HomeMy WebLinkAbout3910 Royal Elk Dr - 194131201003INDIVIDUAL 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. 1886-99 BP NO. 12542
OWNER: JOHN BOURASSA PHONE:
MAILING ADDRESS: C/O FIVE PINE CONSTRUCTION P.O. BOX 147 YAMPA CO 80483
APPLICANT: DON MEANS, FIVE PINE CONSTRUCTION PHONE: 970-376-3712
SYSTEM LOCATION: PARCEL 24, DIAMOND S RANCH, 20616 HWY 6, EAGLE, CO TAX PARCEL NO. 1941-311-00-002
LICENSED INSTALLER: ADAMS EXCAVATING AND TRUCKING, DALE ADAMS LICENSE NO. 31-99 PHONE: 970-328-1283
SOILS ENGINEER: KOECHLEIN CONSULTING ENGINEERS, INC., WILLIAM KOECHLEIN PHONE NO. 970-949-6009
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1500 GALLON SEPTIC TANK 1875 SQUARE FEET OF ABSORPTION AREA. IF CHAMBERED UNITS ARE USED 61 WILL BE NEEDED.
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES, WITH A CLEAN OUT BETWEEN THE TANK AND THE HOUSE AND IN-
SPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT SMEARING OF SOILS, AND DO NOT INSTALL IN WET WEATHER
CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION OR WITH ANY
QUESTIONS REGARDING THE INSTALLATION. BUILDING TEMPORARY CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYS-
TEM HAS RECEIVED FINAL APPROVAL.
ENVIRONMENTAL HEALTH APPROVAL: DATE: JUNE 18, 1999
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 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: 1875 SQUARE FEET (VIA 61 INFTT,TRATOR TTNTTS )
INSTALLED CONCRETE SEPTIC TANK: 1500 GALLONS IS LOCATED 160 DEGREES AND. 45 FEET FROM THE C.T.F.ANOTTT
NEAR THE HOUSE.
COMMENTS:
ANY ITEM NOT MEETING REQUIREMENTS WIL E ORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE: JULY 20, 1999
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit # /M ✓��
Building Permit # :L�-L-4A
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: ��� b Oki V` C,-5 Sct -
MAILING ADDRESS: ► ° �OK - �I CAf� nCc , CO 9SU Lta 3 PHONE: 37L--3�/
APPLICANT/CONTACT PERSON: T-6`fR me(Ant) PHONE:
LICENSED SYSTEMS CONTRACTOR �JA�e ��5 PHONE:
63
COMPANY/DBA: 'CaA�2 G.MS KCLvaZ,nCA ADDRESS:
PERMIT APPLICATION IS FOR: f< NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE rPISPOSAL SYSTEM:
Legal Description: liud, a6_
Tax Parcel Number: / -3(/
Physical Address: _IX(aaa
BUILDING TYPE: (Check applicable
Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY:
( Well ( )
( ) Public Name
(Check applicable category)
Spring ( ) Surface
of Supplier:
Number
Number
Type _
of Bedrooms
of Bedrooms
*These syst.ePs require design by a Registered Professional Engineer
SIGNATURE: Date: �o A/-1�
AMOUNT PAID: RECEIPT #: I/ `� 02 DATE:
CHECK #: �28 77 CASHIER:
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
EAGLE COUNTY, COLORADO
DATE: June 18, 1999
TO: Adams Excavating and Trucking
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. 1886-99, Tax Parcel
#1941-311-00-002. Property Location: Parcel 24, Diamond S Ranch, Eagle, CO.,
Bourassa residence.
Enclosed is your ISDS Permit No. 1886-99. 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.
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.
Please call our office well in advance to allow for scheduling of final inspection. Your building
permit TCO 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
Enclosures: ISDS permit # 1886-99; ISDS Final Inspection Completeness Form
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
July 20, 1999
EAGLE COUNTY, COLORADO
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
John Bourassa
c/o Five Pine Construction
P.O. Box 147
Yampa, CO 80483
RE: Final of ISDS Permit #1886-99, Tax Parcel #1941-311-00-002. Property location: 3910
Warren Gulch Rd:, Eagle,' CO.
