Loading...
HomeMy WebLinkAbout256 Cedar Dr - 211106405021If INDIVIDUAL 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 fNSTALLA TION SITE. PERMIT NO. 1337 Please call for final inspection before covering any portion of installed system. OWNER: Bruce & Inge Bair PHONE; 524-9421 MAILNGADDRESS: P•0. BOX 979 city: Gypsum Stse: CO Zip: 81637 APPLICANT: SAA PHONE: 524-9421 SYSTEM LOCATION: 256 Cedar Dr. , Gypsum TAX PARCEL NUMBER; 2111-064-05-021 LICENSED INSTALLER: High Country Builders of Gypsum/Bruce Bair LrENsENO: 34-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TAW ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 563 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS:, Install 15 infiltrator units as per owners request. Install inspection portals at the end of each trench. Call for inspection prior to Backfillin . ENV+RONMENTAL HEALTH APPROVAL: 7 DATE: (Q 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. CONVECTION 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: 563 SQUARE FEET. INSTALLED SEPTIC TANK: 1250 GALLON 320 DEGREES 26 FEETFROM northim-sr rnrner of thn nor!-h r j_d c SEPTIC TANK ACCESS TO WITHIN W OF FINAL GRADE AND house. PROPER MATERIAL AND ASSEMBLY X YES NO COMPLIANCE WITH COUNTY I 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: _:THE _TANK FOR THIS SYSTEM IS LARGE ENOUGH FOR 4 BEDROOMS, BUT THE LEACH FIELD IS ONLY LARGE EN U T ENVIRONMENTAL HEALTH APPROVAL: r DATE: 9 ENVIRONMENTAL HEALTH.APPR L: _ _ _ _ GATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT? AGENT: OWNER: IMIT FEES„ r,„ _ PERCOLATION TEST FEE RECEIPT 1I CHECK # C Applications Will NOT Be Accepted (,?Lte ,Plan MUST be attached) ISDS Permit # ml� 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 (Basalt) . * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: 13ec1G.6 lr: 41w0 .Z�vGE .d. SX979 Cs �s!MAILING ADDRESS: LD, $14 3-7 PHONE: APPLICANT/ CONTACT PERSON:. ;�'eaez-- e' PHONE: 52' 9412 / LICENSED SYSTEMS CONTRACTOR: 1312C/c,45 & 134hS PHONE: COMPANY/DBA: 1-116-W Cdurur'-f S11�25DF iT�ADDR9sS-. 'e/4;Z.. PERMIT APPLICATION IS FOR: (V NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: La �- G, /u��v� - oagrrOcH Tax Parcel Number: 211106*05"62 / Lot Size: 2•✓�2 Physical Address: Z$11 6E1>411e D'p , GYI�suM, ed. 811-37. BUILDIN 11YPE: (Check applicable category) (✓Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) (ell ( ) Spring ( ) Surface (Y5 Public Name of Supplier: ��(__Yr�si` *These systems require design by a Registered Professional Engineer ! SIGNATURE: .?^-�`f Date: !s/ AMOUNT PAID: RECEIPT #: /do3 j DATE: 9 CHECK #: oc?a CASHIER: 1( ISDS PERMIT # 13r3'-7 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: a - LEGAL DESCRIPTION: s tp cedar MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS ***************** T,r********************* TEST HOLES PRE-SOAKED: YES- X. NO WATER DEPTH INCHES OF FALL RATE SOIL PROFI: 1 2 3 1 2 3 1 2 3 1 2 of :00 01 o ,15 gEa5 '1.00 1. / / 1' ' 05 ! r. j i z s 4.575 `� 34 0 3.3-7 2 31 �.2-z Z5 12,11 2` -1 l 13.m 12.5o 11, Zs a.0 a,2� 1.875 a 1.22. 