*****yc�t':�yc*YCYt�FYt�NYc'rc�ck�t�c�kk**Yr�t"*Ye*:kYtYtYt�c'�c:rYc*:��::��cYcYrytYc�kYt'9CycYtYtytY�Yt��k�a�;t*�t'ye * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE 8125.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" �k��kYc:�4cYrycYcYtYc��**kYckYtyc:�ycycYt�r�rYt*�:dye:k7rYcYCYrYt**ycYc:�YeitYt:�**�ycyts�yc:�*YrY�*k:kyc�:�yc��*Yr�ycyt*:�Jc PROPERTY OWNER: 7-e f) /f/.P S says r MAILING ADDRESS: L SEA PHONE:-3�© h � APPLICANT/ CONTACT PERSON;�j, �C��'d �.�,�/! mil/ PHONE: LICENSED SYSTEMS CONTRACTOR: Lee RZ'4°I'1G4ee 9;- PHONE: COMPANY/DBA: ADDRESS: - 5 ` �" ("i-ee t NJ ***vcvcvcvck:*vc**Qvc***vc***yt****�k�c vc**vcvc*vcvc***vc�k***x* yc***x;r,yrvckvc**Wvcyc*'kvcycvrvcvc PERMIT APPLICATION IS FOR: (k) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR (� LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: i�,�e f Z2 4 % > I ' -,2 +Tax Parcel Number: 0/ 0"I - a31- CC)- Ur v Lot Size: Phvsical Address: BUILDING TYPE: (Check applicable category) (PI' Residential/Single Family Number of Bedrooms _ ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface ( I-<Puhlic Name of Supplier: ry.,' S/ eIe Z `e *These systems require design by a Registered PPrro`fessional Engineer SIGNATURE: Date: '9cYcktk*'**Yc**yC*Yc•ki:Yc**YCYC'icyCY[*YIYIYCYCY:*YC*Yc*YcYfYcYCYCYCy[*iXYk:YYrYc*ycY[YC**yc*kycYC7:yCY:*ycYc**YCX'Yt:k*YcYt* \ UO V AMOUNT PAID : � RECEIPT % %�I DATE: 7 CHECK ##: ' CASHIER: TIME LOG: TRAVEL: PERC: '6D FINAL: COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO April 16, 1992 Lee Roundtree RE: Steve B. Jones 5244 Brush Creek Road Gypsum, CO 81637 Issuance of Individual Sewage Disposal System Permit No.: 1138 Dear Applicant: 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 8163-1 FAX (303) 328.7207 Enclosed is your ISDS Permit No. 1138 valid for 120 days. The enclosed copy of the permit must be posted at the installation site. Any changes in plans or specifications invalidates the permit unless otherwise approved. Please call our office well in advance for the final inspection. The final inspection is to be done before any portion of the installed system is covered. The deadline for final inspections done by Eagle County Environmental Health is December 1. Systems designed by a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County does not perform final inspections on engineer designed systems. COMMUNITY DEVELOPMENT DEPARTMENT (303) 32S-8730 EAGLE COUNTY, COLORADO May 1, 1992 Steve B. Jones 5244 Brush Creek Road Eagle, CO 81631 RE: Final of ISDS Permit No. 1138-92 500 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 ENCL: Information Brochure Final ISDS Permit cc: Files BP# 5228 ISDS PERMIT _ iL3 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: e llP jme5 LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS 3 �7k�4'�t%r�kk�yeS�Yc�yr�k�Yylt� ��k��k�kYCYrYrYrylc��Yr��k�Y�YtYtyc��Y TEST HOLES PRE-SOAKED: YES NO TTMF. 1 2 3 1 "-�� 2 3 it\♦..11LJ 1 Vl 2 ltiLL 3 KATE 1 2 3 SOIL PROFI 3 5� 5. ✓j �j .'N J 30 b 6T� .5 1.0 lD 5 2 :p0 .`l5 3.375 6.'�5 b� h� 375 75 /3 3 % 3 �_F 3 �7,5 � . a . 75 .5 . z5 �o ao 4 , o .375 �5 w i3.3 6. 5 �5.5 �t.75 �•6a5 .5 s .s75 % 116 20 1,b 5.i2 �0.5 375 g75 /r� /3,3 57 7, 118 3° lo•�aJ b,� ia.375 I, i� S ,� �S 1. �75 � Il,� 53 s. 7 1d, i7 io a a Time to drop last inch In-l5 /b 1s 5,10 PERC RATE: /C' MINIMUM SEPTIC TANK SIZE: /OD MINIMUM LEACH FIELD /SIZE: 5�?7 Y' J���� i A,, o✓, COMMENTS: /3 to /��a>or5 ih ��rrc`l � p✓' ��� �� >el_l oil ld l58Z 1 /rlsl%�C� lu? ,pOrTw/S /i� PERC TEST ONE BY: Environme al Heal rev. 6/90ks DATE: Officer x `75 5�? 7 5 /.? In��il firs ust py 0 '7cl �zl nQL !