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HomeMy WebLinkAbout314 Eagle St - 211106412001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, CO 81631 Telephone: (970) 328-8755 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 2190-02 BP NO. 14496 OWNER: TERRY AND RENEE FIELDS PHONE: 970-524-7157 MAILING ADDRESS: P.O. BOX 3583, GYPSUM, CO 81637 APPLICANT: SAME PHONE: SYSTEM LOCATION:P EAGLE STREET, GYPSUM, CO TAX PARCEL NO. 2111-064-00-016 LICENSED INSTALLER: TERRY FIELDS LICENSE NO. 60-02 PHONE: 970-524-7157 DESIGN ENGINEER: LKP ENGINEERING, LUIZA PETROVSKA PHONE NO. 970-926-9088 INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 3 BEDROOM RESIDENCE 1000 GALLON CONCRETE SEPTIC TANK, 1097 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 42 INFILTRATOR UNITS IN A BED CONFIGURATION SPECIAL INSTRUCTIONS: INSTALL AS PER ENGINEER'S DESIGN DATED 12nloi, WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE, AND IN- SPECTION PORTALS IN THE BED. RAKE ALL SOIL SURFACES TO PREVENT THE SMEARING OF SOILS, AND DO NOT INSTALL IN WET WEATHER. BE SURE TO MAINTAIN ALL APPLICABLE SET BACK REQUIREMENTS. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH AND THE DESIGN EN- GINEER FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART, F THE INSTALLATION OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. ENVIRONMENTAL HEALTH APPROVAL: DATE: MAY 14, 2002 CONDITIONS: I. 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 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: 1097 SQUARE FEET (VIA 42 INFTLTRATOR TTNTTS TN A RRT) ) INSTALLED CONCRETE SEPTIC TANK: 1000 GALLONSISLOCATED DEGREES AND 10 FEET INCHES FROM THE FENCE ON THE EAST SIDE OF THE PROPERTY. COMMENTS: THE FINAL INSPECTIONS WERE DONE BY RICHARD RIGOLI AND THE DESIGN ENGINEER ON 9/13/02. THE ENGINEER'S FINAL CERTIFICATION AND AS —BUILT DRAWING WERE RECEIVED ON 9/23102, THIS SYSTEM IS LARGE ENOUGH TO ACCOMMODATE A 3 BEDROOM RESIDENCE. ANY ITEM NOT MEETING REQUIREMENTS WILL E CORRECT7(�4-Lc__ BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL DATE: SEPTEMBER 30, 2002 Incomplete Applications Will NOT Be Accepted (Site -Plan MUST be attached) . ISDS Permit # C�4 7V _ 01-21- Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. 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 OWNERS �fYY MAILING ADDRESS :7��.�'�� L��='� 63 % PHONE: _"; �l�'� APPLICANT/CONTACT PERSON ���'tf �=� PHONE: ��--3s99t= _LICENSED SYSTEMS CONTRACTOR: PHONE: COMPANY/DBA: ADDRESS: PERMIT APPLICATION IS FOR: (X NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: A�4fh Tax Parcel Number: 67C1 _ 001 - E1I / _Lot Size : Physical Address: BUILDIN9 TYPE: (Check applicable category) ,9C,L Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ of Bedrooms.` of Bedrooms *These systems require design by a Registered Professional Engineer TYPE OF WATER SU �(Check applicable category) ( ) Well ) ring ( ) Surface Public. Name f Suppl' j 0-2" APPLICANT SIGNATURE: ��Date : AMOUNT PAID: ******************p**************** *********** RECEIPT # <9 30 _ DATE: I� CHECK #: & CASHIER: ISDS PERMIT # PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH •PHSYSICAL ADDRESS: _ LEGAL DESCRIPTION: MAILING ADDRESS: -6tc-1 S • . TYPE OF DWELLING: NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES NO SOIL TIME WATER DEPTH INCHES OF FALL RATE PROFILE n► TIME TO DROP LAST INCH: PERC RATE:_ e MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: