HomeMy WebLinkAbout9001 Brush Creek Rd - 219501100001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1639
Please call for final inspection before covering any portion of installed system.
OWNER: Clinton Mehl PHONE: (970) 328-6637
MAILINGADDRESS: P.O. BOX 2049 c+ty: Eagle state: CO ZiP: 81631
APPLICANT: same PHONE:
SYSTEMLOCATION: 9001 Brush Creek Rd, Eagle TAX PARCEL NUMBER: 2195-012-00-001
LICENSED INSTALLER: W.Y. Construction, Bill Yeik LICENSENO: 41-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 750 SQUARE FEET OF TRENCH BOTTOM. via 21 infiltrators as requested by owner
SPECIAL REQUIREMENTS: Install in serial distribution in trenches, with a cleanout between the tank
and the house, and inspection ports in each trench. Fence area to prevent livestock from
grazing in the leach field and do not irrigate area. Call the County for final ins ection
prior to back filling any part of the installation, or if you have questions regarding the
installation.
ENVIRONMENTAL HEALTH APPROVA: DATE: August 30, 1996
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: 756 SQUAREFEET. via 21 Infiltrator units in three trenches
INSTALLED SEPTIC TANK: 1500 pla%�L}&N 374 DEGREES 44.5 FEET FROM sonotube on nw corner of deck
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: Fence leachfield to prevent livestock from grazing on leachfield.
ENVIRONMENTAL HEALTH DATE: `y/ly(L
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
October 17, 1996
Clinton Mehl
P.O. Box 2049
Eagle, CO 81631
RE: Final of ISDS Permit No. 1639-96, Tax Parcel #2195-012-00-001.
Property location: 9001 Brush Creek Road, Eagle, CO.
Dear Mr. Mehl,
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
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 328-8755.
Sincerely,
r
Laura Fawcett
Environmental Health Specialist
Eagle County Environmental Health Division
ENCL:Information Brochure
Final ISDS Permit
cc: files
ISDS Final Inspection,
Comp eteness Form
d o0 1116
Tank is gal. Tank Material
i
Tank is located ft. and 3174 degrees from Cr
(perma nent a rk)
_ Tank is located ft. and degrees from
v/ 30 � '
( ermanent landmark)
-7
Tank set level. '� Tank lids within 811 of finished grade.
maize of field ft2 units lineal ft.
Technology
V+4 eanout is installed in between tank and house(+ 1/100ft).
There is a "T".that goe§ down 14 inches in the inlet and�r,
outlet of the tank. 2 T Pth
Inlet andoutlet is-s�w to t pe r ber gas et
etc.
Tank has two compartments with the.larger compartment
closest to the house.
3i �t
0s Measure distance and relative direction to field.
Depth of field_ ft.
Soil interface raked.
Inspection portals at the end of each trench.
Proper distance to setbacks.
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
100
25
20
10
50
25
10
10
Tank
50
10
5
10
50
10
*
10
0
I�
■om
MEN
■EE
(Site Plan MUST be attached)
ISDS Permit #
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:
MAILING ADDRESS:
APPLICANT/CONTAC
MAILING ADDRESS:
LICENSED ISDS
COMPANY/DBA:
R;l n
***************************************************************************
PERMIT APPLICATION IS FOR: ( ) New Installation (X Alteration ( ) Repair
LOC T ON ,PRO ED INDIVIDU S WAGE DISPOSAL SYSTEM:
,j'}7 1 0It
Buildin ermi # (if known)
Legal Description: Subdivision: Filing: _Block: Lot No.
Tax Parcel Number: ILL q Q L 12-- 0 d-V v � Lot Size: re--s
Street Address:
***************************************************************************
BUILDING TYPE: (Check applicable category)
( Residential/Single Family
( Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY:
( Well ( )
( ) Public Name
(Check applicable category)
Spring ( ) Surface
of Supplier:
Number
Number
Type _
of Bedrooms
of Bedrooms
*These systems require design by a Registered Professional Engineer
SIGNATURE: Q-L Date:
**************************************************************************
TO BE COMPLETE BY THE COUNTY
AMOUNT PAID: V 1, -rZ RECEIPT
CHECK #
a� a
#: %D3 7 `1' DATE: cO
CASHIER:
ail .514. 1la
57 46re-s ,y
RkPMfI A7,4 4— AAf Jolt �t ®t? At► l?fJ/ `1f. .�,�r3R91 F v �(=J'�/
APrrex
Q� NE CORNER SECTION 1
\ STONE FOUND
TIE: N 89-56'59" E 1483.27'
SOUTH QUARTER CORNER
SECTION 36 1" IRON PIPE
� AND 2 1 /2" BRASS CAP
r� FOUND IN PLACE
z
o w
U 0�
w r`
un n
rnl
zi
N 89'57'20" E
97.41'
N 89'54'20" E
124.92'
560.42'
P.O.B. CORNER 4 TRACT 86
1" IRON PIPE AND 2 1/2"
SASS CAP FOUND
28 254.91 '
C9 S 03'40'21 " W
---_ T C8 C7
— I �
LOT 6
SECTION 1
MEHL
r
li
�1 250 78 E U243 00 t
S(
ISDS Permit #�
Date
ISDS Final Inspection
Completeness Form
Tank is r gal. Tank Material
Tank is located ft. and degrees from
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
_ Tank set level. �-�:rank lids within 8" of finished grade.
Size of fielft2 (>b) units lineal ft.
Technology Il /�Y
Cleanout is installed in between tank and house(+ 1/100ft).
Nv
Th is a 'IT" that goes down 14 inches in the inlet and
utle of the tank.
_ nle and utle is sealed with tar tape, rubber gasket etc.
yJp "-ges
_ Tank has two compartments with the larger compartment closest to the
house.
Measure distance and relative direction to field.
QDepth of field-o_-„L ft.
A ---Soil interface raked.
xInspection portals at the end of each trench.
_X_ Proper distance to setbacks.
_ Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
Other
_ Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN: (� h,-e d. - Foe- �� • 1416-f � y
Ano4h
,`,� � `,� n.�(� is . .
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
101", (6rv--
Fr
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: August 30, 1996
TO: W.Y. 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. 1639-96, Tax Parcel
#2195-012-00-001. Property Location: 9001 Brush Creek Rd., Eagle, CO., Mehl
residence.
Enclosed is your ISDS Permit No. 1639-96. 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
M which may have been placed on the permit. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made. Your building permit CO will not be
issued until final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755.
cc: files
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
!L
�2
OWNER:
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING:
NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YESv NO
TIME WamrD nvnmv �,,,.......
mpg 100
E1I1
00�1p�0�1��li��'Elm
Time to drop
last inch��
PERC RATE:
MINIMUM ✓�SEPTIC
TANK SIZE.�I,;)
U
MINIMUM LEACH
FIELD SIZE:
COMMENTS:
q0�"
s -1
S d --'
ac
Z
DOi
7i5o ,?(, 1 i n fir„ rr,r
l.Lri i �s
� `i'kJu1�
,. U _
PERC TEST DONE BY: 1$
Pmc to
I�
ILJL�
DATE:
Environmental
Health Officer
rev. 6/90ks
�'°_�� 40
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7-M
lbJ9-96 Tax# 2195-012-00-001
JOB NAME 9001 Brush Creek Rd. MEHL JOB NO.
Eagle, CO
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DATE STA TED
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DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
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INSURANCE.
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SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS.OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 ®O NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.SA