HomeMy WebLinkAbout310 Mosher Ln - 2109243000062
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0341-Lot 7 Mosher Subdivision
03.10-Mosher Lane 0 J
�C�4i
JOB NAME. _...,..�p
... 2109-243-000--00006 Gp I
Ili-Farce-1
1l2
OB LOCATION
JOB NO. —�
BILL TO
DATE STARTED
DATE COMPLETED j
DATE BILLED
cckm
6-t-11
f
7/ 777-
1 I ILI
JOB COST SUMMARY
TOTAL SELLING PRICE
�j j
'—Z J Zl / I Z
TOTAL MATERIAL
Z01 �3 C�� To O �a I D �"o
PERMIT #341rl�- (3
tc L%�, I 'r
OWNER: Jet-k"'B'`'
LOCATION: Mosher Subdivision - Lot 7 - Brush Creek
(10 acres)'.
INSTALLER: J.E. Audi l ett Id Hosk-;; L-w�e
SIZE OF TANK: 1,000 gallons
DWELLINGS: Residential 3 bedrooms x 225 sq.ft.
PERC RATE: one inch/20 minutes - 675 sq.ft.
Minimum of 675 sq.ft. leach field.
r1; .A 1 71Z 1070 Rv- AnAnn Nninhan
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
Rio OF SELLING PRICE
NET PROFIT
JOB FOLDER'Product 278 � I i HOL i i c.cU . U Ui is �., . �, ✓ —j
Printed in U.S.A.
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
EAGLE COUNTY
000310 MOSHER LN EAGLE AREA, CO
JOHN ZESBAUGH
co
Private Wastewater Permit NO.OWTS-2-12-7132
System Permit Type: OWTS Permit
Work Classification: New
Permit Status: Active
issue Date: 8/23/2013 Expires:12/21/2013
I JOHNSON EXC & TELECOM. INC 49-13 (9701471-2900 Yes
lPermitted Construction / Details:
Parcel No.
210924300006
Phone:(970)926-2398
Cell:
Inspections: l
For Inspections call: (970) 328-81 55
Inspection IVR
This system is to serve a total of 4 bedrooms, 2 bedrooms in a main house to be constructed after
demolition of the existing home and 2 bedrooms in a barn with caretaker unit on the upper level.
nnection of the future main home will require an alteration permit.
Installation is granted for a two compartment, 1250 gallon tank, with a clean out between the dwelling and
the tank. The leach field shall consist of 63 Quick 4 Infiltrator units placed in serial distribution and
shallow trench configuration, to provide 1,250 square feet of absorption area credit. Install at least one
inspection portal in each trench. Rake trench bottoms and sidewalls if there is any smearing of the soil.
Maintain all required setbacks. Do not install in wet or frozen soil conditions. Call Eagle County
Environmental Health for a final inspection and before burying any of the system components or with any
questions. Final inspection is required prior to use of the system or occupancy of any dwelling.
CONDITIONS: Office Copy
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
Terri Vroman August 23, 2013
Issued by: Environmental Health Department, Eagle County, CO. Date
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
EAGLE COUNTY
Pro ect Address
000310 MOSHER LN EAGLE AREA, CO
Private Wastewater Permit NO.OWTS-2-12-7132
System Permit Type: OWTS Permit
Work Classification: New
Permit Status: Active
Issue Date: 8/23/2013 Expires: 12/21/2013
Parcel No.
210924300006
JOHN ZESBAUGH Phone: (970)926-2398 I
CO Cell:
Inspections:
For Inspections call: (970) 328-8755
Inspection IVR
JOHNSON EXC $ TELECOM. INC 49-13 (970)471-2900 Yes
Permitted Construction / Details:
system is to serve a total of 4 bedrooms, 2 bedrooms in a main house to be constructed after
Aition of the existing home and 2 bedrooms in a barn with caretaker unit on the upper level.
nnection of the future main home will require an alteration permit.
