HomeMy WebLinkAbout64 Lariat Ct - 210505401006 - 1696-96ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway Eagle, Colorado 81631
Telephone: 328-8755 6 P / /011
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1696
Please call for final inspection before covering any portion of installed system.
OWNER: George and Elizabeth Ott PHONE:_(970) 926-9099
MAILINGADDRESS: P.O. Box 1872 City: Rdwardc Stare: CO zip:81632
APPLICANT: same PHONE:
SYSTEM LOCATION: TAX PARCEL NUMBER: i 1 n 5-054—O 1-006
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LICENSED INSTALLER: 2 LICENSE NO:
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK minimum size
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 837 SQUARE FEET OF TRENCH BOTTOM. via 27 infiltrator units as requested by
SPECIAL REQUIREMENTS: installer. Install in serial distribution in trenches with a cleanout between
the tank and the house and inspection ports in each trench. Locate leachfield as close to
perc holes 1&2 (southeast) as Dossible. Do not back -fill with cobbles larger than 8" in
diameter. Rake trench surfaces to prevent smearing of soils. Call the County for final
inspection priorto back-fillipback-fillin2 anv part of the installation.
ENVIRONMENTAL HEALTH APPROVAL: DATE: ,Tune.. 3. 1997
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: 837 SQUAREFEET. via 27 infiltrator units
INSTALLED SEPTIC TANK: 1250 GALLON 325 DEGREES 52 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: October 6, 1997
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
kSite Plan MUST be attached)
ISDS Permit # I I b Cl6 1
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 OWNER: CI e0r_C,r__ 1 i ZA , is i t Orr" PHONE: (0170) 926 9t�
MAILING ADDRESS: ro. o7C /g�7� E�WA-P.b!5 CO S16-3Z
APPLICANT/CONTACT PERSON: 4'£0L'c-iG
MAILING ADDRESS: 1 9'72
LICENSED ISDS CONTRACTOR:
COMPANY/DBA:
i N .4 C.py4S�eUC:-i aor4
ADDRESS: P.O. ,>O
PHONE: OW 1 926 9t"f9
PHONE: ('1701 17Z(i g I
PERMIT APPLICATION IS FOR: X New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # (if known)
Legal Description: Subdivision:600TH Tl> T Filing:_LBlock: Lot No.�'�
Tax Parcel Number: Z j CJ 9-0 5 )4 - 0 1 - 0 0 ,b Lot Size: Jv0,8gJ Acee-<
Street Address: 1 A IA j CO%J-Z r
BUILDING TYPE: (Check applicable category)
(X) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
�j Public Name of Supplier:
Number
Number
Type _
of Bedrooms
of Bedrooms
*These systems requir esign by a Registered Professional Engineer
SIGNATURE: Date: 5-04 - OV7
TO BE COMPLETED Y THE COUNTY
AMOUNT PAID: a,-)o,tf RECEIPT #: J DATE:
CHECK #: I j l l - l9,R5 CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
October 6 1997
George and Elizabeth Ott
P.O. Box 1872
Edwards, CO 81632
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit No. 1696-97, Tax Parcel #2105-054-01-006. Property location: 64
Lariat Court, Edwards, CO.
Dear Mr. and Mrs. Ott:
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 (970) 328-8755.
Sincerely,
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL:Informational Brochure
Final ISDS Permit
cc: files
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: June 3, 1997
TO: Defina Construction
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. 1696-97, Tax Parcel
F #2105-054-01-006. Property Location: 64 Lariat Court, Edwards, CO., Ott
residence.
Enclosed is your ISDS Permit No. 1696-97. 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
Enclosure: ISDS Final Inspection Completeness Form
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755 t n /
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1696
r
Please call for final inspection before covering any portion of installed system.
