Loading...
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) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ************************************************************************** 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 *************************************************************************** PERMIT APPLICATION IS FOR:,(X) New Installation ( ) Alteration ( ) Repair *************************************************************************** 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 *************************************************************************** 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 3��`' .� 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 ■�■■■■■■■■■■�■■■■■■■■'mil ■■■■■■■■■■■!■��/ ■■■■■01 ■■■■ i�J/%■■■■■ice■■■■■owl ■■■■e.► �■■■■■■■�■■■■■■tea® ■ENNE■■■■■E■■■■■■M■■�■ ■■■■■■■■■■■■■■■■■■■■■■ JOB NAME 1513-95 Tax# 211-064-07-008 Bertroch, Filing5, SANCHEZ Lot 14 JOB NO. OB LOCATION BILL TO DATE.STARTED DATE COMPLETED �/ DATE BILLED C/ 4e re cm-. �_. � 'mot 1, Z l e soi e �� .Le a r I Sal 14 e Gt,Z T � ,n �I G Z JOB COST SUMMARY TOTAL SELLING PRICE fL �� �� ( j J�E 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 4W6 NEW ENGLAND BUSINESS SERVICE. INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. 41., MPIML i •11 i? �, '3 s i