HomeMy WebLinkAbout318 Eagle St - 211106111001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PPm� P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631
e'pav f' Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 91 39 -92
Please call for final inspection before covering any portion of installed system.
OWNER: Roger Friesen PHONE: 524-7254
MAILING ADDRESS: P.O. Box 260 Gypsum, CO 81637
AGENT: PHONE:
SYSTEM LOCATION: 318 Eagle Street Gypsum, CO 81637
LICENSED INSTALLER: Scott Green, B & B Excavating LICENSE NO. 13-92
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
Exlstlnf7 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 357 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Or: 10 Infiltrators in trenches OR: 120' of 10" SB2 in Trenches
Place inspection portals in each trench.
<k _'
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ENVIRONMENTAL HEALTH OFFICER: ` DATE: �� 1-9
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 /S APPROVED
PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
� 7
INSTALLED ABSORPTION OR DISPERSAL AREA:! SQUARE FEET.
INSTALLED SEPTIC TANK ) S4 I nG�LLONS DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS ANDASSEMBLY YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
COMMENTS: �F� 'i�'E .V�j Ci LA':A- \1 Y-N � l IP .
ENVIRONMENTAL HEALTH OFFICER: CUV_ i Li /J/t DATE: 1 `
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT M: CHECK N: CASHIER:
Incomplete Applications Will NOT Be Accepted
(.Site•Plan MUST be attached)
ISDS Permit ##
Building Permit
/i.37
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
i ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (Basalt)
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE 1125.00
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
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PROPERTY OWNER: / j c? j,,- ; -c i C P(
MAILING ADDRESS: A0 D 40 PHONE :
APPLICANT/CONTACT PERSON: 1f'1a,-PHONE: 3311
LICENSED SYSTEMS CONTRACTOR: /�77 �X�c �t/xaa PHONE:
COMPANY/DBA: ADDRESS:
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION (;,,,,REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Tax Parcel Number: Lot Size:
Phvsical Address: ��� z��i L r:.
BUILDING TYPE: (Check applicable category)
( ) Residential/Single Family Numbe-.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:
*These systems require design by a Registered Professional Engineer
SIGNATURE: Date:
ksc ycYcXYc**k YCYe*YcYrycycrrYCYryr*YtYCYcYr�cYcvr:cYc*}cYc9ck*YCYr}tYcycYcvrYcY:YcvcYrvcYcycvr�Yc�rY�kYc
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AMOUNT PAID: RECEIPT #: DATE:
CHECK #: CASHIER:
TIME LOG: TRAVEL: PERC: FINAL:
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Memorandum
TO: ISDS File #1139-92
FROM: Tania M. Busch'��`7
DATE: November 24, 1992
RE: Pending septic permit
*****************************************************************
On 11/24/92, Roger Friesen and Scott Green were contacted as to
the current status of the ISDS #1139. Both consented that the
following situation occurred:
The failing system was permitted on 4/17/92 and was installed
that weekend. Due to the fact that it was a weekend, Roger Boyd
(acting Assistant Environmental Health Officer) allowed them to
cover up the system with out his final inspection. However,
photos, as -built drawings, and receipts were to be sent to our
office. According to Scott Green, he submitted the required
documentation. However, this documentation has been misplaced.
There is no reason to believe that the repair to the system was
not made, considering that it was the property owner himself that
alerted the county about his failing system. Therefore this
system will be finaled as a repair. It will be assumed that an
additional 120 feet of SB2 was installed to the existing system,
along with a diversion box between the two fields allowing
alternation between the fields in the future. See site plan in
file to determine location of this addition.
COMMUNITY DE%ELOPMENT
DEPARTMENT
(303) 32S S730
EAGLE COUNTY, COLORADO
December 10, 1992
Roger Friesen
P.O. Box 260
Gypsum, CO 81637
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
RE: Final of ISDS Permit No. 1139-92, 318 Eagle Street, Gypsum
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 dwelling 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,
Brenda Henderson
Office Assistant
Environmental Health
/bh
ENCL: Information Brochure
Final ISDS Permit
cc: Files
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
May 11, 1992
B & B Excavating, Inc.
