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HomeMy WebLinkAboutFrying Pan Rd - 247105400010INDIVIDUAL 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. BUILDING PERMIT# 10555 1602 PERMIT NO. OWNER: Michael Dornemann PHONE: (919)930-460n MAILINGADDRESS: 1540 Broadway City: New York State: NV Zip:_ _90501 APPLICANT: Alan Arnold, Todd Haberman Consirnrti on PHONE: _(_97n)_927-inm SYSTEM LOCATION: Frying Pan Rd. , Ba Ga 1 t , Cn TAX PARCEL NUMBER: 2471-054-00-006 LICENSED INSTALLER: Stutsman & Gerbaz, T)ave itntsman LICENSE NO: _14-9_6 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED _720 SQUARE FEET OF TRENCH BOTTOM.via 20 infitrator units as requested. SPECIAL REQUIREMENTS: Install in serial distribution in trenches with a cleanout between the tank and the house, and inspection ports in each trench. Do not install in wet weat er. Avoid cobbles during installation. Call the County for final' inspection prior to backfilling any art of the installation i ons. ENVIRONMENTAL HEALTH APPROVAL: — DATE: Jule 3, 1996 CONDRIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF TH 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: 720 SQUAREFEET. via 20 infiltrator units INSTALLED SEPTIC TANK: 1000 GALLON 17 2 DEGREES 50 FEET FROM — the d e rk SEPTIC TANK ACCESS TO WITHIN B" 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: Trenches were covered with snow at time of inspection - ENVIRONMENTAL HEALTH APPROVAL: DATE: January 1 7 , 199 7 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) APPLICANT / AGENT: PERMIT PERCOLATION TEST FEE RETAIN WITH RECEIPT RECORDS OWNER: RECEIPT A CHECK# (Site Plan MUST be attached) ISDS Permit # / bU;�- APPLICATION FOR INDIVIDUAL SEIAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) * •PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". PROPERTY OWNER: )V ,'C 4e? em f PP*v v c ".p av PHONE: MAILING ADDRESS: /STD rD� �4.)z- APPLICANT/ CONTACT PERSON-, PHONE • ( 1 70) MAILING ADDRESS: j5c k /A./0 )3� S•s /,7— '.,,. W/lc �&/ LICENSED ISDS CONTRACTOR: J7.06 �i, 4 -P, 7- PHONE: (9 >d ) A 3- A > 3 9 COMPANY/DBA: /av �.jr 0"tO - ADDRESS. - PERMIT APPLICATION IS FOR: ('Yj New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # %6 / L1.7 -(if known) Legal Description: Subdivision: Filing:_Block: Lot No. Tax Parcel Number: c t Lot Size: _mac •= Street Address: ! Ci e �/jj j/��✓�! A BUILDING TYPE: (Check applicable category) (4 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 ( ) Public Name of Supplier:. *These systems require design by a Registered Professional Engineer SIGNATURE: Date: 3 "'e ************************************************************************** TO BE COMPLETED AMOUNT PAID: BY THE COUNTY i U 0 .RECEIPT # : 1U 3 00d DATE: �� CHECK #: /c��3 CASHIER: ' Via. Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO January 17, 1997 Michael Dorneman 1540 Broadway New York, NY 20501 RE: Final of ISDS Permit No. 1602-96, Tax Parcel #2471-054-00-006. Property location: Frying Pan Rd., Basalt, CO. Dear Mr. Dorneman: Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 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 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, j4lti� OUL Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Information Brochure Final ISDS Permit cc: files Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: July 3, 1996 TO: Stutsman & Gerbaz, Inc. FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadwav Eagle. Colorado 81631-01 79 RE: Issuance of Individual Sewage Disposal System Permit No. 1602-96, Tax Parcel #2471-054-00-006. Property Location: Frying Pan Rd., Basalt, CO, Dornemann residence. Enclosed is your ISDS Permit No. 1602-96. It 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. Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Your building permit CO will not be issued until final approval has been given for the ISDS Permit. 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 the Environmental Health Division at 328- 8755. cc: files Facsimile Cover Sheet To: Environmental Health Staff Company: Eagle County Health Dept. Ph6ne: (070) 328-876.6 Fax: (970) 328-7185 From.- Bob Nelson Company: NEWS, Ltd, Phone: (970) 923-3289 Fax: (197-0) 923-2766 Date: 06128196 Pa!9.0.s including this 6 cover page: COMMerAS'. Site evaluation of protmed Domemann Residemw float Reudi. EjurzLW LaZIQ UD.Uf nrU�jl:�Jz,ot bUb NtLbUN, NEWb,L1D PAGE 02 - - i a Jv u w). rl i 7 f u jl::I3s'_ i Ob bUb NELbUN, NEWS, LI-D PAGE 03 y"_ � u�' a �� �� �v, ��, iJJV c J.ur re��c�troo bUb NtLSUN, NEWS,LTD PAGE 05 ,..: w`- .x* a m4 3'�"* x 3 ,o' > � d� r�-�'-:cx d"` . � , .t ^a %J r s" "" ' t,"'& y! �A A.fau 'a'!'�3i" z a• x ';a® r �` A •"�'" � �i�['e'a �` /:�x. a °,s„&,�+9� ;. .,Py.[p"i° �'�°!ts„ -'af <y�, � . g".� $^�C-.+ ,fir.. .,.� �. �#yi,:. ,�'it4�. � {s�u�' .� ��`,§� sw .:.a.t»• a�`G ,� 'L:��S•4 sa ��%.-•u!'•J•M 'f". X� +OY yf y'�.Fn 'i}r rd Se � (6 . . � _ ,1..• q. ''fib S �S .Jti �4_. �l �,;,,��a• ,�,. h'Y ipeS9 nF y_>' •f�¢ w " %a}�,f�'.�,?E�«¢'s m Y��- ,'�,:.-' f>-%`i ,�`+�. w., °J:f;�ox'f"„'%. }°' �..8.� x -�`ArA �>�J`� '"�' ny�4gX �'i �� k4��s f��"'�s�,"a� ,m�sm�` �,. ���''�.��,,� •.�.� �� ia3�' y�� a � .. �a� � -^' �7« }�. � ` _ y,- �... -s 7§^ -x i-'E',,, a .j. - f..:%`�. � .w� .,�`�..-r.✓*k,,..e �•� v"x" ..: , r+.��+m? .. c > m 6. ,::�, „r• ...a°-. ... :.i . v,.. .r f'" _ < f ' n -/J % if 1 �. i 4 w � ti .. ,�d7 d.,� s4� # q as .: � r,�r •- J,t 2 J <� �„ i �ss5,. ^f �� �'• 'j- 4Jjlp.^.�}"w S. �y f � j ��,�/•s'e� • 3 1ti �� •qg - bhp t,� 4 a8' ,' 3 —�• .---• .•. .•.••. �. �. •.+� _ r c, .