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Home My WebLink About130 Red Hill Rd - 211105314002INDIVIDUAL 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. Please call for final inspection before covering any portion of installed system. PERMIT NO. 1289 OWNER: Michael E. & Carol A. Hindman PHONE: 524-7620 MAILINGADDRESS: P.O. BOX 316 OIry; Gypsum State: CO Zip: 81637 APPLICANT: SAA PHONE: SAA SYSTEM LOCATION: 130 Red Hill Dr., Gypsum TAX PARCEL NUMBER: 2111-053-14-002 LICENSED INSTALLER: Bemis Plumbing & Heating LICENSE NO: 22-93 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. SPECIAL REQUIREMENTS: Install 20 infiltrator units in trenches or 260 lineal ft. SB2 in trenches -Install inspection portals at the end of each trench ENVIRONMENTAL HEALTH APPROVAL: ! _ I/VIII DATE: GCS/ 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: SQUARE FEET. INSTALLED SEPTIC TANK: ALL GALLON —� f� DEGREES �1� i J FEET FROM sy u75 Ae SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY YES _ NO COMPLIANCE WITH COUNTY! STATE REQUIREMENTS: 7>( YES _ NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: ENVIRONMENTAL HEALTH APPROVAL: DATE: l� a ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE-INSPEC SARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: PERMIT FEE PERCOLATION TEST FEE OWNER: RECEIPT # CHECK # ISDS Permit Building Permit # APPLICATION .FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY P.O. BOX 179 EAGLE, CO 81631 328-8755/927-3823(Bas_alt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200. PROPERTY OWNER: MAILING ADDRESS : —6)Z APPLICANT/CONTACT PERSON: LICENSED SYSTEMS CONTRACTOR: C '/Y 40111 w :) l D g�7, tS7i sr ADDRESS: D�� 3 PERMIT APPLICATION IS FOR: (.-"EW INSTALLATION ( ) ALTERATION ( ) REPA LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: 4 � # /0 Parcel Number:_ / // - 05 y 0(:J Lot size: 4/,9 /ewe Physical Address: /Ain pet C� ,C4y/ ,Q,Q BUILDING TYPE: (Check applicable category) (,T"-Residential / Single Family Number of Bedrooms ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial ./ Industrial* Type TYPE OF WATER SUPPLY: Well( ) Spring ( ) Surface ) Public (r Name of Supplier: qWx d w , *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" SIGNATURE./��G2�(1/ ,%r '/2 DATE: ************************************************************************* AMOUNT PAID: _,_RECEIPT# DATE: `0/C)� c� CHECK # l OD / CASHIER: --�i-- ISDS PERMIT 7 1� PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: ", LEGAL DESCRIPTION: MAILING ADDRESS �RPrj 1 iCIL TYPE OF DWELLING: RS ; NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO 1 - 2 3 1 •..-.��,n t�r�r 2 in 3 ilv�n�� 1 �r 2 Z.R" 3 xATE 1 2 3 SOIL PROFIL: 0' D5 IP65 X - 2' �� ► ► �z air 3� 5:: !�'.�� I i 75 1� �. ^ 3' a .57) hi'a-ri i b I-01A6' ! 32, 97. ; 9— -T.5 (-b I,_D ,-75 c' S .t 7' 35 u 3�- r l.� . 75 8' Time to drop last inch PERC RATE: L'�j _- MINIMUM SEPTIC TANK SIZE : /5(� MINIMUM LEACH FIELD SIZE: % 50 -750 COMMENTS: PERC TEST DONE BY: DATE: Environmental Health officer rev. 6/90ks � ply Z I C>CtC` (l mof-'S L `�--- �lN d jw4ev ISO Aed <fr'/f pb/ /,/8 "Ve' s lei/` ZOf I-kl/2 tyA foxAl 17A, �119 f C uIV I'R,,, �. /,j., jserf .� s1o�! �W-wtl � O (to, r° Uur f `�t� /9G�lrtcJ /4 J D 3 33a,/o' Q c w w Q 07).iy #1289-93 - Parcel # JOB NAME _ 130 Red Hill Dr., Gypsum HINDMAN JOB NO. JOB LOCATION BILL TO DATE STARTED c. }} DATE COMPLETED DATE BILLED act =zu j li �6 4- 4, x �z rUt�j�� l�� , �,� 3 6 � �� r✓�� ..G, 2S77 JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 277 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. sz!,As 10 /so-S /�yl (//ol0,?