HomeMy WebLinkAbout125 Eagle Crest Rd - 210518202003INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 BP-10696
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. 1634
OWNER: Dann Coffey PHONE: (47g) Q2(,_1010
MAILING ADDRESS: P.O. Box 21 city: Edwards Stale: CO Zip: 81732
APPLICANT: s ame PHONE:
SYSTEMLOCATION: 0125 Ea le Crest Rd. Edwards TAX PARCEL NUMBER: 2105-182-02-003
%ems L-iCl-;s-1 a GAC-AVAklD-
LICENSED INSTALLER: LICENSE NO: 72t;'-�µ�
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
11 250 —GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 198 SQUARE FEET OF TRENCH BOTTOM. via 6 infiltrator units as requested by
SPECIAL REQUIREMENTS: installer, in addition to the 720 sq' of existing leach field, d TnG al 1 in i
distribution at the end of the existing field. Rake trench surfaces to prevent smearing of
SQils Tn tall n oli-nnmit between the tank and the house, and inspection ports in the trenc
Call the County for final inspection prior to back filling any part of the installation, or
if you h
a-i
ENVIRONMENTAL HEALTH APPROVAL: DATE: _AllgU3j 1, 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: 198 SQUARE FEET. via 6 Infiltrator units
INSTALLED SEPTIC TANK:_ 6 b� GALLON 70 DEGREES 92.3 FEET FROM clean out
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:
ENVIRONMENTAL HEALTH APPROVAL: DATE: a 1 -7
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
APPLICANT / AGENT:
RETAIN WITH RECEIPT RECORDS
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT k
CHECK #
(Site Plan MUST be attached)
ISDS Permit # 1 ��3q _ - `4
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)
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* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* *
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
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PROPERTY OWNER:
MAILING ADDRESS:
PHONE:
APPLICANT/CONTACT PERSON: ,;,,;y PHONE:
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR:
COMPANY/DBA:
���,1��a CR y:Aic'', "rt-tC. PHONE: Z L -
ADDRESS :f3c:�r; S:�i).�u• c� `ZD s �, c. r�. s C�
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PERMIT APPLICATION IS FOR: ( ) New Installation ( Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit #
(if known)
Legal Description:
Subdivision: I v-r C' C-,zMV-Aoc
iling:_B1ock:
Lot No.
Tax Parcel Number:
Z c� -�
-L -
e` 'Z7
Lot Size:
Street Address:
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BUILDIG TYPE: (Check applicable category)
(,,w') Residential/Single Family Number of Bedrooms
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
( ) Public Name of Supplier: Lr,,i�e CF%
*These systems require design by a Registered Professional Engineer
SIGNATURE: Date • 26YA,
TO BE COMPLETED gY THE COUNTY
AMOUNT PAID: T RECEIPT #: DATE: 41-
CHECK # : CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: October 2, 1996
TO: Dig It Construction
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System Permit No. 1634-95, Tax Parcel
#2105-182-02-003. Property Location: 0125 Eagle Crest Rd., Edwards, CO.,
Coffey residence.
Enclosed is your ISDS Permit No. 1634-96. 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
which may have been placed on the permit. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made. Your building permit CO will not be
issued until final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755.
cc: files
Community Development Department
(970)328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
October 17, 1996
Dann Coffey
P.O. Box 21
Edwards, CO 81632
RE: Final of ISDS Permit No. 1634-96, Tax Parcel #2105-182-02-003.
Property location: 0125 Eagle Crest Rd., Edwards, CO.
Dear Mr. Coffey:
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
This letter is to inform you that the above referenced ISDS Permit has been inspected and
finalized. Enclosed is a copy to retain for your records. This permit does not indicate compliance
with any other Eagle County requirements. Also enclosed is a brochure regarding the care of
your septic system.
Be aware that later changes to your building may require appropriate alterations of your septic
system.
If you have any questions regarding this permit, please contact the Eagle County Environmental
Health Division at 328-8755.
Sincerely,
Ivlissie Trujj' o
Environmental Health Department
Eagle County Community Development
ENCL:Information Brochure
Final ISDS Permit
cc: files
DANN COFFEY PHOTOGRAPHIC 13039496016
P.02
SHIP TO
GOPELANLO
CONCRETE INCORPORATED
ManLif6Ctu(er5 of Precast Concrete Products
Also Distributor of Relat,-d items
28803 US, Hwy- 6 - Rifle, Colorado 81650
625-1112
SOLD Tb
trite -
LATE RESALE
MOSE.RETD. IJ08NO.
P. O. NUMDER
CUSTOMER NO. SAL p$MAN
PHONE NO. PERSON CALLING
WEIGHT ITEM
Snipped DESCRIPTior4 UNIT PRICE EXTENSION
DELIVERY CHARGE
WAR ..A'P ON ABOVE-Lit-rta MATERIAL (INCLUDJNG NEW MACHINES, PARTS & SUPPLIES) IS LIMITED
IN a
WRqVIDED BY THE MANUFACTURER elES r Ht�HARE AVAtCABLE UPON RE_UEST.
DRIV F'OT CU GR's ATI
STATE TAX
GA R F l E L[D CO. TAX
THANK YOU
TOTAL e)
CASH
INVOICE 1,03 A FINANCE CHARGE OF 11,,�% PER MONTH (WHICH IS AN ANNUAL PERCENTAU RATE OF 18%)'
WILL BE ADDED TO ALL AcCCUNT BALANCES THAT EXCEED 30 DAYS.
ISDS Permit # 43 ' 7,(o
Date l a- /5- %
ISDS Final Inspection
Completeness Form
Tank is f?,!�D gal. Tank Material Gc�YIG/�-
_ Tank is located ft. and :�degrees fromC%��zr7� -
(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 ^ /1Y7-115-ys
Il Cleanout is installed in between tank and house(+ 1/100ft).
V There is a "T" that goes down 14 inches in the inlet and
outlet of the tank.
E' Inlet and outlet is sealed with tar tape, rubber gasket etc.
L" Tank has two compartments with the larger compartment closest to the
house.
Measure distance and relative direction to field.
-�L Depth of field 3,5 ft.
Soil interface raked. k.,) (j rcke more -
Inspection portals at the end of each trench.
i.' Proper distance to setbacks.
ix 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:
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
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SITE PLANy -Tf (2�� ,.�,,i , ,j2t �r
DRAWN V
NORTH N01i r CHECKED
OFFIC 1. #ry Floor Elevation= 7596.5 = 100'-0 4. — ;;ntours• {
l.wrr Bedrooms and Living Room Elevation = 7595.5 = , ' '`s DATE
( rage Floor Elevation = 7595.0 = 98'-6
_•a4und Floor Elevation = 7604.5 = 108'-0 5. Topographic and .rination taken ire.
for Lake C:r E•6 = This document, and the ideas SHEST
EC E I V D and designs incorporated
' 2. tractor shall field verify locatiw utilities ,R herein, as an instrument of
wrlur to commencing construction. professional service, is the
MAR 2 8 1989 property of Katheryn L. Zeeb,
3. (,n,tractor shall field verify with Owr,, e,,act placement AIA, Architect, and is not to be
1 used, in whole or in part, for
house and driveway alignment. Nortr - k, uth axis of house 1% 6° east of due south. EAGLE COUNTY any other project without her
BUILDING DEFT, writt,n WhotizatIon,