HomeMy WebLinkAbout430 King Ranch Rd - 210335200006 (2)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. 2205-02 BP NO. 14297
OWNER: CLAIRE FAUST KEELER PHONE:
MAILING ADDRESS: P.O. BOX 1604, VAIL, CO 81658
APPLICANT: LUIZA PETROVSKA PHONE: 970-926-9088
SYSTEM LOCATION: 430 KING RANCH RD., MINTURN LOT TAX PARCEL NO. 2103-352-00-006
LICENSED INSTALLER: EDWARDS EXCAVATING, TED JOHNSON LICENSE NO. 39-02 PHONE: 970-904-0024
DESIGN ENGINEER: LKP ENIGNEERING, LUIZA PETROVSKA PHONE NO. 970-926-9088
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 4 BEDROOM RESIDENCE
1500 GALLON SEPTIC TANK, 1500 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 48 INFILTRATOR UNITS AS PER ENGINEER'S DESIGN
SPECIAL INSTRUCTIONS_ INSTALL AS PER ENGINEER'S DESIGN DATED 6/12/02, 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, DO NOT INSTALL IN WET WEATHER
AND DO NOT BACK FILL WITH ANY COBBLES LARGER THAN 8 INCHES IN DIAMETER. BE SURE TO MAINTAIN ALL APPLICABLE SETBACK REQUIRE-
MENTS. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH AND THE DESIGN ENGINEER FOR FINAL INSPECTION PRIOR TO BACK FILLING
ANY PART OF THE INSTALLATION OR WITH ANY QUESTIONSJRAdARDING THE INSTALLATION. THE BUILDING CERTIFICATE OF OCCU-
PANCY WILL NOT BE ISSUED UNTIL THE HAS EN INSPECTED AND APPROVED.
ENVIRONMENTAL HEALTH APPROVAL: DATE: JUNE 19, 2002
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 STANDARD INFILTRATOR UNITS PER DYSIGN
INSTALLED CONCRETE SEPTIC TANK: 1500 GALLONS IS LOCATED 338 DEGREESAND 14 FEET 7 INCHES
FROM THE CLEANOUT ON THE NORTH EAST CORNER OF THE HOUSE FOUNDATION.
COMMENTS: THE FINAL INSPECTIONS WERE DONE BY RAYMOND P. MERRY OF EAGLE COUNTY ENVIRONMENTAL
HEALTH ON 9-3-02, AND THE DESIGN ENGINEER ON 9-04-02. THE ENGINEER'S FINAL CERTIFICATION WAS
RECEIVED ON 5/23/03. THIS SYSTEM IS LARGE ENOUGH TO ACCOMMODATE A FOUR BEDROOM RESIDENCE.
ANY ITEM NOT MEETING REQUIREMENTS WILL B OyAL-OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE:
Incomplete Applications Will NOT Be Accepted
(Site -Plan MUST be attached)
ISDS Permit # __212.0 1- " )-
Building Permit ## N 42
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. BOX 179
EAGLE, CO 81631
Eagle (970)328-8755, Fax (970)328-0349, E1 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 $85.00 .-
* MAKE ALL -_REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY. OWNER : C L.. A t e r Fy- u S-r Ke-f-= -P.
MAILING ADDRESS: F O CO g (6 SQ, PHONE:
APPLICANT/CONTACT PERSON: LrP E1���}� �II�G i JN�. /LuCZ1�} PHONE: 26-4088
_ LICENSED SYSTEMS CONTRACTOR: l7 UJ d 4 ,� PHONE: qo,4 -aoz44
COMPANY/DBA: ADDRESS:
PERMIT APPLICATION IS FOR: (V NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: (, 6P-Au5(E- �►rrP_ P c 4 F UIJC,
Tax Parcel Number: (� `� Lot Size: I .q P«5
Physical Address:
)C7 Kl 0G, P—P PC4 gO Ip�
BUILDING TYPE: (Check applicable category)
(v)- Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number
Number
Type _
of Bedrooms. 9"
of Bedrooms
*These systems require design by a Registered Professional Engineer
TYPE OFATER SUPPLY: (Check applicable category)
(Well ( ) Spring ( ) Surface
( ) Public Name of Su lier:
APPLICANT SIGNATURE:
Date: 6. /Z-02.
AMOU_1111T PAID: 35V RECEIPT # ( �� L, `� DATE: 6 llq I h
CHECK #: CASHIER:
.+'.+(�-vr cvvV VV•LL JfVJtV JVVJ
EmsI . Engineering, Inc.
CIVIL/GBOTECHNICA,L
May 22, 2003
L,`.r GIYL711VGGfilIVL7 11Y41
Attention: Coleman RE: Inspection of Septic System Install$tion
R.A. Nelson Keeler Ruidence
P.O. Drawer 5400 Lot 2, Grouse Bar Ranch
Avon, CO 81620 430 King Ranch Road, Minturn
Eagle County, Colorado
Project No. 02.019 - Permit No. 2205-02
Dear Coleman:
r-Rut ril
At the request of `fed Johnson with Edwards Excavating, on July 8, and 10, and
September 4, 2002, we visited the construction site at Lot 2, Grouse Bar Ranch, 430 King Ranch
Road, Mintum, Eagle County, Colorado. The purpose of our site visits was to consult atad
observe the installation of the septic system.
