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HomeMy WebLinkAbout3 Cedar Ln - 210923400003INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE 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. 1 5 3 1 Please call for final inspection before covering any portion of installed system. OWNER: John Cornell III (.Tack) PHONE: (970) 328-6247 MAILINGADDRESS: P.0 Box 752 city: Eagle State: CO ZIP: 81631 APPLICANT: John Cornell PHONE: (970)328-6247 rus ree SYSTEM LOCATION: 003 Cedar Lane, Moser Sub, TAX PARCEL NUMBER: _ 2109-214.-00-001 LICENSED INSTALLER: K & W Pipe Fixation, Ken Williams LICENSE NO: 33-95 R©- OZII DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1500 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 1125 SQUARE FEET OF TRENCH BOTTOM. for 4 bedrooms 1406 sq. ft for 5 bedroom SPECIAL REQUIREMENTS: Install 32 infiltrators as requested by owner(40 for bdG) Install in a cars distribution configuration. Rake trench surfaces and install inspection portals at the end of each trench. Install a cleanout between septic tank and house. Do not install in bad weather. Call the County nr_fjnn1 inspprtion prior to 'back -filling ENVIRONMENTAL HEALTH APPROVAL: DATE: September 29 1995 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 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: 1152 SQUAREFEET. Via 32 infiltrator units INSTALLED SEPTIC TANK: 1500 GALLON 170ON DEGREES 88 FEETFROM the clean -out next to the house. 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: ENVIRONMENTAL HEALTH APPROVAL: DATE: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT/ AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # (Site Plan MUST be attached) ISDS Permit # /63 I-G/ APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. 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: �° 4, C, .,e 6i MAILING ADDRESS: Po Bo-,c 71 s APPLICANT/CONTACT PERSON MAILING ADDRESS: LICENSED ISDS CONTRAtTOR: COMPANY/DBA: PHONE: 117a) 3- Tz J # M L PHONE: ( ) PHONE: --( ) ? S- *************************************************************************** PERMIT APPLICATION IS FOR: (fi New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # _ ( if known) K 8-c�� $ e L2 �/a&-: 23 �T S -- Legal Description: Subdivision: �y (eltIr-Filing:_Block: Lot No.� Tax Parcel Number: �- C7 3 Q _ B ctc�� S --_�-----0-- O � Lot Size: �o Street Address: Q LE_ A ` (3;, Cvee_ BUILDIN 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: .�� G� z *These systems quire desi n by a Registered Professional Engineer j � SIGNATURE: - Date : fA;/ ,r TO BE COMPLET Y THE COUNTY / AMOUNT PAID: RECEIPT #: DATE: IM117 CHEeK—# : CASHIER: 1��, C�- Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO Date: September 28, 1995 TO: K & W Pipe Fixations 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. 1531-95 Tax Parcel #2109-234-00-003. Property Location: 003 Cedar Lane, Moser Subdivision. Cornell residence. Enclosed is your ISDS Permit No. 1531-95. 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. Please call our office well in advance for the final inspection. Installation must be completed by December 1 for all new construction for which permits were issued prior to November 15. 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 Community Development Department (970) 328-8730 Fax: (970) 328-7 185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO November 14, 1995 John Cornell III P.O. Box 752 Eagle, CO 81631 Eagle County Building P.O. 13ox 179 500 Broadway Eagle, Colorado 8 163 1 -0179 RE: Final of ISDS Permit No. 1531-95 Parcel #2.109-234-00-003. Property location: 003 Cedar Lane, Moser Subdivision, Eagle, CO. Dear Jack, 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 328-8755. Sincerely Janet Kohl Environmental Health Department ENCL: Information Brochure Final ISDS Permit cc: files ,v;I'I- ISDS PERMIT IS PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: �(jY\Vl byy1W - LEGAL DESCRIPTION: ()()3 oulnV- (anp MAILING ADDRESS : ��j a f_,A, uo TYPE OF DWELLING• - rVil%Awl TEST HOLES PRE-SOAKED: YES TTME wnm�n n�nmv PMBER OF BEDROOMS ] NO 1 a:�� 2 3 1 2 3 1 2 3 1 2 SOIL PROFIT 01 I21 11 13�1'� 7 1,0 b,26 ti� Zz 1 (g3i 'l 714 IN a 3 V4 ON 0-34 a ," 0•5` ( ",Sd 41 ��► ti�� z� 2��1v �tl� (+ ��� �} 51 14 , 1 ;P i 5ti °%v ► 3l �1 )lid � 8 c �5J aT31� Z�l Vo 3i� 1 8� D16 i0' d oN Time to p last inch I PERC RATE: �Q,� t�ln{t MINIMUM SEPTIC TANK SIZE: �SUU (su` MINIMUM LEACH FIELD SIZE : () ,Q vim, 1;rt,tAvtx�06 pq�r cv-""Er i ►v,6i-6(( jut�(ifa s tin 6i ','iat COMMENTS: (IL6 - n - 0A011AL)PIa1c, It&5 .z \ -- IN PERC TEST DONE BY: DATE: '11 (50 Iqj 1 Env*\7mental Health Officer rev. 6//90ks 'b ISDS Final Inspection Completeness Form �`- Tank is _���Q gal.0 Tank Material v Tank is located ft. ' degrees aCnd from ,,�wf- (per- manent landmark) Tank is located ft. and degrees from (permanent landmark) Tank set level. Tank lids within 8" of finished grade. . Size of field �2 ft2 units lineal ft. Technology 1 � 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. 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 relative direction to field. --of—field .. tf � . ! S (f—Isoil interface raked Inspection portals at the end of each trench. Proper distance to setbacks. 6� Other. ✓ YL0 5- AMU Ins ecti n meets reauiremen s. 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 Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 :inii� iiiiii�ii ■ ■ ■I®,�I�i■■■■III/■■■l■f■ ■IR[■■■■■■1111■■I■■■ ■NJEE■MEMWEEPRNNIE ■ IN + ------------ -- qDo AID M t N JOB NO. OB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED IF 9a Cy C i� �013�1� \j JOB COST SUMMARY TOTAL SELLING PRICE lolall TOTAL MATERIAL TOTAL LABOR INSURANCE _ SALES TAX �J 1-14L MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 �0 NEW ENGLAND BUSINESS SERVICE, INC.: GROTON, MA 01471 JOB FOLDER -r Printed in U.S.A. �. N, - s {k L 4 At bL s�- F 40 -41 IA 3 Csz&�Ir l s� r�o ram N - A - M • M • w w w w w w r w • M w w i