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
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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
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SOIL PROFI
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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
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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
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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
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