Attn: Scott Green
Drawer 249
Vail, CO 81658
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1139-92
Dear Applicant:
500 BROADWAY
P.O. [SOX 179
EAGLE, COLORADO S 1 b3 1
FAX (303) 328-7207
Enclosed is your ISDS Permit No. 1139-92 valid for 120 days.
The enclosed copy of the permit must be posted at the
installation site. Any changes in plans or specifications
invalidates tihe permit unless otherwise approved. Please call
our office well in advance for the final inspection. The final
inspection is to be done before any portion of the installed
system is covered. The deadline for final inspections done by
Eagle County Environmental Health is December 1. 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.
Be aware that the specifications on the permit are minimum
requirements only. Installers sihould bring this to the attention
of the property owner.
This permit does not indicate conformance with other Eagle
county requirements.
If you have any questions, please feel free to contact us at
328-8755.
Sincerely,
Brenda Henderson
Environmental Health Administrative Assistant
Enclosure
cc: ISDS File
ISDS PERMIT 1/3'7
PERCOLATION TEST Refz 0 %�r�w �l
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT . �� _
i
OWNER:
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS
�����*•��c�r���r�r�r��r�r r��F' �r�c��r�r�r��r�r�r�r�r�r�r�r���r�r�r�r�rl
6e�aYc �r���ss cis«tor ��' 1
TEST HOLES PRE-SOAK D• YES NO rt{ �€
TTMF Armin nonmri
1
2
3
1
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2
3
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1
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2
il1LL
3
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1
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8
1
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i2
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3'
25
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I�.75
17.5
/,37 c
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2
4
1q5
5
6 11
21.5
�3,5
2 Z,b
8
,0
12,
/
5
7S
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J
Time to drop last inch
6,i0 5 5
PERC RATE: MINIMUM SEPTIC TANK SIZE: eKjvv,
MINIMUM LEACH FIELD SIZE: 357m �- L
rn�c iP or /p �n�l�Tr,«�as m TRENCHGS or /a0
COMMENTS:
PERC TEST,,aPNE B
S
DATE:
EnvironIgo al Heaj: h Officer
rev. 6/90ks
07 /U 5,5 2-
'It
im
9w
1139 - 318 Eagle Street, Gypsum, CO
... -ter Friesen
JOB NO.
doo IAQ I !l ATInKj A
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BI
TO
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DATE RTED
DATE COMPLETED
DATE BILLED
LL-
o4
&/11-- s s ��s� /n �- �- '�?/// v/ ""Aversll'l" ia/e
JOB COST SUMMARY
TOTAL SELLING PRICE
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 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in
U.S.A.
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1735-97 BP NO. TOG
OWNER: NANCY FRIESEN PHONE: 970-524-7254
MAILING ADDRESS: P.O. BOX 260 GYPSUM CO 81637
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 318 EAGLE ST. "C" GYPSUM CO TAX PARCEL NO. 2111-061-00-003
LICENSED INSTALLERYACHECO CONSTRUCTION HERBERT PACHECO LICENSE NO. 16-97 PHONE: 970-524-7288
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1500 GALLON SEPTIC TANK 1125 SQUARE FEET OF TRENCH ABSORPTION AREA VIA 37 INFILTRATOR UNITS AS REQUESTED BY INSTALLER
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES. WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE
AND INSPECTION PORTS IN EACH TRENCH. RAKE TRENCH SURFACES TO PREVENT SMEARING OF SOILS. FENCE OFF LEACH FIELD TO
PREVENT ANIMALS FROM GRAZING IN THE AREA AND MAINTAIN ALL SETBACKS. CALL THE COUNTY FOR FINAL INSPECTION PRIORTO
BACK FILLING ANY PART OF THE INSTALLA�TIION, OR WITH ANY QUESTION REGARDING INSTALLATION.