Dear Mr. Bourassa:
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,
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL:Informational Brochure
Final ISDS Permit
cc: files
4
KOECHLEI.N CONSULTING ENGINEERS, INC.
CONSULTING GEOTWUNICAL AND MATE)UALS ENGINEERS
Tk2aw -
�oAy-c.-
C/ f- = // Z.S- S �0
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s
Job No. 99-043
'ERCOLATION INVESTIGATION
.OPOSED BOUR,ASSA SPEC HOME
LOT 24, DIAMOND S RANCH
EAGLE COUNTY, COLORADO
Prepazed for
Don Means
Five Pine Construction.
I'.O, Box 147
Yampa, CO 80483
June 14, 1999
DENVER., 12364.West Ata+neda Prkwy-, Suite 135, .Lakewoad, CO 80228 (303) 989-1223
AVOM ,+P O. Box 1794 Avon, CO. 81420-47y4 (970) 949-6009
S/LV,E,BWORNE: (9,70)4684933
X0,6C'IHLEI'N CONSUL'1'l)VO EVGLYEER S', INC
Consulting Gtolechnicnl Engineers
"TABLE OF CONTENTS
SCOPE
EXECUTIVE SUMMARY I
PROPOSED CONSTRUCTION I
SITE CONDITIONS 2
PERCOLATION SOIL PROFILE ,HOLE 2
PERCOLATION TESTS 3
PERCOLATION TEST RESULTS 3
LIINIU'ATION�3 3
LOCATIONS OF PERCOLATION TEST HOLES Fig. I
PERCOLATION TEST RESULTS Appendix A
,KOTCHLEIN CONS IILTING,E'NGINEEU, !NC-
000sulting GeolecArmical -Engineers
SCOPE
This report presents the results of a percolation, investigation for the proposed spec
home on Lot 24 at the Diamond S Ranch in. Eagle County, Colorado. The purpose of the
investigation was to evaluate the subsurface conditions at the approximate location of the
proposed leach field and to provide design criteria for the proposed leach field.
This report includes descriptions of the percolation testing procedure: and the
results of percolation. tests_ This report was prepared based on results of the tests
performed by our field engineer. A summary of the findings for the percolation tests and
our conclusions based on these findings are presented below.
EXECUTIVE SUMMARY
1. The percolation test holes were dug on May 26, 1999, and the percolation
tests were performed on May 27, 1999,
2_ The percolation rate in each of the three percolation holes was 40 minutes
per inch. Therefore, we recommend using a percolation rate of 40 winutes
per inch zor the leach field.
3. No ground water was encountered in the profile hole to the maximum
depth explored of 11.0 feet. Bedrock was encountered at a depth of 8.0
feet beneath the existing grade.
I?ROPOSEU CONSTRUCTION
The project consists of constructing a residence on Lot 24 of the Diamond S
Ranch in Eagle, Colorado_ The residence will be two stories tali and will be about 6,700
KOEC9,L&N CONS LLTING ENGINEERS, INC
Consutiing Georechtticat Engineers
square feet. A septic system with a septic tank and leach field are planned to service the
residence.
SITE CONDITIONS
The site is, located on .Lot 24 at the Diamond S Ranch in Eagle County, Colorado.
The site is relatively flat and lies on the top of a hill. Vegetation on. the site consisted of
natural grasses wid sag, brush,
PERCOLATION :SOIL PROFILE HOLE
The soils encountered in the profile hole (PTH) consisted of approximately 2.0
feet of topsoil uzidedain by a browzzmoist, sandy clay to a depth of 8.0 feet. At a depth
of 5:5 foe, angWar wbbles wcrc emcountered. The clay was underlain by a basaltic
bedrock to a depth of 11.0 feet, the maximum depth explored. No ground water was
encountered in the profile hole to the maximum depth exploded of 11..0 feet.
