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HomeMy WebLinkAbout970 Mayne St - 211105107001INDIVIDUAL 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. 1 5 O 1 Please call for final inspection before covering any portion of installed system. OWNER: Golden and Thelma Bair PHONE: (970) 945-7551 MAILINGADDRESS: P.O. BOX 547 -City: Glenwood Spring§tate: CO ZIP:81602 APPLICANT: Dan Lister PHONE: (970) 524-7585 SYSTEM LOCATION: 910 Mayne St.,Gyp sum, CO TAX PARCEL NUMBER: 2111-081-07-001 LICENSED INSTALLER: Western Slope Construction/ Dan Lister LICENSE NO: 50-95 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1 QO0—GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 604 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Rake trench sidewalls, and install inspection portals at the end of each trench. Install field between 2-2 1/2 feet deep. Call County for final inspection, and don't backfill before inpfe':t complete. ENVIRONMENTAL HEALTH APPROVAL: DATE: July 21, 1995 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: 604 SQUARE FEET. Via 34 infiltrators INSTALLED SEPTIC TANK: 1000 GALLON 80 DEGREES 14'8" FEETFROM house SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND X PROPER MATERIAL AND ASSEMBLY 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 REANSPECTION WHEN WORK IS CORRECTED. COMMENTS: clean out is located in crawl space under house ENVIRONMENTAL HEALTH APPROVAL: c �7�4-G-e42Z �G�.�U _ x C� DATE: gh7- (� ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT# CHECK# (Site Plan MUST be attached) ISDS Permit # 150l - lJ 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: Z AiNc\" ` PHONE: APPLICANT/CONTACT PERSON: ?e� �n S���Pa 'hF PHONE: ( *-O)d°�-- MAILING ADDRESS: LICENSED ISDS CONTRACTOR: -J \-.\ — S PHONE: COMPANY/DBA: �� ��� r, -Sic�De Nn,,�- ADDRESS: - me 6PO4. *************************************************************************** PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: �i���� rc,_Filing:jBlock:,#- Lot No. Tax Parcel Number: Lot Size•. - Street Address: *************************************************************************** BUILDING TYPE: (Check applicable category) ( Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Sur ce (�O Public Name of Supplier: (v- *These systems require SIGNATURE: 4)s=)� ******************** Number of Bedrooms Number of Bedrooms Type ign by a Registered Professional Engineer Date: *************************************************** TO BE COMPLETED BY THE COUNTY , AMOUNT PAID: 6 RECEIPT #: © `'T DATE: -- (1 CHECK #: � ( CASHIER: -'C COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 DATE: 4trolU EAGLE COUNTY, COLORADO July 21, 1995 Western Slope Constructors Environmental Health Division 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 RE: Issuance of Individual Sewage Disposal System Permit No. 1501 Tax Parcel #2111-081-07-001 Property Location:910 Mayne St., Gypsum, Co 81637 Enclosed is your ISDS Permit No. 1501-95 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. Systems designed by a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County does not perform final inspections on engineer designed systems. Engineer as builts must be submitted for permit to be finalized and C.O. issued. 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 COMMUNITY DEVELOPMENT DEPARTMENT (303) 32 8.87 30 EAGLE COUNTY, COLORADO August 16, 1995 Golden and Thelma Bair P.O. Box 547 Glenwood Springs, CO 81602 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 RE: Final of ISDS Permit No. 1501-95 Parcel #2111-081-07-001. Property located at: 910 Mayne St., Horse Pasture Subdivision, Gypsum, Co. Dear Mr. and Mrs. Bair, 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. sincerer Janet Kohl Environmental Health Department ENCL: Information Brochure Final ISDS Permit enclosures HERMIT PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: 'NUMBER OF BEDROOMS_,� TEST HOLES PRE-SOAKED: YES NO TIME Wtfrrn nrnrrtz 3UIL FROFI 2 3 1 2 3 7 1 2 3 1 2 2 3 0 . I 2 3' I \J_ 4 q 14- 5' / 7 -6- 71 0/9 8, Time to drop last inch- PERC RATE: *C, MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: COMMENTS: PERC TEST DONE BY: Environmental "H"i_lth Officer rev. 6/90ks DATE : ISDS Final Inspection C Completeness Form /r 11,,1Z Tank is _� �� gal. Tank Material Tank is located ft. and'degrees from �lJ (permanent landmark) \ Tank is located ft. and degrees from (permanent landmark) Tank set level. Tank lids within 8" of finished grade. Size of field ft2 units lineal ft. Technology;% tz Cleanout is installed in between tank and house(+ 1/100ft). l There is a "T".that goes down 14 inches in the inlet and outlet of the tank. __A Inlet and outlet is sealed with tar tape, rubber gasket / etc. t/ Tank has two compartments with the larger compartment closest to the house. Measure distance and relative direction to field. Depth of field -ft. I -- Soil interface raked. J�Inspection portals at the end of each trench. -,""'Proper distance to setbacks. Other i 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 OEM OEM MEN wom MEN ■ FA f-A s■ ■■ r) I C; o\ cl boy QX11 Ole) SCALE DRAWNSY REVISED DATE APPROVED BY DRAWING NUMBER u- CR,STALENE I,- I8x24 ARCHITECTS STANDARD FORM MADE IN U.S.A t O 'fl 4 CD m z m m z z z O ao c m zz m 9 m m 8 z n O O Z n L. T0 W m 0 r v m M t. 0 w z m — O co O rt O W 'd �C fv ca cD rt p� G Iv En rt X rt cu ti O 00 I O V O O r-� hd N a H :d z 0