Ew �'—ts � O S@ �F,i4 A � ®• � _ , `�l"Q r : �w S s� o I : 5`=: a r'® t+,1 cs V �'. v ENVIRONMENTAL HEALTH SPECIALIST DATE SEP-01 CE ❑ County Court Kl District Court Eagle County, Colorado: Plaintiff(s): TERRY FIELDS and CLORA RENEE FIELDS Defendant(s): DONALD BEAGLEY and LINDA BEAGLEY Attorney or Party Without Attorney (Name and Address): Terence J. Quinn A COURT USE ONLY Attorney for Defendants Case Number: Ol CV 222 P.O. Box 1110, Eagle, CO 31631 Phone NLimber: 970-328-7116 E-mail: j FAX Number: 970-328-7109 Atty. Reg. #: 416 1 Division: Courtroom: ® SUBPOENA (Personal) Rl SUBPOENA TO PRODUCE (Subpoena duces tecum) THE PEOPLE OF THE STATE OF COLORADO: I TO: Ray Merry ,,deposition office You are ordered to attend and testimony in the give Or dr,iof Terence J. Quinn",6 ,at Wells Fargo Bank Bldg, 115 E. Third St., # 07, Eagle, CO (location) on Eri ddy, February lst, 2002 at 10 : 00 A.M. (date and time), for as a witness Donald Beagley and Linda Beagley in an action between the parties above, and also to produce at this time and place (if applicable): and bring w1 yo the records of the Eagle County Community Develognent Department concerning se tics stem of the residence ot Terry Fields and Cro-ra I now in your c stod or ontrol. Renee Fields at 314 Eagle Street, in Gypsum, Colorado. so the Eagle Cyounc£y regulation which deals with the requirements for wptic systems such a one found at the Fields residence. Dated: January 30, 2002 Signature Terence J. Quinn, 4,116 Clerk/Deputy Attorney for Donald & Linda Beagley - Defendants RETURN OF SERVICE State of County I declare under oath that I served this subpoena or subpoena to produce on in County of on (date), at (time), at the following location: ❑ by (State Manner of Service) ' I ❑ I am over the age of 18 years and am not interested in nor a party to this case. i Signed under oath before me on Date Signature Notary Public 'I My Commission expires: ❑ Private process server ❑ Sheriff, Fee $ Mileage $ County No. 197. Rev. 10-00. SUBPOENA/SUBPOENA TO PRODUCE Bradford Publishing. 1743 Wazee St.. Denver. CO 80202 — (303) 292-2500—www.bradfordpublishing.com — 10-00 Lf\I LI Y4111 `ILLI\11 Y4A 11 Yt.t f HUE- UZ-1 U0 f itEngineexing, Inc. September 22, 2002 Terry & Renee Field RF,; InsPection Of Septic Systems bstallatiOu P.D. Box 3583 314 Eagle Street, +Gypsum, Eagle, CO 81631 Eagle County, Colorado Project No. 01140 - Permit No. 21.90-02 Meat Terry & Renee: At the request of Terry, can September 13, 2002, we visited the construction site at314 Eagle Street, in Crypstun, Eagle County, Colorado. The purpose of our site visits was to observe the installation of the septic system. They installed the system in overall compliance with the septic system design, Drawing No 01140SD.DWG, dated December 7, 2001. The system was installed as shown on the attached sketch. They installed 1000-gallon, two-comparbnent, concrete septic tank. The septic tank was located 5 feet north from the proposed building site (the old mobile homy' had been removed). There was a cleanout on the building sewer line, about one foot north of the proposed building line. Forty-two, standard, infiltrator chambers were installed in a bed configuration., as shown on the sketch. Inspection ports were installed in the first and last infiltrators of each grow. The "T's" in the inlet and outlet compartments were installed, but would have to be moved slightly to be under the openings of each compartment. 