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HomeMy WebLinkAbout1064 Poppy Creek Rd - 168704100007EAGLE ( -7UNTY DEPARTMENT OF ENVIRONM ~ TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT NO 159 (this does not constitute • a building or use permit) Owner Merril G. Hastings System Location Hastings Ranch, Colorado River, Five (5) miles West Licensed Contractor Burnett Plumbing - License # 005 - 1977 * Conditional Construction approval is hereby granted fora 1, 000 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 20 minutes(0-0 sq. ft. 7 absorption area per bedroom 300 sq. ft. # of bedrooms 2 x 300 sq. ft. minimum requirement May we suggest 600 sq. ft. of drainage field (STAY 50' FROM WATER COURSE)_ MAIN IRRIGAT ON DITCH Date Inspector Inspector e,,/% �„ FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. X Proper materials and assembly. X Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. X Adequate compliance with County and State regulations/requirements. Date — 7 7 Inspector 6d� RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE * CONDITIONS: 1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 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 structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or both. ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. f571 EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N? 3►'15 Name of Owner: /�1 C r r, l G - / 7� / n g S Phone: 22 G -3 6 Ste' / Address of Owner: /'7MCrr I) I - I�-dsiyI�►�5 J %j/�iG 1-v .5J" /`i �' /4 �. e-i�c _�'0 6",c( /�Gn-6dvj 1_(C- ��i e �—J5—MiIC5 1S J_B_0yVj5 �®.�cr j, Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system::J Ror n C � � o � e Location of Proposed System: /7/a"':;1 J_"d n15 7C c, 0 6 h Cm [ o v� �� 1�)c v e_ , S rn dc;5 w e-s l. Legal Discription: Type of Structure: Single Family Dwelling (X) Other: No. Bedrooms 15 ✓in 4�n h, //•yrUO� Water Supply: 1I ( ) Location: cc Distance From leach field: Size of Lot: r� n.c h - �e� G "rcrc s Public Water Supply: Y: An appropriate plat plan must accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS 66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be obtained at the Eagle County sanitarian's office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone 328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final inspection. Name, address, and telephone of person responsible for design of system: Y Q 7— The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: V_64ZZ ^ Date: - / -_ter - 7 (This application becomes invalid 6 months from above date.) Percolation Informatio Tank Capacity:� Absorption Area: REMARKS: APPLICATION IS: HEALTH DEPARTMENT USE ONLY '17- gal. (minimum) Sq. ft. (minimum) F APPROVED ( J07 DENIED Permit No. /s? Fee Receipt:? °p 98/Z File: The above individual sewage disposal system was installed by AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date: Sanitarian: 16 OLE .P.rl►COL T103 TEST Fee: $5,0. oo lPnlicp Lion No. -F75 Permit No. Owner: �7E2.�/G �• rvAsr�v� s Lea.:l 'Description: Tyne of Uuellin�: �'��e6 i*gV, 14Y No. of Bedrooms: � 2 Date of Test: 4�-47'�0 7- 7 Denth of holes: Diameter: � �! Tyne of Soil: ex Location of Test Holes^ Inn Test hole was Presoaked from: 1 /�d� Time Dc i.e Time ' Date 1 TIME WA.TF.t� DE, PTH INCHES , OF FALL RATE 1 2 z 3 1 2 3� L l =— 2 3 12 3. L 0 — Percolation Rate: � ;IPx' Site has been reviewed- and tested for ;:ez•colatio,i ra te.' iSe recommend: fPk,'ZOV1%L DISIPPPOVAL DFTE: Ell vironuiont'-;t Iie,:lth.' • I�a�;le County dal �r� a -qC 5 BURNETT �1• PLUMBING - HEATING - ELECTRICAL BOX S- MINTURN, COL R D 81645-�PHONE 7.V2 x x X k 3t iC G !cam, v o Of df dG . VolIr h 0 Y� do too M , bcoy-,\ . d I +tl h 0 I G W&r a4L clrt�t�✓a -3?4►G>.t: COUNTY L NVII;ONMI:N'L'AL 1IEALTii INDIVIDUAL. 