HomeMy WebLinkAbout910 Cordillera Way - 210712203023 - 1175-92ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1175 -92
Please call for final inspection before covering any portion of installed system.
OWNER: __Bill Baker PHONE:
MAILINGADDRESS:_1374 Sunset Ridge, Watertown, N.Y. 13601
AGENT:
PHONE:
SYSTEM LOCATION: 0910 Cordillera Way
LICENSED INSTALLER: Chris Sal pgel LICENSE NO. 3-92
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 1222 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install per engineer design
ENVIRONMENTAL HEALTH OFFICER: r
DATE:
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, C.R.S. 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. SECTION Ill, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM
TO BE LICENSED ACCORDING TO THE REGULATIONS.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED'
PRIOR TO COVERING ANY PORTION OF THE SYSTEM. l
INSTALLED ABSORPTION OR DISPERSAL AREA: , 7JI SQUARE FEET. V /
INSTALLED SEPTIC TANK: GALLONS DEGREES FEET c)i,Li C 5- bL A-Lt'
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALSAND ASSEMBLY / YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: V YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
v COMMENTS: ` �_y%
ENVIRONMENTAL HEALTH OFFICER: A l` r 1 DATE: J` A
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT A: CHECK #: CASHIER:
--rr-- — ---11r ry-Lyl 1-1- ze Accepted
(Site Plan MUST be attached)
ISDS Permit #
Building Permit 5351
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
23
8�e$/9
:r�rvc�r8:r�e�c (Ba:�v��c:�) PERMIT APPLICATION FEE $150.00
PERCOLATION TEST FEE $125.00
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
Yc:rk�k7cYeYe�ye�:rYe��k�yt�Ye���kYr�r�h:tYc:tkyeyeMr�Yt:r�Ic��yt����Yc�kyt�IrYc�Ye�ye�YrYr��YcYe�:kYt�t��kYtye�yeYtytk
PROPERTY OWNER:
MAILING ADDRESS: 13'7y c�oe \ Ric► �E}'Ce+c�o �M NY 1�G �1 PHONE
APPLICANT/CONTACT PERSON: S C
PHONE: 5--565
LICENSED SYSTEMS CONTRACTOR: PHONE:
COMPANY/DBA: �p�pQe �tiruG\ice ADDRESS :a683 ttyOh C�\(off
***xve*********** wirir�e�r�rveveve�rvrxe�rvr�evrvc�r�c�r�r�evrve�rre�rX�rir�r�e�r�r �xX�r�eW�eXvr�eve�c�r�r�eveirvcw�r
PERMIT APPLICATION IS FOR: (NEW INSTALLATION ( } ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: 1 -. IL
Tax Parcel Number: a.16`T _ �a U U I
Lot size:
Physical Address: pq\p Ccr��\�erA way
BUILDING TYPE: I
(Check applicable category)
(v)—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: C, �•\
_ er t p�-A �oM 9wheCS '�tSSoGi,l��ioc�
*These Sys s require design by a Registered Professional Eli gineer
SIGNATURE:
**x*x******x*vcx*rx*w*Date:
*6 3o a -
AMOUNT PAID:- ���� RECEIPT Y:
DATE: -C
CHECK Y: CASHIER:\
TIME LOG: TRAVEL: PERC:
FINAL:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
July 31, 1992
Bill Baker
1374 Sunset Ridge
Watertown, NY 13601
RE: Final of ISDS Permit No. 1175-92
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
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 bf your septic system.
Be aware that later changes to your dwelling 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,
Brenda Henderson
Office Assistant
Environmental Health
/bh
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP# 5351
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
July 10, 1992
Spiegel Construction
P.O. Box 2683
Avon, CO 81620
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1175-92
Dear Applicant:
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328.7207
Enclosed is your ISDS Permit No. 1175-92 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. The final
inspection is to be done before any portion of the installed
system is covered. The deadline for the final inspections done
by Eagle County Environmental Health is December 1. Systems
designed by a Registered Professional Engineer must be certified
by the Engineer indicating that the system was installed as
specified. Eagle County does not perform final inspections on
engineer designed systems.
