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HomeMy WebLinkAbout306 Eagle St - 211106400020INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 REPAIR PERMIT Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1206-92 Please call for final inspection before covering any portion of installed system. - OWNER: Brenda Reynolds PHONE: 524-7189 MAILING ADDRESS: P.O. BOX 603 AGENT: PHONE: SYSTEM LOCATION: Twnshl2 5. Range 5 306 Eagle Street Gypsum, CO LICENSED INSTALLER: Sb;;Wvg Fxen yat;ng LICENSE NO. 6-92 DESIGN ENGINEER OF SYSTEM* INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 401 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Vari fW f ank Gi 70 _ material and number Of compartments Or install new 750 gallon tank. 11 Infiltrator chambers, keep relatively shallow, minimum 18" of cover over the chambeK_s_------>-----(S4Zing requested by applicant) ENVIRONMENTAL HEALTH OFFICERDATE: 2 CONDITIONS: 1. ALL INSTALLA ONS MUST COMPL �TAUTI REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANTORITY GRANTED IN 25-10.104, C.R.S. 1973, AS AMENDED. 2 THIS PERMIT IS VALID ONLY FOR CON 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 INSPECTORX 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. INSTALLED ABSORPTION OR DISPERSAL AREA: 02 c SQUARE FEET. %i 1 INSTALLED SEPTIC TANK: 0oo GALLONS DEGREES_=sue FEET �lY�i"� S'pIGtZ 7 SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: v cJ PROPER MATERIALS ANDASSEMBLY V 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: ENVIRONMENTAL HEALTH OFFICE // � DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF RY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT M: CHECK N: CASHIER: ••• .1 v aw—a as -- i --L ----1. i ".— I'L- JI7 IW-0"RJ11`a Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # v � - Ll Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMPER.MIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 Eagle (970)328-8755, Fax (970)328-0349, E1 Jebel (970)927-3823 * FEE SCHEDULE * PERMIT APPLICATION FEE $150.00 * PERCOLATION TEST/SOIL PROFILE AND SITE EVALUATION FEE $200.00 * SITE VISIT/CONSULTATION FEE $85.00 * REINSPECTION FEE $47.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: J HONE : �a MAILING ADDRESS: /63 P APPLICANT/CONTACT PERSON: -!-rb Jc, W PHONE : 3C16 _a yS� PHONE: LICENSED SYSTEMS CONTRACTOR: - ,�- �� 3 COMPANY/DBA: 80W± �� - ADDRESS: � In / su PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION X REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: C � Q � Lj Legal Description: � 7 AZa L as �fQ� Y goo f—flya►m T viv, — 'j (o -aC!"P Tax Parcel Number: �iQ -Q Lot Size: lw& �n - 1nn Physical Address: �BUILDING TYPE: (Check applicable category) Number of Bedrooms >e Residential/Single Family Number of Bedrooms { } Residential/Multi-Family ( ) Commercial/Industrial* Type *These systems require design by a Registered Professional Engineer TYPE OF WATER SUPPLY: (Check applicable category) { } well ( ) Spring ( ) Surface Public Name Supplier: U F APPLICANT SIGNATURE: Date: l AMOUNT PAID: JJ O RECEIPT # : I I & 9 DATE: �� f nn CHECK ## : % © '% U CASHIER: k" PERCOLATION TEST �a0- EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: { j r / / NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: 2 YES \' NO TIME raTm�n ncnm., e 1 2 3 1 2 3 1 2 RATE J"iPf) SOIL PROF 3 1 2 0' aL S L2 4' 1;,(� o�y N ;? a/ o?O /0 dO, ,' Loy v as J J d,0 , yU 1,��I /' , y� s% lTV' afA Ff 3 t: e It Time to drop last inch ti /j0 PERC RATE: d'o j"A MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: y0.3 11jj // / COMMENTS V�r o� rev�,� �✓ 't n ),--�"E.