HomeMy WebLinkAbout5565 Bellyache Ridge Rd - 194134402002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE.
Please call for final inspection before covering any portion of installed system.
PERMIT NO. 1279
OWNER: Patricia J. Hammon, Trust PHONE: 949-0 1
MAILINGADDRESS: P.O. BOX 1660 city: Friwards State: CO Zip: 81632
APPLICANT:_ Jim McNeil — Alpine Engineering PHONE: 926-3373
SYSTEM LOCATION: 5565 Bellyache Ridge, WO11COt TAX PARCEL NUMBER: 1.941-344-01-011
LICENSED INSTALLER: a �(AJl%\ �J Ci COW(A ��(�ij LICENSE NO:_ V��
DESIGN ENGINEER OF SYSTEM: Alpine Engineering
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1500 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 1423 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install as per engineer's design
I ENVIRONMENTAL HEALTH APPROVAL:
CONDITIONS:
DATE:
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. 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. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE 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:
(� 1462 . 5 SQUARE FEET.
INSTALLED SEPTIC TANK: '` A DEGREES FEET FROM
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY X YES —NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: X YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS:
ENVIRONMENTAL HEALTH APPROVAL:
ENVIRONMENTAL HEALTH
APPLICANT / AGENT:
PERMIT FEE PERCOLATION TEST
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
OWNER:
RECEIPT A
CHFCKn
DATE:
ISDS Permit
Building Permit # ( Q Q53
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOX 179
EAGLE, CO 81631
328-8755/927-3823(Basalt)
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
PROPERTY OWNER:/C-AA V . SIyJ`31�l�l //viS�
MAILING ADDRESS: PIP,
APPLICANT/CONTACT PERSON: �//�'► PHONE:
LICENSED SYSTEMS CONTRACTOR:
ADDRESS: PHONE lZ& 449
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ALTERATION .( )'REPAIR'
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL S S/TEM:
Legal Description: �� 2 - 6t1�►�eS�UI<SGAy -
Parcel Number: 6 Lot size:
Physical Address:
BUILDING TYPE: (Check
>4 Residential /
( ) Residential /
( ) Commercial /
TYPE OF WATER SUPPLY:
applicable category)
Single Family Number of Bedrooms
Multi -Family* Number of Bedrooms
Industrial* Type
Well Spring ( ) Su face )
Public �) Name of Supplier:
a.ms. Y A - _
+1183 s"stems-r-require design by a Registered professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
SIGNATURE• DA TE•
AMOUNT PAID : - 15 . 0 RECEIPT# �J DATE:
CHECK #/�,� CASHIER: U
COMMUNITY DEVLOPMENT
DEPARTMENT
(303)328-8730
DATE:
`��
EAGLE COUNTY, COLORADO
July 5, 1994
Davis Excavating
Environmental Health Division
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
RE: Issuance of Individual Sewage Disposal System
Permit No. 1279-93 tax Parcel # 1941-344-01-011
Property Located at: 5565 Bellyache Ridge, Wolcott
Enclosed is your ISDS Permit No. 1279 is 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.
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.
Permit specifications are minimum requirements only, and should
be brought to the property owner's attention.
This permit does not indicate conformance with other Eagle county
requirements.
If you have any questions, please feel free to contact Shannon
Garton or Laura Fawcett at 328-8755.
cc: files
COM,h1UNITY DEVELOPMENT
DEPARTMENT
(303) 3-'S-S730
EAGLE COUNTY, COLORADO
DATE: September 27, 1993
TO: Blade Runner.
500 BROADWAY
P.O. [SOX 1 7 a
EAGLE. COLORADO S 1631
FAX (303) 328-7207
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System
Permit No.:1279 Parcel #1941-344-01-011
Property Located at:5565 Bellyache Ridge Rd.
Enclosed is your ISDS Permit No.1279 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 the 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.
Be aware that the specifications on the permit are minimum
requirements only. Installers should bring this to the attention
of the property owner.
This permit does not indicate conformance with other Eagle
county requirements.