Be aware that the specifications on the permit are minimum
requirements only. Installers should bring this to the attention
of the property owner.
This permit does not indicate conformance with other Eagle
County requirements.
If you have any questions, please feel free to contact us at
328-8755.
Sincerely,
� l
Brenda Henderson
Environmental Health, Administrative Assistant
cc: file
Building Department, File #5351
JEROME GAMBA & ASSOCIATES, INC.
CONSULTING ENGINEERS & LAND SURVEYORS
J G
B00 COLORADO AVENUE
P.O. BOX 1458 P.O. BOX 4808
GLENWOOD SPRINGS, COLORADO 81602-1458 PAGOSA SPRINGS, COLORADO ' 81157
PHONE: (303) 945-2550 FAX: (303) 945-1410 PHONE: (303) 731-5743
- - OG
July 30, 1992 RECEIVED
Eagle County Health Department JUL 3 i�n
Environmental Health "892
Attn: Tania Busch EAGLE
y COMMUNITY OE
500 Broadway COUNTY
Eagle, CO 81631 VELOPMENT
RE: Baker Residence -Septic System Inspection
Dear Tanya:
This letter is in regard to -the site inspection as required by the
Eagle County Health Department. The Baker residence ,is located in
Lot 16, Filing 2, Cordillera Subdivision. The General Contractor
for the project is George, Shaeffer Construction Company and,the
sub -contractor installing the septic. system 'was Speigel
Construction, Chris Speigel, Owner.
Jerome Gamba & Associates, Inc. performed an inspection of the
septic system on July 23, 1992. The original septic tank and dosing
tank arrangement was replaced by a combination tank that included
the septic tank and 'the dosing chamber in the same structure. The
tank was supplied by Kemp &.Co., Jim Kemp, Owner. The capacity of
the septic chamber is 1255 gallons.
The bottom two leaching trenches were installed at the time of -
inspection -and an elevation check of the infiltrator placement was
performed. The system was constructed level within 0.02' from the
front to the back.of the leach trench (see attached plan view for --
as -built dimensions).
All required minimum distances were maintained and the: general
location of the system.matched the submitted plans.
1175 Parcel # 2107-122-03-011 Lot 16
Cordillera, Filing 11, 0910 Codillera Way, rAG �l1 Cam
Bill Baker
JOB NO.
J-O TdlFATION n q
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
0 - 22
L
4
��o Z2
a
r-ratu
JOB COST SUMMARY
071 7-
TOTAL SELLING PRICE
TOTAL MATERIAL
or
i 0 S f T 1 1 O-)� -OV PjazUl S 1071 b o�-w � 5 n 1 on '0-r
TOTAL LABOR
-0 C SD 1 i /„ �� u Qo ja Jr
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 277 6 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS.01471 JOB FOLDER
Printed in U.S.A.
LOCATION PLAN
SCALE: DATE: SHEET
- 1" = 10' JUNE 27, 1992 1 OF 2
REV MADE CHKD APED DRAWN BY: CHKD BY: APPD BY: PLAN NO.
NU. DATE REVISION BY 0Y 9Y CWS MJG JFG 92045/BAKER
SEWAGE DISPOSAL SYSTEM ` SHEET NO.
BAKER RESIDENCE
0916 CORDILLERA WAY
LOT #16, FILING 2, CORDILLERA, EAGLE COUNTY, COLORADO
PLANS FOR GEORGE SHAEFFER CONSTRUCION CO.
JEROME .GAMBA & ASSOCIATES, INC.
COMSUJING ENGINEERS & LAND MVEYORS
POST OFFlCE BOX 1458
800 COLORADO AVENUE PROJECT:
GLENWOOD SPRINGS, COLORADO 81602 303 945-2550 92045