Installation is granted for a two compartment, 1250 gallon tank, with a clean out between the dwelling and
the tank. The leach field shall consist of 63 Quick 4 Infiltrator units placed in serial distribution and
shallow trench configuration, to provide 1,250 square feet of absorption area credit. Install at least one
inspection portal in each trench. Rake trench bottoms and sidewalls if there is any smearing of the soil.
Maintain all required setbacks. Do not install in wet or frozen soil conditions. Call Eagle County
Environmental Health for a final inspection and before burying any of the system components or with any
questions. Final inspection is required prior to use of the system or occupancy of any dwelling.
CONDITIONS: Customer Copy
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
Terri Vroman August 23, 2013
Issued by: Environmental Health Department, Eagle County, CO Date
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970) 328-8755
FAX: (970) 328-8788
TOLL FREE: 800-225-6136
www.eaglecounty.us
EAGLE COUNTY
P.O. Box 179
500 Broadway
Eagle, CO 81631
www.eaglecounty.us
PERMIT APPLICATION FOR ONSITE WASTEWATER TREATMENT SYSTEM
OWTS PERMIT # j2g7� _-V-1,;Z Y/3a- BUILDING PERMIT #
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: np N{ E S akk/, 14 Phone: !2 70 9a 6 - a31 ,K
Mailing Address: email Q, it h,<w'��G
Registered Professional Engineer: Pone:
hho
Applicant or Contact Person: ��?'P owe: o 3 7 � — /44 a cf
_ .
Licensed Systems Contractor: %' License #,�--
Company / DBA: ` Phone: 7 b 10 3�
Mailing Address: b F-?Cr< 1133 email C �&�
Permit Application is for: X New Installation Alteration Repair
Location of Proposed Onsite Wastewater Treatment System:
g`
Legal Description:; :"�t PGLIN %l<A:1)?v
Tax Parcel Number: ( vim( a Lj (5 Lot Size: (O OQ.tW.
Assessor's Link: www.ea2lecounty.us/patie/
Physical Address:
Building Type:
'5lo k66
Residential / Single Family
Residential / Multi Family
Number of Bedrooms:
Number of Bedrooms:
Commercial / Industrial* Type of Use:
*These systems require design my a Registered Professional Engineer
Type of Water Supply: Private Well
If Public Name of Supplier:
Applicant Signature:
************************ ************
Office Use Only 1 p
Amount Paid: W Receipt #:
Spring Surface _X_ Public
L
_*1 13
******************************************
Check #: � Date: 2- I 1-7 112,
01-4rS --?-/0-713J ISDS Final Insvection
Completeness Form
Tank is 1,;'Z-0 gallons. Tank material
Tank (1) is located A. and 0 Odegrees from,
Tank (2) is located _ft. and degrees from
Tank
1� -
set level. ----Tank lids within 8" of finished grade.
Size of field ft2 units — lineal ft. Technology
--L'Cleanout is installed in between tank and house and one every 100ft?
---L"'T" that goes down 14 inches in the inlet and outlet of the tank. Effluent filter on outlet- Yes or(�Uoo)
Inlet and outlet is sealed with tar tape, rubber gasket, etc.
pi v`h
—v-tank has two compartments with the larger compartment closest to the house. r V
L:L' Measure distance and relative direction to field.
Depth of field 3 ft.
1--,�S"oil interface raked.
L""Inspection portals within each trench. (_1
5
Proper distance to setbacks. —
V-11, Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properl':'
installed, rocks removed from trenches, etc.)
Splash plate(s) installed at trench inlets.
