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HomeMy WebLinkAbout6099 Brush Creek Rd - 210924300002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone:328-8755 Bp- 11035 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1689 Please call for final inspection before covering any portion of installed system. PHONE: (970)328-5452 city: Eagle Slate: CO zip: 81631 PHONE: Eagle TAX PARCEL NUMBER: 2109-243-00-002 LICENSE NO: i 7-9 7 pert test .SQUARE FEET OF TRENCH BOTTOM. via 27 infiltrator units as requested by serial distribution in trenches, with a rleanopt between section ports in each trench. Rake trench surfaces to ppreven ins ^11 in wet weather Fennp off leach field area to keen Ly for final inspection prior to back -filling any part of the a' o idence. See additional comment below*. DATE: 1997 commercial use. QUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT S AMENDED. TO STRUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND BUILDING REQUIREMENTS. CONNECTION IE NOT APPROVED BY THE ZONING AND BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A i BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT. =RSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED. :TOR): THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED SQUARE FEET. DEGREES FEET FROM -YES _NO 'S: YES _ NO DRE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A REANSPECTION WHEN WORK IS CORRECTED. DATE: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # (Site Plan MUST be attached) C�ISDS Permit # tj APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. 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: © / , S � PHONE: 926 L S d MAILING ADDRESS: 4 �,(,3_( APPLICANT/CONTACT PERSON: MAILING ADDRESS: LICENSED ISDS COMPANY/DBA: PHONE: )�"T PERMIT APPLICATION IS FOR: ) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # Legal Description: Tax Parcel Number: Street Address: / (if known) Subdivision- ! Filing:_Block: Lot No. Q)a<2_ Lot� Size: BUILDING TYPE: (Check applicable category) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* 3 Number of Bedrooms ._ Number of Bedrooms Type TYPE OF WATER SUPPLY: (Check applicable cate ory) ( ) Well ( ) Spring ( ) Surface A Public Name of Supplier: *These system require design by a Registered Professional Engineer SIGNATURE: \ Date: TO BE COMPLETED BY THE COUNTY Ir AMOUNT PAID: — RECEIPT #: DATE: 41Z3�i-7 CHECK # : _ L-1 D CASHIER: (�lT Community Development Department (970) 328-8730 Fax: (970) 328-7185 I DD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: April 28, 1997 TO: CQH Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Permit No. 1689-97, Tax Parcel #2109-243-00-002. Property Location: 6099 Brush Creek Rd., Eagle, CO., Calvin residence. Enclosed is your ISDS Permit No. 1689-97. 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 Enclosure: ISDS Final Inspection Completeness Form MEMO To: ISDS #1689-97 From: Heather L. Savalox Subject: Lee Rollins Calvin Date: May 19, 1997 ISDS #1689-97 was issued to Lee Rollins Calvin, at 6099 Brush Creek Rd. in Eagle, Colorado on April 28, 1997. The septic system was originally sized by Eagle County Environmental Health Division for a 3 bedroom single family residence with components including a 1,000 gallon septic tank and an absorption area of 844 square feet via 27 infiltrators calculated according to a long-term acceptance rate (LTAR) of 0.8 gallons per day/square foot. Additionally, the Calvin residence also holds ISDS Permit #0067, dated December 29, 1975, indicating a 1,000 gallon septic tank and 800 square feet of absorption area (see file for specific site plans, locations, etc.). During a phone conversation with Bill Calvin on May 9, 1997, he requested downsizing the new septic system to fit a 2 bedroom home. Evidently, the 1,000 gallon tank had been installed, however, Bill requested 24 infiltrators instead of the 27 infiltrators originally permitted. Based on the 0.8 LTAR, this is an adequate area, especially considering this residence has two separate septic systems to accommodate its two bedrooms. Mr. Calvin was informed that Eagle County Environmental Health Division would require an official letter of request from him indicating the total number of bedrooms in his home which we have not yet received. A final inspection was conducted on May 12, 1997, at which time, a 1,000 gallon septic tank had been installed as well as 24 infiltrators with an absorption area of 744 square feet. The inspection was not completed since only a foundation had been laid. ISDS Permit #1689-97 will require an additional final inspection to confirm connections between the building sewer and the tank, setback of the tank from the house, installation of a `T' in the inlet of the septic tank and sealed gasket