�s:.�i:. r uu DUD IYCL—JUN, Nt.11 b, L I U PAGE ©EJ qmu �o ... ............ ......n,v..�r:' ............... Re If ' b i *v1Et$O. b Depth at Drop in Average fl<> ' 1 € t .... I End oi Interval Water Level �'t'rC s 1 C tt .: € . } €JL a t1< ches) (Inches) Ra€�:�+tin..lineli) ffd auui'<hktieQvu(',NiLp16(gpmct(� m+Yi Mf:WYMVI {Po NwY:N+1.ifd,GHktlmw�mmunemmea�fm�eYAPYAW-0�WAYCYllRNnKtWR�:l��avv�.wmxacr d 1x? 112 V t}} �+tt9lt ffll ( 7{{��f : ff 6.. .. 6 [ /8 �7y/16 f / E. 6 wo 5.11:116 7f16 23 Z, 5.V1 4 :% It s 1� 4 1.f8 3/8 a1 .i .3/4 3f�#y+ J 3f4... ': ��{' -.:7 �7r 3111 t3 lid 1f2 2O 10, R 1*/2..41.116 7116 �Zg ii.fs w.� 3 4 t 6 1 7f { i2 r2 4 13f16 1 4.0 . q 1.; .: 4 3/1 to i l €� 32 t 1, `gip 1 th'.P..�'. (�j"O�1ap;'�. . i � 6 #11 0 (070) 923.3 6'9 ROM4V & Fax (970) 92.'3p2766 UL)f Z.Or -L :3:30 'J (UJZJZI f bb d:. Am' bUb NtLbUN, NEWS,Ll-D PAGE 08 erto Ltd W1 f ... ..... ..... Groundwater. 0 Not Encountered at. 8 J1, * EfAimMed de, .10 to high wawtud water if not cmoantcm-d- 501 o Is am bdieved to b6- rkjt*t. to seasonal finduadons which. could re"WIt in a Scawiral w-.1ter tabWl YC$ Sk4w ill absorption area 15% to Ole South 0 N(9: Encountered o Enimated deph it not encountered-20 feci 0 Type of bwavk' --A—Frachiml Weathered o Is bedvxk befiewd to be- perakeable? Yes '7s ' Pa962 � r to 11 tle PAGE 03 id feet 0, width is required for a usually recommended that the Ell vas possible, with no more than two mwncratea tic tare to provide the required hddi& The tank.s.hould be located close to run .,onger effluent line to the absorption r Jn. 3'Ol ds. Tho tank sl� rind l platy away. .....:..:... .... #'tbr pumping, The manhole lids of the rs nd.With- riser ring assemblies. A fitted l a .� i g Wean septic tarn chembers. v and: to rotain more solids in the fiat �rs� VIT st ;ti ii# d76fiii. £:.#J[o: a i;iLiiii7f �7c5 .EJE#Flfiees bUb NEt_'bUN, NEWS, LTD 'AGE 04 �C n n €6M .P, 1rtdW.414C it. � .fit Jinn ,r Pi 3 0 r r x W. y S.Y� r sod incor'ria#e #ice alt rn figs use of leading , �i"h f > minimumtrench area ottrn 14 f q 1�e t e c� lead ti chamber footprint Yst 1e _OP WS#r,.. ":. feet ling. The proposed design Ali, tl r i t a .' f g ovele s l achr€�g chamber units, five in ellel #;t # trenches hl oil; to :del r r firo " so: Vncl �ottld ex cavated onar�to t f�� ►tl ��dfhiht of diatom to the existing Min V. tain, a separation of between six and tee fib h 1 . � be' should in level, reed trenches and aft` ng iht t i g .fi r # n e r to tip the 1,091 Itwrl ti rt14011 rr€it titri€�t the tr fitOW # rC� i nlir :gi n, it irrdtrte to l�rt #mot w�uir#Fjn r thivlit in the tt�avv,rrd11 r�tl t iihr to lower absorption trenches, try CM t t r:flo l di rat d t the next dr��rrrhill �ii s:� ditzlt, #lz t #rr� ri�resall f the % of the lying �rr#� �� t:leril'lli t�� uviti°�ifslia PVC t�F t l x: SM .0d.whe tta "t r 1 e1 in the Infiltrator r trench cl t hid a Ming o literatureon the t of drirnt':ited #�ig on r.eq paired and should f�hr a�ed �tr fib tlem(from ergaverage f 300 gallons per d1 �it� flowf rxirntel �llcn er d 1 y), X. ifYM. f:furth r assistano.0, please W11 tt o fi , .. 