ENVIRONMENTAL HEALTH APPROVAL: DATE: OCTOBER 20 1997
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 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: 1147 SQUAREFEET(VIA 37 infiltrator units )
INSTALLED concrete TANK: 1500 GALLONS IS LOCATED 0 DEGREES AND 30' FEET FROM
the cleanout,
COMMENTS: Still nPacl nicturat of the rnnnPntinn to the hrniaa
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL - �� DATE: I ZI 12A- 7
(Site Plan MUST be attached)
ISDS Permit #
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: � � tC� i ewe PHONE:
MAILING Al
APPLICANT/CONTACT PERSON: /U04_VV �� t+ ip- ' 11 PHONE: ( c r
MAILING ADDRESS: 5CCYA
LICENSED ISDS CONTRACTOR: C 0_1�7 i PHONE:
COMPANY/DBA: ADDRESS:
***************************************************************************
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # (if known)
Legal Description: Subdivision:, Et(ebs ;�-Tiling:_Block: Lot No.
Tax Parcel Number: L- ( L- -� Lot Size:
C .
t! / K /
Street Address:
W
***************************************************************************
BUILDING TYPE: (Check applicable category)
() Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable
( ) Well ( ) Spring ( ) Su
(} Public Name of Supplier:
category)
face
Number of
Number,of
Type.
Bedrooms
Bedrooms
*These systems require design by a Registered Professional Engineer
SIGNATURE: J5 ��c_ Date: 1,6 b %
TO BE COMPLETED BY THE,_COUNTY
AMOUNT PAID: 6 g RECEIPT #: ' DATE:
CHECK #: ��1� CASHIER:}
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
DATE: October 20, 1997
TO: Pacheco Construction
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. 1735-97, Tax Parcel
#2111-061-00-003. Property Location: 318 Eagle St. "C", Gypsum, CO., Friesen
residence.
Enclosed is your ISDS Permit No. 1735-97. 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.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special conditions
which may have been placed on the permit. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made.
Due to weather constraints, all permits issued before November 14, 1997 must be completed
by, December 1, 1997 for final inspection. Please call our office well in advance to allow for
scheduling of final inspection. Your building permit CO will not be issued until final approval
has been given for the ISDS Permit.
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
Enclosure: ISDS Final Inspection Completeness Form
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
December 15, 1997
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
Nancy Friesen
P.O. Box 260
Gypsum, CO 81637
RE: Final of ISDS Permit No. #1735-97, Tax Parcel #2111-061-00-003. Property location:
318 C Eagle St., Gypsum, CO.
Dear Mrs. Friesen:
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 (970) 328-8755.
Sincerely,
t
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL:Informational Brochure
Final ISDS Permit
cc: files
W~%a rg;.Ivltk -IF-LLJ,3.�
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: La - Lod
LEGAL DESCRIPTION: ZI
I/
MAILING ADDRESS:
7
TYPE OF DWELLING -
NUMBER OF BEDROOMS 47
TEST HOLES PRE-SOAKED: YESI _ NO
TIME wamrD nrvrrw
I z
SOIL FROI
1
2
3
1
2
1
I
2
3
1
2
3
F E3
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6,2
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2 92
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14
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Time to drop last inch <
PERC RATE: =-j am: MINIMUM SEPTIC TANK SIZE:
I - 1�1- 1/1,-, -
MINIMUM LEACH FIELD SIZE: A
. i
COMMENTS
4P
J
ff e,
PERC TEST DONE BY:
7
V,
/ I -) ( -tV'6X T, L, - ' DATE: -
_
Environmental Health Officer
rev. 6/90ks
0 0
fz
t-tit. y
ISDS Permit # 1�
Date
ISDS Final Inspection
Co=-leteness Fo
Tank is gal. Tank Material
-q—
Tank is located -6 ft. and P"__—degrees from Jlv
(permanent landmark)
Tank is located _ft. and degrees from
(permanent landmark)
Tank set level. ---L--Tank lids within 81, of finished -grade.
Size of field �._f t 2 3LT units lineal ft.
Technology Lch Y./Li �2 fZr
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.