/� `.ji' y L���/ 'J JCr�/� a-�/ COMMUNITY DEVELOPMENT DEPARTMENT EAGLE COUNTY, COLORADO February 23, 1993 Steve Jones 5244 Brush Creek Road Eagle, CO 81631 ;00 BROADWAY P.O. BOX 179 EAGLE. COLORADO g 16; 1 FAX (303) 32g._,1) RE: Individual Sewage Disposal System (ISDS), and water well inspection for property located at: 0135 Hardscrable Mountain Road, Tax Parcel # 2109-231-00-010 Dear Sirs: All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, B(6), adopted by the Eagle County Commissioners on October 8, 1985, amended June 23, 1992. On February 21, 1993, this department conducted a site inspection of the above referenced property. The inspection was requested by you for the purpose of evaluating the existing condition of the on -site ISDS and water well. A review of Eagle County records indicates that: On April 16, 1992, the ISDS was permitted under Permit Number 1138, inspected and approved in accordance with Eagle County ISDS Regulations. The system consists of a 1000 gallon septic tank and 480 square feet of absorption area (through utilizing SB2 piping). A site visit was done but due to the snow accumulation it is impossible to determine the status of this system. Obviously, this does not guarantee the continued satisfactory performance of the system. The water supply to this residence is from the City of Eagle, a community water system. The community water system is inspected on a regular basis by the Colorado Department of Health and to the best of our knowledge complies with current drinking water standards. If you have any further questions concerning this inspection, please feel free to call me at 328-8755 or write. Respectfully Submitted, Tania Busch -Weak Environmental Health Specialist Eagle County cc: Files ISDS file #1138 iijo •-- ui.so narascraDie mountain xoaa, Parcel # 2109-231-00-010 JOB NO. JOB LOCATION l LL TO MZ9,4 7Z TE TA TED DATE COMPLETED DATE BILLED o n� �a g JOB COST SUMMARY TOTAL SELLING PRICE X_ -►?. �' DST ^` DFIT i COSTS PRICE ROFIT JOB FOLDER Product 278 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOL4­ 41/ 4� 7 Printed in U.S.A. DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX: (970) 328-8788 TOLL FREE: 800-225-6136 www.eaglecounty.us EAGLE COUNTY P.O. Box 179 500 Broadway Eagle, CO 81631 www.eaglecounty.us PERMIT APPLICATION FOR ONSITE WASTEWATER TREATMENT SYSTEM OWTS PERMIT # 16 11— 112 CO( BUILDING PERMIT # INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED) FEE SCHEDULE APPLICATION FEE $800.00 MAJOR REPAIR FEE $800.00 MINOR REPAIR FEE $400.00 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: Phone: Tn 3? 6 - I 15 Mailing Address: TFQ V o1 1,,0S4 EA.&L-c CO email Registered Professional Engineer: Phone: Applicant or Contact Person: Phone: d17 a - -!=,-76, - 10-1 S Licensed Systems Contractor: License # Company / DBA: I_ ,CCQ Ctfl tySTRL�C'I�S� Phone: Mailing Address: QO LAXC CAI-L CO, email �[L- Permit Application is for: —..X New Installation Location of Proposed Onsite Wastewater Trea Legal Description: -- j RACT _ 7 Alteration Repair System: Tax Parcel Number: - Z 1 Q (A _ �3�- W -- O 1 Q Lot Size: Ac..RF_ S Assessor's Link: www.eaglecounty.us/patie/ Physical Address: QI-SzS j\AjC9Se_AS Building Type: X Residential / Single Family Residential / Multi Family Number of Bedrooms: Number of Bedrooms: Commercial / Industrial* Type of Use: *These systems require design my a Registered Professional Engineer Type of Water Supply: Private Well Spring Surface )e Public If Public Name of Supplier: ]Mw tj c Applicant Signature: �� +! Office Use Only C;, . Amount Paid: Receipt #: Check #: ;�2 V13 rDate: (:' LIR + i _4R C � a Q a > O Ni 1p ,jam �IJ r� 1p Au m w n �+ n ti All r L_ 7' o ?3 r g' K � w yy {a{q 1 UI 0 iaLa rermit iv -c r- vv Inspector Date � f l Ll!'Z ISDS Finallnspection Completeness Form Tank is i ' ,:: a gallons. Tank material 0-umcA- . Tank (1) is located ft. and L 3 ( degrees from Tank (2) is located ft. and degrees from Tank set level. ` Tank lids within 8" of finished grade. Size of field f' `13 units lineal ft. Technology "Cleanout is installed in between tank and house and one every 100ft? "T" that goes down 14 inches in the inlet and outlet of the tank. Effluent filter on outlet- Yes or No Inlet and outlet is sealed with tar tape, rubber gasket, etc. `1/ Tank has two compartments with the larger compartment closest to the house. 