2.25 3� 15 1 t9 /7 6-0 14. 13,5 o ! 5 ).ZS a.5 3.33 �,J 4' So 4.0 5, o�C� �$ .0 VA 16 3/S 1111.bi 1 h 1, G 2S g 3.33 7 ',qC) `�1 21,E 1g-25 2v. �� f . �� 1 2� �, 0 (:l 7 jq , p o • Time to drop last inch PERC RATE: MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE : a �r)ao- COMMENTS : 9CZT`ttls-� '�tC cam. l��l tS�3IZQ�11� wz - a — PERC TEST DONE BY: t DATE: Environmental Health Officer rev. 6/90ks 0 1 3 / /, 5 Z L07'&� 43'r-tc.� Z)T ,gyp �- � ' se { 1 V 3z'� 80'�� , p e 4 . -. INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, CO 81631 Telephone: (970) 328-8755 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. REPAIR PERMIT NO. 2239R-02 ORIGINAL PERMIT NO. 1337-94 OWNER: TERRY AND PHAN DUONG PHONE:970-524-8886 MAILING ADDRESS: P.O. BOX 2993 EDWARDS CO 81632 APPLICANT: JIM WILSON PHONE: 970-524-9524 SYSTEM LOCATION: 256 CEDAR DRIVE, GYPSUM, CO TAX PARCEL NO. 2111-064-05-021 LICENSED INSTALLER: AAAA SEPTIC PUMPING AND SERVICE, JIM WILSON LICENSE NO.28-02 PHONE: 970-524-9524 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 3 BEDROOM RESIDENCE EXISTING 1250 GALLON CONCRETE SEPTIC TANK: INSTALL 744 SQUARE FEET OF NEW ABSORPTION AREA CREDIT, VIA 24 INFILTRATOR UNITS. SPECIAL INSTRUCTIONS: INSTALL THE NEW ABSORPTION AREA IN SERIAL DISTRIBUTION IN TRENCHES WITH INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS AND DO NOT INSTALL IN WET WEATHER. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR THE FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE REPAIR WORK, OR WITH ANY QUES- TION S REGARDING THE INSTALLATION. ENVIRONMENTAL HEALTH APPROVAL: - DATE: OCTOBER 22.2002 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 WILL RESULT IN 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 SELVAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. COMMENTS: THE FINAL INSPECTION WAS DONE BY VICTOR CROCCO OF EAGLE COUNTY ENVIRONMENTAL HEALTH ON NOVEMBER 7. 2002, 744 SQUARE FEET QF ABSORPTION AREA CREDTT WAS TNSTAT.T,ED VIA 24 STANDARD I INFILTRATOR UNITS. ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVALDATE: NOVEMBER 12, 2002 m x Incomplete Applications Will NOT Be Accepted c {✓ (Site Plan MUST be attached) ISDr�rmit # _a3 j"i Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 Eagle (970)328-8755, Fax (970)328-0349, El Jebel (970)927-3823 * FEE SCHEDULE * APPLICATION FEE $350.00 * THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PERCOLATION TEST, * SOIL PROFILE OBSERVATION) AND FINAL INSPECTION * ADDITIONAL FEES MAY BE CHARGED IF A REINSPECTION IS NECESSARY, OR A * PRE -CONSTRUCTION SITE VISIT OR CONSULTATION IS NEEDED * REINSPECTION FEE $47.00, PRE -CONSTRUCTION SITE VISIT FEE $85.