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HomeMy WebLinkAbout389 West River Valley Rd - 211101200014INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, CO 81631 Telephone: (970) 328-8755 ORIGINAL PERMIT #0396-79 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. REPAIR PERMIT NO. 2233R-02 BP NO. OWNER: HILLIS OF SNOWMASS, INC. PHONE: 970-476-6962 MAILING ADDRESS: 170 GORE CREEK DRIVE, VAIL, CO 81657 APPLICANT: TERRY DAVIS, T D ENTERPRISES PHONE: 970-524-6462 SYSTEM LOCATION: 14245 HIGHWAY 6, EAGLE, CO TAX PARCEL NO. 2107-091-00-008 LICENSED INSTALLER: TERRY DAVIS. T D ENTERPRISES LICENSE NO. 79-02 PHONE: 970-524-6462 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 2 BEDROOM RESIDENCE EXISTING SEPTIC TANK (SIZED UNDOCUMENTED), 496 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 16 INFILTRATOR UNITS AS REQUESTED BY INSTALLER. SPECIAL INSTRUCTIONS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEAN -OUT BETWEEN THE TANK AND THE HOUSE AND INSPEC- TION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS AND DO NOT INSTALL IN WET WEATHER. DO NOT INSTALL MORE THAN 5 FEET DEEP. FENCE OFF THE NEW LEACH FIELD TO PREVENT LIVESTOCK FROM GRAZING IN THE AREA. THIS PER- MIT IS ONLY INTENDED TO RESOLVE A FAILURE FOR THE SHORT-TERM AND DOES NOT LEGITIMIZE THE ENTIRE SYSTEM AS BEING ACCEPTABLE TO ACCOMMODATE THE CURRENT USE. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLAT ENVIRONMENTAL HEALTH APPROVAL: FE-0CTOBER 9, 2002 CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL TY 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 WILL RESULT IN 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: 496 SQUARE FEET (VIA 16 INFILTRATOR UNITS ) EXISTING CONCRETE SEPTIC TANK: UNKNOWN GALLONS IS LOCATED 120 DEGREES AND 15 FEET INCHES FROM THE FIRST CLEAN -OUT. COMMENTS: THE FINAL INSPECTION WAS DONE BY VICTOR CROCCO OF EAGLE COUNTY ENVIRONMENTAL HEALTH ON OCTOBER 9, 2002. THE SIZE OF THE SEPTIC TANK WAS NOT VERIFIED DURING THIS INSPECTION OR BY THE PUMPING RECORDS. THE NEXT TIME IT IS PUMPED PLEASE SEND THE RECORD VERIFYING THE TANK SIZE TO EAGLE COUNTY ENVIRONMENTAL HEALTH, P.O. BOX 179, EAGLE ,CO 81631. THIS REPAIR IS FOR SHORT TERM USE AND NOT ADEQUATE FOR LONG TERM SERVICE. ANY OTHER REPAIR WORK NEEDED WILL HAVE TO BE DESIGNED BY A REGISTERED PROFESSIONAL ENGINEER. ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORR BE PPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROV DATE: OCTOBER 10, 2002 Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) �G,-aQ ISDS Permit #�- yy� Building Permit # 5 t„t APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY k. P . 0 BOX 179 EAGLE, CO 81631 Eagle (970)328-8755, Fax (970)328-0349, El Jebel (970)927-3823 **************************************************************************** * FEE SCHEDULE * APPLICATION FEE $350.00 * THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PERCOLATION TEST, * SOIL PROFILE OBSERVATION) AND FINAL INSPECTION * ADDITIONAL FEES MAY BE CHARGED IF A REINSPECTION IS NECESSARY, OR A * PRE -CONSTRUCTION SITE VISIT OR CONSULTATION IS NEEDED * REINSPECTION FEE $47.00, PRE -CONSTRUCTION SITE VISIT FEE $85.