HomeMy WebLinkAbout825 Vista Hi Dr - 239127401007INDIVIDUAL 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. 2044-00 BP NO. 13442
OWNER: SCOTT AND JUDY SAMBORSKI PHONE: 970-963-7199
MAILING ADDRESS: P.O. BOX 2388, BASALT, CO 81621
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 0325 VISTA HIGH DRIVE, EL JEBEL, CO TAX PARCEL NO. 2391-274-01-007
LICENSED INSTALLER: ASPEN EARTHMOVING, TROY BUSTER LICENSE NO. 21-00 PHONE: 970-963-0377
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 4 BEDROOM RESIDENCE
1250 GALLON SEPTIC TANK, 1125 SQUARE FEET OF ABSORPTION AREA CREDIT, IF CHAMBERED UNITS ARE USED 37 ARE NEEDED
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 5 BEDROOM RESIDENCE
1500 GALLON SEPTIC TANK, 1406 SQUARE FEET OF ABSORPTION AREA CREDIT, IF CHAMBERED UNITS ARE USED 46 ARE NEEDED
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES, WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE, AND IN-
SPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS, AND DO NOT INSTALL UNDER WET
CONDITIONS. IF GRAVEL AND PERFORATED PIPE ARE USED THE TOTAL AREA MUST BE INSTALLED. CALL EAGLE COUNTY ENVIRONMENTAL
HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION OR WITH ANY QUESTIONS REGARDING THE
INSTALLATION. THE BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS BEEN INSPECTED
AND APPROVED.
ENVIRONMENTAL HEALTH APPROVAL: LAURA FAWCETT DATE: NOVEMBER 16, 2000
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: 1488 SQUARE FEET (VIA 48 INFILTRATOR UNITS )
INSTALLED CONCRETE SEPTIC TANK: 1500 GALLONS IS LOCATED 45 DEGREES AND 32 FEET INCHES
FROM THE CLEANOUT NEAR THE HOUSE.
COMMENTS: FINAL INSPECTION WAS DONE BY WILLIAM CARLSON ON APRIL 11, 2001. THIS SYSTEM IS LARGE ENOUGH FOR A 5 BEDROOM RES-
IDENCE.
ANY ITEM NOT MEETING REQUIREMENTS W LL B CTED BEFO NAL OVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE: APRIL 12, 2001
INDIVIDUAL 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. 2044-00 BP NO. 13442
OWNER: SCOTT AND JUDY SAMBORSKI PHONE: 970-963-7199
MAILING ADDRESS: P.O. BOX 2388, BASALT, CO 81621
APPLICANT: SAME PHONE:
SYSTEM LOCATION:_0325 VISTA HIGH DRIVE, EL JEBEL, CO TAX PARCEL NO. 2391-274-01-007
LICENSED INSTALLER: ASPEN EARTHMOVING, TROY BUSTER LICENSE NO. 21-00 PHONE: 970-963-0377
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 4 BEDROOM RESIDENCE
1250 GALLON SEPTIC TANK, 1125 SQUARE FEET OF ABSORPTION AREA CREDIT, IF CHAMBERED UNITS ARE USED 37 ARE NEEDED
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 5 BEDROOM RESIDENCE
1500 GALLON SEPTIC TANK, 1406 SQUARE FEET OF ABSORPTION AREA CREDIT, IF CHAMBERED UNITS ARE USED 46 ARE NEEDED
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES, WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE AND IN-
SPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS, AND DO NOT INSTALL UNDER WET
CONDITIONS. IF GRAVEL AND PERFORATED PIPE ARE USED THE TOTAL AREA MUST BE INSTALLED. CALL EAGLE COUNTY ENVIRONMENTAL
HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION OR WITH ANY QUESTIONS REGARDING THE
INSTALLATION. THE BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS BEEN INSPECTED
AND APPROVED.