OWNER: George and Elizabeth Ott PHONE: (970) 926-9099
MAILING ADDRESS: P.O. BOX 1872
City: Rdwa rd s State: CO Zip: 81632
APPLICANT: Same
PHONE:
SYSTEM LOCATION: 64 Lariat Court, FdXa rd s TAX PARCEL NUMBER: 91 0 9-0 9.4-01-006
LICENSED INSTALLER:Diefina COnstruCtioni Ggry Tlafinn LICENSE NO: Tod`/
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: --�1, ��1�
1000 GALLON SEPTIC TANK minimum S1Ze �J't?�,(/� h64 I&" riQQ.C.�Qd �rG,G{�iYi,QQ�
ABSORPTION AREA REQUIREMENTS: , 7� GQ 6A Ti u y L1�r�Gi �s COZCQG[ ,�/G �IS Y
SQUARE FEET OF SEEPAGE BED 837 SQUARE FEET OF TRENCHBOTTO via 27// infiltrator units as requested by
SPECIAL REQUIREMENTS: installer. Install in serial distribution 'n` �r�nches with a cleanout between
the tank and the house and inspection ports in each trench. Locate leachfield as close to
perc holes 1&2 (southeast) as nnccihlo T% 1-1- C•,' ..- _
aiameter. Rake trench surfaces to preventvsmear
inspection nrinr to 1»nlr_F;ll;..�
ENVIRONMENTAL HEALTH APP
CONDMONS:
soils. C
ty for
DATE: June 3. 1997
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: SQUARE FEET.
INSTALLED SEPTIC TANK: GALLON DEGREES FEET FROM
SEPTIC TANK ACCESS TO WITHIN 8' OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY
YES —NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: _ YES —NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
Post -it- Fax Note 7671
Date (� 3 C pages
TO rIQ
(
From
L raw
Co./Dept.
Co.
l (Q
Phone #
Phone #
Fax# j
Fax#
IF NECESSARY)
.'EIPr RECORDS
OWNER:
RECEIPTS CHECK a
DATE:
DATE:
ILICANT/ AGENT:
IMIT FEE PERCOLATION TEST FEE
DATE: September 22, 1997
TO: Vanderwalker Construction
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System Permit No. 1696-97, Tax Parcel
#2105-054-01-006. Property Location: 64 Lariat Court, Edwards, CO., Ott
residence.
Enclosed is your ISDS Permit No. 1690'-97. 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
Enclosure: ISDS Final Inspection Completeness Form
Re -issue
I J L) S PERMIT / & Y6 -, ?'-y
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION: Lo4
MAILING ADDRESS:
TYPE OF DWELLING:
NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
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2
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PERC RATE: DO MINIMUM SEPTIC TANK SIZE:
_14
MINIMUM LEACH FIELD SIZE:
COMMENTS: I S_i, h I,'-, i:411, 1, t19
4'rW0C-fNMW
\f2_0 X (P-7 5
PERC TEST DONE BY:
Environmental Health 0
rev. 6/90ks
cer
; i
DATE:
ao
20
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ISDS Permit Date Q 1
IS Final Inspection
Completeness Form
Tank is Io ST gal . Tank Material �✓,,`/Q__p
Tank is located ft. and. degrees from C �
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. ___.),—,/Tank lids within 8" of finished grade.
►1 Size of field t2 � units lineal ft.
Technology ,c.HS
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, etc.
Tank has two compartments with the larger compartment closest to the
house.
Measure distance and relative direction to field.
Depth of f ield ? ft . OkyGccQR n�yu ,-,,`
Soil interface raked. UV
�/ 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.)
Type of pipe used for building sewer line leach field-k'
Other
Inspection meets requirements.
Copy form to installers 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
JOB
EAGLE_ -COUNTY ENV. HEALTH
P.O. BOX 179 SHEET NO. OF
EAGLE, CO 81631 CALCULATED BY DATE
CHECKED BY DATE
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Groton Mass. !- — -- FREE 1-800-225.6380
1696-9/ TAX9 L1US-U54-U1-UU6
JOB NAME Lot R-3, Filing 1 OTT
64 Lariat Court
South Forty, Edwards
JOB NO. V %/c� 5aZ
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DATE BILLED
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JOB COST SUMMARY
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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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