1" eS. o 0 6*DB DROP BOX 8 11 UB DROP BOX N. Y. 2 ovp,RF,.L.ow BOX . kw.wakfco3t 4W,A9Y,,' PAY, TUF-TITE* Contractor Prite List 4-Holo DkMM#n got mobil 4402 4-b710 HC#PE. Box '1­'16 sea! Yellow k �i,-40 Sul 64it 5-mall 01striburion fox -if '0111- 11 senesB? I -Halt DWIftAm Sot ritm 94 9-111014 Owdbuou" sox 6410!e HDRA)]SWbofti" BOX 12-47 wtm 46 Ormore UNIS modol: TOO 7-hM POPE Dvoigion Fiow '.ai;rJes �M':"JmOW W-ith -a Avelhibb Fog of 1904 MOW 9HO2 HQPE cmplvllr wjfll1 g r4;v Mlvow S,40 �kal fte s1fit"i PI L440,ot fl;a 10�5 "h4tv, R Dom P�Im Aro. FrtaM N�'Jaw. A. 29. "1 r—Huc— ri e Toll Free: 1-800-30 tlilolf Drop out Madel, 086 t1 X. 4-hok HOPI., Dmp 8ex folnu�L S-40 Sea! P#Iw see `�* Drain Sump r i a B1. 2-HDII Blain Sump F, e; Ec 2-hlolf! Drain samp i,xrieo �4 A$6.x. 48 qr Model: 2RDS-1 son, Aw, nmpl�'Td a Blau' I A8 or molfe vmt, MOW: 2HOS-7 of wil";'i time calk{, vow 61"m-e ef'; ldlif"us . ......... . . . .48 of route Lwll�� Modet NW4 �"'al Yn1i'!w "Pal Avallabio Fall of 1994 W�?a.J_,u x.-I.ao 'j(U bb BUN, NELSON, NE:WS,LTD PAGE 05 I Full use of site: individual trenches may varV its length, shape and elevation . 100% USO Of all trenches.: ill ��rt c � including top of each trench are tili ed b l r n t t no rec..'.."' eci any �ffiuer�t, # Quickest boild up of bi -mat, Concentration and containment of effluent starts bio-mat and Utti1iza.ion �f i 'Mat in: the'renovation process faster than any other system, important in rapid soiisi ouILDINQ PERM ITAPPLICATION Juriadletlon of EAGLE COUNTY PP11Gar1f to complete spaces numbered only. 8PM ' a LA JOB �gODRE33 L r PARCELS (�l fic�` • • 2 DESCN LOT NO. BLK FILING'•. SU®DIVI$ICN OWNER MAIL AapRB ^-- - Tq k 2iP PHONE NU CONTRACTOR, MAI ADDRESS /n.4ra #d...r A4 — � • TOWN STATE ZIP CONTRACTOR 00NTACT PER&ON PHONE NOS ' A&F�� Y w-j" t?L'r OR br=9"ER ' MAIL, AQp ! PHONE� TJ A7I1 ENGINEER MAIL ADDRESS lst�{F i •l {v ��� e U-SE OF BUILDING t XRESIDEN11AL ❑ COMMERCIAL ❑ INDUSTRIAL ❑ OTHER CLADS Or WORK: VNEW D AD/DITION ❑ ALTERATION ❑ REPAIR ❑ E MOV❑ REMOVF DESCRIBE N_. C/0 yra i f I 111 VALUMION OF woNK: ! -7opL(FC.1 00 11 MAXIMUM OCCUPANCY LOAD%U�EG .fi'rywly TYPE EATI Nd: 12 GAS ELECTRIC O OTHER C. 13 WATERSOURCS SEWSA SYSTEM LI}/ PUBC n PRIVATE 1+i OU13LIC G PRIVATE W Sp00A1 Ccnd1110J1e; -- NOTICEII_RiAD BEF012 INGNIN SEPARATE PERMITS ARE REDUIRED FOR ELECTRICAL, PLUMI)INQ, MECHANICAL (HEAT1N11, VENTILRTINEI OR AIR CONDITIONINdL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR17$0 