'SEWAGE DISPOSAL SYSTL:II PERMIT ROUTE SLIP Name Date Relerredrermir Number ''/ Location lease review the attached application and retulln it and,this completed form to the nvironmental 11.ealth office within'G working days. lanning: Tile Number Yes No Reviewed By Date Complies with: Subdivision Regulations .'Zoning Regulations Recommend Approval omment s : ;F ounty Engineer: Roads omments: wilding Department: Set- Backs Site". Access OthLr Recommend Approval 77 :)mments: (`. 0159-Hastings Ranch Co River 5 Mi W �el -7 i /- -� j j .-'o + � � j JOB NAME- 1064 Poppy,, Cock Rd GS VV JOB NO. I JOB LOCATR TION BILL TO DATE STARTED DATE COMPLETED DATE BILLED OwA6-,' Robebi'he JOB COST SUMMARY TOTAL SELLING PRICE PERMIT # 159 OWNER: Merril G. Hastings - 7190 Glut 14th: Avenue Lakewood, Cotot(ado LOCATION: Hastings Ranch - Colorado River - 5 miles West (160 acres) 1064 Poppy Cock Road - McCoy, CO INSTALLER: Burnett Plumbing SIZE OF TANK: 1,000 gallons DWELLING: Residential - 2 bedrooms x 300 sq.ft. PERC RATE: one inch/20 minutes (600 sq.ft.) (suggest 600 sq.ft. of drainage field - stay 50' from water course - main irrigation ditch Finalized: 5-77 By: Erik Edeen i TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD costs Rio OF SELLING PRICE NET PROFIT r �M'.` !_>+r��,}3• Printed in U.S.A. t `LDER INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 b P I I YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1694 . Please call for final inspection before covering any portion of installed system. OWNER: Michael Pace PHONE: (970) 653-4 60 MAILINGADDRESS: 1064 Poppy Creek Rd., City: McCoy State: CO Zip: 8046 APPLICANT: same PHONE: SYSTEM LOCATION: 1064 Poppy Creek Rd., McCoy TAX PARCEL NUMBER: 1687-041-00-007 LICENSED INSTALLER: Randy BraatZ , Dana Excavating LICENSE NO: 21 —97 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 375 SQUARE FEET OF TRENCH BOTTOM. via 12 infiltrator units as requested SPECIAL REQUIREMENTS: by owner- Install in Serial distribution in trenches, with a cl noitt between the tank and the house, and inspection ports in each trench. Rake trench surfaces to pre - maintain all set backs. Call the County for final inspection prior to back -filling any Dart of the installation ENVIRONMENTAL HEALTH APPROVAL: DATE: 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: 372 SQUAREFEET. via 12 standard infiltrator units. INSTALLED SEPTIC TANK: 1 n 0 0 GALLON 335 DEGREES 7 17 FEETFROM the barn corner 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: This, system RPrj7i rpq the barn that was renovated-lpto a residence. A ENVIRONMENTAL HEALTH APPROVAL I T--- DATE: 1y 1 Z.I 1-1 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 # -4L / 4-� 1 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: ��✓/ G �- PHONE: ('720 ) Gs-3'-yWo MAILING ADDRESS: �(ca� P® /d� /:�? '%L itil4 r,�:!"iW ��, !m i /-z APPLICANT/CONTACT PERSON: / MAILING ADDRESS: LICENSED ISDS CONTRACTOR: COMPANY/DBA: PHONE: ( ) I 1 *************************************************************************** PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: Filing:_Block: Lot No. Tax Parcel Number: / j ff 7 - © �- / - O'� Lot Size: Street Address: /01 T / oobv &�/k A ,ro-1 (! )- �or [73 *************************************************************************** BUILDING TYPE: (Check applicable category) Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms Yi'GU k� .