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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 le-f qDo GL ; 7-M lbJ9-96 Tax# 2195-012-00-001 JOB NAME 9001 Brush Creek Rd. MEHL JOB NO. Eagle, CO OB LOCATI V v v BILL TO DATE STA TED r7l� DATE COMPLETED DATE BILLED ` 612 0 /q1D kri I l a JU ire wflo "a VW-A-t k. b f v JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR - ): INSURANCE. ( /I Uv 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