HomeMy WebLinkAbout801 Chipeta Way - 210710201001 - 162296ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 A, )0_ l o L{ F-Y YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. Please call for final inspection before covering any portion of installed system. PERMIT NO. 1622 OWNER: Timothy Scully PHONE: (970) 845-765/926-2574 MAILINGADDRESS: P-0. Box 2493 City: Avon stale: CO Zip:_81620 APPLICANT: Same PHONE: SYSTEMLOCATION: Chipeta Way, Edwards, CO TAX PARCEL NUMBER: 9107-102-01-001 LICENSED INSTALLER: Spiegel Construction, Chris i PgPI LICENSENO: 19=96 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK * minimum tank size ABSORPTION AREA REQUIREMENTS: TSQUARE FEET OFSEEPAGE BED 7.50 SQUARE FEET OF TRENCH BOTTOM. via 21 infiltrator units as requested by SPECIAL REQUIREMENTS: Owner. Install in serial distribution in trenches with a 01Panol,t bPtC,PPn the tank and the house, and inspection ports in each trench. Rake trench surfaces to prevent smearing of soils. Fence off leach field so livestock do no graze in the area ('a11 the County for final inspection prior to back filling any part of the installation, or if you hav any questions regard,iinR the/ -installation. ENVIRONMENTAL HEALTH APPROVAL: /V `�<fZ��1 DATE: July 1 $ , 1 9 9 6 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: 756 SQUAREFEET. via 21 infiltrator units INSTALLED SEPTIC TANK: 1000 GALLON 105 DEGREES 5 FEET FROM 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: ENVIRONMENTAL HEALTH APPROVAL: DATE: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: PERMIT PERCOLATION TEST FEE OWNER: RECEIPT # CHECK# (Si. a Plan MUST be attached) ISDS Permit # %�o a7, �o 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 $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" l PROPERTY OWNER: / e' � MAILING ADDRESS: A - a- 2 cq ? /der PHONE: 17%0) Ry$ = 7bS_0 APPLICANT/CONTACT PERSON; PHONE: MAILING ADDRESS: LICENSED ISDS CO RACTO 3�/(f ! ����' /��`�7Cf1®foj pH�1NE: H_ COMPANY/DBA: y ADDRESS: /too Z &/ zm,/d rc PERMIT APPLICATION IS FOR: (0-r-New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED I'N/DIVIDUc�aoA �0 � �jAGE DISPOSAL SYSTEM: Building Permit # 01. 00 // ( if /known) Legal Description: Subdivision: a' It- )4.r�.rznC /-Filing:_Block: Lot No.0 -/ Tax Parcel Number: Z j Lot Size: -55 Street Address: ��l + oe -tom BUILDING TYPE: (Check applicable category) ( ) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF W TER SUPPLY: (Check applicable category) (l% Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: *These systems r uire design by a Regi tered Professional Engi eer SIGNATURE: Date: TO BE COMP E 6-- COUrTT AMOUNT PAID• CEIPT #' ����� DATE: �� CK CASHIER: Number Number Type _ of Bedrooms 7— of Bedrooms Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO November 1, 1996 Timothy and Debra Scully P.O. Box 2493 Avon, CO 81620 RE: Final of ISDS Permit No. 1622-96, Tax Parcel #2107-102-01-001. Property location: Chipeta Way, Edwards, CO. Dear Mr. and Mrs. Scully: Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 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, �-uz /��-4L Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Information Brochure Final ISDS Permit cc: files Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: July 17, 1996 TO: Spiegel Construction FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-C)179 RE: Issuance of Individual Sewage Disposal System Permit No. 1622-96, Tax Parcel #2107-102-01-001. Property Location: Chipeta Way., Edwards, CO, Scully residence. Enclosed is your ISDS Permit No. 1622-96. 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. 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 $42.50 must be paid before a reinspection is made. Your building permit CO will not be issued until final approval has been given for the ISDS Permit. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328- 8755. cc: files SCULLY's, ART r OFFICE f DRAFTING SUPPLIES 1 FAX SALES & SERVICE FAX COVER LETTER DATE 7/� r SEND iN TC FAX # ,�'�'%� TO: d�5nyrn2n rmei, /A FROM: ATTENTION NUMBER OF PACES INCLUDING COVER LETTE � SPECIAL INSTRUCTIONS r Eagle -Vail Business Center, P.o. gox,5610 r Avon, Colorado 61620 , 970-645-7650 1 FAX 970-845-7652 T 0 d .L2I6' R3a I AA0 S .1L11"In0S-q< w:Tn i= n T gF� '7 T J. fl ti+ .i r✓ . ..! .L t..+ • .1 Zz�k n � m w3 4- V Lr Lr Y ' ^;..+w %J A. F Z G M' Yx A% R T P ❑ 1 �l4b os9G �sh� 66f/-/�.h �94 l-)uw rtKI ll I ' r' & C G PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: �SCiGtI%�/ lid LEGAL DESCRIPTION;_ Z_0- MAILING ADDRESS : C� l3 ou �j A vL� . GGj s b �v TYPE OF DWELLING:�;1� NUMBER OF BEDROOMS Z TEST HOLES PRE—SOAKED: l/ YES ✓ NO TIME wAr"V" 1 2 3 1 ---- 2J-7/ Liv�.nraJ ur rHi,t� RATE SOIL PROFI 1 2 3 1 2 01 �j.1L. PCB 3'1 3 3, ( 2 16 ��� (-7I��� 3, 3/�f �l �� � ��2 ��fl �U 3.33 c� S S 4 :.P,r,•� 5 �5 46 `7 I �'� 3�� ((o S�� '1� i 3/� f '�� s/ 13.3 13..E 6 �- 5� 7/ r� 6 5/� -7/ 133 17' 8' 5S p 0S" 5� o1 'o b a z 63 iq)q ($I ?_ jl`4 2 vi'14 �'/1,/ 3�v r7/1G 219 Time to drop last inch no PERC RATE: MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: 0z 13 x COMMENTS /� �v • PERC TEST DONE BY: / '_�wL Environmental Health OF rev. 6/90ks DATE: .cer `f ISDS Permit # M Date/ %5"'' / �/ � Tank is�d gal. Tank Material ) I Tank is located � ft. and _degrees from (permanent landmark) Tank is located ft. and degrees from (pe^"'^-^t landmark) Tank set level. Tank lids within 8" of finished grade. Size of field . P fta �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. 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. ` Depth of field � _,..j ft. Soil interface raked. " Inspection portals at the end of each trench. Proper distance to setbacks. ` Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) Other Inspection meets requirements. Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: SetbIcks 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 u j yn, LA, e 1622-96 Tax# 2107-102-01-001 JOB NAME _':Lot C-1, Ute Forest SCULLY l D �� Chipeta Way JOB NO. 1d&77 BILL TO DATE STARTED DATE COMPLETED DATE BILLED Z2&14::" - zk,&� l qk lkz2ze 14 * ' �V( // P� t t JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE. SALES TAX 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 Printed In U.S.A. JOB FOLDER _I