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: MAILING ADDRESS: [ ..1/��C�X�LG� S J L� I �3� PHONE: APPLICANT/CONTACT PERSON: J wt "y �U%-A PHONE: LICENSED SYSTEMS CONTRACTOR:y ! wA w L�S�� PHONE: COMPANY/DBA: jT S�e7�t C. ADDRESS: .'Z7 If �I (�eljQyiy� PERMIT APPLICATION IS FOR: { ) NEW INSTALLATION { ) ALTERATION { REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:] Legal Description: {, Tax Parcel Number: Lot Size:a'b Physical Address: BUILDING TYPE: (Check applicable category) 3-0 ( ) Residential/Single Family Number of Bedrooms { ) Residential/Multi-Family* Number of Bedrooms { ) Commercial/Industrial* Type *These systems require design by a Registered Professional Engineer TYPE OF WATER SUPPLY: (Check applicable category) ( well ( ) Spring ( ) Surface Public Name of Supplier: APPLICANT SIGNATUR Date: ZO -" !a— 02 - - AMOUNT PAID: RECEIPT ## : DATE: �- CHECK #: CASHIER: EAGLE COUNTY ENVIRONMENTAL HEALTH CITIZEN COMPLAINT p DATE RECEIVED p RECEIVED BY: TRACKING # SOURCE: PHONE LETTER PERSONAL /1. coMPLAINANT:_f : _ ,.' (,(%�` ;' ADDRESS: LOCATION OF COMPLAINT: p ` DEPARTMENT: DATE AND ACTION TAKEN: PHONE: v t o 1C1 A 1,4 /i IA ASSIGNED TO: TIME SPENT: COMPLETED: ISD6 pesn►it #ai 9 -V Data Tank is gal. Tack Material c (9 N c, r e, Tan1t is located'- �* t. and 'Aces 1 e" Tmk is located eft. and ---degsees f t - ti ,a Tank set level. Tanis lids withA.a 8" of finished grads - size of field units JILL lineal ft. Technology .5 Cleanout is installed in between tank and house(+ 1/100ft). There is a "T" that goes down 14"inches in the inlet and outlet of they tank. Ittie�t'. and outlet is sealed with ru or gasket gate.: :t*o,..dcVmpartments with the.=q; r. c &T-tMent closeat to,:the J�A5 .� ��_tea.XHW+ •:'�a*ttYet d3gt�ce r and . relative dz: , � .. ,. . � : ;. •`, Depth of field• � f t . � \e S -soil interface raised. "\IeS Inspection portals at the end of each trench.. - 1 proper distance to setbacks. t/ Chambers properly installed as per mamufacturers specifications. (Chambers 1 t.Fhed, end plates properl_y�installed, ro�� removed from trenches, etc.? 1� r 5 � c, ^,pe of pipe used ..for building sewer Line R leach field �J r Other •C! C S Inspection Resto v torn► to installer's the if rec+omendations for impsat Hers i _ � CopY - - setggested. ACT 09 TAM: setbacks well potable: House property Lake Dry Tank Drain water Lines line $trMan� _ aul h oo ,25 jCS 4f � � ,'_ gield 20 ,0 So 25 0 10 TAJA 50 1 10 5 1D so 10 * 10 PP" 22 R-02 Tax #2111-064-05-021 1337-94 -Parcel #2111-064-05-021 Lot #6, Filing JOB NAME 256 Cedar Dr.,Gypsum BAIR g 5, Bertroch, DUCING Lot 6, bertroch sub. 256 Cedar Drive, Gypsum JOB NO. 22Z� 0 Inn 1 n,`ATle%kl BILL TO DATE STARTED DATE COMPLETED DATE BILLED . V' I I Os .S4x'1n 4 1, t r � GL�i�4v1 JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL 9-6 F lld yh LG ©�T 1 O S, T� TOTAL LABOR INSURANCE SALES TAX '6 " YS 7- r MISC. COSTS r T cb EAST L T-,;y _ TOTAL JOB COST � �� , e J Crn- � -^ /`P�� GROSS PROFIT tc'-�oto-�o py�-LESS -Pi.� OVERHEAD COSTS % OF SELLINb^ PRICE a - lssu� �� �.l'1" e�Glr, 9 %� 1 -7yy t a� a�s� ��, �?`RQL-LL141d JOB FOLDER Product 277 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 .�6B FOL IiR �t'*/`� •, Printed in U.S.A. \V, S ��� LrL �e ��\� �: ) t kr���r5 �er��; ��� �� C, (� ` C �ec Vl t t r� i d f 5 l Y, s+ S Y.ck"M ����1�r�n�� �, s�� �erc��� ��.�1� �� ��\� �; .too ?�0C) n1 r�,K ��ss clean ot� 9,