1f you have any questions, please do not hesitate to call. Sincerely, LKP Eng ieuza Petrovska, President CO; Ms. Laura Fawcett, Eagle County Environmental Health Division, fax: 328-0349 c:1wPi U-L%P\01140osimpd P.O. Box 2837, Edwards, CO 81632, (970) 926-9088 Tel, (970) 926-9089 Fox. PPP-PP-PMMP PI IM GIP. - SSPM Tr) - Pnr-�i 97 rni INTV PNL 1 I-IPi2I TW Pk'-= - P Lf�.l LI 1tAL1YLL1A.L1YL1 11 YL� FHUL. r)41 r)4 LKP NIEPJF, llv-;i P.O. Box 2837 F,A-W-q-rd% CO 81632-21137 -(#7--fit) 26-9€ 9 Fax i970 j 926-90-89 PEYMCOLATION TEST RESULTS Cdlent.- Ferry & Renee Field i OCHOO"' 314 Eagle' St Eagle, CO 81631 En91C COuz-1ty, C0110rddo Project No.. O1140 T M1P,/DEPTH 24-8/16" 27-12/16" 24" 771 10 I3-4/16" 1-8116" � 15-8/16" 1" lei-8716" 1-4/16" 10 144/16" 1-4/fe 16=4I16" Iii X1-121Z5" 1-4/16" t 1 - yy ASS/'1'n_ -n1� - 1,7}t-J1" .� 6-9/-1_6" .1 ." fSyyEL�i7 Y 74,1 6�" - 't''+i 16'" - 1411 11 - .11 iv 17-4/16" 12/ 1611 184116" 12/16" F 114-12/16" F 12 6' 16 1$" 1211611 I9n 12116" 1 i-$.1I6" 12/16° 1V to li/1 " 1 1271I61 19-12f1:0'r 12/11" 1 16-4/16" 12116": �►Egr RATE 13 Its/INCH 1? MI1ti/1NCH 1.3 MINITNCH AVG I ERE 15 MFI Awage Percolation Mole Diameter: 10 Itielras Hales Dug end Frewaked: ,A.p;.I121, 2(1.!' 2 Test Run: April 22, 2002 By: Peter petrovski Soil Profile: 0-1'- Topsoil- 1-a'-Resh-br *m, silty sAM No ground water encount�.d APR-PSI-PARP WFn 11 : V17AM Tn: FAGI F rn INTV FNlJ HFAI TH PAf�'F - P a ►^-4�, DOX LESS f rr,--•, nn.� - ��iuj Fa,xz (970) 9ZU- -9089 E-Inall. !peng@sn� o�vca, &q To. use Laura'�Wgg-tt Environmental Health Department Fax; 328-0349 Phone: 329-8756 From: Ulm Petrovs-ka, PE Subject: Terry and Ret'ice Field COMMENTS: Date. Decereber 7, 2001 paves.- 2 ine ud n� this cover sheet. Project: 01140 I Q _ -/) c e ���L Lrnu 6rCC �V Oct PleaseC k :r�yotl have any q$��r�xS. � Thank you, Daiza SQZ1, -->- ( S n�,_ to-C A-0A C-- +C)q 0-7 xi4 Z-138.� S nP-r-7-Paal PPT 1 a- I r-DM Til= Cai t G Flit IKITV Chit -I- U=01 TLJ or,rc.-.a- �•-r •+r +++�++ +�• zz 1� �1iU �s�U� Lf\r GIYti711YCCR 11YLl 11Y4� e r h 07C zo } ,r r LAI A� LL[ � �� f G- Ld W th CS cb ] Li 0 [ IlCf -7_�Dfi MI COT 4 0 4 COM T[l • COf:'I C rni IF.ITV —11 1 LICfM TLI a — 474 nrtirr. � ISDS Permit # Date ISDS Final Inaoeetion Ce�letenesa Fora Tank is ).0 00 gal. Tank Material C-0,4 L�cTE Tank is located LD ft. and :::Ldegrees from 1pss....ec i.ad�ask! • Tank is located ft. and degrees from ✓ Tank set level. Tank lids within 8" of finished grade. Size of field ft2 q 2- units lineal ft. / Technology ✓ Cleanout is installed in between tank and house(+ 1/100ft). There is a "T" that goes down 14 inches in the inlet and outlet of the tank: Inlet.and outlet is sealed with tar -,tape,- rubber gasket etc. ✓ T*-Uas two compartments with the.Aa�ger-.=,c partment closest to the .; .., house. :Mea�3ure distance and relative dirept—i-ow,to::. 4 Depth of field. 2-3 // ft _ V -Soil interface raked. ;. Inspection portals at the_end of each trench__ Proper distance to setbacks. Chambers properly installed as per manufacturer$ specifications. (Chambers latched, end plates properly installed, rocks 'removed from trenches, etc.) Type of pipe used for building sewer Line -S1�R' leach field Other Inspection meets resuirements. Copy form to installer's file if recoemendations for improvement were suggested. ACTION TAKEN: Setbacks Well 'Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 10 50 10 5 10 50 10 * 10 KWII v I-1 P.O. BOX 179 EAGLE, CO 81631 PNODUCIM I(S(A* Sheen) Zfb-1 IPM610 ®Inc.