Measure distance and relative direction to field.
Depth of field ft.
,,Soil interface raked.
__-L,�]�nspection portals at the end of each trench.
Proper distance to setbacks.
L---- Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
Other
JV Ispection 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
Water Lines line Stream- Gulch
Field loo 25 20 10 50 25 10 10
Tank 50 10 5 10 50 10 10
SHEET NO.
OF_
CALCULATEDBY
DATE
CHECKED BY
DATE
2-5.1 —ac3!o- n: Groton Mas 0'471 7^ C:c!, PHME, TOU FFEE I-SX-224-5:
-o�/75547
ale
//Ap/� --7
Ile
1735-97 Tax# 2111-061-00-003
JOB NAME Lot #2, Keller Sub. FRIESEN
318 Eagle St. "C"
r'.,., - (In
JOB NO.
JOB LOCATION
BILL TO
DATE STARTED /l
V
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
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 277 ®p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed In U.S.A.
N1
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C-)
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BARN
to remain
GRAPHIC SCALE
20 0 10 20 40
( IN FEET )
1 inch = 20 ft.
(E) FENCE to remoir
F
so
LOT 2
(E) PASTURE 6455 Brushcreek Road
9.74 ACRES = 424,274.4 SF
BLDG ENVELOPE
J
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W
NOTE.• THE TRENCHES W M INFILTRATORS MUST BE
(E) PASTURE CONSTRUCTED PARALLEL WITH THE CONTOURS.
CLEANOUT
4—INCH DIAMETER, SDR35, BUILDING S WER LINE
1500—GALLON, TWO —COMPARTMENTS, PRECAST, CONCRETE TANK
4—INCH DIAMETER, SDR 5, EFFLUENT LINE
Fr 56.25' I
,- �/ \
O
LOC PT
10' 45' (10' MIN REQUIRED)
(E) CCNC SLAB
iHEDi
PROPOSED NEW HOME \ 59' (20' MINIMUM REQUIRED)—
(N EL J
N) 1—CAR ( / V � \ � SERIAL DISTRIBUTION-1
LGARAGE SEE DETAIL A —A
6' MIN
\ / STANDARD iNFIL TRA TOR
I (E) 2—CAR GARAGE /---� — INSPECTION PORT SEE DETAIL
x x x x
ON
—'— NEW gravel rive kPccll"111111
1oR iiiiiiiiiiiiiiiiio�►T
2—STORY;;;;;
—FRAME HOMES
(E)grovel rNe-ay 'iiiiiii_ i87E,26,SF DiiiJ (E) SEPTIC SYS
/ (E) SEPTICbe abandoned
(VERIFY) -
iiiiiiiii/ \ (E) PASTURE
,�O � 3
ElkJ .W`
G
/c <v
E RE
ti
Q (E) gravel driveway
<J —
(E) FENCE. to remadr x x (E FENCE to remote x .
./� (E) grovel driveway / (E) grovel dri—y
x
% • (£J FENCE to remrnin � (Ef FENCE to remah
N 00°00'00" E 690.00'
rnrrL rnn vn Vr rnIIILJLI\
DETAIL A - A
N. T. S.
NOTE: SiTE PLAN BY CIRCLE WEST ARCHITECTURE, ROB KRUMHOLZ AIA
39,
PMRA 77ON TEST R & TS
Perc No. 1 Perc No. 2 F_erc No. 3
13.3 minutes per inch 13.3 minutes per inch 4 minutes per inch
Average percolation rate recommended for design T = 10 minutes per inch.
The Profile Hole and the Percolation test were done by Victor Crocco, Eagle County Environmental Health
Department, on April 13,. 2004
SOIL PROFILE
PROFILE HOLE
0 to 2 feet Topscul/Dark brown, silty clay
2 to 8 feet Light brown, sandy silt.
