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HomeMy WebLinkAbout141 Polar Star Rd - 210518201006EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway - Eagle, Colorado 81631 Telephone: 328-8755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1668 Please call for final inspection before covering any portion of installed system. OWNER: Dniio, T)iirrpi-f- —PHONE: (970) 926-1995 MAILINGADDRESS: P.O. Box 1858 City: Fdwn rd s -- State: CC) zip: '916*19 (I APPLICANT: .arr- P.O. 'Rnx e, CO 81631 PHONE: --070) 924-0003 SYSTEMLOCATION: 0141 Polar Star _DX__,_Edward_q,MAX PARCEL NUM13ER: 2105-182-01-006 LICENSED INSTALLER: Bnb',q Romp Rpnnir_ Bob Ford —LICENSENO: 60-96 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 -GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED _112,5_ SQUARE FEET OF TRENCH BOTTOM. via 32 infiltrator units as requested by SPECIAL REQUIREMENTS: . qtA11Pr_ Tnqfnll in qprial diStriblitinn in freprhpq no dpPnpy thnn q fppt Install a cleanout between the tank and the house, and inspection ports in each trench. Rake 'nt-_s_Eje trench surfaces trt nrPuP _a=9--Gf—.q n i T)n -not . f n I I i n T�7 Pt weather - qf-_q-,7 as --- Lax — away from road cut as pos�si nd�_do not place any fill material over system. Call _ the County for final i-nqnPrt-,j'hn nrinr com- o ni, rt n"F 0 pletea by 11-27-96, 1956. ENVIRONMENTAL HEALTH APPROVAL: DATE: November 14, 1996 CONDITIONS: i. ALL INSTALLATIONS MUST COMPLY WITH ALL t7tR MEhtTS 6 T AGLE 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 CAUSE FOR 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: 1125 SQUAREFEET. via 32 Infiltrator units INSTALLED SEPTIC TANK: 1500 GALLON 150 DEGREES 89 15 11 FEET FROM the cleanout SEPTIC TANK ACCESS TO WITHIN 8"OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X YES —NO COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: X YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: This system is large enough for a 4 bedroom residence. It was inspected and approved bv Melissa Trujillo on November . 1996. ENVIRONMENTAL HEALTH APPROVAL: ..... . . ... .. DATE: May 7, 2002 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK# (Site Plan MUST be attached) t� ISDS Permit # t 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: 0 / PHONE: %` - MAILING ADDRESS: APPLICANT/CONTACT PERSON4r PHONE: _odd) -oo o MAILING ADDRESS: 0 / --1Z111qZ ct� die- 3 / LICENSED ISDS CONTRACTOR: t PHONE: COMPANY/DBA: ADDRESS: O A, ,2 q'3 *************************************************************************** PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # Legal Description: (if known) Subdivision: Filing:_BlockLot No.�_ Tax Parcel Number:- f-CAI j -( Lot Size:,': Street Address: / J-1 , 1q r 10 r *************************************************************************** BUILDING TYPE: (Check applicable category) Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface Public Name of Supplier: 1, *These systems quire design by a Registered Professional Engineer SIGNATU Date: %Z TO BE COMPLETED BY THE COUNTY AMOUNT PAID: RECEIPT #: DATE: I1(' CHECK #: 1-7 CASHIER: u p' a Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: November 14, 1996 TO: Bob's Home Repair 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. 1668-96, Tax Parcel #2105-182-01-006. Property Location: 0141 Polar Star Dr., Edwards, CO. Durrett residence. Enclosed is your ISDS Permit No. 1668-96. It is valid for 120 days. Please be advised permits issued prior to November 15th must be installed by November 27th. 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. Please call our office well in advance for the final inspection. 