-3 Work Classification:Alteration CO Address Owner Information Permit Status:Active Project Address 211105314002 Permit Type:OWTS Permit Permit NO.OWTS-5-14-10720 Expires: 9/19/2014Issue Date:5/22/2014 Parcel No. 130 RED HILL DR Private Wastewater System Environmental Health Department P.O. Box 179 500 Broadway Eagle, CO 81631-0179 Phone: (970)328-8755 Fax: (970)328-8788 Phone: (970)524-7520 Cell: Inspection For Inspections call:(970) 328-8755 Inspections: IVR PhoneEngineer(s) Contractor(s)Phone Primary ContractorLicense Number BOSSOW EXCAVATING Yes30-14 Michael Hindman Permitted Construction / Details: Intercept the effluent line coming from the existing 1,250 gallon tank and install a ball valve (if feasible) to take the existing absorption area completely off line and to enable it's use as a backup to the new soil treatment area if needed in the future. It is recommended to install an effluent screen in the outlet tee. Install properly bedded schedule 40 pvc or SDR 3035 to the new trenches and between trenches. The new soil treatment area will consist of 1,125 sq. ft. of absorption area credit via 56 Q4 Infiltrator chambers placed in shallow trenches along the contour that are serially connected to one another. Place inspection portals at both ends of each trench. Do not install in wet weather and be sure to rake or scarify the trench infiltrative surfaces, especially where smeared. Regrade low areas to assure drainage goes away from the soil treatment area and toward a new swale adjacent to the driveway. Call Eagle County Environmental Health to conduct the final inspection and assure all components are exposed and visible for inspection, including both septic tank lids. Issued by: Environmental Health Department, Eagle County, CO May 22, 2014 Date Customer Copy Ray Merry CONDITIONS: 1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT 2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED 3. 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 4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED Work Classification:Alteration CO Address Owner Information Permit Status:Active Project Address 211105314002 Permit Type:OWTS Permit Permit NO.OWTS-5-14-10720 Expires: 9/19/2014Issue Date:5/22/2014 Parcel No. 130 RED HILL DR Private Wastewater System Environmental Health Department P.O. Box 179 500 Broadway Eagle, CO 81631-0179 Phone: (970)328-8755 Fax: (970)328-8788 Phone: (970)524-7520 Cell: Inspection For Inspections call:(970) 328-8755 Inspections: IVR PhoneEngineer(s) Contractor(s)Phone Primary ContractorLicense Number BOSSOW EXCAVATING Yes30-14 Michael Hindman Permitted Construction / Details: Intercept the effluent line coming from the existing 1,250 gallon tank and install a ball valve (if feasible) to take the existing absorption area completely off line and to enable it's use as a backup to the new soil treatment area if needed in the future. It is recommended to install an effluent screen in the outlet tee. Install properly bedded schedule 40 pvc or SDR 3035 to the new trenches and between trenches. The new soil treatment area will consist of 1,125 sq. ft. of absorption area credit via 56 Q4 Infiltrator chambers placed in shallow trenches along the contour that are serially connected to one another. Place inspection portals at both ends of each trench. Do not install in wet weather and be sure to rake or scarify the trench infiltrative surfaces, especially where smeared. Regrade low areas to assure drainage goes away from the soil treatment area and toward a new swale adjacent to the driveway. Call Eagle County Environmental Health to conduct the final inspection and assure all components are exposed and visible for inspection, including both septic tank lids. Office Copy May 22, 2014 Issued by: Environmental Health Department, Eagle County, CO Date Ray Merry CONDITIONS: 1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT 2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED 3. 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 4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED 5-1ak9 DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX: (970) 328.8788 TOLL FREE: 800-225-6136 www.eaolecounty.us EAGLE COUNTY P.O. Box 179 500 Broadway Eagle, CO 81631 www.eaglecounty.us PERMIT APPLICATION FOR ONSITE WASTEWATER TREATMENT SYSTEM OWTS PERMIT # — BUILDING PERMIT # -T O.6 . INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED) FEESCHEDULE APPLICATION FEE $800.00 MAJOR REPAIR FEE $800.00 MINOR REPAIR FEE 400.00 This fee includes the OWTS Permit, Site Evaluation (Percolation Test, or Soil Profile Observation) and Final Inspection. Additional fees may be charged if a re -inspection is necessary, or a pre -construction site visit or consultation