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HomeMy WebLinkAbout88 Crocket Ct - 211110406001INDIVIDUAL 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. 2122-01 BP NO. 13 880 OWNER: PETER AND THERESA HATZENBELLER PHONE: 970-524-9460 MAILING ADDRESS: P.O. BOX 18, GYPSUM, CO 81637 APPLICANT: SAME PHONE: SYSTEM LOCATION: 0088 CROCKET COURT, GYPSUM, CO TAX PARCEL NO. 2111-104-00-048 LICENSED INSTALLER: T. NOTTINGHAM CONSTRUCTION, TERE NOTTINGHAM LICENSE NO. 32-01 PHONE: 970-926-3053 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 4 BEDROOM RESIDENCE 1250 GALLON SEPTIC TANK ,1125 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 36 INFILTRATOR UNITS AS REQUESTED BY OWNER SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE, AND IN- SPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS, AND DO NOT INSTALL IN WET WEATHER. BE SURE TO MAINTAIN ALL APPLICABLE SET BACK REQUIREMENTS. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR THE FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION OR WITH ANY QUESTIONS. THE BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED U TI SEP I HAS BEEN INSPECTED AND APPROVED. ENVIRONMENTAL HEALTH APPROVAL: DATE: SEPTEMBER 6, 2001 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 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: 1209 SQUARE FEET (VIA 39 INFILTRATOR UNITS ) INSTALLED CONCRETE SEPTIC TANK: 1250 GALLONS IS LOCATED 294 DEGREES AND 38 FEET INCHES FROM THE NORTH WEST CORNER OF THE HOUSE. COMMENTS: THE FINAL INSPECTIONS WF.RF. T)ONF. BY T.ATTRA "RAWCET ON MAY 29, 2nn2, ANT) wTTT.IAM CARLSON ON JUNE 14, 2002. THIS SYSTEM IS LARGE ENOUGH TO ACCOMMODATE A FOUR BEDROOM RESIDE E. ANY ITEM NOT MEETING REQUIREMENTS WIL R T EFO NAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL DATE: JUNE 17, 2002 .incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # C)vc2cz—D Building Permit # _ nF-f38'9U APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 Eagle (970)328-8755, Fax (970)328-0349, El Jebel (970)927-3823 ************************************************************************** * FEE SCHEDULE * PERMIT APPLICATION FEE $150.00 * PERCOLATION TEST/SOIL PROFILE AND SITE EVALUATION FEE $200.00 * SITE VISIT/CONSULTATION FEE $85.00 * REINSPECTION FEE $47.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ************************************************************************** PROPERTY OWNER:k MAILING ADDRESS: K ® 60-4 1 Y , (off 105 VYO, GO kvAAv ?/b37PHONE : `/71-'Z37) �( f�"� S 2I-I-GiLl&0 APPLICANT/CONTACT PERSON: G� ,111�/Z �l�( PHONE: 1.a11.- 7 7/ LICENSED SYSTEMS CONTRACTOR: -1;k ftQ-ttl ce(%;PHONE :q70 -7z(-=3a5,3 COMPANY/DBA 1- INd-i'ti N! ADDRESS: T-QdZ3 -�Aat UM PERMIT APPLICATION IS FOR: (V NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description; Sc-Z AfG %> Tax Parcel Number: a- t L - t 04 - 0 0 - V+Z Lot Size: .3 S' ALt,2 -4 Physical Address : 60 9, e L,. O Lokx-fi CO lyq- BUILDIN TYPE: (Check applicable category) ( Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ of Bedrooms of Bedrooms *These systems require design by a Registered Professional Engineer TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface (t yPublic Name of Su plier: c� APPLICANT SIGNATURE: Date: _ d 2 © _ *************************************************************************** AMOUNT PAID RECEIP.T 9 '7 5 `7 DATE: T' Z c CHECK #: 9 -3 -3 zi CASHIER: ISDS PERMIT Z- 1-� o PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH OWNER: THSYSICAL ADDRESS: LEGAL DESCRIPTION: �X MAILING ADDRESS: _00A6aY / 7' ` o Ic TYPE OF DWELLING: Q S ' NUMBER OF BEDROOMS: /-214 TEST HOLES PRE-SOAKED: YES NO SOIL TEME WATER DEPTH INCHES OF FALL RATE PROFILE m3NbL, �2 TZI, I,� 2.7 21 i� l).33 / cI lo So OV 1.2 / 1, 1 3,33 C,: s ' ° z�'/ 2�►`/ �2'/ ace r, S-1 a 10, TIME TO DROP LAST INCH:_ PERC RATE: `6 MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: � ode-. A COMMENTS:It /lopes CW ENVIRONMENTAL HEALTH SPECIALIST DATE f ISDS Permit # a -It Date UDS Final In@pection CgMletenese Form off Tank is �` gal. Tank Material 0 An% V Tank. is located J I f t . and degrees from I/ ! y� �t..o.a\�Ai�.oa..sk► Tank is located ft. and degrees from N {pmunn"c LWA=Zw V Tank set level. G�`'T ank lids within 8" of finished grade. x3 Size of field t2 units lineal ft. Technology R �..