�i� . Gov/� r f to P E RC TF,,S_T --a0NE- -BY ; DATE: l ! f Envir � ental Healt 0 cer rev. 6/90ks 4 t�3 N GV Py P06 A Scale 1"=30' C N 90*0900" E C f steel 2 0.821 Ac. r.� _ N 89022'45" E 74.76' 8 �.4 ------------- �,�5.Z559�� �"" G�t.@d ti Cc wif .i shed 1.9 l c � o " K z . fence x x K(PSQ­F p6.T eo ,prage6, r S @c I y 50 9- 3 � d , i 86.T 4 Ce co x E,2 w ' deck ' N 82.38'06' W 116.05' — — rebar S 90000'00" W (Eagle Street) ingress, Egtas and Utility Easement 30' Road .Ea,Sement Book 651, Page 538 Book 654, Page 237 (Book 186, Page 351) gavel roadway w 36.7 p r1I hou �o ILse 24.3' C' 20.6' 172.W pin and cap Note According to Colorado law. you must commence any legal action base upon any defect on fts certificate widtin three 3R after Sou first discover nude detect In no event may say aesaon boxed upon any defect m this certificate be commenced more than ten years from the date of hereon. Leland I.echner PLS 30946 County Rd. 356, Buena Vista, Co. 81211 (71913954160 IX la --ga Septic Pumping Report Form (Please Print) Name of Systems Cleaner: SNOWBRIDGE ROTO-ROOTER Name of Service Person:c, Date of Service: $—ZGy Date of Installation: Property Owner: Serc-ja 6 Telephone # 9 -0 g E3 ,Z e/ ro Physical Address: 30- C z2cc Estimated Tank Size: 100-6 Material of Tank C't�'Z.C•�e �$ # of Manholes:_ Depth to Manhole Covers: Estimated Volume Pumped: # of Compartments Slhdge Thickness: inches Scum Thickness inch es Baffle,or Sanitary Tee in Place? LInlet l/ Outlet ilNg Effluent Filter in Place? Y _ N Dosing Mechanism Pump Siphon Lf--­Rone Dosing Mechanism / Alarm Functioning Properly y N Previous Pumping Date, if known General Comments (include any signs of failure and all work in addition to pumping) ,roe Z� ktA S15 Sketch (Location of Tank) le S t stio�o Cs p. . TaK$ �-m� W-m here ier Todd Serwatt/Cary Hogan PO Box 1321 Gypsum. CO 81627 970-390-2450 serswat@yahoo.com Andy Jessen Eagle County Environmental Health Eagls, CO 81631 Re: Septic Tank Concerns Last 4 of Permit # 2032 Property: 306 Eagle Street Gypsum, CO 81637 Per our phone conversation on Tuesday August 26, 2008 1 am addressing your concerns in regards to our septic system All records on file with Eagle County have been presented with our permit and indicate that our tank size is 1,000 gallons. This was confirmed with John Bowman who pumped our tank in the fall of 2007, Given our plans for the 2 offices and full bath it seems that our tank size is sufficient enough, but the exact capacity for the leech field is in question. Cary and I, as homeowners, take full responsibility for any failure of the current system if it were not to perform to needed capacity once the addition is completed. I understand that this is based on the # of bedrooms in the home and as per our plans we are not adding any additional bedrooms. please feel free to contact me with any concerns or questions. T -Serwait Farm DCVR—"WInTOTAL" appraisal Software by a la mode, inc.—1-800-ALAMODE .206-92 - Parcel #2111-064-00 M6 Eagle Street, Gypsum, Reynolds, JOB NO. d'?51 gnu f e%e1A"n1i BILL TO DATE STARTED DATE COMPLETED DATE BILLED rl /S Iq a 1-A5 -5' V Q✓ I �Lv� Sl s� �1' r D� �isn �✓ / r"`a7f PiG.j 75-0 0ti/c G 00'9 C s jXe- JOB COST SUMMARY TOTAL SELLING PRICE /r /J �S � ���✓ �7'C) �iGie / - k�/u.� � IL�Gi�+� i.�Y'/.2 i S�✓�! � ce rs �m �i'� TOTAL MATERIAL TOTAL LABOR INSURANCE �n 0 A SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT .JOB FOLDER Product 278 ®q NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER w Printed in US.A. U 14 /sits Io?06��jz x .re, ZZ !S49-s Ia06 �-