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. Your building permit CO 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 x EAGLE COUNTY, COLORADO November 21, 1997 Dear Applicant, The Environmental Health Division would like to notify you to make a formal written request to extend your Individual Sewage Disposal System(ISDS) Permit the 1998 construction year. The Environmental Health Division discontinued percolation tests on November 14, 1997, and will no longer conduct final inspections after December 1, 1997 due to climatic conditions.— ISDS permits are active for 120 days after the date of issue if no Building Permit has been issued for the same property. If a Building Permit has been issued for the same property, the ISDS will expire at the same time as the building permit. If you still plan to apply for a Building Permit this year or in the early months of 1998 you will need to have a percolation test conducted before your Building Permit will be released. You will have to contact a Registered Professional Engineering(RPE) firm to conduct your percolation test. If you have had your permit issued and have not had your final inspection completed, but plan on constructing the system in the next few weeks, please give our office a call and we will evaluate your permit on a case by case situation. If your system was designed by a Registered Professional Engineer be aware that the final inspection must be completed by the engineer. If the system has been completed please have the engineer submit as -built drawings or a letter of certification to Eagle County Environmental Health, P.O. Box 179, Eagle, CO 81631. Please give the Environmental Health office a call at 328-8755, if you have any questions regarding your permit extension process. cc: ISDS Permit #�`��'"1xFile 15DS PERMIT �G PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: MAILING ADDRESS: r () /"� x U TYPE OF DWELLING:�NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO TTME 61STCn nrmrrmr r1T/"TTT... ~m T-It T T 1 2 3 1 ---'-��� ___ 2 ___ 3 i17 l- 1 2 3 -v 1 L. 2 Q%j.L u rrcur _ S p' 1 lie 3. � s 1 �7 S �, �� � 1,�- i 2, L. ,J 4' r to / 0 �0 6. Q� 3 6) 50 o ,' '° r 35 '� �' ?� �� �S -37- J3�3 I a , qD q 197) 3.3 5 S l Iq II X .S . gas .1-7 � f ��3 Yo k imet . 9. W"' DrltU(i ` �- a�" y�i4.�," l�-a3 o drop last inch � S_ PERC RATE: /5 -a0 pt1!y7 MINIMUM SEPTIC TANK SIZE: �J�d MINIMUM LEACH FIELD SIZE: iT/'11t1f T+1TT� . PERC TEaT D Envirefnment rev. 6/90ks DATE: /� cer cof � a � 3d yv � ISDS Final Inspection Comp eteness Form Tank is JqQ� gal. Tank Material 1 ' �� [ ' 11 Tank is located Y9 S ft. and degrees from (,T � (permanent landmark) Tank is located ft. and degrees from , (permanent landmark) Tank set level. `J Tank lids within 8" of finished grade. Size of field 11716t2 .�� units lineal ft. Technology �. 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. 1 t Inlet and outlet is sealed with tar tape, rubber gasket etc. ' Tank has two compartments with the larger compartment closest to the house. Measure distance and relati,;re direction to field. Depth of field ?---e `5 f t . Soil interface raked. ,-' Inspection portals at the end of each trench. Proper distance to setbacks. Other �-' Inspection meets 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 Gu ch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 a MEN RNMENINEEME IN Mta)FdEwN0NMW0o1I 't dr,""PF" !ma'■ IEEE ■�i����������i1r��.��i��■ IN vEMEMENSIMEMERI> HSOiss IEEE ■����i�i������Gl;r lr��i�� IEEE ■v������t���!.•�������0 f■ice 0-rig19 OMPaCpa .EE■lEMilM� MENIMME ■������t�0��l1l���i��i��■ Kamm NONE SEEM ■ONE�������t���������i���i�■ v Q)o imo I'D O O O N N 00 > �4 u'1 q O x 41 U C/] -1 x �4 E-+ w W M �o �4 O; rn -4 U p..i 'I 00 z4z 41 - 4- ,-14 "O O M �--i �4 a O W Q Z M W O } E V U) O L Nw w R I_ LL V ` yf IIr�7f a 00 �Q v N Z (� J WN >,L 00 w Z w MU m W J J m g LU Z X Q~ W N o Q o �' (� Wo J m a ~ Q D Z U Fw- ° Q 0 V o w 0 Izi I w 0 to C- J m !- p 4 1 s a W O m 0 Q 0 0 0 U z ui u¢t N z m z z z w w z cc 9 0 m of 41 Poi✓ L,Ia z- Cr�c�l� - r �T v i 41 p�la Sfr�v Ur. IS-1668-96