-WM.mus.u»n. 10 UMMUM ivu MM 1-w U»wu ►oB Z % - O Z SHEET NO. OF CALCULATED SY- �1Gr0�— I DATE Oq' 13 • oZ CHECKED BY. DATE From: "Josh Wood" <yucktruck@gmx.com> Subject: Re: septic pumping record report Date: November 22, 2011 11:53:58 AM MST To: "Dave & Colleen Wirth" <colleen004@centurytel.net> 1 Attachment, 89.9 KB Colleen, Thank you for doing business with us. <reply> when you get this JOSH WOOD PO BOX 1365 GYPSUM, CO 81637 (970)401-3970 YUCK TRUCK SEPTIC PUMPING INC. ----- Original Message ----- From: colleen004C6centurytel.net Sent: 11/20/11 08:49 FM To: vucktruck(ftmx.com Subject: septic pumping record report Hello .losh, Thanks for providing pump service at our residence @ 314 Eagle Street, Friday 11/18. When you get a chance, could you send us copy of an septic pumping report? We'd like documentation for Environmental Health Dept showing efforts to keep the system maintained ... just in case it's needed for future property records. Thanks! Colleen and Dave Wirth PO Sox 147 Gypsum, CO 81637 colleenOO4@centurytel.net YULCIC TRUCK creme- pumt?9-W 9.ffic. 2190-02 Tax JOB NAME_ 314 Eagle Street, Gypsum FIELDS JOB NO. _ jqq I BILL TO DATE ST TED DATE COMPLETED 3f DATE BILLED ov c - I� ° 2- - i ���-�©mil l - �-i Z rq K Zf-rd jU,' 1 N )0' AF/ G-©rIsJZ-,-j470,�4 w1TH E . 66-Gi 0I' is �?� 7C P� ,� o �ss� . AS ►t.I� P1loitac \% JOB COST SUMMARY TOTAL SELLING PRICE h� a TOTAL MATERIAL TOTAL LABOR j l- L'%'1CL%� INSURANCE r r, SALES TAX M MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 JOB FOLDER Printed In USA Email * altitudeseptic@gmail.com Pumping Report Inspection Report MM / DD / YYYY Systems Cleaner Company Information Crystal Daubs 970-471-0913 Collen Wirth 314 Eagle St, Gypsum, CO 81637 MM / DD / YYYY South Canyon Collen Wirth Onsite Wastewater Treatment System (OWTS) Pumping & Inspection Report Reports should be submitted within: 10 days for observations or ndings of failing systems 10 days for recommended repairs and malfunctions 30 days for systems functioning as intended This report is for the services conducted: (check all that apply) Date of Service 05 26 2017 Name Phone Email Person Requesting the Service (name and contact): Address of Property Serviced Date of Service 05 27 2017 Sewage Disposal Site Property Owner Name Yes No Yes No Tank 1 Concrete Polyethylene Fiberglass Other: Yes No Yes No Yes No Property Owner Phone Property Owner Email OWTS Permit Number Was the tank pumped? Was the tank inspected?* Tank Size (gallons) Tank material Is the tank in good condition such that the tank functions are not compromised? Are tees or baffles in good condition? Is the top of tank or risers to grade? Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Are risers in good condition such that their function is not compromised? Is the lid (riser or manhole) in good condition? Does the lid have secure closing mechanism to prevent easy access? Was tank water level above the outlet invert? Was tank water level below the outlet invert? Does the tank have an effluent filter? If yes, is the filter accessible for cleaning? If yes, is the filter clean and in good condition? Comments: Yes No Tank 2 Concrete Polyethylene Fiberglass Other: Yes No Yes No Yes No Yes No Yes No Yes No Is there a second tank?