HomeMy WebLinkAbout1005 Petit Ln - 211108401005INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1089
Please call for final inspection before covering any portion of installed system.
OWNER: Randy Tolbert PHONE: 524-7929
MAILING ADDRESS: Box 267, Gypsum, CO 81637
AGENT: PHONE:
SYSTEM LOCATION: 1005 Mayne Lane
LICENSED INSTALLER: �^°�' vvai� u� � �X�Q �/a���/t LICENSE NO.
9- 9/
DESIGN ENGINEER OF SYSTEM -
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
GALLON SEPTIC TANK OR 1250 GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 698 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 240' of 10" SB2/ 23 infiltrators
ENVIRONMENTAL HEALTH OFFICER: ?
DATE:
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, C.R.S. 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. SECTION Ill, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM
TO BE LICENSED ACCORDING TO THE REGULATIONS.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED
PRIOR TO COVERING ANY PORTION OF THE SYSTEM. p
INSTALLED ABSORPTION OR DISPERSAL AREA: 47 l SQUARE FEET. [[
INSTALLED SEPTIC TANK: GALLONS 3�0 DEGREES 31� FEET TO
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: YES NO
ANY ITEM CHECKED NO REOUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
COMMENTS:
ENVIRONMENTAL HEALTH OFFICER: DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
ISDS Permit
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOX 179
EAGLE, CO 81631
3-/927-3823(Basalt) _�
PERMIT APPLICATION FEE
$150.00 PERCOLATION TEST FEE 25.0
PROPERTY OWNER:
MAILING ADDRESS
APPLICA
LICENSE
ADDRESS
PERMIT
LOCATION OF PROPOSED INDIV
Legal Description:
Parcel Number:
Physical Address:
,SEWAGE DISPOSAL SYSTEM:
-ppS Lot size:
BUILDING TYPE:s v
- (Check applicable category)
(VI Residential / Single Family Number of Bedrooms
(-) Residential / Multi -Family* Number of Bedrooms_4L
( ) Commercial / Industrial* Type
HOT TUB _. Yes ( ). No
WATER CONSERVATION PLAN: Yes ( ) No
TYPE OF WATER SUPPLY: Well( ) -Spring-( j Surface ( •)
Public (ame of Supplier:
Give depth of all wells within 200 feet of system:
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
s
SIGNATURE: DATE
AMOUNT - PAID: r� •.
RECEIPT# �i �� DATE:
CHECK #_� / CASHIER
TIME LOG _ //� j�
Travel Perc Final /�i ��iL< (�',w�
UUU
(9 S 3S
G y fso*^
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
August 28, 1991
Randy Tolbert
Box 267
Gypsum, CO 80302
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
RE: Issuance of Individual Sewage Disposal System Permit
No. 1089
Dear Mr. Tolbert:
Enclosed is your ISDS Permit No. 1089. The enclosed copy of the
permit must be posted at the installation site. You must call
our office for final inspection before covering any portion of
the installed system; the deadline for final inspections is
December 1.
If you have any questions, please feel free to contact us at the
following numbers depending on your calling area: Eagle Valley
328-8730; Basalt/El Jebel 927-3823, ext. 730.
Sincerely,
4 4e�111/
Roger Boyd
Environmental Health Assistant
Community Development
RB:ckc
Enclosure
cc: ISDS File
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
November 12, 1991
Mr. Randy Tolbert
Box 267
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1089
Dear Mr. Tolbert:
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328-7207
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. Also enclosed are informational sheets
regarding the care of your septic system.
If you have any questions regarding this permit, please contact
the Eagle County Environmental Health Division, P.O. Box 179,
Eagle, Colorado 81631. we can also be reached, depending on your
calling area, at the following numbers: Eagle Valley 328-8730;
Basalt/El Jebel 927-3823.
Sincerely,
C. Kelle Carhart
Office Assistant
ckc
Encl: Information Sheets
Final ISDS Permit
cc: Chrono File
ISDS File
Building Permit File
ISDS PERMIT # IOg
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: Z S
LEGAL DESCRIPTION:. �i2!(14�L �jrQ(Ui/�'��, �a ✓i/le, _
MAILING ADDRESS : _5D/ .2�7 Vei95<rr�� v
TYPE OF DWELLING:, /Si.,g� �aw,;/�J NUMBER OF BEDROOMS
TEST HOLES PRE—SOAKED: YES NO
TIME WATER DEPTH
INCHES
OF FALL RATE SOIL PROFILE
1
2
3
1
2
3
1
2
3
1
2
3
0' SA 10avi
�Jd�$
26
17
29i
31
2
y.
J
41
Lb
�
3 D
31
32
304
111
>�
S
13.3
13.3
3' CIq r
trcev�
35
3(�
37
3{
32
3�
Sig
$
57
4'
40
'4p
4�
311t
33�
3f
yz
�
�
10
5.7
5.7
5
�
r
31-
3
3iy
5
L 1
6,
y
10
61
0
e
3 5
34vk-
32-
j
g
z
8
13.3
►o
1 71
57
133
.00
of
02-
33'�
�}
32 �
2-
If
8
10
2-0
13.3
n
" ob
07
A,
$
���
�
�
s
i3 3
13.3
Time to drop last inch /0 ,, ,
PERC RATE: MINIMUM SEPTIC TANK SIZE: /.2_51�)
MINIMUM LEACH FIELD SIZE: �`78 `rrv� ' 1,74!,0'
COMMENTS:
PERC TEST
rev. 6/90ks
DATE:
Of f icer
q a )c 900
5
SITE PLAN
LOT 5, ROBERT MAYNE SUBDIVISION
SECTION 8, T.5.S., R.85.W., OF THE 6TH P.M.
TOWN OF GYPSUM, EAGLE COUNTY, COLORADO
o h
0
0 0
N. 89-56'00" E. 108.60'
-----------�\
1
\ SCALE: 1" =40'
I \
LOT 5
�— 10.00' 1.0009 ACRES \
I \,
I \
LOT 4 I \\ OPEN SPACE
\ DEDOC ATED
LEACH FIELD \ (n
SEPTIC TANK
PER EAGLE COUNTY \
DEPT. OF HEALTH
Och i REQUIREMENTS \\
CP-
N I 1 crs
SINGLE STORYWOOw \
FRAME
RESIIDENCE a \
41.67' \
66.67' \
O
I \ �
o
O
z I I \
I d; � \
M Wz \
_.. �----- — — — — --- ------ --�
-CCESS/UTILITY EASEMENT (MAYNE LANE) o
0
1" DIA.
0
w
ORHEAD
E
OWN. VEN. 89"59'35" E. 187.83'
7rR., e\CC 7 7777
PAGE 1 OF 3 Starbuck Surveyors & Engineers
JOB 91-062 5 5 F
P.O. Box 1584.205 E. Chambers Ave., Eagle, CO 81831 • (303)328-7.
1089-91 Tx Prcl4�///-USy-U/-1X9
JOB NAME? 1005 Mayne Lane/Randy Tolbert
.dos No.z 7) ��
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
f•
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
.JOB FOLDER Produgt 278 ®®
ler
►B FOLDER
WA
Printed in U.S.A.