PERCOLATION TESTS
The percolation tests were performed on. May 27, 1999, in the tirieinity of the
proposed leach field. Three percolation test holes (P-1 thru P-3), approximately 6 to 10
inches in diameter, were dug to depths of 25 to 33 inches. The locations of the
percolation test holes are shown in Fig. 1, Locations of Percolation Test Holes. The holes
K06CHUM CONSUL, TJNG ENGJNEERS, ,rXC.
Consulting Georeelindeat Engineers
were lxlled with water and the subsurface soils were allowed to saturate for at least 8
hours prior to starting the tests_ The water levels were measured at constant tinxie
intervals and percolation rates were calculated for each interval. The following section,
contains informatiorn on the percolation test results.
PERCOLATION TEST RESULTS
Pl�rcolation, test results are presented lu Appendix A, Percolation Test Results.
The last column of the table provides the water percolation rate for each, time interval.
The water percolation rate for each of the three percolation test holes was 40 minutes per
inch.. We recommend using a percolation rate of 40 minutes per inch in the design of the
leach Meld.
LIMITATIONS
Although the percolation test holes -,xere located to obtain a reasonably accurate
determination of the leach held conditions, variations in the subsurface conditions are
always possible. Variations that exist beneath the site could become evideat during
excavation for the leach field. A representative from our office should observe the
completed excavation to confirm that the soils are as arxticipated,
3
)rOr' CULFfN CONSULTING ENGINE&RS, INC.
Consulting Geateck!tical Rpleiueers
We appreciate the opportunity to provide this service. If we can be of Aaxtber
assistancc in discussing the contents of this report, please call,
KOECHLEIN CONSULTING ENGINEERS, INC,
Scott S. Warner, Engineer
Reviewed by
(4 copies sent)
SCALE 1 "=30'
LOCATIONS OF PERCOLATION TESTS
P-2
•
P--3
JOB NO.99-043 FIG.1
KOECALEINCONS M MVGEN6',INEERS,IN(:
Cv"uttimg Gevlechnicad Engineers
APPENDIX A
PERCOLATION TEST RESULTS
DEPTH
DOLE OF
NUMBER MOLE
INCISES.
P-I 33
PERCOLATION TEST RESULTS
DEPTH TO DEPTH TO
WATER WATER
START OF ENT) OF
TIME TIME TIME TIME
ELAPSED INTERVAL INTERVAL INTERVAL
MINUTES MMUTES INCHES INCHES
IQ 10 3.00 3.75
20 10 3.75 4.25
30 10 4.25 4.75
40 10 4.75 5.25
SO 10 5,25 5.50
60. 10 5.50 5.75
70 10 5.75 5.0
CHANGE
IN
WATER
DEPTH
INCHES
0.75
0.50
0.50
0.50
0.25
0.25
0_25
PERC
RATE
MIMR4CH
13
20
20
20
40
40
40
, T, ,..,
A A 1
JVS7 LVv. 71-�•t� V.�l.liLbdN UUNSULI'INU ENGINEERS, INC.
i
PERCOLATION TEST RESULTS
UEMI TO DEPTH TO
WATER WATER CHANGE
DEPTH START OF END OF IN
HOLE OF TIME TIME TIME TIME WATER I'EItC
NUMBER MOLE ELAPSED INTERVAL INTERVAL INTERVAL DEPTH RATE
INCHES. MINUTES MINUTES INCHES INCHES INCHES MIN/NCH.
P-2 24 .10 10 2.50 3.50 1.00 10
20 1 Q 3.50 4.25 0.75 13
30 10 4.25 4.7 S 0.50 20
40
50
60
10
10
10
4.75
5.00
5.25
5.00
5.25
5.50
0.25
0.25
0.25
40
40
40
70
10
5.50
5.75
0.25
40
rvD lNv. Yy-vim. &(. C-FILbI.N CONSULTFNG ENGINEERS, 1NC.