No ground water encountered
DESIGN CALCULATIONS
Design percolation rate T = 10 minutes per inch
Number of bedrooms = 5
Maximum daily Flow = Omox
Qmax = 5 bdrms x 2 persons/bdrm x• 75 gallons/person/day x 15OX
Qmax = 1125 gpd
SEPTIC. TANK
V = Qmax/24hrs x 30 hrs
V = 1406 gallons
Use 1500 gallon, two compartment precast concrete tank by Copland Concrete or equivalent
ABSORPTION AREA
A = Cm ax/5 x VT
A = 112515xV10= 712s.f.
Based on Applicotio Rate:
A = 1125gp d/0.8 gpd/s, f.
A = 1406 s. f.
Standard Infiltrator Chamber System in a t-ench configuration with an allowed 50 percent
reduction in the absorption area is recommended.
Acorrected = 703 s. f.
Surface area of one Infiltrator Chamber = 15.5 s. f.
Use 45 Infiltrator Chambers in trenches, a: shown on the plan.
NOTES:
1. Bends in the building sewer shall be lirnited to 45 degrees.
2. The septic tank shall be installed level, The tank shall have removable covers or manholes to within 8
inches of the finished grade, for inspection and cleaning.
J. Excavate three (3) feet wide trenches. The horizontal distance from sidewall to sidewall between the
trenches shall be a minimum of six (6) feet.
4. The bottom and the sidewalls of the trenches shall be raked to eliminate smearing.
5. Assemble and install the Infiltrator Chambers in the trenches according to the manufacturers
recommendations.
6. Backfill the sidewall area with native on -site soil for proper support.
7. Backfill the trenches with a minimum ,�f 12 inches of tamped soil cover.
8. Avoid vehicle traffic over the system.
9. All installations shall meet the rules and regulations of the Eagle County Environmental Health Division,
Chapter 4, Individual Sewage Disposal Systems.
10. The Septic System Installation shall be inspected by the Eagle County Environmental Health Department
and by the Design Engineer prior to backfilling.
1500 GALLON "WO COMPARTMENT
CONCRETE SEPTIC TANK
4'-
N. T.S.
BY COPLAND CONCRETE OR EQUIVALENT
1"
8"
PLAN VIEW
SIDE VIEW
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DRAWN BY.• L.P.
CHECKED BY.• L. P.
PROJECT NO.: 03155
DA TE:• MA Y 7, 2004
DRA wrNG No.: 03155SD. D WG
SHEET 1- OF 1
INDIVIDUAL 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. 1578
Please call for final inspection before covering any portion of installed system.
OWNER: Nancy & Roger Friesen PHONE: (970) 521E-7254
MAILING ADDRESS: P.0. BOX 260. City: pgutq State: C9 ZIP: 81637
APPLICANT: Herbert Pacheco PHONE: 524-7288
SYSTEMLOCATION: 318 Eagle st.B, Gypsum, CO TAX PARCEL NUMBER: 9111-061*00-004
LICENSED INSTALLER: Pacheco C:OnS rrtctinm, Hprh PgCh2Cn LICENSENO: 31-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 570 SQUARE FEET OF TRENCH BOTTOM. via 19 infiltrators as requested by owner
SPECIAL REQUIREMENTS: Install in -.-serial distribution with inspection portals in each trench, and a
cleanout between the tank and the building- Rakp trench Gidecall Do not al1nw hnrsp nn
the leach field- Call
ENVIRONMENTAL HEALTH APPROVAL: 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. 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: 570 SQUARE FEET.
INSTALLED SEPTIC TANK: 1000 GALLON 110 DEGREES 6 t 5 tt FEET FROM the cleano t
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 APPROVAL: DATE: V
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
� r Y
APR 2 6 1996
ISDS Permit #
Building Permit #.