is needed. The re -inspection fee is $135.00 Make all remittance payable to: Eagle County Treasurer. Property Owner: 179' C h fI E / ¢' CA RO r #r,y d/1?AI✓ Phone: 9 70 - sd-/ - 7S'a U Mailing Address -�?6r G'U b 37 email M; P- hA,9l rth ,-,V �_ q Registered Professional Engineer: Phone: Applicant or Contact Person: A'd bl ,� ) 14 N d mAIV Phone: ` 6,07 U Licensed Systems Contractor: 'REX 73 O S S D &tj License # V / _17/ Company / DBA: 6 U SSd Gc) frx C R 4, tIg Phone: 5�2 ,�— / 7 5 7 Mailing Address: P, 9 &YAam C4) 007email Permit Application is for: Location of Proposed Legal Description: — New Installation Y_ Alteration Repair to Wastewater Treatment System, f`i O N rni u n! -fit, F X ,.4 141 n1 Tax Parcel Number: .2111 d s 3 7 4 0 0a Lot Size: Assessor's Link: www.eaelecounty.us/natie! Physical Address: 130 'RP ,4- 1� e // 73 9i d 6 Building Type: f Residential 1 Single Family Number of Bedrooms: Residential 1 Multi Family Number of Bedrooms: Commercial / Industrial* Type of Use: *These systems require design my a Registered Professional Engineer Type of Water Supply: —Private-Well Spring Surface /L Public If Public Name of Supplier: tOlN a Applicant Signature: Office Use Only Amount Paid: _ 4 LM Receipt #: Check #: Date: Z a MICHML E HINDMAN os-a3 CAROL A. HINDMAN PH.970-524-7520 BOX 316,130 RED HILL DR. _ p20 GYPSUM, CO 81637-0316 v Date 13837 82-3"1021 tars = Back Alpine Bank .GV U Rlpq� DAri '® ypsu -M . AlpinoIMO-UM(W%W54433 t For_ ' o YUCK TRUCK REMIT PAYMENT TO: YUCK TRUCK INVOICE DATE: 5/8/14 P.O. BOX 1365 INVOICE # 1413 GYPSUM, CO 81637 (970)401-3870 DESCRIPTION OF WORK PERFORMED: Pumped and Cleaned out 1,250 gal septic tank QIL 130 Red Hill Dr_ ---Gypsum, CO Date of Service: 5/8/14 CHARGE TO: Michael Hindman Attn: e-mail: michaeiehindman@centurvtel.ret ITEM HOURS DESCRIPTION UNIT PRICE TOTAL TRIP TRVEL TDO THERE CMG. -$ AND BACK $801r. $40.00 UMP TIIME TRUCKRAN G. 1-0 TOPUMP TANK $80/hr. $80.00 DUMP sewage DISPOSAL FEE ON 1,?0 GAL. $ .20/gal. $250 00 DUMP TRUCKING TIME TO DUMP TRIP CHRG. 1_—ANDBACK $80/hr. $80.00 Tank Ev& and Labor and Tme for Inspecting Tani $0.00 Chop Submitting EvaLmion -� CHARGE fo dJgwg up aW Ong $0.00 .0 � Jetting and .0 Jc=g wr i Labor and trig $0.00 wing included (2 Ln: ) Wank eonrete waLl4 w d bafRe were in good cow with Lees in pbwr- BALANCE DUE -00 OWTS Permit #` Date OWTS System -Inspection Location Form Tank is gallons. Tank material/manufacturer ('_ � r re+ e ex. Tank (1) is located ft. and degrees from n (T� a n r o \r2 r Q � Tank (2) is located ft. and degrees from Tank set level. Tank lids within 8" of finished grade. Size of field ft2 LLD units W lineal ft. Technology _� �;-, -G 1+r a-A0 r- 0/0 Cleanout is installed in between tank and house and one every 100ft. "T" that goes down 14 inches in the inlet and outlet of the tank. Effluent filter on outlet- Yes or No 0/0 Inlet and outlet is sealed with tar tape, rubber gasket, etc. L /y Tank has two compartments with the larger compartment closest to the house. ,� 3� I D �� o r`i'� O dot re-eS -' drO � ! I", �- +D � � r n,+- -h-c n c.h h e � ,.'t N-6i Measure distance and elative direction from structure and tank to STA. Sketch he layout on the grid. V Depth of STA ft. Inspection portals within each trench or bed. a.- bo+v\ e s a-� eU�. ` `r�''` c�• Proper distance to setbacks maintained. 0-W.191'CS L Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properl installed, rocks removed from trenches, pipe in the top inlet of end plates, etc.) Splash plate(s) installed at trench inlets. Type of pipe used for building sewer line WO Distribution line S D Ej�S STA Other Inspection meets requirements. Copy form to installer's We if recommendations for improvement were suggested. ACTION TAKEN: Setbacks: Well Potable House Property Lake Dry Tank Drain Field Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 Tank 50 10 5 10 50 10 * 10 p/0 EAGLE COUNTY ENVIRONMENTAL HEALTH FINAL AS -BUILT SKETCH YpOWT5 PERMIT # D`%apDATE 61'1112 LOCATION ADDRESS _/30 arLAll Dr�s�,�ur s I' P4 yt r , ' a ' Ct 4 S } ; i e ��, — -� .-,... � '�� `t �1� ; �� '� ,� t�6�+�t y ` ` l e �j,{ �: �;;. y�i '�t ,.... l: ., .`i 'jR' ., G .,. , art, -� � " z. /�-� � 0 9