IS NOT COMMENCED WITHIN 1606AYS,ORIF CONSTRUCTION OR WOIS1 93 SUSPENDED OR ARANWMED FOR A PERIOD OF igp DAYS At ANY TIME AFTER W014K Ig QOMMENCEO. I HEREBY CERTIFY THAT I HAVE READ ANb EXkMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUF AND COARECT. ALL PROVICIONB OF LAWS AND 400INANOM GOVERNING THIA TYPE OF WORK WILL HE COMPLIED WITH WHETHER SPECIFIED MERLON OR NOT_ THE GRANTING OK A PERMIT DOES NOT PRESUME TO GIVE AU HONTY TO VIOLATE OR CAMCEL THE PROVISIONG OP ANY OTHER STATE OR LOCAL LAVA RpaULATING CONSTRUCTM CR THE PER. FORMANCE OF CONSTRUCTION_ LICENSE ACREAGE ORSaUAR£ 15 FOOTAGE OF LOT LOT COVERAGE- Incluasa 1S Or4ri�nSy r1/ � s 1i IMPERVIOUS COVERAGr= OF LOT TOTAL FLOORAREA OF 1d STRUCTURE ISO_ ".I � ►✓ 1$ NUMBER OF STORIES ,may$ �• HEIGHT OF STRUCTURE � ABOVEPRAdE tIrm NUMBER OF 21 aWELLING UNITS NUMa>ER OF OFF STREET 22 PARIgW BPACEa J 23 06BIGH REVIEW APPROVAL NO DATE %YES �• PENMrr FEE L.+' RECEIPT NO, TOTAL FEE SEPTQ�OY71PL� OAPPLlCA710N ROCp ANS CNECKED BY APPROVED FOR ISSUANCE EY SITE PLAN MUST BE INCLUDED WITH TH16 APPLICATION For site plan Qreparatign inotrwittlwo rotor to Eagle CUlinty Site Plan Requirements WhIte Conv -INSPECTOR CanAry rd,nv . APPI 1r..AhIT PDA& nJ,.,,, _ saaa&nv". ISDS Permit # f 0Z- 9G Date /Z-10/ 1G H�- ISDS Final Inspection Completeness Form t/ Tank is 1 GZb gal. Tank Material tT Tank is located SD ft. and degrees fromGfe-G%.l (permanent landmark) Tank is located 6%"��ft. and /aV---degrees from 4�nO7— (permanent landmark) Tank set level. LTank lids within 8" of finished grade. Size of field uqO ft' L units lineal ft. Technology 4-k7 A _t,-1 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. v Inlet and outlet is sealed with tar tape, rubber gasket etc. if Tank has two compartments with the larger compartment closest to the house. _i Measure distance and relative direction to field. \ Depth of field ft. Soil interface raked. Srtioti�G� v-" Inspection portals at the end of each trench. N' Proper distance to setbacks. Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) Other Inspection meets reoiirements. Copy form to installer's file if recommendations 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 Z-,Uk 50 10 5 10 50 10 10 o*ssrwu--_ ! cxuCUunEooY. CHECKED BY — SCALE OF DATE 1602-96 Tax#2471-054-00-006 JOB NAME _ Frying Pan Rd DORNEMANN JOB NO.N 5�-? Basalt, CO Inca i nr'-ATInm BILL TO DATE STARTED %J i DATE COMPLETED DATE BILLED C (1 l - iU C" ' ✓ JOB COST SUMMARY r f ' A IC _-- IG TOTAL SELLING PRICE 4v- 6n( -& U k5 - Lai( -/I UO (, Co- 0 r 1'G� 2L2 TOTAL MATERIAL TOTAL LABOR ve4'd , R '9k 1�TA'c INSURANCE 4L SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 �® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.SA a v N J J J A Ulf JAL �..Ofw 14 I��Y r v� �L,� ► S Q s /� a