APPLICATIO.NfitjPQ, 4--,fj, lgT-VV��UKUi SWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOX 179
EAGLE, CO 81631
328-8755/927-3823(Basalt)
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
**************************************************************************
PROPERTY OWNER: l U 'kya O F\, e,SL?y,
MAILING ADDRESS: P•o •�o� ��jQ �y pSyyU �. 81b3 ? PHONE •
APPLICANT/CONTACT PERSON: Wer4tL� 1"ct( eC.a PHONE: /%'S %2��
LICENSED SYSTEMS CONTRACTOR: JRG&CO (&--?5,
ADDRESS: tp,Di !Ja k /l { Cv - 71631 PHONE • 0 ?D -52-y-7,7_8 '
PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: 019 Enle S' B ��Ipsurn � �a• S ��
Parcel Number: PQ _Lot size: 1•27y /�crzS
Physical Address: � U U o�q l e �J � jJ!GU-yo.-
BUILDING TYPE: (Check
&,jv f{� (�() Residential /
Residential /
Commercial /
TYPEL-/ WATER SUPPLY:
applicable category)
Single Family Number
Multi -Family* Number
Industrial* Type_
of Bedrooms 3
of Bedrooms
Well( ) Spring ( ) Surface ( )
Public ()() Name of Supplier: `t ®rq,
*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"
SIGNATURE • 3h2-® � DATE •
AMOUNT PAID: y RECEIPT# I O 2— DATE: \�
CHECK # CASHI
Community Development Department
(970)328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
May 20, 1996
Nancy and Roger Friesen
P.o. Box 260
Gypsum, CO 81637
RE: Final of ISDS Permit No. 11578-96 Parcel #2111-061-00-004.
Property location: 318 Eagle St., Gypsum, CO.
Dear Mr. & Mrs. Friesen,
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631 -0179
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
DATE: May 6, 1996
TO: Pacheco Construction
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System Permit No. 1578-96 Tax Parcel
#2111-061-00-004. Property Location: 318 Eagle St., Gypsum, CO., Friesen
residence.
Enclosed is your ISDS Permit No. 1578-96. 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.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special conditions
which may have been placed on the permit. If all items are not completed, a reinspection fee
of $45.00 must be paid before a reinspection is made. Your building permit CO will not be
issued until final approval has been given for the ISDS Permit.
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
LJUJ rGKI"Il.l= L mil\
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PERCOLATION
TEST
EAGLE COUNTY
ENVIRONMENTAL HEALTH DEPT.
OWNER:�,e
�
LEGAL DESCRIPTION;_
MAILING
ADDRESS.:_��1�,
TYPE OF DWELLING: �'
NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED:
YES
NO
TIME
WATER
DEPTH
INCHES OF FALL RATE SOIL PROFI=
1
2
3
12
3
1 2
3
1
2
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Time to drop last inchj;r
r'�cai`�cSciL
PERC RATE:
MINIMUM SEPTIC
TANK SIZE:
�, (x�� ��C f 0�,,
MINIMUM LEACH FIELD SIZE:57
O
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COMMENTS:
la, ;�ik C11�Dvt� 615f',e-4)
t1Y1
Ntan C)V* i AF,c./GC
PERC TEST
DONE BY:
DATE:
Environme
a Health Officer
rev. 6/90ks
ISDS Final Inspection.
Co pleteness Form
Tank is I or0 gal. Tank Materials
Tank is located CD �5 ft. and //06 degrees from Cb-&n
(permanent landmark)
Tank is located ft. and degrees from
/ (permanent landmark)
r/ Tank set level. �ank lids within 8" of finished grade.
Size of field ft2 G► units lineal ft.
Technology 1 U , ��EL
✓ Cleanout is installed in between tank and house(+ 11 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.
y Tank has two compartments with the larger compartment
closest to the house.
/Measure distance and r-elati've direction to field.
�f Depth of field 2 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
Field 100 25
Tank 50 10
House Property Lake Dry Tank Drain
line Stream Gulch
20 10 50 25 10 10
5 10 50 10 * 10
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1578-96 Tax#2111-061-00-004
JOB NAME 318 Eagle St. Lot 1 FRIESEN
Gypsum
JOB NO. 4? 0
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
TOTAL SELLING PRICE
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 ®0 NEW ENGLAND BUSINESS SERVICE, INC., GROTON. MA 01471 JOB FOLDER Printed in U.SA
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