HomeMy WebLinkAbout22 Sierra Vista - 239127204001INDIVIDUAL 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. 2151-01 BP NO. 13 9 9 4
OWNER: BOB LEVEY PHONE: 970-927-5009
MAILING ADDRESS: 0031 DUROUX LANE, UNIT L, BASALT, CO 81621
APPLICANT: SCOTT DEWIND, DEWIND DEVELOPMENT PHONE: 970-704-1700
SYSTEM LOCATION: 0022 SIERRA VISTA DRIVE, CARBONDALE, CO TAX PARCEL NO. 2391-272-04-001
LICENSED INSTALLER: ZAMORA EXCAVATING, JOE ZAMORA LICENSE NO. 18-01 PHONE: 970-963-1399
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 3 BEDROOM RESIDENCE
1000 GALLON SEPTIC TANK, 1125 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 36 CHAMBERED UNITS
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 IN WET
WEATHER. BE SURE TO MAINTAIN ALL APPLICABLE SET BACK REQUIREMENTS. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR THE
FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION OR WITH ANY QUESTIONS. THE BUILDING CERTIFICATE
OF OCCUPANCY WILL NOT BE ISSUED U= Ta SEP SYSTOAAS BEEN INSPECTED AND APPROVED.
ENVIRONMENTAL HEALTH APPROVAL: DATE: OCTOBER 17, 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: 1 12 5 SQUARE FEET (VIA 36 INFILTRATOR UNITS )
INSTALLED CONCRETE SEPTIC TANK: 1250 GALLONS IS LOCATED 90 DEGREES AND 25 FEET INCHES
FROM SOUTH CORNER OF THE HOUSE FOUNDATION.
COMMENTS: THE FINAL INSPECTION WAS DONE BY WILLIAM CARLSON OF EAGLE COUNTY ENV HEALTH ON 4-17-0
THE TANK FOR THIS SYSTEM IS LARGE ENOUGH FOR 4 BEDROOMS, BUT THE LEACH FIELD IS ONLY BIG ENOUG
FOR 3.
ANY ITEM NOT MEETING REQUIREMENTS WIL RRE TE O FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED.
r
ENVIRONMENTAL HEALTH APPROVA DATE: APRIL 25, 2002
OCT-11-2001 10:43A FRON:EAGLE COUNTY ENV HEA 9703288788
TO:919707041710
P:1/5
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit # C; �S V o
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
Eagle (970)328-8755, Fax (970)328-0349, El Jebel (970)927-3823
* FEE SCHEDULE
* APPLICATION FEE $350.00
* THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PERCOLATION TEST,
* SOIL PROFILE OBSERVATION) AND FINAL INSPECTION
* ADDITIONAL FEES MAY BE CHARGED IF A REINSPECTION IS NECESSARY, OR A
* PRE -CONSTRUCTION SITE VISIT OR CONSULTATION IS NEEDED
* REINSPECTION FEE $47.00, PRE -CONSTRUCTION SITE VISIT FEE $85.00
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: _ C • �� L-u
MAILING ADDRESS: 003` DLr ova (-A-N f N, 7- L, J SA PHONE: =• act
APPLICANT/CONTACT PERSON: bLQa- [ HONE: :10q, 1700
�- T_
LICENSED SYSTEMS CONTRACTOR: /PHONE:
COMPANY/DBA: Z�r'1UG fk LFW A TJ �1 ADDRESS: I0 �,Ak 7S
PERMIT APPLICATION IS FOR: (�) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: �*,noo F-57P , #vim m'(G�� 5srA-T1�5 LO7 I
Tax Parcel Number: 01-,31Gt"c)V--Q'i"_0d 1 Lots Size:
Physical Address:
BUILDING TYPE: (Check applicable category)
(X Residential/Single Family Number of Bedrooms
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
*These systems require design by a Registered Professional Engineer
TYPE OF
(kA
APPLICANT SIGNATURE
AMOUNT PAID:
WATER SUPPLY: (Check applicable category)
Well ( ) Spring ( ) S rface
Public Name of Supplier: 040�1 i�StA--jv).
Date: D, bl,7�Og
1
Post -it" Fax Note 7671
Date
pages► j
To
From
CoMept.
Co.
Phone #
Phone # V6 _1 - 31 & 3
Fax# 9'II3-7A /�/0
FaxVIA-'3..2Q 9711 ,?
************ *****
IER:
-et-- lqqq
1
ISDS PERMIT #
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATLH
.OWNER: Ac)t I(?-- VQ_:;
•PHSYSICAL ADDRESS: r ..� -
LEGAL DESCRIPTION. ' C �, B
MAILING ADDRESS: Ifm01 A
TYPE OF DWELLING: NUMBER OF BEDROOMS:
TEST HOLES PRE-SOAKED: YES —'� NO
SOIL
TIME WATER DEPTH INCHES OF FALL RATE PROFILE
17)
�V
751�.
5g/,
l+
/yt`
is
�,��-
, s
.2
2 �,
`�o
3 .,
1.�
a
-7 %
-2
J?�
8
TIME TO DROP LAST INCH: PERC RATE:````'
MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE:
ENVIRONMENTAL HEALTH SPECIALIST
DATE
7'. =�
0,T1CIO
LJLII—Llj—rjL tulmova-zp plill
9707041710 P.02
PROFILE TEiffrr
H
0
PERO HOLE 13 a
1-1
MANTAIN IlY WE
PROPERTYLINE
SNUXATM UP PFIVATE ACCESSAMM WEWff\
4p
LOT 1 A SA ESTATES
1%VISTA
�SIC
SIDENCE
/V
PROPOSEDLOCATION
/!
4ir
If tMLrrY AND
DPAINPAME EASMNNT
SCALE P: W I
t
NORTH
ISDS Permit #��/-aI
Date V-0-o' Z.
ISDS Final Inspection
Q=leteness Form
---Tank is Z S� gal. Tank Material eN 0 r
Tank is located Z S ft . and 2degrees
Womm at iemarx)
Tank is located ft. and degrees from
(pezuwsmt .1mbum c)
Tank set level. Tank lids within 8" of finished grade.
Size of field P 2C ft2 "3(.r units 225lineal ft.
Technology o �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:
"r r-5 Inlet . and outlet is sealed with tar -,tap j. rubber gasket1tc.
e
eS irk has two_- _ dbmpartments with the -.=la ^ger-;;epmpartment closest to
house:
f mea:bure; distance and relative dirept
Depth of field. 2- ft.
Soil interface raked.
- t"S 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.) S,QI� 3�
Type of pipe used for building sewer line leach field
Other
Inspection meets recuirements.
Copy form to installer's file if recommendations for improvement were
suggested.
ACTION TAKEN:
R- ► i101::; / cm J erg,
Setbacks
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
Field 100 25 20 10 50 25 10 10
ZS-LDk 50 10 5 10 50 10 * 10
E EiLE- COUN -EW; $EALTA
P.O. BOX 179
JOB
SHEET NO.
OF
EAGLE, CO 81631 CALCULATED BY �� DATE
CHECKED BY � ' ' f-4Q /J DATE
PNOOLICZ 204-1(Single Sheets) 205-1 IPaddedj LJL�os W.. Groton. Mass. 01471. To Order PHONE TOLL FREE 1-BOD-22MOD
215101 Tax#239127204001
JOB NAME_ Lot #1 , Aspen Mesa LEVEY
Estates, 0022 Sierra Vista
� L
JOB NO.
LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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 PROFIT
JOB FOLDER Product 278
r C'y I in—%'4
JOB FOLDER
Li —%%rot
(( n
Printed in USA