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: T///�%� t�"7 ��'I�tJ �'d US.S� -Ttyc, MAILING ADDRESS: 1:70, [AmCi l�""ili_� B CF7PHONE: `�JS� Z. APPLICANT/CONTACT PERSON: PHONE: LICENSED SYSTEMS CONTRACTOR: _,�7L1,fSd✓>�l PHONE: COMPANY/DBA: T0. D4-/;,J ADDRESS: I9 1_�& i'SV. 457y®A, CO. *************************************************************************** PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION ( --REPAIR `r LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Tax Parcel Number: lC> r- �I 6)of- ooff Lot Size: �4 Physical Address: ✓'��/ BUILDING E: (Check applicable category) 1v ( Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* �� *These Number Number Type _ of Bedrooms of Bedrooms K �Lr elll­ systems require design by a Registered Professional Engineer,L,.,01,_ TYPE OF TER SUPPLY: (Well ( ) ( ) Public Name APPLICANT SIGNATURE: (Check applicable category) Spring ( ) Surface of Supplier: ************************* Date: ************************************************ � AMOUNT PAID: � RECEIPT #: /_` DATE: q�- CHECK #: pqJ 3 CASHIER: DEPARTMENT OF ENVIRONMENTAL HEALTH (970)328-8755 FAX (970) 328-8788 TDD: (970) 328-8797 TOLL FREE: 800-225-8136 www.eagle-county.com EAGLE COUNTY, COLORADO October 10, 2002 Hillis of Snowmass, Inc. 170 Gore Creek Drive Vail, CO 81657 Raymond P. Merry, REHS Director RE: Final of ISDS Repair Permit 92233R-02, Tax Parcel #2107-091-00-008. Property location: 14245 Highway 6, Eagle, CO. Dear Property Owners: 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. Please read the comments on the bottom section of the enclosed permit regarding the temporary nature of this approval. Any other repairs required will need to be designed by a Registered Professional Engineer. Be aware that later changes to your building 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 (970) 328-8755. Sincerely, Janet Kohl Eagle County Environmental Health Department ENCL: Informational Brochure Final ISDS Permit cc: files OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 ISDS PERMIT #�� PERCOLATION TEST EAGLE COUNTY ENVIRONMENTALHEATLH .OWNER: l (- Y YJ /a v t s }� l• iJ e ,� s d ti -PHSYSICAL ADDRE S: i til kt_ £ ie c LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: t3eA",,-� + aw AdNumBER OF BEDROOMS: 3 TEST HOLES PRE-SOAKED: YES_X_ NO T T T SOIL TIME WATER DEPTH INCHES OF FALL RATE PROFILE I Z 1. 1 fly i!t0 2a 2 �opso,'L TfV 21 spy 23 3 �� l-f � -.E � ) 1 2 1�h►v Mudeleb ";t Da 5' Ss p a a3 a-- �.-- �, r Ay 1 reFttl 1 �-/. Y2, 1 CLA� 301 10 10' TIME TO DROP LAST INCH: - 'R MINIMUM LEACH FIELD SI . � 5 ZE. SEPTI SSE; ,4 ,j e COMMENTS: 4 5 in 4J- ov\. c, c �ry D e, V d) h e c cw s e, m Sc to c k .roh is 0AAC' ; ��_C 2- ENVIRONMENTAL HEALTH SPECIALIST DATE ISDS Permit # ' b _ 7 Date 10`©9-0-L Tank is gal. Tank Material S { Tank is located Sf t . and IZV Q Aegrees from (permanent landmark) 2 Tank is located ft . and j 7 0 �det rLs f rom , �.� t 5� c l�``e " v (permanent landmark) S`7" hC Tank set level Tank 1lids within 8" of finished grade. Size of field �ftz units b lineal ft. Technology I "i 3ln( ./U.&_ Clea%out is installed in between tank and house (+ 1/100ft) . Q.XlSA There is a "T" that goes do y►n 14 inches in the inlet and outlet of the tank. p_ cSiti N 0inletland outlet is sealed with tar tape, rubber gasket etc.q_ti s "Q S `V✓ Tank has two compartments with the larger compartment closest to the house. n� Measure distance and relative direction to field. Depth of field Lf,5 ft . (S Soil interface raked. \105 Inspection portals at the end of each trench.. �o-uSc_ 7160� Proper distance to setbacks. L Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) Type of pipe used for building sewer line �% �'UG leach field ln/, l$r�-caw Other ��'' !� _ In pCC( �me ts�req� uelments . Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: Setbacks Well Potable House Property Lake Dry Tank Drain Field 1001ef 25' SS 20 ,2 10 50 Tank 50 Y6 10,1161 5- I 10 50 N (A 7 long 25 1 10 1 10 N" I Noe l (,Joyl-e 11 JOB EAGLE --COUNTY ENV. HEALTH P.O. BOX 17 9 SHEET NO. OF EAGLE, CO 81631 CALCULATED BY DATE CHECKED BY DATE s--........................ . ............ .............. ...... .. ...................... i. C (Z ....... ........... . ... _ __..... Li 1�/\j ... .. . ........... .. v� ...... ..... . _ - .... 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QV� ...... � U� +` ...... . .:.......:.............:.....e.........._....................._..... _ ....:. _ .... ... . .... w. .. Q ( - ...................... .. .... .. ..._._. .. ... ...... ... ... .. _. .:..._.. .....b.L NL .. .. ....j. . ._..... .. ...... .:.. .o ..__ ... . ......._. ........... .. ..... Z..:........ :\ 4 ..... ` .... ..... ... .. .. .._.... .. t . : ............................. _ F7 .. _ ... -.. .... ....... ............. ..... ppL ......... _ ....... jlF ..__. .. �;.. ._ :. ._... l,...... ......... ............. ... .... b5tk rwc �roG . .... ... s_�_..... PRODUCT 204-1 (Single Sheml 20. -1 (Padded) ®® Inc.. Groton. Mass. 01471. To Order NONE TOLL FREE 1-MUS-M EAGLE it NTY DEPARTMENT OF ENVIRONM'__�AL HEALTH PERMIT MUST BE PBSTED ON PROPERTY Box 811 6th & Broadway CAL' FOR FINAL INSPECTION BEFORE Eagle, Colorado 81631 COVERING ANY PART OF .THE SYSTEM PERMIT N� 396 .(this does not constitute a building or use permit) Owner CHESTER GOLDMAN System Location GOLDMAN SUPPLEMENTAL PARCEL C: TRACT 50 EAGLE COUNTY LicensedfWRR INSTALLER LES FRIMML - LES FRIMML SERVICES * Conditional Construction approval is hereby granted for a 1,250 gallon minimum XX Septic Tank or Aerated treatment unit. - CONDITION: THLS SYSTEM AND PARCEL ARE FOR Absorption area (or dispersal area) computed as follows: EMPLOYEE AND/or OWNER Perc rate 1 inches in 15 - 20 minutes 1,000 sq. ftminimum USE ONLY. absorption area per bedroom # of bedrooms May we suggest x sq. ft. minimum requirement Date September 24, 1979 Inspector FINAL APPROVAL OF SYSTEM: Erik W. Edeen 1,250 gallon minimum septic tank with a minimum 1,000 sq. ft. lead field. No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approve prior to covering any part.pp eptic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. — equate absorption (or dispersal) area. A quate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date � (� V / 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 1913 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. ........................................................................................................................... CHARGES Percolation Test $50.00 (includes final inspection) Permit Processing Fee $25.00 Check (no cash) XX Money Order Permit N 9 396 Name of Applicant Sam Johnson for CHESTER GOLDMAN Amount Paid $ 75.00 Date Paid 9-14-79 Cashier Nancy C. Morgan EHO #9131 Treas #2993 ALL CHECKS ARE TO BE MADE PAYABLE TO EAGLE COUNTY Eagle Cty. - White Copy Applicant - Green Copy Dept. - Pinx Copy - __ �v`� ��-�ij.. mac] v�..�—r•.�_ ABEST FEE. BOX 850 PERMIT FEE 0.0 5EAGLE, COLOpADO 81631 525.00 ? APPLICATION FOR INDIVIDUAL SETJAGE DISPOSAL SYSTE`.