.t
I Wlir
PERCOLATION TEST RESULTS
HOLE
NUMBER
P-3
DEPTH
OF
MOLE
INCHES
25
TIME
ELAPSED
MINUTES..
10
20
30
40
50
60
70
TIME
INTERVALwrERVAL
MINUTES
10
10
10
10
1{I
10
10
DEPTH TO
WATER
WATER
OF
TIME
INCHES
1.75
2.25
2.75
3.25
3.50
3.75
4.00
DEPTH TO
WATER
END OF
TIME
INTERVAL
INCHES
2.25
2.75
3.25
3.50
3.75
4.00
4.25
CHANGE
�
WATER,
DEPTH
INCHES
0.50
0.50
0.50
0.25
0.25
0.25
0.25
PERC
RATE
MIN/INCH
20
20
20
40
40
40
40
JOB NNO. 99-.043
KOECHLEIN CONSULTING ENGINEERS, INC.
ISDS Permit #�lJ� � Date����
. ISDS Final Inspection
Completeness Form
Tank is 50o gal. Tank Material &aJ'
Tank is located ft. and[�b degrees from
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
^� Tank set level. ( Tank lids within 8" of finished grade.
Size of field ftz units lineal ft.
Technology ( h tr,c 'Dtr
""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.
y Tank has two compartments with the larger compartment closest to the
house.
s
y Measure distance and relative direction to field.(/,�
2 ► A J y`
\V Depth of field J ft.
y Soil interface raked.
T
J Inspection portals at the end of each trench.
+L Proper distance to setbacks.
J
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 12vc, ,
Other
Inspection meets requirements.
leach field fi
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
CALCULATED BY DATE
CHECKED BY DATE
SCALE
..............
Al
.... . ........ . . ........ .
�-tvs. il-1 .:r, , "I I FRE ! - -E—
..!2. f.%rzw7E.nc 6fomn miss 01471 , ifmL t 5*22: ...
1666-99 Tax# ct$4
Parcel #24, '9f'9'-R� Q _
JOB NAME_ Diamond S Ranch Q�, is JOB NO. / ,
20616 Hwy 6, Eagle
oe—
JOB LOCATION
3116
SILL TO
DATE STARTED
pq
DATE COMPLETED
DATE BILLED
- ,k1 r
O d k . Cam.. �-
bA 6-l.
#-5
2l�
Cf�t� %fit
U� l 5D s
a p0-7
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 PROFITL�
JOB FOLDER
v
Printed to U.S.A.
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631 p 1 Q
Telephone: (970) 328-8755-
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 2007-00 BPNO. 13251
OWNER: PAUL MOORE PHONE: 847-234-6955
MAILING ADDRESS: 500 N. WAUKEGAN RD. LAKE FOREST, IL 60045
APPLICANT: RON GROUT PHONE: 970-328-6209
SYSTEM LOCATION: 3910 WARREN GULCH RD., EAGLE, CO TAX PARCEL NO. 1941-311-00-002
LICENSED INSTALLER: LONG'S EXCAVATION, JERRY McARTHUR LICENSE NO. 58-01 PHONE: 970-949-4682
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A I BEDROOM CARETAKER RESIDENCE
750 GALLON 2-COMPARTMENT TANK, 500 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA, 16 INFILTRATOR CHAMBERS AS PER REQUEST
BY INSTALLER SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES, WITH A CLEAN -OUT BETWEEN THE TANK AND THE
HOUSE, AND INSPECTION PORTALS IN EACH TRENCH. DO NOT INSTALL IN WET WEATHER, AND RAKE ALL TRENCH SURFACES TO PREVENT
SMEARING OF SOILS. CALL EAGLE COUNTY FOR FINAL INSPECTION PRIOR TO BACK -FILLING ANY PORTION OF THE INSTALLATION OR
WITH ANY QUESTIONS.