* Tank Size (gallons) Tank material Is the tank in good condition such that the tank functions are not compromised? Are tees or baffles in good condition? Is the top of tank or risers to grade? Are risers in good condition such that their function is not compromised? Is the lid (riser or manhole) in good condition? Does the lid have secure closing mechanism to prevent easy access? Yes No Yes No Yes No Yes No Yes No Yes No Yes No Dosing Systems, Pressure Dosed Systems Higher Level Treatment Was tank water level above the outlet invert? Was tank water level below the outlet invert? Does the tank have an effluent filter? If yes, is the filter accessible for cleaning? If yes, is the filter clean and in good condition? Comments: Does the system contain a dosing pump, siphon, control panel, and/or secondary treatment unit?* Was an inspection completed for any of these components? (dosing pump, siphon, valves, control panel, and/or secondary treatment unit)* Dosing Pump Floats Siphon Distribution zone valves Automatic distribution valve (ADV) Flushing Valves Audible Visual alarm Control Panel Advanced Treatment Unit Yes No Other: Yes No MM / DD / YYYY Yes No Soil Treatment Area, Absorption Area, Leach Field Yes No Yes No The system has (check all that apply) Are these components operating properly? Comments: Is there a current operation and maintenance (O&M) contract? If yes, when is it valid through? Was an inspection conducted for the soil treatment area?* Was the soil treatment area covered with snow? Are there odors? Yes No Yes No Yes No Yes No Yes No Yes No N/A Yes No Yes No N/A Yes No Are there wet areas on ground surface? Is irrigated landscaping planted over the soil treatment area? Is vegetative cover adequate to protect area from erosion? Is the vegetative cover excessive? Are driveways, animal corrals, patios, or other features constructed over the area? If the property is vacant,  were the lines hydraulically loaded? Are there observation ports? If yes, is there standing effluent in the observation ports? Is there a distribution box? Yes No N/A Yes No N/A Yes No Building Sewer Yes No Yes No Yes No General Questions and Comments Yes No If yes, is the distribution box accessible to grade? If yes, is the distribution box in good condition and outlets level? Comments: Was an inspection of the building sewer line conducted?* Is there a cleanout on the building sewer from the house to the septic tank? Is there any evidence of damage, plugging or settlement of the building sewer from house to first septic tank? Is there any evidence of damage, plugging or settlement of the building sewer from the septic tank to the soil treatment area? Comments: Is the property vacant? Yes No Unsure Yes No Unsure Yes No Unsure Yes No Other: Yes No Other: Yes No If vacant, how long? Is the property served by a well? Is there a record drawing (as-built or diagram)? (If no or unsure, please provide a sketch to environment@eaglecounty.us) Does the system meet all required setbacks in Regulation 43? Comments: In my opinion, at the time of the inspection, the OWTS has deficiencies that require repairs. In my opinion, at the time of the inspection, the OWTS is functioning adequately. Were any non-permitted repairs completed? Please List All Completed Non-Permitted Repairs Below: Yes No This form was created inside of Eagle County Government. Was the rest of the system inspected?*  Forms