If you have any questions, please feel free to contact us at
328-8755.
cc: file
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Edwards, CO 81632
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for review and comment for your record other
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4 - INDIVIDUAL 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. 9 1 15
Please call for final inspection before covering anv Dortion of installed system
OWNER: Pat Hammon PHONE: 949-0215
MAILING ADDRESS: 1487 Hiikala Place #39, Honolulu, HI 96816
AGENT: PHONE:
SYSTEMLOCATION: 5565 Bellyache Ridge
LICENSED INSTALLER: Davis Excavating LICENSE NO. 50-91
DESIGN ENGINEER OF SYSTEM: Alpine Engineering
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWIN*:* * * INSTALL PER ENGINEER DESIGN
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 28 infiltrators in a bed design, Place inspection portals
at end of each row of infiltrators, provide for adaguate drainage/
runoff around absorption bed.
ENVIRONMENTAL HEALTH OFFICE lee DATE: 11 / 06 / 91
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. n '/ Q
INSTALLED ABSORPTION OR DISPERSAL AREA: /V �0' SQUARE FEET. //� 62
INSTALLED SEPTIC TANK: 11 ) GALLONS DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY \V 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: /1' I� /
�5/�GeN� r�/Jym ev
ENVIRONMENTAL HEALTH OFFICER: DATE:
ENVIRONMENTAL HEALTH OFFICER: (RDATE:
E-INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANTIAGENT:
OWNER:
AMOUNT PAID: RECEIPT X: CHECK #: CASHIER:
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
E-NlVIROHMENTAL 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
NAME OF OWNER:
PERCOLATION TEST FEE S125.00
MAILING ADDRESS: Mom0(u /U,) W ?681 �, PHONE:
NAME OF APPLICANT (If different from owner):
ADDRESS:
PHONE:
-14-1 — O 2-15-Goca0
DESIGN ENGINEER OF SYSTEM (If applicable): 141-PIVE 9AJ6r_,
ADDRESS: 305e q �- i5�'lWAfZtiS, Ca . F516,3 Z PHONE: 924— 3,3 Z3
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: sGo-{f �%4vt5
LICENSED INSTALLER: YES ( ) RO
ADDRESS: _ PHONE:
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION (I/) ALTERATION (L-�REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address: / , e E
Parcel Number: V Lot Size:
Legal Description: $ ee a �SHbe/,'vrs{ID)U
BUILDING OR SERVICE TYPE (Check applicable category):
Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential - Triplex
NUMBER OF PERSONS: Z- NUMBER OF BEDROOMS: ,-
WASTE TYPES Check applicable categories):
Commercial or Institutional ( welling
( ) Non -Domestic Wastes ( ) Transient Use
Garbage Disposal ( �,Y-Di shwasher
( L4' Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Septic Tank Composting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use
( ) Other 468 o& Prlok) �i 5rehA ( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES (NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( t--j"YES ( ) NO
WATER CONSERVATION PLAN: ( ) YES ( Vf 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: c1 �i �e J,`s
SIGNATURE: � YVq cU,,C --&,,,? Ow VVr6 DATE:
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope
SOIL PERCOLATION
Depth to Bedrock (Per 8' profile hole
Depth to Groundwater table
TEST RESULTS: _ Minutes per inch in Hole #1
Minutes per inch in Hole F21
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
( ) Other
AMOUNIT PAID: ( ' ` RECEIPT NUMBER DATE:
CHECK NUMBER �q CASHTFR•
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION.
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
(Environmental Health Dept. - Rev. 4/88)
�:OMMLINITY DEVELOPMENT
DEPARTMENT
303) S 2S-S 7 30
EAGLE COUNTY, COLORADO
March 13, 1992
Pat Hammon
1437 Hiikala Place #39
Honolulu, HI 96816
RE: Final of ISDS Permit No. 1115
Dear Pat,
500 BROADWAY
P.O. BOX 1 '?
EAGLE. COLORADO S I i I
FAX (30;) 328.-207
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.