around the inlet pipe. Furthermore, Building Permit #11035 has been flagged indicating the conditions of ISDS Permit #1689-97 as well as the property's non-commercial land use status. Memo To: Lisa Graves, Building Div. From: Raymond P. Merry, REHS Date: 12/27/99�'� Subject: 13P-11035 After reviewing the ISDS permit file associated with aforementioned building permit for Lee Rollins, the Environmental Health Division will not be able to officially approve the septic system serving the residence. However, I think it is reasonable to issue occupancy permission for the residence. It is important to note that the property and septic system is not approved for any commercial use. Environmental Health maintains the authority to require the system be repaired in the event of failure. Unfortunately, the only missing inspection was the building sewer from the residence to the septic tank along with the necessary clean out as well as the inlet "t" properly installed inside the septic tank. There is an approved leach field and a 1000 gallon septic tank installed to serve the two bedroom residence but we never received a letter from the applicant verifying the number of bedrooms. Cc: ISDS File #1689-97 �... 4u..•JR';9 r c. G CJ' Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO May 22, 1997 Mr. Bill Calvin P.O. Box 368 Eagle, CO 81631 Dear Bill: Eagle County Building P.O. Box 179 500 Broadway Eagle; Colorado 81631-0179 I am writing in regard to your Individual Sewage Disposal System (ISDS) Permit #1689-97. As you are aware, a final inspection on your property was attempted on May 12, 1997. Previous to my visit, we discussed the alteration of your absorption area to accommodate a two bedroom instead of the originally permitted three bedroom home. This change was allowed since you indicated to us that you do not have any more than two bedrooms in the entire structure including the addition. Eagle County Environmental Health requires that you submit a letter specifying the total number of bedrooms in your residence. At the time of inspection, the number of infiltrators and area of absorption installed were noted. However, your foundation was lacking a building sewer and its connection between the tank and the house as well as a `T' connection in the inlet of the septic tank. Until Eagle County receives your letter indicating total number of bedrooms in your residence, as well as performs another final septic inspection, your Certificate of Occupancy will be withheld. Additionally, your building permit has been flagged to indicate these necessities prior to the issuance of a C.O. and your non-commercial status has also been highlighted. Please respond in a timely fashion and call us with any questions at (970) 328-8755. Sincerely, Heather Savalox Environmental Health Specialist cc: Raymond P. Merry, REHS, Environmental Health Division Manager ISDS #1689-97 90 i uti� c�e� a. �� r iu. u r r YJ—i3G r-7CJ�7 LKr LNUiNttKINU, 1NU 1 t M x: ! V t6 I PAGE 02 V\.O k--�S�e �of-5e 1 Oi ;.5 JV ).�.- i1 adbkba�r ISDS Permit # �/�� / � Dates /2 ISDS Final Inspection Completeness Form Tank is Wrb- gal. Tank Material Gt-Z1GY e4C _ Tank is located ft. and U L degrees from (peA=eh t landmark) Tank is located ft. and degrees from (permanent landmark) Tank set level. f Tank lids within S" of finished grade. Size of field ftz `? units lineal ft. Technology Cleanout is installed in between tank and house(+ 1/100ft). There is a 'IT" that goes down 14 inches in the inlet and o`utlq:!� of the tank. r/ Inlet and utl�is sealed with tar tape, rubber gasket etc. Tank has two compartments with the larger compartment closest to'the house. Measure distance and relative direction to field./0'8`' t/ Depth of field -5 ft. Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. _.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 Other leach fieldsW.3S- 01 Inspection meets requirements. 7u�° ,�` y�j,�,� 1 �6. 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 ! �e Q � � 2 • zg � 4-. 3 9 6 vke �,, 40i0 y'1 5 33 l 6- VS . r 4944- l v t o, Pl I A l+mADc5 pew owners Ser; c� t c�n'S`k� b U �c 1,•,-}✓��vio�ics� , � ►n sp��.� f�vl-�s 1 - L41e, CY1,4 eac, -i-reych fi Ci(fa-PI &-4-+ b}w . e! -J�haute _ lvlto f v- 4Z OLnd 1) cis-4�v� s J�+ca►� �d1 �ac.�.v� ch u5� -� ccot�� I, a EAG _')LINTY DEPARTMENT OF ENVIRL._.. )ITAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT N® S� (this does not constitute a building or use permit) Owner l ov Viosher System Location Drush tree Licensed Contractor 'led Reynolds * Conditional Construction approval is hereby granted for a 1000 gallon Septic Tank or Aerated treatment unit. NOTE: No fee. s.emoklel Absorption area (or dispersal area) computed as follows: of existing system. Perc rate 1 inches in 15-20 minutes 30� � sq, ft. ost oil : ro^erty. absorption area per bedroom 266 sq. ft. Cull for final insnectiori. # of bedrooms 3 x 66 sq. ft. minimum requirement May we suggest a mlxiirau,n of 3v0 sr. ft. of lea.cb field. Date December Lg, 19-75 Inspector Erik W. Edeen FINAL APPROVAL OF SYSTEM: 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. 