ENVIRONMENTAL HEALTH APPROVAL. DATE: AUGUST 6, 2001
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 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: 500 SQUARE FEET (VIA 16 TNFTT.TR ATOR UNITS )
INSTALLED CONCRETE SFPTTC TANK: IonnGALLONS IS LOCATED 79 DEGREES AND 16 FEET INCHES
FROM THE CLEANOUT
COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT ON AUGTTST 2'1, 2001 - TTIF. TANK FOR
THIS SYSTEM IS LARGE ENOUGH FOR 3 BEDROOMS, BUT THE LEACH FIELD IS ONLY LARGE ENOUGH TO ACC—
OMMODATE ONE BEDROOM.
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED. ' /' �I� � 'C�
ENVIRONMENTAL HEALTH APPROVAL'�t ��r(�{1( DATE: AUGUST 23 . 2001
Incomplete Applications Will NOT Be Accepted
• ,(Site Plan MUST be attached)
ISDS Permit #
Building 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)
* FEE SCHEDULE
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* SIZING AND SITE VISIT FEE $85.00 (WHEN ENVIRONMENTAL HEALTH SIZES THE
* SYSTEM USING YOUR SOILS REPORT)
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
**************************************************************************
PROPERTY OWNER:
MAILING ADDRESS: �/�(7 Al (�iJ� s C am, �� � /'
l a Ke rr PAPHONE :
- 3 °/- 69�"S"-
�� • fir e13
APPLICANT/CONTACT PERSON: I�D4 %�
e�� S
PHONE:
6���
LICENSED SYSTEMS CONTRACTOR:
PHONE:
COMPANY/DBA: r' XCIOyItl =.x
ADDRESS:Cif
PERMIT APPLICATION IS FOR: (() NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: 9,-,r,4 -y na rhil -j _
Tax Parcel Number: 3 "-00- 0QC1 Lot Size:
Physical Address: �'Ila
BUILDING TYPE: (Check applicable category)
Residential/Single Family Number of Bedrooms
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
*These systems require design by a Registered Professional Engineer
S
TYPE OF WATER SUPPLY: (Check applicable category)
M Well ( ) Spring ( ) Surface
( ) Public Name o Sunolliier:
APPLICANT SIGNATURE: Date:
AMOUNT PAID:
RECEIPT #:
CHECK #:
DATE : • _
CASHIER:
.e
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
DATE: August 6, 2001
EAGLE COUNTY, COLORADO
TO: Long's Excavating, Jerry McArthur
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
FROM: Environmental Health Division
RE: Reissuance of Individual Sewage Disposal System Permit #2007-00, Tax Parcel
#1941-311-00-002. Property Location: 3910 Warren Gulch Rd., CO., Moore
residence.
Enclosed is your ISDS Permit #2007-00. 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. If you have not been contracted to install this system
please contact Eagle County Environmental Health.
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. Do not back fill any part of the
installation until it has been inspected. If all items are not completed, a reinspection fee of
$42.50 must be paid before a reinspection is made.
Please call our office well in advance to allow for scheduling of final inspection. Your building
permit TCO 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
Enclosures: ISDS permit # 2007-00; ISDS Final Inspection Completeness Form
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
EAGLE COUNTY, COLORADO
August 23, 2001
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
Paul Moore
500 N. Waukegan Rd.
Lake Forest, IL 60045
RE: Final of ISDS Permit #2007-00, Tax Parcel #1941-311-00-002. Property
location: 3910 Warren Gulch Rd., Eagle, CO.