�[e ° i S7�'�9C- Ty e I ?aalE7' y} S} tti' t Off SzS�� ' G TYPE OF WATER SUPPLY: (Check pplicable category) / ( ) Well _Spring ( ) Surface ( ) Public Name of Supplier: *These systems require design by a Re istered Professional Engin r SIGNATURE: _ �. �� Date: � 7 ****************************************************************** ******** TO BE COMPLETED BY THE COUNTY _ AMOUNT PAID: RECEIPT #: 91a DATE: ` CHECK #: Z CASHIER: Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO October 3, 1997 Michael Pace 1064 Poppy Creek Rd. McCoy, CO 80463 Eagle County Building F.O. Box. 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit No. 1694-97, Tax Parcel #1687-041-00-007. Property location:1064 Poppy Creek Rd., McCoy, CO. Dear Mr. Pace: 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 (970) 328-8755. Sincerely, Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Informational Brochure Final ISDS Permit cc: files Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: May 20, 1997 TO: Dana Excavating FROM: Environmental Health Division Eagle County Bui ding P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1694-97, Tax Parcel #1687-041-00-007. Property Location: 1064 Poppy Creek Rd., McCoy, CO., Pace residence. Enclosed is your ISDS Permit No. 1694-97. 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 Enclosure: ISDS Final Inspection Completeness Form 1JUJ HLRMl1 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: M; vAAd PA6, LEGAL DESCRIPTION: /0k tie/c 9d , 44( Lav► GO MAILING ADDRESS: Saw, av v TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES (/ NO TIME 1 2 3 1 2 3 1 2 3 AJAI 1 Z 2 3 SUlL PROFl 01 S" z 114314 to ��� l �� z �l K �� fS -'l8 2 o 4 0 2' s� s� S 7 16-1 'iti �lH ��Z- as are �v 3' c v OS 01 Q(O a Z v q- 5 f/ S'eZ t o �,/g 10 3'y I 3,� y 3�y iy �y ' $ 3�� 3� JQ 4o i3 3 , d 5' /0 11 1 Z S3/y I b��� I '/y �� �iy �v 6' '/y �/ y �� `1 �o ao , 7 0 2 z �'�K 11 r �l I s �/� �� �i 3i� 0 8 U Z S G 7 113i�r 1 3/ �' 3'� 13, 3 4o 13,? 3o 1 37— '7j 1/9 Time to drop last inch ,,y j4fi'00 a be PERC RATE: 4o MINIMUM SEPTIC TANK SIZE:_ MINIMUM LEACH FIELD SIZE: qs- 11i-� 1. COMMENTS : &,oce PERC TEST DONE BY: ski Environmental Healt rev. 6/90ks s?,i64At ii5 DATE: 5 //(111/ g -�- V a X 22 ISDS Permit #104 - 17 Dated 7 ISDS Final Inspection Completeness Form ✓ Tank i� -)-� OD gal. Tank Material h 1 JZTank is located % L 7 ft. and 3 J�adegrees from 0/ t C--ffmL, (permanent 1 rk) _ Tank is located ft. and degrees from (permanent landmark) Tank set level. ✓ Tank lids within 81: of finished grade. ✓ Size of field Z ft2 ) Z' units lineal ft . Technology IK lT TO ✓Cleanout is installed in between tank and house(+ 1/100ft). JThere is a_nT" that goes down 14 inches in the inlet and outlet of the tank. 'Inlet and outlet is sealed with tar tape, rubber gasket etc. ✓Tank has two compartments with the larger compartment closest to the house. Measure distance and relative direction to field. 'Depth of fieldLD Soil interface raked. Inspection portals at the end of each trench. 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: Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 10 Tanis 5 0 ' 10 5 10 50 10 * 10 SHEET NO. OF CALCULATED B DATE 1017,1197 CHECKED BY DATE A4flf 17 2^-'— nc Groton. Mass 014,71 T' OrCe, PHCtiE MLI FF-EI-M22,e 'S� Jy U GONbA AD hI P"1' SAS ctr b� Iij— ME I I (�'�►MP'S�� �o L p OR CAII tU �I�G c.�sr Snap U Uf -jolt 5 UP �0 )( Zoo S b PO h r36low PM f PI k'115, 1694-97 Tax# 1687-041-UU-UU/ 1064 Poppy Creek Rd. PACE JOB NAME McCoy, CO JOB NO. 8 E l v- IN .IOR 1 ACATI(1N BILL TO DATE STAR ED DATE COMPLETED DATE BILLED MlAi Z-rZ - rrv� (U a� vlplLl 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 278 �® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER - #� lb qzl—?7 10121" ,O,q-.E /U"V- Pop/)# . oza-r Bu WS . Printed in U.SA