Sincerely,
Brenda Henderson
O-ffice Assistant
Environmental Health
/bh
ENCL: Information Sheets
Final ISDS Permit
cc: Files BPn2088
ALPINE
ENGINEERING INC
October 31, 1991
Mr. Roger Boyd
Environmental Health Office
P.O. Box 179
Eagle, CO 81631
RE: Hammon Septic System
Dear Roger,
Subsequent to our phone conversation of October 30, 1991, I have confirmed
the following information with the present and future owners of the property:
ft
There are definitely no
plans on the part of the homeowners to add additional bedrooms.
2. The Hammons would prefer to have a new system rather than add a second
field while drying out the existing leach field.
Per our discussion, the existing permit indicated a percolation rate of 30
mpi. The perc test which I performed indicated a rate of 40 mpi. For design
calculations, I have used an average of the 2 rates i.e. 35 mpi. Given the fact
that the new field will go through portions of the existing field, I would still
like to use a bed configuration rather that trenches. Revisions to the design
calculations are indicated on the attached calculation sheet.
Should you have further questions, please do not hesitate to call. Thanks
in advance for your help.
Sincerely,
Jim McNeil, PE
JM/lm
Attachment
Edwards Business Center • P.O. Box 97 • Edwards, Colorado 81632 • 303/926-3373 • FAX 303/926-3390
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INFILTRATOR SIZING CALCULATION
WORKSHEZET
Step # 1 - Determine: Bed Configuration !7i Wllii
Trench Configuration.
Step #2 - Determine: Gravity Feed
Pressure Dosing
Mound (usually dosed)
Step #3 - Determine SF of Absorbtion Area
for gravel systein unless already
determined for Infiltrators /0 110 'SF Gravel
Step #4 - Calculate Infiltrator SF
SF of Gravel System for Trench X .6 SF of Infilt.
SF of Gravel System for Bed x .5 = 5-261 SF of Infilt.
Step #5 - SF of InfiltratorO Systearn 18.75 SF/Chamber =
-5 . number of InfiltratorO.Chambers
Step #6 - Number of infiltrator Chambers x 6.25 LF/Chamber=
Total LF of InfiltratorO Chambers
GRAVITY FEED SYSTEMS = Chambers + 1 open end + 1 closed end +
1 splash plate per row
PRESSURE DOSING & DOSED MOUNDS = Chambers + 2 closed ends +
2 splash plates + i pipe hanger at each
chamber to chamber connection per row
ALPINE
ENGINEERING INC
October 24, 1991
Mr. Roger Boyd
Environmental Health Office
P.O. Box 179
Eagle, CO 81631
RE: Hammon Septic System
Dear Roger:
V°a l�er $ur"�O K
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Enclosed please find the application for an Individual Sewage Disposal
System Permit with attached plans for your review. The following is an overview
of the project with criteria and design calculations.
INTRODUCTION
The site is located at Lot 1 of the Weelock
Resubdivision. The proposed service is for a single family residence w A\�5
bedrooms. At the time the residence was originally constructed (+/- 15 years
ago), a septic system was installed to service the site. Per conversations
between our office and the Environmental Health Office, the permit for the
original septic system either cannot be found or perhaps was never issued. The
contractor who installed the original system maintains that the septic system,
when it was installed, was inspected and accepted by Eagle County. Currently,
the property is under contract to be sold to new owners (the applicant). The
homeowners, who also own the adjacent property, have indicated to our office that
they have detected odors emanating from the existing leach field and have
expressed concern that they may be purchasing a new home which does not have a
Edwards Business Center • P.O. Box 97 • Edwards, Colorado 81632 • 303/926-3373 • FAX 303/926-3390
4
completely functional leach field. The Hammons have further indicated that the
only time they really detected odors was during spring runoff when the ground
would historically be saturated. Whether the existing leach field is actually
failing or whether the odors ar simply a byproduct of saturated ground conditions
during spring runoff is difficult to ascertain. In our effort to more clearly
define the nature of the existing problem, four soil profile holes were dug in
the surrounding area an monitored for several days for evidence of groundwater
or possible subsurface springs. No groundwater was encountered in any of the
The soil profile holes were all approximately
8-feet deep.
