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 j-Glolesd TIME WATER DEPI INCHES OF FALL 1 z 2",-'mouse k, Iled by s/lak RATE 3 SOIL PROFILE �f4-f 3�� Tgo, 3'��-. `f rr2 � `'.t 1-�3jy Z �� 13/� Z+ S L� Z • � (� 4' �`•,�' F L� 7 !S J��f /b 3r8' S `�v 203% zZzZ 8' r alls, zz �f f <<v i Ili 3/ 'Z 3. fa i 3 3 2 S 9' M ?��� 31F 3l� Z 3-G 13.3 Z' S 10' / o S �r'ocr.1, T Im fx*k xi co__ /I V Ilse 0 ww& - w c� J�lel� ENVIRONMENTAL HEALTH SPECIALIST 13AYE / V�� ;Nai fCIO;'. iriE� �ddS�CN V i GA. SOL'A� 4rts : Sty ris Cam''^ T-O E 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 /khj 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 oft � 1 JOB FOLDER Printed in U.S.A. .r r A M