ENVIRONMENTAL HEALTH APPROVAL/"I? V DATE: NOVEMBER 16, 2000
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 TANK: GALLONS IS LOCATED DEGREES AND FEET INCHES
FROM
COMMENTS:
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 DATE:
Inc:omplete'Applications Will NOT Be Accepted
.(site Flan MUST be attached)
ISDS Permit # _ c�.0 Wq _ n
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE_ - - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
3A�W 328-8755/927-3823 (Basalt)
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* MAKE ALL REMITTANCE PAYABLE'TO: "EAGLE COUNTY TREASURER"'
PROPERTY OWNER:
MAILING ADDRESS: PHONE: 9 G'3 719
APPLICANT/CONTACT PERSON: `� 1131"Per—al:4 PHONE: /0-MS'
LICENSED SYSTEMS- CONTRACTOR: AS -EN 6,A OZ Rf MbVlH-C=� PHONE: 0-0377
COMPANY/DBA: ADDRESS:
PERMIT APPLICATION IS FOR: MI"NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: e;WOR- 46
Legal Description:
Tax Parcel Number:
Physical Address:
O M auvy t,-,.1 me
BUILDIN TYPE:. (Check applicable category)
(Residential/Single Family
(.) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OFONATER SUPPLY: (Check applicable, category)
Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
*These systems requ' a design by a Registered Professional -Engineer
SIGNATURE: Date:
cam. e�
AMOUNT PAID: RECEIPT #: J DATE:
CHECK #: 4755 CASHIER:
Number of Bedrooms
Number of Bedrooms
Tvve
y
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: November 16, 2000
TO: Aspen Earthmoving
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 #2044-00, Tax Parcel
#2391-274-01-007. Property Location: 0325 Vista Hi Drive, Carbondale, CO.,
Samborski residence.
Enclosed is your ISDS Permit #2044-00. 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.
Due to the onset of inclement weather, all installations must be completed
prior to Friday, December 1, 2000 in order for Eagle County Environmental
Health to perform a final inspection. In the event that inclement weather
interrupts your installation, please cover the installed components with
plastic sheeting so that they are not covered with snow and are visible for the
inspector. All field work will resume, weather permitting, on March 15, 2001.
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 # 2044-00; 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
April 12, 2001
Scott and Judy Samborski
P.O. Box 2388
Basalt, CO 81621
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit #2044-00, Tax Parcel #2391-274-01-007. Property
location: 0325 Vista High Drive, El Jebel, CO.
Dear Mr. and Mrs. Samborski:
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# AQ qq-0 0
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATLH
OWNER:
-PHSYSICAL ADDRESW fe 30CC2
LEGAL DESCRIPTION: Vlv� 4h -
I
MAILING ADDRESS:. x 1-: �i:; �-, cl 0 a 2-
TYPE OF DWELLING: F NUMBER OF BEDROOMS:
TEST HOLES PRE-SOAKED: YES NO
SOIL
TIME WATER DEPTH INCHES OF FALL RATE PROFILE
12
31
41 IEEE
61
71
81
10
TIME TO DROP LAST INCH: PERC RATE:
MINIMUM LEACH FIELD SIZE:_ miNimum sEpric TANK SIZE:
q
ENVIRONMENTAL HEALTH SPECIALIST DATE
ISDS Permit # � � , �
Date
IMS Final Inspection
Completeness Form
Tank is �' �' gal. Tank Material •, .
Tank. is located 10 f.- f t . and � / 9 degrees from C /44 r�3 -� + ,.,4 ,T
(permanent landmark)
Tank is located I. f t . and degrees from-2
(pervanwt landmark)
Tank set level. Tank lids within 8" of finished grade.
—Size of field �`y`��ftz units lineal ft.
Technology. _ro rn' ( i -7P
eS Cleanout is installed in between tank and house(+ 1/100ft).
:`^J There is a "T" that goes down 14 inches in the inlet and
outlet of the tank:
Inlet.and outlet is sealed with tar -,tap rubber gaske c.
Tank- •has -.two : compartments with the. I:arger..e.ce partment closest to the
house.
-M+eaeure: distance and relative directl:on; to ,f,1eld:
_Depth of field. ��- ft.
�s soil interface raked.
~� Inspection portals at the.end of each trench..
Proper distance to setbacks.
k S 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 lineleach field V R.35'
Other
== Inspection meets requirements.
Copy form to installer's file if recommendations for improvement were
suggested.
ACTION TAKEN:
Setbacks 19
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
Field's 25 20 10 50 25 10 10
Tank 50 10 5 10 50 10 * 10
JOB
-- EAGLE" CObWE-Y- . iffikLTH
P.O. BOX 179 SHEET NO. OF
EAGLE, CO 81631 CALCULATED BY-� �J�/�'� DATE
n /
CHECKED BY FJ Ski '4 DATE 1 `" ✓ "
SCALE
C
2044-00 Tax #2391-274-01-007
JOB NAME Lot #30, Filing 2, SAMBORSKI
Mt. Meadow Ranches, El Jebel
_0325 V-i Gta u; ei, nr�
JOB NO. p 0 ` H L
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LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
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