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HomeMy WebLinkAbout905 Mayne St - 211108105001INDIVIDUAL 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. 1348 Please call for final inspection before covering any portion of installed system. OWNER: John & Beverly Harris PHONE: 524-7557 MAILINGADDRESS: P.O. BOY 358 city: Gypsum State: CO vp: 81637 APPLICANT: John Harris PHONE: 524-7557 SYSTEMLOCATION: 905 Mayne St., Gypsum TAX PARCEL NUMBER: 2111-081-05-001 LICENSED INSTALLER: Bruce Bair/High Country Builders of Gypsum LICENSE NO: 3 4 - 9 4 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: 200 lineal feet of SB2 or 15 infiltrator units. Install inspection portals at the end of each trench, and make sure to call and have a final inspection done before covering the system. ENVIRONMENTAL HEALTH APPROVAL: DATE: J 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: 1250 SQUARE FEET. INSTALLED SEPTIC TANK: 1250 GALLON 180 DEGREES 30 FEET FROM south facing side of house SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY YES —NO COMPLIANCE WITH COUNTY/STATE REQUIREMENTS: _ 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: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT# CHECK# Tnc;omplete Applications. Will NOT Be Accepted (Site Plan MUST be attached) / ISDS Permit # / b} 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 PERCOLATION TEST FEE $200.00 * * MAKE ALL REMITTANCE PAYABLE"Ipo: "EAGLE COUNTY TREASURER" PROPERTY OWNER:. e, v e r /y tT. * MAILING ADDRESS: _ 3 o k 3 S 9' 6i��sv�l G�/ PHONE: .<],7 y `%SS j APPLICANT/CONTACT PERSON: T- PHONE: LICENSED SYSTEMS CONTRACTOR: �� �'a ���it'ii %�L.l'/�1e v s PHONE: COMPANY/DBA: ADDRESS�0'} 3�� PERMIT APPLICATION IS FOR: (Vf NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: "sWe, Tax Parcel Number: 14 _4j - Lot Size: �5 Physical Address: BUILDING TYPE:_ (Check applicable category) (►�J Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface (✓j Public Name of Supplier: J of Bedrooms .s of Bedrooms *These systems require design by a Registered Professional Engineer SIGNATURE: Date: *************************************************************************** AMOUNT PAID: 5` RECEIPT #: �� DATE: Z CHECK #: CASHIER: COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO July 25, 1994 John & Beverly Harris P.O. Box 358 Gypsum, CO 81637 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Final of ISDS Permit No. 1348-94 Parcel #2111-081-05-001 Property located at: 905 Mayne St Gypsum Dear Mr. & Mrs. Harris, 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, i I � 3 non Gar on Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit cc: files COMMUNITY DEVLOPMENT DEPARTMENT (303)328-8730 DATE: TO: FROM: EAGLE COUNTY, COLORADO May 12, 1994 High Country Builders Environmental Health Division 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Issuance of Individual Sewage Disposal System Permit No.1348, Tax Parcel # 2111-081-05-001 Property Located at: 905 Mayne St., Gypsum Enlosed is your ISDS Permit No. 1348 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 Shannon Garton or Laura Fawcett at 328-8755. cc: files ISDS PERMIT #1--�? PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTIC MAILING ADDRESS: TYPE OF DWELLING. NUMBER �i(�P{2h`cl MBER OF BEDROOMS. TEST HOLES PRE-SOAKED: 1 YES C, Q NO to x3 rPTMV WAMV" nc.M" ■�ie�aasal���i Imm NMI � M ��i���i���i��■ice IMMIMMMIMM41- M1 I'm Blom Time to drop last inch - . 0 PERC RATE: 1,0M ,1_ MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE : f 0 COMMENTS: CSC i V PERC TEST ONE BY: DATE: Env' onmental Health Officer rev. 6/90ks i! ;J i 49 �J o � � I Pb o c� v R LN O` 1348-94 - Parcel #2111-081-05-001 JOB NAME 905 Mayne St. HARRIS Lot 8 Horse pasture sub. JOB NO. ,00'JOEI LOCATION . BILL TO DATE STARTED DATE COMPLETED DATE BILLED nc& 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 C�— © NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 J + B FOLDER 4 Printed in U.S.A. -f