HomeMy WebLinkAbout720 Knob Ln - 211105313024INDIVIDUAL 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. 1253
Please call for final inspection before covering any portion of installed system.
OWNER: Thomas Rati PHONE: 524-9780
MAILING ADDRESS: P.Q. BOX 1186 city: Eagle Stale: CO ZIP: 81631
APPLICANT: Thomas Rau
PHONE: 5 24-9 780
SYSTEM LOCATION: 720 Knob Lane TAX PARCEL NUMBER: 2111-053-13-024
LICENSED INSTALLER: 4-R Construction, Thomas Rau LICENSENO: 43-95
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
150 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 750 SQUARE FEET OF TRENCH BOTTOMViaS infiltrators as requested by owner.
SPECIAL REQUIREMENTS: Install 750 square feet of absorption trench Contact Our office.if you have
_questions on sizing a specific technology. Install inspection ports at the end of each
trench and do not�ack'llunt'l final i o�is com lete. Install in serial distributiENVIRONMENTAL HEALTH APPROVAL: /y�
DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMEN LE 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: 910 SQUAREFEET. Via 30 infiltrators.
INSTALLED SEPTIC TANK: 1500 GALLON DEGREES 17 FEET FROM house
SEPTIC TANK ACCESS TO WITHIN B" 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 I$ CORRECTED.
COMMENTS:
ENVIRONMENTAL HEALTH APPROVAL: DATE: 4-15 -9 6
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
.1 .
APPLICANT / AGENT:
OWNER:
'ERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
i ISDS Permit
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE 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 P COLATIO TEST FEE $200.0
PROPERTY OWNER: g-U Wes"
MAILING ADDRESS:c. c C o �r.� PHONE: - E _ g c
APPLICANT/CONTACT PERSON: �'� ' �'�� PHONE*
LICENSED SYSTEMS CONTRACTOR: N
ADDRESS:
PERMIT APPLICATION IS FOR:4UA
EW N5TA LATI
LOCATION OF PROPOSED INDIVSEW GE DI Z
Legal D scription: - [
Parcel N er : -.0
Physical Ad\qress:_
BUILDING TYPE:
�Residentia
) P t�sidentia
( ) Commercial
TYPE OF WATER SU7PLY:
ALTERATION
�LPAI
SYSTEM:
l
-13-601Lot size:
Ciec:k pplicable category)
\' / ingle Family Number of Bedrooms
_j -
/ lti-Family* Number of Bedrooms
In ustrial* Type
Well( ) Spring ( ) Surface
Public W) Name of Supplier:
*These syste:ds require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY. TREASURER"
SIGNATURE• DATE:
en
AMOUNT PAID:�,r RECEIPT# DATE: w-
CHECK # CASHIER
ISDS PERMIT
PERCOLATION TEST I
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
I
OWNER: '—I jj
LEGAL DESCRIPTION:
MAILING ADDRESS :E_06_-),,-(
TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES \ NO
rPTMP
2
3
2
3
1
2
3
MAI-
1
ri
2
3
bu.L.L FROEII
110
-A
3 1. Jam`
A/Z
Z.Zzz
I
.-7
17
17
r4
7
'1q
3 Y',/isLl
41
1
3'
L
41
'31
_L2
Liz
14
2.1
C,71
5
3-7
97
32
13
1,9
1 q
3,3
6
1 5—
Lt
71
47
W7
4-77
1
8
311y
lyl/
A
6-7
1- 7
6�7
h7
V?
Time to drop last inch
PERC RATE:
0
MINIMUM SEPTIC
TANK SIZE:
MINIMUM LEACH
FIELD SIZE:
7 50 S F— — et r
4, _IJ6_14�1
COMMENTS: L69W 7-0
AA
PERC TEST DONE BY:
rev. 6/90ks 30 L4 X 15.5 /X Z- -:;- q 3,0 0;`
11.41/51/�"_ 0
3s, 0,j 4.1y
0
1'a47 fl 4-14-j-
ISDS Final Inspection.
Completeness Form
Tank is I gal. Tank Material
Cte
Tank is to d f��b�and� degrees from
(permanent landmark)
Tank is located ft. and degrees from _
i'
(permanent landmark)
Tank set level. Tank lids within 8" of finished grade.
Size of field ft2 L7 units lineal "ft.
Technology
t/
Cleanout is installed 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 PisWtan(34td
the house.
f
Neasure relative direction to field.
Depth of field ft.
Soil interface raked.
Inspection portals at the end of each trench.
Proper distance to setbacks.
Other J1.
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN:
0 2.4CIA
u i(�
_ t
1
Setbacks
Weil Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
Field
100
25
2-0
10
50
25
10
10
Tank
50
10
5
10
50
10
*
10
i
Community Development Department
(970)328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
April 15, 1996
Thomas Rau
P.O. Box 1186
Eagle, CO 81631
RE: Final of ISDS Permit No. 1253-94 Parcel #2111-053-13-024.
Property location: 720 Knob Lane, Gypsum, CO.
Dear Mr. Rau:
Ea;lc County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 8 163 i -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
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
Date: October 5,1995
TO: 4-R 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. 1253-93 Tax Parcel #2111-053-13-024.
Property Location: 720 Knob Lane, Gypsum, CO.
Rau residence.
Enclosed is your ISDS Permit No. 1253-93. 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
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 #i.•3 File
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