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)
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* 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
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TEST HOLES PRE-SOAKED: YESI_2h4 NO
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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
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PERC TEST DONE BY:
�c DATE:
Environme4t4l Health Officer
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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
*
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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
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JOB FOLDER Product 278 %p NEW ENG Printed in U.S.A.
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