HomeMy WebLinkAbout3838 Hwy 6 - 211305402001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.Q. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1924-99 BP NO. 12731
OWNER: MIKE YOUNG PHONE: 970-476-0363
MAILING ADDRESS: 1225 WESTHAVEN LANE VAIL CO 81657
APPLICANT: SAME PHONE: 970-476-036
SYSTEM LOCATION: 3000-4500 HWY 6, DOTSERO, CO TAX PARCEL NO. 2113-043-00-008
LICENSED INSTALLER: LONG'S EXCAVATION, JERRY McARTHUR LICENSE NO. 25-00 PHONE: 970-949-4682
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A GARAGE WITH SHOWER, TOILET & 2 HAND SINKS
500 GALLON 2-COMPARTMENT SEPTIC TANK 375 SQUARE FEET OF ABSORPTION AREA VIA12 CHAMBERED UNITS AS REQUESTED BY OWNER_
SPECIAL REQUIREMENTS INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE BUILDING AND IN-
SPECTION PORTALS IN EACH TRENCH. DO NOT INSTALL IN WET WEATHER, AND RAKE ALL TRENCH SURFACE TO PREVENT THE SMEARING OF
SOILS. DO NOT BACK FILL WITH COBBLES LARGER THAN 8 INCHES IN DIAMETER. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FI-
NAL INSPECTION PRIOR TO BACK FILLING ANY PORTION OF THE INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE
ISSUED UNTIL THE SEPTIC SYSTEM HAS BEEN INSPECTED AND APPROVED. THIS SYSTEM HAS NOT BEEN APPROVED FOR COMMERCIAL USE
ONLY FOR LIMITED USE. ANY FUTURE EXPANSION MUST BE EVALUATED AND DESIGNED BY A REGISTERED PROFESSIONAL ENGINEER.
ENVIRONMENTAL HEALTH APPROVAL: DATE: MARCH 13, 2000
CONDITIONS:
I. 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 WILL RESULT IN 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: 496 SQUARE FEET (VIA 16 INFILTRATOR UNITS )
INSTALLED CONCRETE SEPTIC TANK: 1000 GALLONS IS LOCATED 264 DEGREES AND I 1 FEET INCHES
FROM THE CLEAN OUT.
COMMENTS: FINAL INSPECTION DONE BY HEATHER SAVALOX ON 121,00.
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A REdNSPECTION WHEN WORK IS
COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL /V DATE: MARCH 29 2000
Incomple-te Applications Wi11.NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit #
Building Permit #.
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)
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PERMIT APPLICATION FEE -$150.00• PERCOLATION TEST FEE $200.00
* *
*
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: M U
MAI L TNG ADDRESS h if `` _ 'PHONE:
APPLICANT/CONTACT PERSON:
LICENSED SYSTEMS CONTRACTOR:
PHONE:
PHONE:
COMPANY/DBA: ADDRESS:
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PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Tax Parcel Number: o Lot Size: 0 �`
a -
Physical Address: 3 " Y3 G �
BUILDING TYPE: (Check applicable category)(Number of Bedrooms
( ) Residential/Single Family r-c(q e B�Number of Bedrooms
( ) Residential/Multi-Family * T
Commercial/Industrial* oj\C * 611JI'`�Type
TYPE QF WATER SUPPLY: (Check applicable category)
Well ( ) Spring ( ) Surface
( Public Name of Supplier:
*These systems require design by a Registered Professional Engineer
SIGNATURE: Date: �O-
J-0
AMOUNT PAID: RECEIPT #: `l�� DATE:.
CHECK #: CASHIER:
ISDS PERMIT # jqa y
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATLH
OWNER: m ve �
•PHSYSICAL ADDRESS: U
LEGAL DESCRIPTION: n ]4wj to 064-,& ry
MAILING ADDRESS:
TYPE OF DWELLING: u P , NUMBER OF BEDROOMS: SGG2Rv� (E ( �i Stu ask
TEST HOLES PRE-SOAKED: YES V NO
SOIL
TIME WATER DEPTH INCHES OF FALL RATE PROFILE
(y
1
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l,y
i
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3� S
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o
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)981
15
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63/y
1 S 3'B
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14
13�3
0�
TIME TO DROP LAST INCH: PERC RATE: M 1,5 ao-e- 6-Y / , -- G ,4 vC /(y y
,� �s 6 LTA2 � b,� 0
01041
MINIMUM LEACH FIELD SIZE: MINIMU SEPTIC TANK SIZE:
COMMENTS:
his sue-(
rd , bkRow
49
ENVIRONMENTAL HEALTH SPECIALIST DATE
A
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1924-99 Tax fZ113—U4J—UU-UUO
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3000-4500 Hwy 6 YOUNG
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DATE STA TED
DATE COMPLETED
DATE BILLED
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COST SUMMARY
_
TOTAL SELLING PRICE
3 6-N
TOTAL MATERIAL
V o2 q
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 277 nEas p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.
1i
ISDS Permit #Ba Inspector Datejj,;Z3 00
ISDS Final Inspection
Completeness Form
Tank is 1 d ` gal. Tank Material fOy� /1!C.
V/Tack is located 1_ft. and2l/ degrees from fi�U�irr o
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. Tank lids within 8" of finished grade.
✓Size of field ft' ' ' units lineal ft. Technology it4Arr I S'
r/ Cleanout is installed in between tank and house(+ 1/100ft).
"T" that goes down 14 inches in the inlet and outlet of the tank. Effluent filter on outlet- Yes or No
Inlet and outlet is sealed with tar tap(, rubber�t,etc.
✓Tank has two compartments with the larger compartment closest to the house.
Measure distance and relative direction to field, 131 g "
V' Depth of field ft.
Soil interface raked.
Inspection portals at the end of each trench.
Proper distance to setbacks.
L,' Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly
installed, rocks removed from trenches, etc.)
Splash plate(s) installed at least in first trench inlet.
Type of pipe used for building sewer line ,4 3 f leach field bC
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for improvement were suggested.
/[1@111UN 11:11:4 clef
Setbacks
Well Potable
Water Lines
House Property
line
Lake
Stream
Dry Tank Drain
Gulch
Field 100 25
20 10
50
25 10 10
Tank 50 10
5 10
50
10 * 10
JOB
EAGLE COUNTY ENV. REAM
P.O. BOX 179
EAGLE, CO 81631
SHEET NO. OF
CALCULATED BY
DATE
CHECKED BY DATE
wuoec;ll�� IRrewsrwlx rlfi i i gL"�J lit, kft rM&M T.oN&F PHONE TOU FREE 1,M225-M
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