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Home My WebLink About923 Mayne St - 211108402012INDIVIDUAL 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. 1493 Please call for final inspection before covering any portion of installed system. RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT A CHECK A (Site Plan MUST be attached) ISDS Permit # t - 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 OWN MAILING ADDR APPLICANT/CO MAILING ADDR LICENSED ISD COMPANY/DBA: �7 *************************************************************************** PERMIT APPLICATION IS FOR: ('X( New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision:aQysec�Af(we- Filing: I Block: 0 Lot No.-,2� Tax Parcel Number:-� g -Q-Lot Size; 3./2 �C Street Address: 223 i0c.tk, iP_ +r-f P_---� G �g2SL * Co *************************************************************************** BUILDING TYPE: (Check applicable category) (>6 Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface O Public Name of Supplier: (' icy Number Number Type _ of Bedrooms of Bedrooms *These systems require design by a Registered Professional Engineer SIGNATURE: Date: *************************************************************************** TO BE COMPLETED BY THE COUNTY n AMOUNT PAID: `� _��SC'�. CSC 1 RECEIPT #: DATE: CHECK #: CASHIER: COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO August 16, 1995 Joel Lieberman and Allison Parish 923 Red Sandstone Rd. Vail, CO 81657 725 CHAMBERS AVE. P.O. BOX 179 EAGLE•, COLORADO 81631 FAX (303) 328.7207 RE: Final of ISDS Permit No. 1493-95 Parcel #2111-084-02-012. Property located at: 923 Mayne St., Horse Pasture Subdivision, Gypsum, CO. Dear Mr. Lieberman and Ms. Parrish, 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, C� z�7'H� Janet Kohl Environmental Health Department ENCL: Information Brochure Final ISDS Permit enclosures EAGLE COUNTY, COLORADO DATE: July 13, 1995 TO: Western Slope Constructors FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Permit No. 1493 Tax Parcel #2111-084-02-012 Property Location:923 Mayne ST.,Gypsum, CO 81637. Enclosed is your ISDS Permit No. 1493-95 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. 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. 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 1. u.) r G(V'11 1 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO TIME Wamrn nvnmv EM �ii�:i� EM W NMI N= 0101 w1b 0 MIN 1 NMIWWI�� Time to drop last inch �v PERC RATE: ��, MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH_ FIELD SIZE: l i ✓� f j 1 �fz�12c5 .. COMMENTS : C}�'/Ytl�v/C�f A0- PERC T�F�1S�B9BY : Ck C� �- Qt .0 ?�C�• Env1rbvimenta1"Health O rev. 6/90ks DATE: cer ISDS Final Inspection Completeness Form _Tank is lbw gal. Tank Material �P��✓�a-� Tank is located ft. and,�degrees from (permanent landmark)• Tank is located ft. and degrees from (permanent landmark) Tank set level. � Tank lids within 8" of finished grade. Size of field ft2 units lineal ft. Technology 11,A-i 77JQY'cj Cleanout is installed in between tank and house(+ 1/100ft). �/ [VT L° ia4o ht 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. i/ Measure distance and relative direction to field. Depth of field ft. Soil interface raked. fl% 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 Gulch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 500 7 y zy z x E FENCE xx xx xx xx •xx xx MAYNE ST. 1493-95 Tax#2111-084-02-012 J013 NAME Horse Pasture LIEBERMAN & J013 NOS Bl#I,Lot#24 PARRISH JOB FOLDER Produot278 �® NEW ENGLAND BUSINESS SERVICE, INC„ GROTON, MA 01471 Printed in U.S.A JOB FOLDER a M oPrrnc.-, ----------- I4g3-- lS