HomeMy WebLinkAbout320 Big Pinon Dr - 246502301003 - 1697-96ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500• Broadway • Eagle, Colorado 81631
Telephone: 328-8755 6/
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SiTE. PERMIT NO. 1697
Please call for final inspection before covering any portion of installed system.
OWNER: Gary M. and Darlene A Johnson PHONE: (970) 927-4 44
MAILINGADDRESS: 0055 Big Pinon Drive city: Basalt Scale: CO zip: 81621
APPLICANT: same 320 PHONE:
SYSTEMLOCATION: Da22`.0 Bia Pinon Drive, Basalt TAXP RCELNUMBER: - - -
c>l - Co 1 �, j�e NO:
g 7 eno - �-7- 36s
LICENSED INSTALLER: H" 1 P ^ ' , '9/LL EN NO
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1500 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 1406 SQUARE FEET OF TRENCH BOTTOM. via 46 infiltrator units as requested by
SPECIAL REQUIREMENTS: nwner - Install inserial distribution buti on i n trenches with a cleanout between
the tank and the house and inspection ports in each trench. Rake trench surfaces to pre-
vent Smearing of soils, and do not install in wat weather. Call the County for final in-
spection prior to back filling any part of the installation, or if you have any questions
regarding the installation-
ENVIRONMENTAL HEALTH APPROVAL: �ZZT 9-AI(I DATE: May 28, 1997
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: 1406 SQUAREFEET. via 46 infiltrator units.
INSTALLED SEPTIC TANK: 1500 GALLON 270 DEGREES 7 FEETFROM the cleanout.
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:
ENVIRONMENTAL HEALTH APPROVAL: DATE: 2 12 z 19 7-
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK 8
(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
*
*
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
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PROPERTY OWNER:
MAILING ADDRESS:
APPLICANT/CONTACT PERSON: GAS Sj l/Y1i -
MAILING ADDRESS: OG ��" i3 i4 r c 2.
LICENSED ISDS CONTRACTOR: K4 abj I� o4lfC3
COMPANY/DBA: CLC», 14o4r� ,ye4y4i,-jfi ADDRESS:
16 z
f
PHONE: 07V
PHONE: (11v) `&3--2-co4-
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PERMIT APPLICATION IS FOR: ()) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # N/4 (if known)
Legal Description: Subdivision:JFiling:—Block:- Lot No.
Tax Parcel Number: oZ 9 (p S - y �- ® �- Q 3 Lot Size:_ 4 S Arks
Street Address: % 32 O O e 4y g»VAf g/d
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BUILDING TYPE: (Check applicable category)
()(j Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
(�f Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
Number of Bedrooms
Number of Bedrooms
Type
*These system6-#Fq�iire design by a Registered Professional Engineer
SIGNATURE: Date:
TO BE COMPLETED BY THE ` COUNTY
AMOUNT PAID: ''' RECEIPT #: DATE: - 17
CHECK #: l�aG' CASHIER:
S
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07/14/97 0N 10:26 FAX 303 7820390 CDPHE/WQCD I 002
SATE fiCC)L,0MD
Roy Ramer, Governor S0-
Patti Shwayder, Executive Director V7-
Dedicated to protecting and Improving the health and environment of the people of Colorado4300 Cherry Creek Dr. S. Laboratory and Radiation Services DivisionDenver, Colorado 80222-1530 8100 Lowry Blvd.Phone (303) 692.2000 Denver CO 80220.6928
(303) 692.3090
Worado Department
of Public Health
and Emvimnment
duly 14, 1997
John D. Pieper
Delta Precast
P.O. Box 822
Delta, CO 81416
Dear Mr. Pieper:
-
The --Division has reviewed the drawings and specifications for the
DOo'--gallon, _ the =1, 250--ga-lion=,_- aid=-th _.�: -501' gai7 n concrete ., r
septic tanks produced by Delta Precast. The Division finds, all
three of these tank designs to be in conformance with the design
provisions of the Guidelines On Individual Sewage Disposal
Systems,'Revised 1994. The Division hereby cert-ifins the tanks
referenced above as meeting these criteria and at'--ceptable for use
in Colorado.
This certification does not constitute an endorsement of this
Product. As individual local health department regulations may
be more stringent than the state guidelines, the Division cannot
assume the acceptability of these certified sept:Lc tanks within
any given jurisdiction.
sincerely,
,J
Thomas Bennett \�
ISDS Program Coordinator]\�
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
July 18, 1997
Kent Cotton
KC Equipment
P.O. Box 71
Delta, CO 81416
Dear Kent,
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
During my final inspection of your installation of Individual Sewage Disposal System (ISDS)
#1697-97 at the Johnson residence in Laura J Estates, Basalt, CO, on July 16, 1997, I mentioned
that regrading of the site would be necessary since the septic system was installed at a depth
exceeding 5 feet in areas. Please ensure that the leachfield maintains a uniform depth of 3 - 4 feet
for best aerobic treatment of effluent. Eagle County Environmental Health Division requires
photographs of any alterations made to the leachfield prior to the issuance of our final inspection
letter. Furthermore, Eagle County Building Department has been notified to withhold the
homeowner's certificate of occupancy on the property until the file has been updated with
changes. Should you have any questions, don't hesitate calling me at (970) 328-8755.
Sincerely,
Heather Savalox
Environmental Health Specialist
cc: Mike Wheelersburg, Eagle County Chief Building Official
files
PERCOLATION TEST
EAGLE -COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: b�ivt�
LEGAL DESCRIPTION:
OpSS
MAILING ADDRESS: fib.. % ��� ���„ Or Ba �r l � , (a sic a r
v
TYPE OF DWELLING: 5,F NUMBER OF BEDROOMS 95 S
TEST HOLES PRE-SOAKED: YES 1/ NO
TIME wsn+sn nvnmxy
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PERC RATE: J0 MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE:
COMMENTS:
PERC TEST DONE BY:
14, &v-go DATE: V�r
Environmental Health Officer
d. f.
ISDS Permit # I rp Ia2w- Date
ISDS Final Inspection
/ Completeness Form
1/ Tank is %�� gal. Tank Material (0)1�d-L
✓ Tank is located -7 ft. and ;��W'degrees from C��
(permanent landmark)
Tank is locatedft. and degrees from
_(permanent landmark)
V Tank set level.--JLTank lids within 8" of finished grade.
Size of field ft2 units lineal ft.
Technology inl�_s
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.
V Tank has two compartments with the larger compartment closest to the
house.
Measure distance and relative direction to field./Sj("
i� Depth of field >S ft. plt
y Soil interface raked.
Inspection portals at the end of each trench.
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 q o leach field -sib fS
Other 9114 r� vis;,kd Sj k 'ems, ¢u/lac '� o �� ' �Li�. o/ SI'le
Inspection meets requirements. 4's.
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
JOB
EAGLE -COUNTY ENV. HEALTH
P.O. BOX 179 SHEET NO. OF -
EAGLE, CO 81631 CALCULATED BY DATE
CHECKED BY DATE
PRODUCT 2;4-1 �Slige Speesi 205.1 (Pau-0-01 =Aicuu T Inc. Gfown Mass. ,'.7' -: Orur P-Tit TOLL FREE 1-800-225-080
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Lot#3, Laura J Estates JOHNSON
JOB NAME .0320 Big Pinon Drive
Basalt, CO
JOB NO. 1030
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DATE STARTED
DATE COMPLETED
DATE BILLED
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TOTAL JOB COST
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JOB FOLDER Product 278 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER
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