HomeMy WebLinkAbout15143 Colorado River Rd - 185918200007INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1792-98 BP NO. 12069
OWNER: WALTER HENSRUD PHONE: 303-287-0992
MAILING ADDRESS: 6450 HUDSON STREET, COMMERCE CITY. CO
APPLICANT: RANDY COOK PHONE: 970-524-0119
SYSTEM LOCATION: 15143 COLORADO RIVER RD., GYPSUM TAX PARCEL NO. 1859-180-00-007
LICENSED INSTALLER: R.W. EXCAVATING, RANDY COOK LICENSE INTO. 19 98 PHOI NTE: 970-524-0119
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK 844 SQUARE FEET OF ABSORPTION AREA VIA 28 INFILTRATOR UNITS AS REQUESTED BY INSTALLER.
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEAN OUT BETWEEN THE TANK AND THE HOUSE
AND INSPECTION PORTALS IN EACH TRENCH. DO NOT BACK FILL WITH ROCKS LARGER THAN 8" IN DIAMETER. ALLOW NO VEHICULAR
TRAFFIC OVER LEACH FIELD AREA. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING
ANY PART OF THE INSTALLATION. OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY
WILL NOT BE ISSUED WITHOUT SEPTIC SYSTEM APPROVAL.
ENVIRONMENTAL HEALTH APPROVAL: 7V• DATE: JULY 2. 1998
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 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: 844 SQUAREFEET(VIA 28 TNFTT.TRATnR UNITS )
INSTALLED POLYETHELENE TANK: 1500 GALLONS IS LOCATED 75 DEGREES AND 24 FEET FROM SW CORNER nF TinTT$
COMMENTS:
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED. J
ENVIRONMENTAL HEALTH APPROVAL ���J�.� I�"'� DATE: T) c mh r 4, 199 R
Inuomplete'Applications Will NOT Be Accepted
(S t&Plan MUST be attached)
ISDS Permit # ; l 41 (7-7 �^
Building Permit # ! 7i0(O
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE. -.EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (Basalt)
**************************************************************************
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* MAKE ALL REMITTANCE PAYABLE'.TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: L- _ A L-�—
n 303
MAILING ADDRESS: �� ���-'i �C� �� .� l� w� v► L _ �� PHONE:
APPLICANT/CONTACT PERSON:PHONE: l�
LICENSED SYSTEMS CONTRACTOR: nin' PHONE:
COMPANY / DBA : 21.E 3 l:-4LOA Q v4 F 1 C XA ADDRESS- 1.3 CD LD rL 10 Lk -
PERMIT APPLICATION IS FOR: K NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: 0SE-I'L PVI}C_H._L� (D Vk N -DT PLA-CA
Tax Parcel Number: I � �i - � CSC- � Lot Size: 21� i' ck �t
Physical Address: I S CLUDiZ&ksQ V'7_L j_
BUILD N TYPE:, (Check applicable category)
( Residential/Single Family Number of Bedrooms
FResidential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE F WATER SUPPLY: (Check applicable category)
Well ( ) Spring ( ) Surface
Public Name of Supplier:
*These systems require sign by a Registered Professional Engineer
SIGNATURE: ' l v ` u Date:
AMOUNT PAID: 3�U RECEIPT #: DATE:
CHECK #: CASHIER: �—
Community Development Department
(970) 328-8720
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: June 2, 1998
TO: R. W. Excavation
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. 1792-98, Tax Parcel
#1859-180-00-007. Property Location: 15143 Colorado River Rd., Gypsum, CO.,
Hensrud residence.
Enclosed is your ISDS Permit No. 1792-98. 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.
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.
Please call our office well in advance to allow for scheduling of final inspection. Your building
permit TCO will not be issued untY1 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
Enclosures: ISDS permit # 1792-98; ISDS Final Inspection Completeness Form
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
EAGLE COUNTY, COLORADO
December 7, 1998
Walter Hensrud
6450 Hudson Street
Commerce City, CO 80022
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit #1792-97, Tax Parcel #1859-180-00-007. Property location:
15143 Colorado River Rd., Gypsum, CO
Dear Mr. Hensrud:
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
ISDS Permit # 117g2 Date-&-30-q2:
B?* (D.Cs-&j ISDS Final Inspection
Completeness Form
Tank is gal. Tank Material
Tank is located-2 f t*. and L90 degrees from .orcA(IL E—
(permanent landmark) TO L+ti Lf�
V Tank is located Z7-1 ft. and �)t!�- degrees from so.Lj< CDtz^Zh ` \
(permanent landmark) C j
Tank set level. Tank lids within 8" of finished grade. J
Size of field $'�N ftz units /q7j� lineal ft.
Technology =n ILVOLLA-ok sq'lonWL DiS�1Li8�: x�� u hk 1j-
Cleanout is installed in between tank and house(+ 1/100ft).
i---There is a "T" that goes down 14 inches in the inlet and (`t�
outlet of the tank. ,
L`�Inlet and outlet is sealed with tar tape, rubber asket .
Tank has two compartments with the larger compartment closest to the
house.
Measure distance and relative direction to field.
�V Depth of field D- � ft.
L�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 Poe-
, -.,trenches, etc.) 3" ��vc- ,,
t/ Type of pipe used for building sewer line /UT-M 0891 ; leach field# RS>m B.?Wq
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 lOQ
25
20
1
25 10 10
Tank 50
10
10
50 10 * 10
ehllyd
2 der
ISDS PERMIT # / -7 %a - 9r
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATLH
OWNER: walf, l�h sr at j
PHSYSICAL ADDRESS: l�1 N 3 Gn/. e,
LEGAL DESCRIPTION: S u M e
MAILING ADDRESS:
TYPE OF DWELLING: - S - - . DUMBER OF I
TEST HOLES PRE-SOAKED: YES_ NO
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TIME WATER DEPI INCHES OF FALL
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1792-98 Tax# 1859-180-00-007
JOB NAME 15143 Colorado River HENSRUD
Gypsum, CO
JOB NO. 1LL=" b r
JOR LOCATION
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
-P,.
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
INC., GROTON, MA 01471
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1
JOB FOLDER
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