�,A- _4 -� ` y Cleanout is installed in between tank and house(+ 1/100ft). V There is a "T" that roes down 14 inches in the inlet and outlet of the tank: ,byµ Inlet. and outlet is sealed with tar --.tape,- rubber gasket etc. Tk has two -compartments with the.;=;a�eger-;,,cpippatment closest to the .::.,, house. ,Mda,bure dlatance and relative direp ga.to;;: geld, V Depth of field. ft. IV/A Soil interface raked. - - Inspection portals at the _end of each trench.. Proper distance to setbacks. Chambers properly installed as per manufacturer$ specifications. (Chambers latched, end plates properly installed, rocks 'removed from ,/drenches, etc.) V 5VP- 3 leach field § . 5 � Type of pipe used for building sewer line , r V Other Inspection meea rei remencs. Copy form to installer's file if recommeAdations for improvement Were suggested. ACTION TAKEN: y1}& Ptd a V Setbacks Well Potable House Property Water Lines line Lake Dry Stream Gulch Tank Drain Field 100 25 20 10 50 25 10 10 ��� 50 10 5 10 so 10 * 10 --- --- EAGLE- -00U*T-Y-EWV; HEALTH P.O. BOX 179 JOB SHEET NO. EAGLE, CO 81631 CALCULATEo BY DATE `. CHECKED BY DATE PRODUCTM I(Sin* Sheets) 2d5.1paddea 1 ®Inc..Gfolon.Mist 01471. To Order PHONE TOLL FREE I-000-225-MO 2122-01 Tax #2111-104-00-048 JOB NAME. 0088 Crocket Ct HATZENBELLER Gypsum, CO JOB NO.��� JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED LC / I (J / W /a �CL D /, // j k/ n ` J / / z n , LSD .� " � `a✓'�.� �a 7h, If G� 7 VOL,�': Oj,',OL�L QA- A�A-/v- Ut Yinl' u\— naa" JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL f�a�� i TOTAL LABOR '"-- INSURANCE SALES TAX -MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE --.�✓.'i aYl" Kl > .ay- w a MIL 4 r r ,.ok 21 zZ-d �� slz rloz 00? S crc,(� mot- at- 6�P-Wil Co s(b3-) Nai zehbeller dz�-U I 211I- Id4-OG-U�k`b _ 00'�`6 CroC)(af Cf 1-7 jp5oIn CU lla37 r ,.ok 21 zZ-d �� slz rloz 00? S crc,(� mot- at- 6�P-Wil Co s(b3-) Nai zehbeller dz�-U I 211I- Id4-OG-U�k`b _ 00'�`6 CroC)(af Cf 1-7 jp5oIn CU lla37 D -- - -2 a 0cre AN ro 42 -86 ,/ , ,des _- ' / I ' / '� \ / \ 1 X - C..J V i i1V' SLED S ,- ��-- -5 _ , _ , , -- �6- 4 f \� - - - 871 s f�0 -�C CROCKET COURT I— \— 66 63p `\ /g:�'o` 386�1' —t -�--- Lq7 T26 1 IV �34 630-- / 00 �/ / I�—c ✓-` \ ,. N LOT 127 o jaC�pV 11* �C 4 �-' ( , �- n X2 c� J 1' XI o JI ice— I ��� Se �664 �_ _ - /-- ( `� �j 4 - �\ ,8s0 77. 4- v \ / — . o ��-�6 - 3 �40 Df�AfN G� A D UTILITY EAS�`PAE \ o ` 4_ / 365 / �! / 541 66 / 4r5T27� EOP Sm 3 9.0675���16,�H' -� iAP#2IR81F-LD_ ����A4, l \ ! - t A 6 61 i fit 12 Water, 2 Gas 4 Ph on e, 4 Cable �67� �_ //-�� �\ �'///// — Phon and cable 6 �� r�� - ide �—�/NOTE. 1. Extra Ped tal s ne ease ents are s own to -- r Fireh yd an t all road varia ons to Mil s ve trees. Road show at 7% t 4 W ter, 2 Gas T 4P one, 4CableMax.slop = while h 4"""axsloElec to pump missing trees. I4; 70 18'0x40' N-12 �< Inv In=670 .x nv out=69 7 // / / \ p�tc a /. / ' / // t t / f'eld'to _ �_ _ , —'6 l ec forp er r' 4 ervice /ault O, / - i" 398 to house 4"Water, 2" 4"Phone, 4"Cab Q '`— �� 1' �0% -\� _, �� / / / 6720, for future lots fi11 / 1 ' 66$ �Vl -- �- Nit )J �,. S 1 TE PLAN' 1 = Bor G Splf e vaul 5 ' pull ach way SO, 6670' i 6680' 0 Wide Gravel i th in a 50' Eqom Nfor CD To & Owner cess. 6690 (/) i R * A P TR A\P z OA '1 0+62.76 ' CROCKET COURT��� LOT 132 SSLEEVE CROSSING '(ELECTRIC ELECTRIC)' _. STA 1i2&72 ICROCKET COURT ' I L� E OT 131 . 'BU 1 t LOT 13 I ; SLEEVE CROSSING' (ELECTRIC) TA 3+66 79 -. __. CROCKET COURT 1 . PAD Xl LOT 129 SLEEVE CROSSING AS3. 7M06 upi fD1 > s h� Splice vault v CKHOE A IN Vicinity Sketch ��, = 1000' UTILIT' 8c ROAD PLAN SCALE: DATE: SURVEYED BY: 1"=80'(24"X26" July 6, 2001 JOHN CURRAN DRAWN BY: CHECKED BY: 0374 JULES DRIVE GYPSUM, CO 81637 JCL JCL (970) 524-5502 HATZENBELLER PARCEL .HOME SITE GYPSUM, COLORADO EAGLE COUNTY JERRY C. LAW, P.E. DBA JC' 335 DONEGAN ROAD GLENWOOD SPRINGS, CO 81601 (970) 945-2769, fax-6596 SHEET NO. 1 /OF PROJECT: HATZ REV NO. DATE REVISION DESCRIPTION