33 Measure distance and relative direction to field. Depth of field .,2-Jft. Soil interface raked. Inspection portals within each trench. cj.. Proper distance to setbacks. o- p-p-e-a r s Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properl installed, rocks removed from trenches, etc.) Splash plate(s) installed at trench inlets. Type of pipe used for building sewer line. 35 ,leach fieidi Other. C(L1 wajc;� `" Inspection meets requirements. Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: Setbacks: Well Potable House Property Lake Dry Tank Drain Field Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 Tank 50 10 5 10 50 10 * 10 ■ ■E■■■■■■■ ■■■■■■■■■ R ■■■■■.■■■ R ■■■■■■■■■ . ■ ■ ■om ■ ■■MNON ■■MNON ■■NNE■ ISDSPERMIT# 10-11-LSUQ BUILDING PERMIT # SOILS EVALUATION/PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH OWNER: �cst, �b- L, Ncu, j D yk-a-s . PHSYSICAL ADDRESS: (5 rci , Ae.SUBDIVISION: LOT NO.: TYPE OF STRUCTURE: NUMBER OF BEDROOMS: 3 TEST HOLES PRE-SOAKED: WUS Lj NO ' SOIL T l%lE WATER DEPTH INCHES OF FALL RATE PROFILE 0' IO5 ; I�I zti 1Dr?5 I' '57 Z. rzS �,lrZ� 1,-77 1, 3- Tt 3,4r 2' , a, z� z.� ' , �� ► . 6 2<' s IGZ 69 c6_1 < 3 1;, -7 -7, J' 7, � 3s a'� �'� ��3� ,��� ,�z�,y��� ��. �` Ir.�3 $, �r Is is TEHE TO DROP LAST INCH: PERC RATE: I l i MINIMUM LEACH FIELD SIZE: MIN,_ UM SEPTIC TANK SIZE: L7� CO11NMIENTS: I t) I ►1 ¢3 g V `1 (.r75 q2,1 �t3 WATER SUPPLY: [�'�UBLIC ❑PRIVATE WELL LOCATION; l OTHER WATER FEATURES: ► i Qg.= % �# 10fz�Ir( E� RONMENTAL HEALTH SPECIALIST DATE 10, z r'CNN P. Y y * it 19 WNW R sk 1 •'lR tl!� kI k C trod,: w (' 1 . 1 „.tom F�� Ps;' is. • T,fit IN t WWI OWTSiiiiiiiii 10111111111 11 1111111116800 2011010027 LF 0135 Hardscrabble Rd., Eagle WWI OWTSiiiiiiiii 10111111111 11 1111111116800 2011010027 LF 0135 Hardscrabble Rd., Eagle OWTS-10-1 f6800 2011010027 LF 0135 HaNsc rabble Rd- ., Eagle OWTS permit #10.11.6800 0135 Hardscrabble Rd., Eagle 2012005014 LF second cleanout> '�• `ys l �•� y t' • M 1 n" L� 1 40 OWTS permit # 10-11-6800 0135 Hardscrabble Rd., Eagle. 2 _4 2.05.14 LF5 ,J �...._ 4 eeJ fol •- - .'.'� '�' ,ter. �'�`y ;1. lid- I ra n + . i l�r/ 1 -JAY _" Ae ol I i ic )if lQ lei 6 p impn.) i 14 00 Ms b j a I i m t _ ` w IV x •`� l i T, \ •'j*` �� t"' •`, -`_ _� VVIdIPIV:x sty fi Is fit, 1y WII- n t 110 ar - • dam`-w tL 4 i. ka- MEAN l 1 ' �mft1� OWTS permiF#1 Oiiiiiiiil 1 1111111 0135 Hardscrabble Rc 411 W-201 2 0 05 0 14 LF - 11 is a,Z 41. �.. l t AXE idd 1 1 l 'e P } Wiji f ti dle. l ,y�I ''� lP 1t �' J I •.l' i '6 Y ,•= i '�`il^j� �� . MF � �; ,y�j , ;' rie� r `I�aa•"�� „ r Y � ry Tie #WTS permit #1 1 6800 *135 H rdscr bble Rd. 2005014 LF ►�5��� k,v rf_= L� cot nv Eagle County OVVTS Systems Cleaners Reporting Form NOTE- Required to be subn*kedto Emrirar►menta! Health within 10 days of cleaningan OWTS s Systems Cleaner Company Ail �k %Y License Number Email Address / ; �/ ,���� c �� /cy/f, Phone Service Technician 7ra P/o %— d /1 Phon4 Tax Parcel # 2. M _ Z 31" 0n -010 Address of Service / , 5 "a Person Requesting Service KI)/WdLi�i%1 Phone Property Owner �� ( iA�CI c Q /�i� S Phone Septic System Permit Number Tank Size /CAD 6 Date of service 6--�h, " 2 % � Tank Material ills Sewage Disposal Site ` t, / 17!57 / %t,,,r1 General Condition and Functionality%JheSystem ,S ��I-A) /ll �tov- [' " a 4/0 r, Alt) v r /tV r C-a /r be �, ` Recommended Repairs `v dAle' Site sketch showing locat�cyfhe septic to lids measured from at least 2 fixed points (Pho s Encou e ' Signed C�`���� Date 'J06 10-11-6800