Subsequent to our further investigations, the existing owners and the new
owners (applicant) mutually agreed to replace/rehabilitate the existing leach
field in compliance with current Environmental Health Office standards. An
additional soil profile hole and 1 percolation test hole was dug either within
or in close proximity to the new leach field but outside the limits of the
existing leach field. The soil profile hole was excavated to a,;:}dAp�t`-of
1.There was no evidence of groundwater or bedrock. The%
p-Urco1a=M—r-hte'M00Khe test hole was monitored and a perc rate of 40 mpi was
recorded. It was not possible to conduct additional perc tests inasmuch as the
holes would all fall within the apparent boundaries of the existing leach field.
PROPOSED TREATMENT SYSTEM
The proposed treatment alternative will consist of a modified soil
absorption system. The contractor who installed the existing system indicated
3
to our office that the leach field was relatively shallow ( < 4 feet) with a
gravel bed. We are proposing to overexcavate the existing field by 2-feet and
replace this material with a select bedding material. ]Fi1rzoLytt�,wi17»ybe�
at�ion-1 Suitable absorption results should be achieved
with the combination of infiltrator units and select bedding material. Please
refer to the enclosed plans for more detailed information.
Sincerely,
Jim McNeil, PE
JM/lm
Enclosure
eAGc6f 1&-'fe/r-&W14
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2, /96So2 PROD AR -CA
C��Q e-olt 7�✓ GL
Pi'O v.,re� e Zze 4( aww- Ol �S emu Gv/4�C x 7 v _I Zo�
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INFILTRATOR SIZING CALCULATION
WORKSHEET
Step #1 - Determine: Bed Configuration �� /X 4-6/_ -�Lzo 14
Trench Configuration.
Step #2 - Determine: Gravity Feed
Pressure Dosing
Mound (usually dosed)
Step #3 - Determine SF of Absorbtion Area
for gravel system unless already
determined for InfiltratorO SF Gravel
Step #4 - Calculate Infiltrator@ SF
SF of Gravel System for Trench X .6 SF of Infilt.
SF of Gravel System for Bed x .5 = ( SF of Infilt.
Step #5 - SF of /InfiltratorO System 18.75 SF/Chamber =
Z-/ number of Infiltrators .Chambers
Step #6 - Number of InfiltratorO Chambers x 6.25 LF/Chamber=
25-0 Total LF of Infiltrators Chambers
GRAVITY FEED SYSTEMS = Chambers + 1 open end + 1 closed end +
1 splash plate per row
PRESSURE DOSING & DOSED MOUNDS = Chambers + 2 closed ends +
2 splash plates + 1 pipe hanger at each
chamber to chamber connection per row
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INFILTRATOR SIZING CALCULATION
WORKSHEST
Step #1 - Determine: Bed Configuration
Trench Configuration I,%
Step #2 - Determine: Gravity Feed ✓
Pressure Dosing
Mound (usually dosed) _
Step #3 - Determine SF of Absorbtion Area
for gravel system unless already
determined for Infiltrators^SF Gravel
Step #4 - Calculate InfiltratorO SF O$SD
SF of Gravel System for Trench X oa�'x �f SF of Infilt.
SF of Gravel System for Bed x .5 = SF of Infilt.
Step #5 - SF of InfiltratorO System 18.75 SF/Chamber =
;46 number of InfiltratorO -Chambers
Step #6 - Number of Infiltrator® Chambers x 6.25 LF/Chamber=
�,r-'D Total LF of Infiltrator(O Chambers
GRAVITY FEED SYSTEMS = Chambers + 1 open end + 1 closed end +
1 splash plate per row
PRESSURE DOSING & DOSED MOUNDS = Chambers + 2 closed ends +
2 splash plates + 1 pipe hanger at each
chamber to chamber connection per row
EAGLE ,TY DEPARTMENT OF ENVIRONM— )L HEALTH
Box 811 6th & Broadway
PERMIT MST BE POSTED ON PROPERTY Eagle, Colorado 81631 CALL FOR FINAL
INSPECTION
PERMIT N® 245
Owner WALKER BURGDORF
System Location LOT 56, BELLYACHE RIDGE
Licensed Contractor SCOTT DAVIS
* Conditional Construction approval is hereby granted fora 1.000 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 30 minutes 800 sq. ft.
absorption area per bedroom
266
# of bedrooms 3 x 266 sq. ft. minimum requirement
May we suggest 800 sq. ft. of drainage field.
