HomeMy WebLinkAbout264 Kaibab Rd - 210904102015INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
ORIGINAL PERMIT NO. 0441-80
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. REPAIR PERMIT NO. 2025-OOR BP NO.
OWNER: JAMES B. EHMAN PHONE: 970-328-6290
MAILING ADDRESS: P.O. BOX 178, EAGLE, CO 81631
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 0264 KAIBAB ROAD, EAGLE, CO TAX PARCEL NO. 2109-041-02-015
LICENSED INSTALLER: AAAA SEPTIC PUMPING, JIM WILSON LICENSE NO. 26-00 PHONE: 970-524-9524
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 5 BEDROOM RESIDENCE
EXISTING 1250 GALLON SEPTIC TANK, ADDITIONAL 1000 GALLON BAFFLE -LESS TANK, 1406.5 SQUARE FEET OF ABSORPTION AREA, VIA 46 INFIL-
TRATOR UNITS, AS REQUESTED BY INSTALLER
SPECIAL REQUIREMENTS: INSTALL THE NEW TANK IN FRONT OF THE EXISTING TANK. INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH
INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT THE 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 INSTAL-
LATION, OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. THIS SYSTEM MUST BE COMPLETED BY SEPTEMBER 20, 2000.
ENVIRONMENTAL HEALTH APPROVAL: ($ A iti DATE: SEPTEMBER 14, 2000
c
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: 1426 SQUARE FEET (VIA 46 INFILTRATOR UNITS )
INSTALLED 1 COMPARTMENT TANK: 1 000 GALLONS IS LOCATED 7L DEGREES AND .8 FEET INCHES
FROM THE.,A.:CLEANOUT .'ON,, THE::;EAST SIDE ',0R-",THE"H0USF_
'r r,
COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT ON SEPTEMBER 21, 2000, THE EXISTING
TANK NEED RISER RINGS INSTALLED TO BRING IT UP TO 8 INCHES OF THE FINISHEDDGRADE. THE RECEIPT
WAS DELIVERED ON SEPTEMBER 23, 2000. THIS SYSTEM IS LARGE ENOUGH FOR A FIVE BEDROOM HOUSE.
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL (.E�/((� ,< <� �� LG�I DATE: SEPTEMBER 25, 2000
Indomplete Applications Will NOT Be Accepted
-(Site Plan MUST be attached)
ISDS Per ' t # OWJ "
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: l/S
MAILING ADDRESS: ege ejOX 17 ff £.41,.2 z- eb. 0-143.1 PHONE : 9�Z94 Z,<'O
APPLICANT/CONTACT PERSON: 5�h-le.- - PHONE:
LICENSED SYSTEMS CONTRACTOR:
COMPANY/DBA:
ADDRESS:
PHONE:
( ) ALTERATION (
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
xhrAtx
Legal Description:
Tax Parcel Number: (D`j U�( b d �� Lot Size: ,9. ,r3?
Physical Address: 02(. v X 141d.416 -/,? /> ,
BUILDING_ -TYPE: (Check applicable category)
(✓j Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number of Bedrooms
Number of Bedrooms
Type
*These systems require design by a Registered Professional Engineer
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Suriface,.
(� Public Name of Supplier:
APPLICANT SIGNATURE: Date:ell
AMOUNT PAID: c�p/�� (} RECEIPT DATE: �-A
CHECK #: CASHIER:
Community Development Department
(970)328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
September 25, 2000
James and Delight Ehman
P.O. Box 178
Eagle, CO 81631
EAGLE COUNTY, COLORADO
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Repair Permit #2025-OOR, Tax Parcel #2109-041-02-015. Property
location:.0264 Kaibab Road, Eagle, CO.
Dear Mr. & Mrs. Ehman:
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
ISDS PERMIT# aOa'5 -0 o r-,-
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATLH
-6
-PHSYSICAL'ADDRESS:O-Q(,4 lya�kah- /iA
LEGAL DESCRIPTION: j e 6-'[ , L44L
MAILING ADDRESS:- PO
TYPE OF DWELLING: P_ 5 'F_- NUMBER OF BEDROOMS: 5
TEST HOLES PRE-SOAKED: YES NO
SOIL
TIME WATER DEPTH INCHES OF FALL RATE PROFILE
)o
12
4-t)
21 T
I D
31
21
41
20
3,33
51
z,5
fS
2 5
q o
6'
71 5
Z�
1 0,
TIME TO DROP LAST INCH: PERC RATE: I --)--
MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: 150 0
COMMENTS: s l l Z S 1125/ 9
46 -fyi �, 14ya A-o v- c 1-\n r
ENVIRONMENTAL HEALTH SPECIALIST DATE
I
Ins Permit #26 � 6-DO/2
Date �/,Wo o
ISDS Final Inspection
Completeness Form
W-" �✓ Tank is 1.000 gaol. Tank Material
"�` l 000,c d"
Tank is located ? + ft. and / degrees
(Permanent landmark)
l• `4 1 Tank is located ft. and degrees frog,
(parmanant landmark)
Tank set level. Tank lidithin 8" of finished grade.
