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HomeMy WebLinkAbout850 Forest Dr - 218926201001 - 1637-96ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 18 P YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. Please call for final inspection before covering any portion of installed system. PERMIT NO. 16 q1 1637 OWNER: Kurt & Barbara Hi 1 1 PHONE: 9 70) 227-46.99 MAILING ADDRESS: P . 0 _ BOX 1142 city: Ba Ga 1 t staza: Co Zip: _91621 APPLICANT: Same q �t nn PHONE: SYSTEM LOCATION: Lot # 9 Coulter, Creek Ranch TAX PARCEL NUMBER: 2199-262-01-001 LICENSED INSTALLER: Frying Pan Cnnstrnction, .Tim Hnitnn LICENSENO: 55-96 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK minimum tank size ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED1125 SQUARE FEET OF TRENCH BOTTOM. via 32 infiltrator units as requested by SPECIAL REQUIREMENTS: installer. Install in serial distribution in trenches with a cleanout bet- ween the tank and the house, and inspection ports in each trench. Rake trench sur aces to revent smearingof soils. Do not backfill with rocks larger than 8" in diameter. Call the County for final inspection prior to back filling any part of the insta ation, or i you have any guestions regarding the installation. ENVIRONMENTAL HEALTH APPROVAL: DATE: August 21, 1996 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. 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: 1224 SQUAREFEET. via 34 infiltrator units INSTALLED SEPTIC TANK: 1Q00 GALLON 200 DEGREES 33' 5tt FEET FROM the SW comer of the hn„GP SEPTIC TANK ACCESS TO WITHIN B" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY_ YES NO COMPLIANCE WITH COUNTY/STATE REQUIREMENTS: _ 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: DATE: V -1 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: PERMIT PERCOLATION TEST FEE OWNER: RECEIPT # CHECK # (Site Plan MUST be attached) ISDS Permit APPLICATION FOR INDIVIDUAL SEWAGE 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 * * * MA-KEALL REMITTANCE PAYABLE TO:' ".EAGLE COUNTY TREASURER" PROPERTY OWNER: O \ MAILING ADDRESS: eQ�, 16 APPLICANT/CONTACT PERSON: MAILING ADDRESS: QO &�\/- PHONE : PRONE: XIS O LICENSED ISDS CONTRACTOR: PHONE: (Vic0 COMPANY / DBA : Cr t' cs�.c`C_�iL�X �t ADDRES S : o�'a4 S ************************************************************************* PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # Legal Description: (if known) Subdivision: ��cXZS Filing•_Block• Lot No.� Tax Parcel Number: - a Cz, - \ - Q Lot size: Street Address: 1._O \ �c�Ir�F�Y*�k�ic�k�k�k**�k�Yic4r.�k.**�t�t4r*�:�:**�Fic�c�Y�e�tt*!r,*�c*�e*ic*�Y�t�F*4t�k�k�k*�Ie�e�c�kJkzle�'#�r•t..�::�....�:':� '�:::—.ice* BUILD;?,Residential/Single TYPE: (Check applicable category) Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF ATER SUPPLY: Well ( ) ( ) Public Name (Check applicable category) Spring ( ) Surface of Supplier: *These syst, Vs require.design by a Regist SIGNATURE: ***************** ****************** ** Number Number Type _ of Bedrooms of Bedrooms red Professional Engineer Date: 1 *** ************ * ******** **** TO BE COMPLETED BY THE COUNTY G� / AMOUNT PAID:} RECEIPT #: /(o DATE: CHECK #:/ CASHIER: Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO September 6, 1996 Kurt & Barbara Hill P.O. Box 1142 Basalt, CO 81621 RE: Final of ISDS Permit No. 1637-96 Parcel #2189-262-01-001. Property location:850 Forest Dr., El Jebel, CO. Dear Mr. & Mrs. Hill: 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 328-8755. Sincerely, 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: August 21, 1996 TO: Frying Pan Construction FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1637-96, Tax Parcel #2189-262-01-001. Property Location: 0850 Forest Dr., Basalt, CO, Hill residence. Enclosed is your ISDS Permit No. 1637-96. 