Press Alt + R to read the document text or Alt + P to download or print.
This document contains no pages.
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