✓ size of field 14.2,b ft' units lineal ft.
Technology
L-11"Cleanout is installed in between tank and house(+ 1/100ft).
There is a "Tn that goes down 14 inches in the inlet and
outlet of the tank. .
'- Inlet.and outlet is sealed with tar ;tape,. rubber gasket etc.
t,J „ TU hU* l..e�_ 2 ervw{� ►x �
.� s two=e.'olnpartments with the._Aai°ger-.,:c.QMpaxtment closest to the . ,__;, ,.,:.
house.
' rt asure: diftance and relative direq-t$ D ; to .,, -e-1.4
2•1/z
Depth of field. f t . .... .. •. .. .
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 linesDR 3S leach field S n123S-
Other l(tLQ,[�'
Inspection meets reMAirements. U �LlIj
Copy form toinstaller'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
,� 50 10 5 10 50 10 * 10
JOB
EAGLE -COUNTY ENV. HEALTH
P.O. BOX 179
EAGLE, CO 81631
SHEET NO,
OF
CALCULATED BY DATE
PRODDC7204.1(SIngle Sheets) 2054)Padded) �®Inc, Groton, Mass. 01431. To Order PHONE TOLL FREE 1-800-225.6380
0414 Lt 59 Filing 2 Kaibab zuZ�-uux Tax 1fZ1UV-U41q-UL-U15
Sbdvsn, 0264 Kaibab Rd, Lot #59, Filing 2, EHMAN
JOB NAME _ Ehman Upper Kaibab Subdivision
Parcel # 210904102015
0264 Kaibab Road, Eagle
JOB NO.
JOB LOCATION
BILL TO
DATE STARTEDimp
DATE COMPLETED
DATE BILLED
NO I WIN ME. 104
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TOTAL MATERIAL
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TOTAL LABOR
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MISC. COSTS
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SINErA
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 Lr�1R NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471
C-P-VyL� ao 'Z S- 0 a 7 Igyf 61 P "2-
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EAGLE LINTY DEPARTMENT OF ENVIRON14,1- TAL HEALTH
Box 811 6th & Broadway ,.
Ea le Colorado 81631
PERMIT MUST BE POSTED ON LOCATION b ' PLEASE CALL FOR FINAL INSPECTION
PERMIT N° 4i4 (this does not constitute
a building or use permit)
Owner JAMES BRADFORD EHMAN
System Location KAIBAB SUBDIVISION: LOT 59, Filing #2
Licensed gRXi ��� •'1zo.�e "
* Conditional Construction approval is hereby granted for a 1.000 gallon
xx Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 20 minutes 750 sq. ft.
absorption area per bedroom 250 sq. ft.
# of bedrooms 3 x 250 sq. ft. minimum requirement
,;2-¢-7271
MINIMUM 1,000 gal. septic tank
MINIMUM 750 sq. ft. leach
field
May we suggest Minimum 1,000 gallon septic tank with minimum 750 sq. ft. leach field.
Date November 13, 1979 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 pripy-tto covering any part.
Se is Tank cleanout to within 12" of final grade or aerated access ports above grade.
per materials and assembly.
5 de u.ate absorption (or dispersal) area.
Adequate compliance with permit requirements.
C/-s/ X -�47
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
P ermit N ® 414
Name of Applicant
James Bradford EHMAN
Amount Paid $75.00
D ate Paid
$25 - 1/8/79 $50 - 10/17/79
Check (no cash) Cashier 1/8/79 = Deighan 10/17/79 = Morgan
IVloney Order EHO #9005 Treas #30081
EHO #9145 Treas #31665
ALL CHECKS ARE TO BE MADE PAYABLE TO EAGLE COUNTY
Eagle Cty. — White Copy Applicant — Green Copy Dept. — PinK Copy
7-2/
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT No 56O `
Name of OwnerC/� % Phone: ���— 1 i� O
Address of Owner: C_ 11,+/If �L✓ ,t��®X ��Q���� a�
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System:
Legal Discription:_ 41-0 Z �� �1G i��
Type of Structure: Single Family Dwelling X) Other: No. Bedrooms.
Water Supply: Private Well ( ) Location: Distance From leach field:
Size of Lot:'�!3���G� 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:
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit. ,
SIGNATURE OF APPLICANT _ Dater
his application becorrinvaIi 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information:? �130 /l/0--c Permit No.
