HomeMy WebLinkAbout432 Buck Point Dr - 218922301006 - 1646-96ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway - Eagle, Colorado 81631 �}
Telephone: 328-8755 6
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1646
Please call for final inspection before covering any portion of installed system.
OWNER: Cleve Wi 11 i amG PHONE:_(Q70) 963-1982
MAILING ADDRESS: P.O. BOX 28002 City: F.1 .Tt-h P I state: CO zip: 81628
APPLICANT: Same PHONE:
SYSTEM LOCATION: Buck Point Dr., Coulter Creek TAX PARCEL NUMBER: 2189-223-01-006
LICENSED INSTALLER: Draeger Excavating, Glenn Meehan LICENSE NO: 24-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
_ 1 500 -GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 1406 SQUARE FEET OF TRENCH BOTTOM. via 39 infiltrators as requested by owner
SPECIAL REQUIREMENTS: Tnstal l in 4 ri 1 distribution in trenches, wi h a cleanoutbetween h nk
and the house and inspection ports in each trench. Rake trench surfaces to prevent smear-
'11g of Soil Do no install in w w h r (' 11 he County for fin 1 in nertion prior
to back filling any part of the installation, or if you have any questions regarding the
ENVIRONMENTAL HEALTHAPPROVA . DATE: October 2, 1996
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT
TO AUTHORITY GRANTED IN 26- 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: 1404 SQUAREFEET. via 39 infiltrator units
INSTALLED SEPTIC TANK: 1500 GALLON 150 DEGREES 1514" FEETFROM tha nna rnoTn rnhin'
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: November 22, 1996
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT# CHECK#
(.,Site Plan MUST be .attached)
ti
ISDS Permit #
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"
J
PROPERTY OWNER: PHONE: (770 ) %C3 , %C-Z
MAILING ADDRESS: f'D (SOX ajr6l,0d2 f L.r _ 1, -) q/r-2 Q
APPLICANT/CONTACT PERSON:
MAILING ADDRESS: "00. 13O X
LICENSED ISDS CONTRACTOR: ,�-guAa, 1
COMPANY / DBA : aL A2-r7c , �-L c ADDRESS:
�I G
PHONE: (WOO-0 26-Y'"
PHONE: ( ) g2,7 3
***************************************************************************
PERMIT APPLICATION IS FOR: (A) New Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # (if known)
Legal Description: Subdivision: c� c�wi .r �Filing:_Block:�Lot No.
Tax Parcel Number: g - -� �_ Q (o Lot Size: 31 o 40 ere -
Street Address: 4 a 1 3 5
BUILDING TYPE: (Check applicable category)
(X) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number of Bedrooms 1
Number of Bedrooms
Type
TYPE OF WATER SUPPLY: (Check applicable category)
(>e) Well ( ) Spring ( ) Surface
( ) Public Name of Supplier: SlWe47-0,9
*These systems require design by a Registered Professional Engineer
11
SIGNATURE: Date:
***************************************************************************
TO BE COMPLETED BY THE COUNTY G,
AMOUNT PAID: RECEIPT # : l O 3 q l 1 DATE: q o r1
CHECK #: O d,Qi/y CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
November 22, 1996
Cleve Williams
P.O. box 28002
El Jebel, CO 81628
RE: Final of ISDS Permit No. 1646-96, Tax Parcel #2189-223-01-006.
Property location: Buck Point Dr., Coulter Creek Ranch.
Dear Mr. Williams:
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.
:7:��
Sincerely,
1
-
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: October 2, 1996
TO: Draeger Excavating
FROM: Environmental Health Division
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Issuance of Individual Sewage Disposal System Permit No. 1646-95, Tax Parcel
#2189-223-01-006. Property Location: Buck Point Drive, El Jebel, CO, Williams
residence.
Enclosed is your ISDS Permit No. 1643-96. 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
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
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OWNER: __Ubw,
LEGAL DESCRIPTION:
MAILING ADDRESS: P6 pl,k
TYPE OF DWELLING: 6 r NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
TIME Wafrrn nvnrnw
1
2
3_222
3
RATE
SOIL PR0FI'
1 2
3
2
lot
3
of
2
A z
3
15t,5
41
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7 -7
5
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6
7'
7
8
129K
S/o
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Is
Time to drop last inch
PERC RATE: �o MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE:
COMMENTS: r-)nn -04 ii
•
o
PERC TEST DONE BY:
4 E DATE:
EYi-vironmental Health officer
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ISDS Permit # /�
Date /d-?b
ISnS Final Inspection
/ Completeness Form
Tank is 4SM gal. Tank Material 6W'v�
Tank is located ft. and degrees from
/ (permanent landmark) l
v Tank is located JL�Lft. and LL degrees from �,e (
(permanent la k)
Tank set level. Tank lids within 8" of finished grade.4A✓&
bf—
V",*Size of field ft2 32 units lineal ft. 4b
/ Technology :?v►A l S
v Cleanout is installed in between tank and house(+ 1/100ft)� w-
�� There is a "T" that goes down 14 inches in the inlet and
outlet of the tank.
y Inlet and outlet is sealed with tar tape, rubber gasket etc.
Tank has two compartments with the larger compartment closest to the
house.
y/ Measure distance and relative direction to field.
_1 Depth of field ft.
Soil interface raked.
Inspection portals at the end of each trench.
_iL Proper distance to setbacks.
? Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
Other _
Inspection
requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN:
Vf1sm - �-
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
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lot-
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1646-96 Tax# 2189-223-01-006
JOB NAME Lot#3, Coulter Creek WILLIAMS
El Jebel
JOB NO.
JOB LOCATION
BILL TO
DATE STARED
DATE COMPLETED
DATE BILLED
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9 3o
lb L
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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 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.
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