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HomeMy WebLinkAbout220 Cedar Dr - 211106407014INDIVIDUAL 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. OWNER: Lonnie Eachus MAILING ADDRESS: P.O. Box 1313 APPLICANT: SAA SYSTEMLOCATION: 220 Cedar Dr., Gypsum PERMIT NO. 1334 524-7539 city: Eagle state: CO ZIP: 81631 TAX PARCEL NUMBER: PHONE: 2111-064-07-014 LICENSED INSTALLER: T&T Excavating LICENSENO: 21-94 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. SPECIAL REQUIREMENTS: Install 15 infiltrator units as per owners request, install. inspection portal at the end of each trench. Call for inspection prior to backfillinR. ENVIRONMENTAL HEALTH APPROVAL: L(,G -F-1-9 —� �%� 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: 600 SQUAREFEET.Via 16 infiltrator units installed in two trenches. INSTALLED SEPTIC TANK: 1000 GALLON 56 DEGREES 27' FEET FROMCleanout next to house 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: ENVIRONMENTAL HEALTH APP 4PPLICANT / AGENT: DERMIT FEE PERCOLATION TEST FEE (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS OWNER: RECEIPT # CHECK# DATE: ` i.�.Z,omplete Applications Will NOT Be Accepted (S Flan MUST be attached) ISDS Permit # /� Building Permit # APPLICATION P6ft 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 PERCOLATION TEST FEE $200.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: I.,ml vS MAILING ADDRESS: PHONE: APPLICANT/CONTACT PERSON: PHONE: LICENSED SYSTEMS CONTRACTOR: l� PHONE: �`c_ COMPANY/DBA: ADDRESS: PERMIT APPLICATION IS FOR: (p_ NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Tax Parcel Number: Lot Size: CkciJL ' Physical Address: BUILDING TYPE: (Check applicable category) ( Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface Public Name of Supplier: \0%a3 0 Number of Bedrooms Number of. Bedrooms Type *These systems require design y a Registered Professional Engineer SIGNATURE: Date: _ *************************************************************************** AMOUNT PAID: RECEIPT.#: I�NI DATE: LA Im1 CHECK #:a°"I CASHIER: COMMUNITY DEVLOP.MENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO June 20, 1994 Lonnie Eachus P. O. Box 1313 Eagle, CO 81631 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Final of ISDS Permit No. 1332-94 Parcel #2111-064-07-014. Property located at: 220 Cedar Dr., Gypsum Dear Mr. and Mrs. Eachus, 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, �aulca Laura S. Fawcett Environmental Health. Specialist ENCL: Information Brochure Final ISDS Permit cc: files COMMUNITY DEVLOPMENT DEPARTMENT (303)328-8730 DATE: TO: FROM: RE: 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 EAGLE COUNTY, COLORADO April 26, 1994 T & T Excavation Environmental Health Division Issuance of Individual Sewage Disposal System Permit No.1334, Tax Parcel # 2111-064-07-014 Property Located at: 220 Cedar Dr., Gypsum Enclosed is your ISDS Permit No. 1334 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. 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. 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 Tania M.. Busch -Weak at 328-8755. cc: files ISDS PERMIT PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: (ICI-WS LEGAL DESCRIPTION: MAILING ADDRESS: 0 0Cta� TYPE OF DWELLING: NUMBER OF BEDROOMS g TEST HOLES PRE-SOAKED: YES NO . < TTMF. Wnmrn TvDmV T1T/YTTT f.' ATT _­ 2 3 1 2 3 1 2 3 1 2 3p' / 'IL 1 �, l+iis l,� 1 1? y•Z 2,$� 4.4 3' Li kjeZ IQC) C, I z. �15 1, d-�� �7i 54 (�07 51 71 -nt) (A 6111�2_0 (1_,A8 4D 9 1516 9S15 I5,i'aS 95 Z�����c9 Time to drop last inch PERC RATE: U,&L fo MINIMUM SEPTIC TANK SIZE: /OC MINIMUM LEACH FIELD SIZE:to COMMENTS: PERC TEST DONE BY: vironmenta rev. 6/90ks ATE: L Health -Officer ee- 5 1 COMMUNITY DEVLOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO June 20, 1994 Lonnie Eachus P. 0. Box 1313 Eagle, CO 81631 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Final of ISDS Permit No. 1332-94 Parcel #2111-064-07-614 Property located. at: 220 Cedar Dr., Gypsum Dear Mr. and Mrs. Eachus, 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, Laura S. Fawcett Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit cc: files COMMUNITY DEVLOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO April 15, 1994 500 BROADWAY P.O. BOX 179 EAGLE: COLORADO 81631 FAX: (303) 328-7185 Lonnie Eachus Parcel #2111-064-07-014 220 Cedar Drive, Gypsum Dear I.S.D.S. Applicant: Your application for an Individual Sewage Disposal System (ISDS) Permit for #1334-94 has been received. Issuance of your permit is on hold until the following materials or fee(s) are submitted. Payment of $150.00 Application Fee Payment of $200.00 Percolation Test Fee Site Plan Licensed System Contractor (See attached list) Engineer Design X Other:schedule a percolation and soil test Please keep in mind that an incomplete ISDS permit application will result in delaying issuance of any corresponding building permits. If you have any questions please contact Tania Busch -Weak at, 328-8755. When calling or submitting information please reference your ISDS application #1334-94. Please submit information to: Eagle County Environmental Health Division P.O. Box 179 500 Broadway Eagle, CO 81631 ISSUING ISDS PERMIT 1. Do percolation test, and calculate the perc rate. 2. Calculate the field size using the perc rate and the loading rate, from the purple book entitled Design Manual Onsite Wastewater Treatment and Disposal Systems. Use the larger field size for the permit requirements. 3. Type the permit, reminding the installer to put inspection portals at the end of each trench. Put the number of infiltrators in trenches or number of linear feet of SB2 in trenches. 4. The issue letter is in Wordperfect in the ISDS directory under issue. Print the letter adding correct information. 5. Send the original letter and a copy of the permit to the licensed installer. A copy of the letter and the original permit go in the ISDS file. A copy of the letter goes in the chrono file. 6. Enter Paradox Septic file to input data. 7. Record issue date in the black book. 8. Get the building permit number, if that info hasn't been obtained, and sign off in the Building division black book. ISSUING ISDS FINAL 1. Do the final inspection, drawing a map of the site and writing distances from the inspection portal next to the house to the center of the first compartment of the tank, and the degrees off of north on the outside of the folder. 2. Take a picture of the tank and the trenches. 3. Verify the tank size, and the "T"s inside each compartment. 4. After site visit, type up the permit information. 5. The final letter is in Wordperfect, ISDS directory. Type in correct information. The final letter goes to the homeowner, with a copy of the permit, and the septic info handout. 6. The original permit goes in the ISDS file, along with to copy of the final letter. Another copy of the final letter goes in the chrono file. 7. Go into Paradox and input all information. 8. Write info in the black book, drawing a line through top line to indicate that the system was finaled out. P.Ppppppp t 1334-94 - Parcel #2111-064-07-014 JOB AME 220 Cedar Dr., Gypsum EACHUS Lot 15 Bertroch Sub. i JOB NO. ._ -00'JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED CL.MIt i U V'�o lq� JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL lip, TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS OF SELLING PRICE NET PROFIT JOB FOLDER Prpduct 278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. �� � -7 � �� ���z� �S r Q 1`1 A's 4.4 'Aw