Tank Capacity: /s�i3 gal. (minimum) Fee Receipt's 7006- a 00
Absorption Area: z=f 0 <7 Sq. ft. (minimum) File: lftb 9
REMARKS:
APPLICATION IS: APPROVED ( V) 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:
-" ENVIRONMENTAL HEALTH
- M
PE'R_COLATION TEST FEE BOX 850
$50.00 EAGLE, COLORADO 81631 PERMIT FEE
$25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
N0. �J
NAME OF OWNER: fAA b1=a21j 7111-AAA PHONE t?V S - S ?o S
ADDRESS: O 7 fI GL ,E
NAND; OF APPLICANT: �� PHONE
ADDRESS:
DESIGN ENGR.. FOR SEPTIC (if necessary):
ADDRESS:
LICENSED INSTALLER.:
ADDRESS:
IS PERMIT FOR
PHONE
PHONE
( k-� New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County e Lot Size � Q�
City or Town, if. within City or Town Limits
LEGAL '.DESCRIPTION: ` D —j- 5'
WASTES TYPE: ( ✓�_ Dwelling ( ) Commercial or Institutional
( ) Non -Domestic Wastes ( ) Transient Use ( ) Other
IS SYSTEM DESIGNED FOR 2,000 GALLONS PER. DAY OR LESS? ( Y"-y-es ( ) no
BUILDING OR SERVICE TYPE: '
Number of Persons
Number of Bedrooms 3
( v'I- Garbage Grinder (L,�Automatic Washer (' Dishwasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( )Stream or Creek
Give depth of all wells within 180 .feet of system:
If supplied by community water, give name of supplier : ,e
GROUND CONDITIONS: Percent Ground Slope:
Depth to Bedrock: Depth to Groundwater Table:
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(
Septic Tank
(
)
Aeration Plant
(
} Chemical Toilet
(
)
Vault Privy
(
)
CompostingToilet
(
) Recycling,
Potable Use
(
}
P
Pit Privy
(
}
Incineration Toilet
(
) Recycling,
Other Use
(
)
Greywater
(
)
Other
SOIL
PERCOLATION TEST
RESULTS: Minutes
per
inch in Hole
No. l
Minutes
per
inch in Hole
No. 2
Minutes
per
inch in Hole
No. 3
iC i� iC
iC
is iC n 'C iV iC J`
n i�
iC
iL 1,
IMPORTANT! t t
APPOINTMENT FOR. FINAL INSPECTION MUST BE 'MADE PRIOR.TO COVERING BY CONTACTING
THE INSPECTING ENVIRONMENTAL HEALTH OFFICER. REFER. TO PERMIT NUMBER.. NO
APPROVAL WILL BE GIVEN ON ANY SYSTEM 1•4'ITHOUT FINAL INSPECTION.
TOLL -FREE NUMBERS
328-7311, Ext.
949-5257, Ext.
927-3823, Ext.
238 (Eagle area)
238 (Vail area)
238 (Basalt area)
(OVER)
- ���,✓ %obi � �� 9 � �'-�
• PERCOLATION TEST
FEE: $50
APPLICATION NO.
OWNER:
dell
1 ,
LEGAL DESCRIPTION:
RURAL Y ADDRESS:
TYPE OF DWELLING: �,'Gei�� OF BEDROOMS:
DATE OF TEST: /D - 7 TYPE OF SOIL: f ��
TEST HOLES PRESOAKED: YES_ NO
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
2
3.
1
2
3
1
2
3
2-1
2(4Z3
2
Z
z
7
273
s r
z
�x/-
%'
�a
z, 3 y
z�
0
2C)
PERCOLATION RATE: Zy TANK SIZE: (� 4
SQUARE FOOTAGE PER BEDROOM: LJ LEACH FIELD SIZE: O
Site has been reviewed and tested for percolation rate.
We recommend: APPROVAL X DISAPPROVAL
DATE: �lj � �5? 7�
EAGLE COUNTY
ENVIRONMENTAL HEALTH OFFICER
EAGLE C0(1NTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
December 19, 1985
1st Security Savings
Marlo Mitcham
905 Grand Ave.
Glenwood. Springs, CO 81601
RE: Loan Inspection for property located at Lot 59, Filing 2,
Kaibab Subdivision - 0264 Kaibab Road
Dear Ms. Mitcham:
All water and sewage disposal system loan inspections are
done under the authority of the Eagle County Building Regulations,
Section 10, sub -paragraph 3-A, adopted by the Eagle County
Commissioners, September 20, 1982.
An onsite inspection of the sewage disposal system on
December 19, 1985 revealed that the system is functioning properly
with no apparent problems. This system was installed and approved
under ISDS Permit #414 on April 11, 1980.
Water is supplied by the Town of Eagle Community Water Supply.
If you have any questions regarding this inspection, please
contact our office.
Sincerely yours,
Sid Fox
Asst. Environmental Health Officer
EAGLE COUNTY
Clerk and Recorder
P.O. Box 537
Eagle, Colorado 81631
Sheriff
P.O. Box 359
Eagle, Colorado 81631
Treasurer
P.O. Box 479
Eagle, Colorado 81631
--To `—�
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LOCATION: opt COY
REQUESTOR: 0 R&, o
LOAN INSPECTION FORM
bA b -
M ) TLk (-k V►1
COPIES TO:
n
BILL TO: o�.Jr • 0 Q V - S`
PG'tO I^T 7
ISDS PERMIT //
INSPECTION INFORMATION: 2� no V 5IF Gr✓ ��
INSPECTION DONE BY: DATE: ���1