They installed the system in overall compliance with the septic system design, Drawing
No. 02019SD-DW(3, last revised June 12, L002. The system was installed as shown on the
attached as -built sketch. by Edwards Excavating. They installed a 1500-gallon, two
compm-ftnents, a precast, concrete septic tank. The tarlk was installed on the north side of the
proposed residence about 15 feet north from the northernmost coiner. There was one riser over
each of the openings on the septic tank
Forty-oight, Standard Infiltrator Chambers were installed in three trenches- Each row of
trenches contained sixteen infiltrators. The infiltrators were corrected with serial distribution. In
the ffxst and last infiltrator of each trench, inspection ports were installed. Horizontal distance
from center to center of the trenches, was nine to 10 feet. All piping was SDR-35, 4-inch PVC.
The depth of the trenches was no more than 36 inches.
If you have any questions, please do not hesitate to call.
Sincerely,
LKF Eng
PET,
` 29526
9
Luiza Petrovsk
President
Al.
cc: Ms. Laura f awcett, Eagle County Environmental Health Division, fax: 325-0349
Coleman, one copy faxed at 949-4379, original mailed
CAVNT I 0-LKP1020 ] 9OSI. wpd
P_Q. Box 2837, Edwards, CO 81632, (970) 926-9088 Tel, (970) 926-9089 Fax
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MnV_'D"Z_OMM-z CLOT M7•CZGnhl Tn•C rn]IKITV CFJII Wr-701 TW PLlop!? "
LKP ENGINEERING, INC.
P.O. Box 2837
Edwards, CO 81632-2837
(970) 926-9088
Fax (970) 926-9089
PERCOLATION TEST RESULTS
Client: Bill Brown Location: Parcel 2, Grouse Bar Ranch
R.A. Nelson Keeler Residence
P.O. Drawer 5400 Town of Minturn
Avon, CO 81620 Eagle County, Colorado
Project No.: 02019
P-1
P-2
P-3
TIME/DEPTH
22"
22"
22"
10
10-12/16"
2-8/16"
11-12/16"
3-12/16"
11-12/16"
4-12/1.6"
10
12-8/16"
1-12/16"
13"
1-4/16"
14-12/16"
3"
10
14"
1-8/16"
13-12/16"
12/16"
16-12/16"
2"
1.0
15-4/16"
1-4/16"
14-8/16"
12/16"
18-8/16"
1-12/16"
10
16-8/16"
1-4/16"
15"
8/16"
19-4/16"
12/16"
10
17-12/16"
1-4/16"
15-8/16"
8/16"
20"
12/16"
10
19"
1-4/16"
16"
8/16"
20-12/16"
12/16"
PERC RATE
8 MIN/INCH
20 MINAINTCH
13 MIN/INCH
AVG PERC
20 MPI
Average Percolation Hole Diameter: 12 Inches
Holes Dug and Presoaked: April 30, 2002
Test Run: May 1, 2002
By; Peter Petrovski.
Soil Profile: 0-2'- Topsoil
2-7.5'- Brown, clayey, gravelly
sand with cobbles and boulders
No ground water encountered.
ISDS PERMIT #
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL AEATLII
.OWNER:
-PHSYSICALADDRESS: 473e 2�c m
LEGAL DESCRIPTION:
MAILING ADDRESS -
TYPE OF DWELLING: ,Q 3' ,lam NUMBER OF BEDROOMS -
TEST HOLES PRE-SOAKED: YES NO
SOIL
TIME WATER DEPTH INCHES OF FALL RATE PROFILE
Al
OA
to
TIME TO DROP LAST INCH: PERC RATE:
MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE:
COMMENTS:
ENVIRONMENTAL HEALTH SPECIALIST
Cy
DATE
.\�4 .v �r r �tJ'� j � •
,rir6s .�.� t� •
t I�4
i
ISDS Permit #22: s -01:9 Date9 �o+•-�
ISDS Final InsWeation— /
CgWletenese Form
is Tank Material
Tank gal.
12Lfr
Tank. is located and degxees
1pas�e�dt I�odnskl �
��,,,,,p st�J
I n
is located ft. and degrees from
•G
Tank
r�•��
ip ( N C"
V
Tank set level. Tank lids within 8" of finished grade.
i
Size of field f t' units lineal ft.
Technology *v
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:
f/f
Inlet.and outlet is sealed with tar• -,tape;. rubber gasket etc.
F/ Tailc etas twa tcmpartments with the.;-:.anger-.;.cpnlpartment closest to the
house.
Msattre distance and relative dirertto:;
V- Depth of field.. ft.
soil interface raked.
V 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 line 3 D 3,j leach field�L
Other
M_ Inspection meet& requirements.
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 .
Fied 100 25 20 10 50 25 10 10
Zd& 50 - 10 5 10 50 10 10
- E�� COUNTY -ENV; HEAL-TH
P.O. BOX 179
EAGLE, CO 81631
PROOUCINO (Singh Sheets) 205-1(Padged( Grotar, Mux 01471. To Mu MME TOLL WE 1-900-225-Mg
JOB
SHEET NO. OF
CALCULATED BY.
CHECKED BY
DATE
DATE
2205-02 Tax #2103-352-00-006
JOB NAME_ Parcel #2, Grouse Bar Ranch KEELER
430 King Ranch Rd., Minturn
JOB NO '- �
JOB LOCATION
BILL TO
DATE STA TE' It.,z,
D DATE COMPLETED DATE BILLED
t,� 11q h
.�
11� 41` /_j ,.ewe-/,, JOB COST SUMMARY
TOTAL SELLING PRICE
I
TOTAL MATERIAL
i
TOTAL LABOR
INSURANCE00
SALES TAX
MISC. COSTS
3 �a is d S 0a0S- Lya