HomeMy WebLinkAbout280 Beacon Rd - 211106407008INDIVIDUAL 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 1 3
Please call for final inspection before covering any portion of installed system.
OWNER: Ernesto Sanchez PHONE: (303) 934-6615
MAILINGADDRESS: P.O. Box 532 city: Gypsum State: CO Zip: 81637
APPLICANT: Herbert Pacheco PHONE: (970) 524-7288
SYSTEMLOCATION: 280 Beacon Rd. ,Gypsum, CO TAX PARCEL NUMBER: 2111-064-07-008
LICENSED INSTALLER: Pacheco Construction, Herbert Pacheco LICENSENO: 59-95
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 604 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 17 infiltrator units as requested by owner, in serial distribution,
in equal number in trenches. Drain away from leach field, maintain set -backs. Rake trench
sidppe-walls,pprior and install inspection portals at the end of each trench. Call County for final
ENVRONMENTALHOEALTHAPPROVAL:O backfilling. DATE: AUGUST 11, 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: 648 SQUARE FEET.
INSTALLED SEPTIC TANK:1000 GALLON 150N DEGREES 29 FEETFROM cleanout next to the house
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 APPROVA: DATE: October 31, 1995
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 # '� 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)
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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: Ern es 1 ccneA e z-
MAILING ADDRESS : i° 0 . Rax 5.3 J. _
APPLICANT/CON
MAILING ADDRE
LICENSED ISDS
COMPANY/DBA:
PHONE: (303) 9 3 q---60 )S
,?,?73
i
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PERMIT APPLICATION IS FOR:,(X) New Installation ( ) Alteration ( ) Repair
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LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # (if known)
Legal Description: SubdivisionD(- Filing:aBlock: Lot No.
Tax Parcel Number: c�-- - L - `j - G Lot Size: %• 3L A
Street Address: 1� b
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BUILDING TYPE: (Check applicable category)
(X) Residential/Single Family
( j Residential/Multi-Family*
( ) Commercial/Industrial*
Number
Number
Type _
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(X) Public Name of Supplier: G!A.Pt�u h
*These syst
of Bedrooms_
of Bedrooms
gn by a Registered Professional Engineer
SIGNATURE:t� !i �� Date:
*********** **************************************************************
TO BE COMPLETU BY THE COUNTY G, /
AMOUNT PAID,: ,'�,'Yj, � RECEIPT #: f b ® �/).� �l DATE:
CHECK #: _��i L}�J CASHIER:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
Date:
TO:
FS 111T9u
EAGLE COUNTY, COLORADO
August 11, 1995
Pacheco Construction
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. 1513-95 Tax Parcel #2111-064-07-008
Property Location: 280 Beacon Rd., Gypsum, CO,
Sanchez Residence.
Enclosed is your ISDS Permit No. 15.13-95.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.
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
(970)328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
October 31, 1995
Ernesto Sanchez
P.O. BOx 532
Gypsum, CO 81637
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit No. 1513-95 Parcel #2111-064-07-008.
Property located at: 280 Beacon Rd., Gypsum, CO.
Dear Mr. Sanchez,
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,
ILL)"
Janet Kohl
Environmental Health Department
ENCL: Information Brochure
Final ISDS Permit
cc: files
1 0" r t Kl"I l I 1= /j J� 2�"�
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION
?� .
MAILING ADDRESS:-'�j0')L 0Au'1',9d%v1n .
TYPE OF DWELLING: _ NUMBER OF BEDROOMS
TST H%S PV-SOAKED : YES NO
10l �I� \�"� WATER DEPTH INC
T
0
to:
jo
4
1
2
3
1
2
3
HES OF
FAL.
RATE
SOIL PROFI:
1 2
3
1
2
0+
30
z�
Z'��5,
p Y
l
11 3
ao'/z
(tlz
6
3.33
i,��
2,
3.33
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4 ,
311
> >�
"5
171
--.A
iLL—
(C)
Time to drop last inch
-7,7F
12, 2Z_
PERC RATE: aAD jyi MINIMUM SEPTIC TANK SIZE: �Q
MINIMUM LEACH FIELD SIZE: ® l ~-'� a�a� j) n 1 Vt ' jtVa4,VVA
COMMENTS: n, �
QOld � nu 1411 an D ^I-1�A n Yn
-Y Y (,,A1' N 4 liJ.�.�%�(i ,,�. �I:LfLY:� . �.AA Ili'/ Y f fA &i\A A'T! il1/i-i f. 1 /_
Environmen
rev. 6/90ks
ealth officer
DATE:
ISDS Final Inspection
Completeness Form
Tank is / U U gal. Tank Material
Tank is located ft. and degrees from
(permanent landmark)•
Tank is located �—)� ft. and ICJ degrees from
(permanent landmark)
Tank set level. Tank lids within 8" of finished grade.
LIZ' Size of field �,PF7D ft2 _ sits lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
There is a 'IT" -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. 2
Measure distance and relative direction to field.
Depth of field /"-" ,5 ft.
✓ Soil interface raked.
Inspection portals at the end of each trench.
Proper distance to setbacks.
Other
(
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN:Aar -�o
Setbacks
Well Potable
Water Lines
House Property
line
Lake
Stream
Dry Tank Drain
Gulch
Field 100 25
20 10
50
25 10 10
Tank. 50 10
5 10
50
10 * 10
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JOB NAME 1513-95 Tax# 211-064-07-008
Bertroch, Filing5, SANCHEZ
Lot 14
JOB NO.
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TOTAL SELLING PRICE
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TOTAL MATERIAL
TOTAL LABOR
INSURANCE
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SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
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