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HomeMy WebLinkAbout300 Strohm Cir - 211106405022INDIVIDUAL 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. Please call for final inspection before covering any portion of installed system. PERMIT NO. 1543 OWNER: Douglas Mayne PHONE: (970) 524-9616 MAILINGADDRESS: P.O. Box 1071 City:_ Gypsum state: CO zip: 81637 APPLICANT:_ Douglas Mayne PHONE: (970) 524-9616 SYSTEMLOCATION: 300 Strohm Circle, Gypsum, CO TAX PARCEL NUMBER: 2111-064-05-022 LICENSED INSTALLER: Davis Excavating, Scott Davis LICENSE NO: 47-95 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 563 SQUARE FEET OF TRENCH BOTTOM. via infiltrator units as requested by owner. SPECIAL REQUIREMENTS: Install 16 infiltrators in at least 2 trenches. Maintain setbacks. Stay closer 0 perc holes #1&2. Rake trench surfaces, and keep a minimum o etween trenches. Compact so': under i e run install ins ection ortals in each trench, and a cleanout between the tank and the Ouse. Call the County if you have any questions about t e znsta anon, an e ore you backfill for a final inspection Finish installation by Dec 1,1995, or request an exten- tion into 1996. ENVIRONMENTAL HEALTH APPROVAL: DATE: NOyemmb r 7, 1 9 9 5 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 SQUAREFEET. via 18 infitrator units INSTALLED SEPTIC TANK: 1500 GALLON 78 DEGREES 10 FEETFROM the clean out 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: �_ 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 APPROVAL: /I DATE: i ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: PERMIT FEE PERCOLATION TEST FEE OWNER: RECEIPT # CHECK# (Site Plan MUST be attached) ISDS Permit # ,5 y5 _-6 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ************************************************************************** PROPERTY OWNER: 4-7fA=! /. ,� MAILING ADDRESS: Prs.if 71�e2...5-.,, '— m 0,A PHONE: APPLICANT/CONTACT PERSON3PHONE: MAILING ADDRESS: LICENSED ISDS CONTRACTOR: _r ,' S, Ee , ajI PHOSE: (3� �2(p is COMPANY/DBA: ADDRESS: I , to W � f, a c, PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: a noc, k Filing•_CB lock• Lot No.._ Tax Parcel Number: Q- Lot Size: _-_ --_ga Street Address: "err d rno m eg-. *************************************************************************** BUILDING TYPE: (Check applicable category) (7 Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: Gj PS t *These systems require design by a Registered Professional Engineer SIGNATURE: \a Date: TO BE COMPLETEDBY THE COUNTY AMOUNT PAID: RECEIPT #: 161 I q-l$ DATE: I b '3 b q J CHECK #: [3,M CASHIER: Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO March 22,1996 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 Douglas and Karen Mayne P.O. Box 1071 Gypsum, CO 81637 RE: Final of ISDS Permit No. 1543-95 Parcel #2111-064-05-022. Property location: 300 Strohm Circle, Gypsum, CO. Dear Mr. and Mrs. Mayne, 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, Janet Kohl Environmental Health Department Eagle County Community Development ENCL: Information Brochure Final ISDS Permit cc: files Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO Date: November 7, 1995 TO: Davis Excavating FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1543-95 Tax Parcel #2111-064-05-022. Property Location: 300 Strohm Circl&, Gypsum, CO. Douglas Mayne residence. Enclosed is your ISDS.Permit No. 1543-95. 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. Installation must.be completed by December 1 for all new construction for which permits were issued prior to November 15. 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 ISDS PERMIT #isy-s- PERCOLATION TEST .� EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. lelukN ": LEGAL DESCRIPTION: MAILING ADDRESS: ON Arai 1 hri r %�. , .y� .. _ / ar, C i E OF DWELLINGiQ P ER OF BEDROOMS yr yty'3 TEST HOLES PRE-SOAKED: YESI_2h4 NO TTMF. tasms�D TL'DTV i 1 2 3 1 2 3 1 2 3 1 2 3 0' of I Z i j N 111*314 R14 102, L `iy A4 2, �vs 04 it ao�`'i , `!r! 1 5, 6,''pel j1`7 W.4 8 0 +1 314 Uq .Co-� �Le '�7, 'h ; 11 1D ime to drop last inch�5 PERC RATE: MINIMUM SEPTIC TANK SIZE: 1 ( 00 MINIMUM LEACH FIELD SIZE: COMMENTS: YiS�fii iV1 (k� 1eOIS�' -�,sY� �� �/� MIA i in P � �fl� ilk � fit i �'- holiE> # aVIW #chi a 7paV_� -ye"ckI 2¢' B-e r, I r , T 'f- l i�5t � �Y si rat . C¢L•i \ L° (3,a v� I�slul� ��,rN, Tn�✓4�,�� QL;,- `4� ,.C1, ( {ter a,1-70( hPkd-&, PERC TEST DONE BY: �c DATE: Environme4t4l Health Officer rev. 6/90ks x i I bt nd_av- ?' x Vum e1_ i �!r oy- izQW17 02t e' 'A CIA, �o Lj� nr GeU SEC 211995 ,OMMUNITY DEVELOPME14 Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO December 12, 1995 Dear Applicant, Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 The Environmental Health Division would like to notify you to make a formal request to extend your Individual Sewage Disposal System(ISDS) Permit the 1996 construction year. The Environmental Health Division discontinued percolation tests on November 15, 1995 and.final inspections on December 2, 1995 due to climatic conditions. ISDS permits are active for 120 days after the date of issue if no Building Permit has been issued for the same property. If a Building Permit has been issued for the same property the ISDS will expire at the same time as the building permit. If you still plan to apply for a Building Permit this year or in the early months of 1996 you will need to have a percolation test conducted before your Building Permit will be released. You will have to contact a Registered Professional Engineering(RPE) firm to conduct your percolation test. If you have had your permit issued and have not had your final inspection completed, but plan on constructing the system in the next few weeks, please give our office a call and we will evaluate your permit on a case by case situation. Please give the Environmental Health office a call at 328-8755, if you have any questions regarding your permit extension process. cc: ISDS Permit #154'))�i5 File ISDS Final. Inspection. I Completeness Form /Tank is/J-Do gal. Tank Material�fC��-tc� Tank is located _ft. and degrees from -ate" t,,�,,+ (permanent landmark) Tank is located ft. and degrees from (permanent landmark)• / Tank set level. �L Tank lids within 8" of finished grade. / Size of field ft2 % units lineal ft. Technology Cleanout isinstalled in between tank and house(+ 1/100ft). There is a "T".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 field 3 — 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: % Setbacks Well Potable House Property Lake Dry Tank Drain Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 u v����tt��lt��■ NOISOME ��I�tl�il��t�s�i�����s�l�■w mosommosom ■vmmmimm■ SEEMEMEMEN MEN lo4J—y5 TaxV Z11l—Ub4—U5—UZZ 300 Strohm Circle MAYNE JOB 'NAME Bertroch, Lot#7,Filing#5 Gypsum, CO JOB LOCATION BILL TO DATE STARTED DATE COM JOB IVd�� BILLED JOB COST SUMMARY TOTAL SELLING PRICE COST DROFIT D COSTS I. PRICE 'ROFIT n JOB FOLDER Product 278 %p NEW ENG Printed in U.S.A. 1 CN