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 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION:_ /-,& � 9 ('?" u//?'K �y � � /� , e-a MAILING ADDRESS: Po. X ll yz TYPE OF DWELLING: �.,�' 1�'� NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO :S w Z7 j TIME - 6721Tsn n�+nmr� 1 2 3 I 2 3 RATE SOIL PROFI: 1 2 3 1 2 v l0 of 1, 21 3A1 Z Z Z 1 ��� 2S 2(v �i �l 5" 3i ' 1/5 i 1 Z 3 0 31 ) Z i r�/� 8 �/jr �8 �i�i ��� 3iy `_: r,.z I'•�-�7 36, 3.3 � �� 4 Z -7 's 7r� � ��z ��� . J 3� 'jq -� ►rz1/33 Y 3q i1N 1,;i; ..fib /3, 3 3.3 2 o 7 3"S S� p I ! "7 d 2 19'lq �� ©3Iy 1 117- 9 S/fl 'iy ��Z 1/ �l` ;,S 2-6 20 o Z p 8 , 4o,-,�>, ilk Zo �o. Time to drop last inch �S PERC RATE: G MINIMUM SEPTIC TANK.SIZE: ���+, MINIMUM LEACH FIELD SIZE: / / 2 S ( &- r, '6 COMMENTS: ke4pOVC PERC TEST DONE BY: Environmental Health Of rev. 6/90ks DATE: cer �s� /t RYf%) S FAWE"A Sb� - y;z— DATE August 20, 1996 EAGLE COUNTY STREET ADDRESS ASSIGNMENT/CHANGE/CORRECTION Property Description: Lot 9. Coulter Creek Ranches Tax Parcel #: 218926201001 Action Required: <> Assign an address 0850 Forest Drive <> Change/Correct an existing address Please contact the Eagle County Department of Community Development at 328-8745 if there are any questions regarding this address. cc: Eagle County Assessor E-911 Coordinator c/o Johnson, Kunkel & Associates, Inc. (Fax = 328-1035) Property Owner f:\docs\address\form2 rev. 1/96 I 00, s� d We 22 230184 ro I I wC 1 fAIA y� pile' a • F �� � 7 I tt10 � ��� � �� tts • tag I0 O..1ti.3`i Q, 1\ caEIUL at LOT 9 35.43 A s i.. 1 -l3.0' X lass ;r . >> 0 26 N 89% 550 WE 1301.24 .f� ISDS Permit Date iSDS Final Inspection Completeness Form Tank is), f)On gal. Tank Material 0-WOAi4-1 0� Tank is located /� ft. and Lby degrees from gfyor-y C)r oaf - (permanent landmark) Tank is located ft. and degrees from (permanent landmark) X Tank set level. x Tank lids within 8" of finished grade. Size of field i eo ftz units lineal ft. Technology )A- i-tY dpvs _J� 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. Tank has two compartments with the larger compartment closest to the house. y Measure distance and relative direction to field. Depth of field 6ft. Soil interface raked. Inspection portals at the end of each trench. (V Proper distance to setbacks. Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) i Y Other Inspection meets reggirements. 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 Tank 50 10 5 10 50 10 * 10 I c C, I lb.i/—yb lax 9F zioj—LOL—VI—VV1 JOB NAME Lot #9, Coulter Cr. HILL Basalt, CO JOB NO. 8 p l o rm JOB LOCATION BILL TO DATE STAR ED DATE COMPLETED DATE BILLED (/ / Q lq Z2 1z 44b-i Iq to JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE, 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 (w7- 9'i tflL� �� )q✓� fu-l#q &u -k-r O-D JOB FOLDER Printed in U.S.A.