Dear Mr. Moore:
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,
al�
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL: Informational Brochure
Final ISDS Permit
cc: files
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631 �� -
Telephone: (970) 328-8755 �_L �
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 2007-00 BP NO. 13251
OWNER: PAUL MOORE PHONE: 847-234-6955
MAILING ADDRESS: 500 N. WAUKEGAN RD. LAKE FOREST, IL 60045 f
,F
APPLICANT: RON GROUT PHONE: 970-328-6209
r
SYSTEM LOCATION: 3910 WARREN GULCH RD., EAGLE, CO TAX PARCEL NO. 1941-311. 00-002
LICENSED INSTALLER: BIG HORN EXCAVATING, RON GROUT LICENSE NO. 1-00 I`HoO E: 970-328-6209
DESIGN ENGINEER: PHONE NO. 1
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A BEDROOM CARE TAKER RESIDENCE
750 GALLON 2-COMPARTMENT TANK, 500 SQUARE FEET OF ABSORPTION AREA CRED , VIA, 16 INFILTRATOR CHAMBERS AS PER REQUEST
BY INSTALLER SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENG ES, WITH A CLEAN -OUT BETWEEN THE TANK AND THE
HOUSE, AND INSPECTION PORTALS IN EACH TRENCH. DO NOT INSTALL IN WET WEAT4R, AND RAKE ALL TRENCH SURFACES TO PREVENT
SMEARING OF SOILS. CALL EAGLE COUNTY FOR FINAL INSPECTION PRIOR TO BACK -FILLING ANY PORTION OF THE INSTALLATION OR
WITH ANY QUESTIONS. /` ' ,� �.� ¢ `�.
ENVIRONMENTAL HEALTH APPROVAL: �7� ��Gf�(,( 6tt.t �r DATE: JULY 19, 2000
CONDITIONS: I
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 VAVE 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. J
FINAL APPROVAL OF SYSTEM (TO BE COMPLETED BY INSPECTQk):
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.
I
INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET (VIA )
I
INSTALLED TANK: :GALLONS IS LOCATED DEGREES AND FEET INCHES
FROM
COMMENTS: j.
1
ANY ITEM NOT MEETING REQUIREMENTS WIL�BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED. WI/BE
ENVIRONMENTAL HEALTH APPROVAL / DATE:
i
IN
Incomplete Applications Will NOT Be Accepted
`(Site Plan MUST be attached)
ISDS Permit # 0Z_60 qr67Z)
Building Permit # /,345-
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)
**************************************************************************
* FEE SCHEDULE
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* SIZING AND SITE VISIT FEE (WHEN ENVIRONMENTAL HEALTH SI HE
* SYSTEM USING YOUR SOILS RE ORT)
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
**************************************************************************
PROPERTY OWNER:
MAILING ADDRESS: PHONE:
APPLICANT/CONTACT PERSON: Ly1 GratA— PHONE: 32P'm u-
LICENSED SYSTEMS CONTRACTOR: �Cac �-�l PHONE :3 _, 26
COMPANY/DBA: nr- ADDRESS: O
1931
***************************************************************************
PERMIT APPLICATION IS FOR: X NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: �''r1`(�g�C`T <V 1 �it►1oh�l 5 �,�
Tax Parcel Number:
Physical Address:
BUILDING TYPE: (Check applicable category)
( Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Lot Size: S
Number
Number
Type _
of Bedrooms
of Bedrooms
*These systems require design by a Registered Professional Engineer
TYPE OF WATER SUPPLY:
( Well ( )
( ) Public Name
APPLICANT SIGNATURE:
(Check applicable category)
Spring ( ) Surface
of Supplier:
Date: /—Q-00
AMOUNT PAID:�Zs RECEIPT # : 86,j `i DATE:
CHECK #: CASHIER:
Z
Community Development Department
(970)328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
DATE: July 19, 2000
EAGLE COUNTY, COLORADO
TO: Bighorn Excavating, Ron Grout
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 #2007-00, Tax Parcel
#1941-311-00-002. Property Location: 3910 Warren Gulch Rd., CO., Moore
residence.
Enclosed is your ISDS Permit #2007-00. 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. If you have not been contracted to install this system
please contact Eagle County Environmental Health.
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. Do not back fill any part of the
installation until it has been inspected. If all items are not completed, a reinspection fee of
$42.50 must be paid before a reinspection is made.