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. Date 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. ........................................................................................ ..................... CHARGES Percolation Test $50.00 (includes final inspection) Permit Processing Fee $25.00 Check (no cash) VA Money Order Permit N O 67 Name of Applicant Roy Mosher Amount Paid No f ee. Date Paid Remodel of existin system, Cashier °,/A ALL CHECKS ARE TO BE MADE PAYABLE TO EAGLE COUNTY Eagle Cty. — White Copy Applicant — Green Copy Dept. — Pinx Copy ENVIRONMENTAL HEALTH31 I�' c P.O. BOX.811 PERMIT NO, EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Name of .Owner: ,�� �' '�' �°' ; � :"� .�:_ ;� Phone: 3� 1 ,�- _' 7 Cit- Address of Owner.17r J Is facility within boundaries of a city/town or sanitation district? _ r fi— Distance to nearest sewer system: Location of Proposed System: J u Legal Discnption: Type of Structure: Single Family Dwelling ( r ) Other: No. Bedrooms a Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: Public Water Supply: 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: 2 ! 6-..- a The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT / f' �,, � ? a_ r '.- ' Date: L;-r'`=°'! &I ✓' �� (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Permit No. tol Tank Capacity: ) C jig gal. (minimum) Fee Receipt Absorption Area: 0 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: t� February 13, 1976 Town of Eagle Eagle, Colorado S1631 Re: Remodel of Roy Mosher private septic tank system. Gentlemen: Our office was contacted by Mr. Ted Reynolds, a licensed sewer system installer, on or about December 29, 1975. A repair permit was issued requiring a 1,000 gallon septic tank and 800 square feet of leach field. Existing County Regulations reguire septic tanks and seepage beds to be located at least 25 feet from water supply lines and 10 feet from property lines. On February 2, 1976, 1 inspected the property at the request of Town Manager, Bob Sanders, and would make the following points: 1) The system had been completed and covered over without having received a final inspection. 2) It appeared,from the ground disturbance,that excav- ation had occured approximately 40 feet from the water main. 3) The owner, Boy Mosher, was at the property site and pointed out the location of the new septic tank and leach field. This was approximately 40 feet from the main water line. 4) Due to the failure to contact this office for a fina`,1 inspection prior to covering the system, I suggest the town request a noterized letter from the owner'statig the system has been installed in compliance with the!, County Regulations; along with a map showing the precise location of the components of the system. Mosher private septic system Page 2 b) From the inspection of February 2, 1976, at this point in time, I do not feel that it would be reasonable to require the owner to uncover any part of the system. If you have any questions, please contact our office. Cordially, Erik W. Ed®en, R.P.S. Environmental Health EWE/bw cc: Colorado Department of Health • 7V February 170 1976 Ray hasher FA91,e Colorado 81.631 Dear Mr, Mosher: Due to the fact that your private septic tank state was completed and coverer over before a final inspection was made, we axe requesting, a notarized letter from you stating the system has been installed .an compliance with the County Regulations. Also, a rap showing the precise location of the components of the system. Sincerely, eabert R. Sanders Town Managw LV, S 4 cc: Erik Eileen, R.F.S. Enviravrental, Health P_ 1 PROPOSBD $UILpIJVG:;;;;;;;; C ROAD PROFILE HOLE t 1 10' 154. 00' 10.5' l 4-INCH DIAMETER SCHEDULE 40 PVC O i Y 1000-GALLON, TWO -COMPARTMENT l CONCRETE SEPTIC TANK (BY COPLAND CONCRETE OR EQUIVALENT) TV/4 DIAMETER, CSHEDULE 40 PVC, BUILDING SEWER 4 1-INCCHH PER FOOT MAXIMUM SLOPE I j 1400 '% 1Z r- F "0067-Brush Crk 5 Mi from Eagle 1689-97 Tax# 2109-243-00-002 JOB NAM 6099 Brush Creek Rd Mosher 6099 Brush Creek Rd CALVIN Eagle, CO ,SOB NO. Inm 1 nr ATinm BILL TO DATE STARTED DATE COMPLETED DATE BILLED r Gne 4 ,//.;Z'y'4 2 1&& JOB COST SUMMARY TOTAL SELLING PRICE � / �,�'(',,c(� - TOTAL MATERIAL ' �1� ,1 / c TOTAL LABOR S 22143- L -tv INSURANCE -� 1,1 SALES TAX LAQ MISC. COSTS �'-�- TOTAL JOB COST . GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 277 ®a NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.