---L'Type of pipe used for building sewer line _,?o-?,/, leach field 3&?v
`'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 Field
Water Lines line Stream Gulch
Field
100
25
20
10
50
25
10
Tank
50
10
5
10
50
10
10
[SITS PERMIT # tt s i S - - . DATE
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{
Legal Description:
A parcel of land in the County of Eagle and State
of Colorado located in Tract 71, Sections 27 and
28, Township 5 South, Range 83 West of the 6th
principal meridian according to the independent
resurvey of said township and range approved by
the U.S. Surveyor General in Denver, Colorado, on
June 20, 1922; Said parcel of land being more
particularly described as follows, to wit:
Beginning at Comer No. 2 of said Tract 71; thence
along the westerly line of Tract 71 South
00'00'11"E 1320.01 feet to Corner No. 3 of Tract
71; thence along the line between Comer No. 3
and Comer No. 4 of Tract 71 N89'56'25'E 1314.92
feet; thence N00'00'27W 1319.79 feet to the
northerly line of Tract 71; thence along said
northerly line of Tract 71 S89'57'00"W 1314.82 feet
to the point of beginning.
EAGLE COUI
,i1V,"Ah,iMM
OWTSPERMIT # a-I4--7f3a
BUILDING PERMIT #
.LUATION/PERCOLATION TEST
JNTY ENVIRONMENTAL HEALTH o ��� 1 S 6 S 3q 1 /Q 79
p t G�GLG
PHSYSICAL Ai,,,._ _ -_ to S A a/ L n , J
SUBDIVISION: /`l os� e,,- 5,,, b i�wu 7 LOT NO.: 7
TYPE OF STRUCTURE: S�_ �/� �, :/,, NUMBER OF BEDROOMS:"
TEST HOLES PRE-SOAKED: IXJ YES U NO
SOIL
TIME.
WATER DEPTH
INCHES OF FALL
RATE
PROFILE
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TIME TO DROP LAST INCH: IS — ! p _ N PERC RATE: U - Jo mP I L -7A r
MINIMUM LEACH FIELD SIZE: /� o�.�O. !,� MINIMUM SEPTIC TANK SIZE:
f
I-) x.7s x o- X t•5 = `1�_ 9_ s r=- /, Ufa At !o3 44 -
COMMENTS: ''`= 7a 0 714 „ ,q
IJ I.J- 30 "X 11 !" ' Y L 31 "X P O � 38 x /1 F c.iu�ye.� �)�a 1 �� r"1 :..a Q A ; /ror � �eg%
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U �2 J/,°r oh S Dd.A+ c3U. �L�S ItGa I �0.' _T0�0 01, ,t311—?�frtiu{
ATER SUPPLY: uUR:LIC ❑ PRIVATE
WELL LOCATION: - i✓/p
OTHER W URES:
ENVIRONME TAL EALT1I SPECIALIST DATE
1, 3s'+:�3 w - jer s,,, ,n ! .
EAGLE COUNTY
loRtWIXT,
ISDS PERMIT #
B UILD17VG PERMIT 4
SOILS EVALUATION/PERCOLATION TEST
EAGLE COUNTY' ENVIRONMENTAL HEALTH
PHSYSICALO�kDDRESS: a,-),
4jj Ct/ <2,
SUBDIVISION: LOT NO.:
TYPE OF STRUCTURE: NUMBER OF BEDROOMS:
TEST HOLES PRE-SOAKED: YES NO
SOIL
TIME
WATER DEPTH
INCHES OF FALL
RATE
PROFILE
ot
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2
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9
sf 7
3
4
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TIME TO DROP LAST INCH: PERC RATE:
MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE:
k r,,,, s 11 \' 1 'l ',b
COMMENTS: ri:5ml 4,
� A;'U Ch
WATER SUPPLY. "PUBLIC EllRI�VA4E
WELL LOCATION:
OTHER WATER FEATURES:
— pu
ENVIRONMENTAL HEALTH SPECIALIST DATE
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Legend
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h�Ayl 31
lownpoints
F—I Par' --is
Publx- Land--
a2A
2004 CobrAarial
ZOO 3 Gyps u m Ae
Photos
20,32 CofdiffeTa M
A' -jr6l, Ph,:)N)s
19D-50 Aerial Phof:
USG Topo
Art 4
Copyright 2005.Eagle County Government Disclaimer: This map was created by the
Eagle County GIS Department. Use of this map should be for general purposes only. Eagle County
does not warrant the accuracy of the data contained herein.
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