Please call our office well in advance to allow for scheduling of final inspection. Your building
permit TCO 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
Enclosures: ISDS permit # 2007-00; ISDS Final Inspection Completeness Form
ISDS PERMIT # 0o 7 - 0 0
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATLH
.OWNER: -Illff
-PHSYSICAL ADDRESS: PIW,,i W &_avya-Ad _s sq /0 C�-,
LEGAL DESCRIPTION: 19q11-,311-00-,f5oJ,
MAILING ADDRESS: P�,)Fa-d-t- q,,
TYPE OF DWELLrNG:,,,,,6ago NUMBER OF BEDROOMS:
TEST HOLES PRE-SOAKED: YES X NO
SOIL
TIME WATER DEPTH INCHES OF FALL RATE PROFILE
(y I
W4
12
L) 18 7
�87 5
o �'
21
0
to
3 Iz
31
i Z, t<
41
q37s
.2,5
Ao
611
-30
711
I
-/111"S
12,S
(13 7
q, 0
1 YO
/"g,
i, v
8T
vo
qi ZS
3/h,
18 7s
13
i
5
a4,,77
9
11;
-7 , �7 1113,15
5
75-1
&7s-- 1..
3
26, 7
101
TIME TO DROP LAST INCH: PERC RATE: c),,S-
MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: 152 �,
COMMENTS: —,tT7E
ENVIRONMENTAL HEALTH SPECIALIST DATE
_pkd,
tcbv_1j,_.
,�bA'o_
Ism Permit 00 Date '61 S ' f
ISDS Final Inspection
Completeness Form 3 Wf__
Tank is gal. Tank Material 0 tNk-e i 'L
1/ Tank is located __L ft. and degrees from; it.
(permwent landmark)
Tank is located ft. and degrees from
(pe. anent lam ukrk)
Tank set level. Tank lidp within 6" of finished grade.
Size of field ft- units lineal ft.
Technology �• %" ``
k,`�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.
�nk 'has twa compartments with the._ 3 anger-. ,c, ptpartment closest to the
house.
-:Mea_sure: ds-tance and relative direqt�to._-fi.eld, ---
.Depth of field. � ft.
Soil interface raked.
y Inspection portals at the _end of each trench..
Proper distance to setbacks.
71,
✓ Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks 'removed from
%trenches, etc.) y `..� v ...
^� Type of pipe used for building sewer line T a, leach field
1,-11 Other 72 Ll'- &J
( 7YCewv-�- °�.lt Cc� C'elzc � �
Inspection meets � - 11(L� Z .• �''���� �DZv�t &tAV ,
Copy form to installer's file if recommendations for improvement were
suggested. Ju d ` �c $ ,Cp 1-7�
ACTION TAKEN: �✓ (1�%
Setbacks . 4Z�5—
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
2007-00 Tax #1941-31;L-O#-002 J
JOB NAME_ 39arcel #2 Diamond S ,UBeRE ��"�� f �3, %)���/�� �e���i � JOB NO.1�!�� /
'-W- Rd. , Eagle
Garage Care Taker ,in; t
1
BILL TO
DATE STA TED
DATE COMPLETED
DATE BILLED
rs n s (,—q`7 -`
l &tu�rn ��:�.-h � 7 so o *�,�- � zs -
Zzl
alyk
nIA-wl
��`
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
lo
[/�
TOTAL LABOR
INSURANCE
,�
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 JOB FOLDER Primed In u.Sa
-1-
Farce l 24 jJiCzmar.� �Fr�r'�blgl� j
3c110 UQ.YYevi Gulch RcP-
I�ru�lcQCv�95eWer OV'2r p�p�5 �pa`i �T�ilta5.
..+
-o() jgl{I -31/_ 00 ova 1'Ylwr-e.
f�arcel �2� �JiCi wtov�d2 S ��
�`Il0 LJay-ve.vt G-,, LCk
8%9/°I
16 Cal e