Date sue- Inspector i
FINAL APPROVAL OF SYSTEM:
(this does not constitute
a building or use permit)
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
Date
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
—Adequate absorption (or dispersal) area.
_Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973
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 structures not approved by the building
and Zoning office shall automatically be a violation of a requirement of the permit and cause for both
legal action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
both.
r.o.................................................................................................................0000 0000c
CHARGES
Percolation Test $50.00
(includes final inspection)
Permit Processing Fee $25.00
Check (no cash) CASH
Money Order
Permit No 245
Name of Applicant Walker Burgdorf
Amount Paid $75.00 Receipt # 8875
D ate Paid
10-25-77
CashietSharon A. Cline
V
ALL CHECKS ARE TO BE MADE PAYABLE TO EAGLE COUNTY
Eagle Cty. — White Copy Applicant — Green Copy Dept. — Pinx Copy
r
PERMIT NO.
)L,4VIRONMENTAL HEALTH
P.O. BOX 811
EAGLE, COLORADO 81631
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Name of Owner: XWIXXXX Walker Burgdorf I
Phone:
Address of Owner: Box 7, Wolcott, Colorado 81655
Is facility within boundaries of a city/town or sanitation district? No
Distance to nearest sewer system: Approximately 5 miles
Location of Proposed System: Lot 56, Bellyache Ridge
Legal Discription: Above
PERMIT FEE $25.00
N° 460
Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms 13
Water Supply: Private Well ( ) Location:
Size of Lot:
Distance From leach field:
Public Water Supply: -Bellyache Water
An appropriate plat plan must accompany site inspection for this application showing required information. (See
attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the
regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS
66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be
obtained at the Eagle County sanitarian's office.
Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone
328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final
inspection.
Name, address, and telephone of person responsible for design of system: &67"' -4 AVIS
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit,
SIGNATURE OF APPLICANT: —Date:
This Kplication becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: .50 Permit No.
Tank Capacity: gal. (minimum) Fee Receipiy 75- -5
Absorption Area: Od } • Sq. ft. (minimum) File:.
REMARKS:
APPLICATION IS: APPROVED
DENIED
The above individual sewage disposal system was installed by
AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT.
Date: Sanitarian:
EAGLEOUNTY ENVIRONMENTAL IiEALTH�
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE FORM
zvz& ,�w 1'iYGI G�IIZ -
-�NANI
ite Refered � Permit Number
&CATION
'lease review the attached application and return it and this completed form to
:he Environmental Health Office within 6 working days.
)LANNING: File No.
Complies with:
Subdivision Regulations
Zoning Regulations
Recommend Approval
;omments:
;;OUNTY ENGINEER: Roads
Grading
Drainage
Recommend Approval
omments:
3UILDING DEPARTMENT:
Set backs
Site
Access
)ther
Recommend Approval
comments:
Reviewed by
Date
1 2- 14, 179 1
APPLICATION ACCEPTED BY I
PLANS CHECKED BY {$f '
'AI' PROV R ISSUANC
White Copy —INSPECTOR Canary Copy —APPLICANT Pink.'Copy-ENVIRONMENTAL HEALTH . Gold:-Cop.,,','ASSESSOR
55G S BdyacAe �e L) five Lof 1 V✓ee/oa,�
PERMIT # 245 See �v`%,
OWNER: W-a-1 Q r au..gdaxf
LOCATION: Lot 56 - Bellyache Ridge
INSTALLER: Scott Davis
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms x 266 sq.ft.
PERC RATE: one inch/30 minutes (800 sq.ft.)
(suggest 800 sq.ft. of drainage field)
Finalized: 7-78 By: Erik Edeen
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XISTINCi 6opp
SEPTIC- - FAN K
ENGINEERING INC.
1 OF-2
NOTE. NORTH AS INDICATED IS APROXIMATE EDWARDS BUSINESS CENTER • P.O. BOX 97
EDWARDS, COLORADO 81632
_ • 303 926-3373 FAX 926-3390 k •
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