` P ,RATIT NO. NAME OF O!nNER PHONE ADDRESS: NA'"E OF APPLICANT. - - j, - � I PHONE ADDRESS: DESIGN ENGP,.. FOR SEPTIC (if necessary) : ADDRESS: PHONE LICENSED INSTALLER: � PHONE ADDRESS: IS PERMIT FOR: (41 New Installation ( ) Alteration ( ) Repair l LOCATION OF PROPOSED FACILITY: County Lot Size > City or Town, LEGAL DESCRIPTION: WASTES TYPE: if within City or Town Limits Dwelling ( ) Comr_nercial or Institutional ( ) Non -Domestic Wastes ( ) Transient Use ( ) Other IS SYSTEM DESIGNED FOR 2,000 GALLONS PER. DAY OR. LESS? (°� yes ( ) no BUILDING OR. SERAIICE TYPE: � f , ,L1 Number of Persons Number of Bedrooms ( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY • (' ) ?+Tell ( ) Snrino, -- - Give depth of all wells within 180 feet of system: If supplied by community water, give name of supplier: GROUND CONDITIONS Percent Ground Slope: Depth to Bedrock:�y�Z� ( )Stream or Creek Depth to Groundwater Table: x� TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (P,) Septic Tank ( ) Aeration Plant ( ) Vault Privy ( ) Composting Toilet ( ) Pit Privy ( ) Incineration Toilet ( ) Greywater ( ) Other Chemical Toilet Recycling, Potable Use Recycling, Other Use SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 IMPOR.TAZ?T APPOINTMENT FOR. FINAL INSPECTION MUST BE MADE PRIOR TO COVERING BY CONTACTING THE INSPECTING ENVIRONKENTAL HEALTH OFFICER. REFER TO PET.ITT NUMBER. NO APPROVAL ?+?ILL BE GIVEN ON ANY SYSTEM JJITHOUT FINAL INSPECTION. TOLL -FREE NUMBERS 328-7311Ext. 949-5257,, Ext. 927-3823, Ext. 238 (Eagle area) 238 (Vail area) 238 (Basalt area) (OVER) PERCOLATION TEST FEE: $S 0 APPLICATION NO. OWNER: ��h LEGAL DESCRIPTION: .--e_�� a. RURAL'ADDRESS: TYPE OF DWELLING: � /�/� � �,, �� ti y HOC # OF BEDROOMS: a f DATE OF TEST: / TYPE OF SOIL: TEST HOLES PRESOAKED: YES NO TIME WATER DEPTH INCHES OF FALL RATE l 2 3 1 2 3 a 1 2 3 1 2 3 ��� z lz�LO )7`�gz 117z, ��� ry <6 PERCOLATION RATE: 4L5 _ ��2 �7GD SQUARE FOOTAGE PER BEDROOM: TANK SIZE: i z �� m/ 7 r LEACH FIELD SIZE: D d Site has been reviewed and tested for p rcolation rate. We recommend: APPROVAL DISAPPROVAL DATE: `J 2.� ✓� EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICER x (UU -1-L �,Z-00 G/ h mj a%� �' 1000 EAGLE COUNTY ENVIRONMENTAL HEALTH ROUTE FORM ME DATE REFERRED APPLICATION NO. �. -< — LOCATION Please review -the attached application and return it and this completed form to the Environmental Health Office. PLANtUINC_ Complies with: Yes No Subdivision Regulations Zoning Regulations Recommend Approval ,_Reviewed By Comments: _ Foe AAIDIAC QWA4cC USE ONLY -BUILDING• Set Backs -� Site Access Other, Recommend Approval Comments:. FN jNEER - Comments: (not always necessary) Roads Grading Drainage Recommend Approval A-m M01-317'"- titsev t wT 4A I ITrr sm%( l `e JOB NAME Supplemental, 14245 Hwy 6, 14245 Highway 6, Eagle HILLIS Goldman I o� A 4 C ,(H OB LOCATION JOB NO., v BILL TO DAT START D u, (2 / 7 DATE COMPLETED DATE BILLED 6(L' a �c., 7` -�o , va 1.1� 1 41 o s�-v s S s e �sf✓bi, k 0 6,�% u %lam ci!✓�a 4%1- o .L•os `��� C�-� e to ��� iw c a��� •� �� c� o s z( o�k ��,;s ,�w,,t JOB COST SUMMARY TOTAL SELLING PRICE o- L _s u i � TOTAL MATERIAL Ex w 0 tti Gh-� TOTAL LABOR 5 C s f sw �,� INSURANCE �^ a r r►1. i � / 6 r SALES TAX v►� /e {,� t Ike- M ISC. COSTS -74 e-�cc-ee�J- TOTAL JOB COST Lea.6 GROSS PROFIT l c d ((' `-e c1 V LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER 'Pr ct 27V�A31 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 ��r�iS a� Sn�arti JOB FOLDER 1 a 3 Printed in U.S.A. m vocn� r o v o :E: m H J. or rD —�IMTm CD S` sZ m •• —I Z CD �O . O> J 0 03 r J C J J. 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