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
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PERC RATE: U,&L fo MINIMUM SEPTIC TANK SIZE: /OC
MINIMUM LEACH FIELD SIZE:to
COMMENTS:
PERC TEST DONE BY:
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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.
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JOB NO. ._
-00'JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
CL.MIt i
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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.
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