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