HomeMy WebLinkAbout989 Pettit Ln - 211108308003INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1822-98 BP NO. 1362-TOG
OWNER: JOHN & DIANE SANDOVAL PHONE: 970-524-7476
MAILING ADDRESS: P.O. BOX 96. GYPSUM, CO 81637
APPLICANT: DAN LISTER PHONE: 970-524-7585
SYSTEM LOCATION: 980 PETIT LANE, GYPSUM, CO TAX PARCEL NO. 2111-083-08-003
LICENSED INSTALLER: WESTERN SLOPE CONSTRUCTION DAN LISTER LICENSE NO. 49-98 PHONE: 970-524-7585
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK 844 SQUARE FEET OF ABSORPTION AREA VIA 28 INFILTRATOR UNITS AS REQUESTED BY INSTALLER
SPECIAL REQUIREMENTS: ISTALL IN SERIAL DISTRIBUTION IN TRENCHES, WITH A CLEAN OUT BETWEEN THE TANK AND THE HOUSE,__
AND INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT SMEARING OF SOILS. ALLOW NO VEHICULAR
TRAFFIC OVER LEACH FIELD. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH PRIOR TO BACK FILLING ANY PART OF THE INSTALLA-
TION OR WITH ANY QUESTIONS REGARDING INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT
FINAL APPROVAL OF THE SEPTIC SYSTEM.
ENVIRONMENTAL HEALTH APPROVAL: DATE: SEPTEMBER 10, 1998
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 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: 844 -SQUARE FEET (VIA 7R TNFTT.TRATOE UNITS )
INSTALLED POLY SEPTIC TANK: 1500GALLONS IS LOCATED 5 DEGREES AND _3Q FEET FROM T14F. NORTH FAST
CORNER OF THE HOUSE.
COMMENTS:
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED. [%
ENVIRONMENTAL HEALTH APPROVAL /" �/ DATE: SEPT. 29. 199R
Int.;omplete•Applications Will NOT Be Accepted
(Site Flan MUST be attached)
ISDS Permit # 1699
Building Permit
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE.— EAGLE COUNTY
P . 0. BOX 179 �{ .i L'
EAGLE, CO 81631 JZ - -7-&bra
328-8755/927-3823 (Basalt)
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* MAKE ALL REMITTANCE PAYABLE'.T'O: "EAGLE COUNTY TREASURER'! * ''
PROPERTY OWNER:
MAILING ADDRESS:
APPLICANT/CONTACT
0
PHONE:
,r
PHONE: -
LICENSED SYSTEMS CONTRACTOR: �c�S t1 Cc�i i ' 'u� \ PHONE: � � 2
COMPANY/DBA: �� r' ADDRESS: �r
**************************************************** ****** ************
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: \1
Tax Parcel Number: ;a� \ ?-) Lot Size:
Physical Address: �Ia
BUILDING TYPE:. (Check applicable category)
(Residential/Single Family Number of Bedrooms_
(.) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(L),--'Public Name of supplier:
*These systems require design by a Registered Professional -Engineer
SIGNATURE Date:
AMOUNT PAID: RECEIPT if: U (oS(y DATE: O
CHECK #: R Lf3 y CASHIER: _
ISDS Permit # ISZZ - �8 �_ Date Zs- f Y,5-
ISDS Final Inspection H
Completeness Form
l� Tank is ISIb gal. Tank Material rA1A4L*v1e-xk4
✓ Tank is located �ft. and 501V degrees from
(permanent landmark)
Tank is located /q, ft. and degrees from AtY*-
-
(permanent landmark)
✓ Tank set level. ✓ Tank lids within 8" of finished grade.
Size of field ft2 units lineal ft.
Technology
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, as C.
Tank has two compartments with the larger compartment closest to the
house.
VMeasure distance and relative direction to field. (01
✓ Depth of field )--3 ft.
✓ Soil interface raked.
tl Inspection portals at the.end of each trench..
V11 Proper distance to setbacks.
✓ Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
I� Type of pipe used for .building sewer line W ,1'YL leach field 4"f V4f-
Other
,L Inspection meets requirements.
Copy form to installer's file if recommendations for improvement were
suggested.
ACTION TAKEN:
Setbacks
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
Field 100 25 20 10 50 25 10 10
Tank 50 10 5 10 50 10 * 10
JOB
EAGLE -COUNTY ENV. HEALTH
P.O. BOX 179 SHEET NO. OF_
EAGLE, CO 81631 CALCULATED BY DATE
CHECKED BY DATE
caner e
PRODUCT 204-1(Single Sheets) 265-1(Padded) ®o Inc., Groton. Mass. 01471. To Dider PHONE TOLL FREE 1.M225{380
ISDS PERMIT#
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL REATLH
, OWNER: '-6 �!.,.;'Jl 11
-PHSYSICAL ADDRESS: _�90 &4d bl
LEGAL DESCRIPTION: 1_0-f�_f_S .5gl-)
MAILING ADDRESS: a2 anX-71;�
TYPE OF DWELLING: 5 MBER OF BEDROOMS:
TEST HOLES PRE-SOAKED: YES NO ot n-!5
SOIL
TIME WATER DEPTH INCHES OF FALL '7'c;K6jV&Tff PROFILE
o' I
00
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61
143
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71
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5
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9
13
166-tol,5
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TIME TO DROP LAST INCH: PERC RATE:-10
MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: 1000 2y-
q77—
ENVIRONMENTAL HEALTH SPECIALIST DATE
I
1000 c�
s qZ4
yq4 x ,
5.
94a&t-7/1
A 3 = 2 bc-/)4�
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TOWN OF GYPSUM
t Building / Planning Department
50 Lundgren Boulevard
P.O. Box 130
Gypsum, CO 81637
970-524-7688 or 970-524-7689
Fax 970-524-7679
Plumbing Permit Page 1 of 2
Permit Number: P98-1362 Printed 9/2/98
Approval : 9/2/98 By : Connie Cantrell Total Fees: $460.00
Total Receipts: $460.00
Applicant: _
Company : Lionshead Plumbing & Heating Inc
Address: P.O. Box 934
Minturn, CO 81645
Parcel:
Address : 0980 Petit Lane
Gypsum, CO 81637
Addition : Robert Mayne
Contractor:
Company: Lionshead Plumbing & Heating Inc
Address: P.O. Box 934
Minturn, CO 81645
Sewers:
Lawn/Fire Sprinklers:
Backflow/Vacuum devices:
Traps:
Storm Drains:
Water Heaters:
Unprotected Fixtures:
Gas Piping Systems:
Gas Piping Outlets:
Industrial Pretreatment:
Pretreat Interceptors:
Voice: 827-5711
Parcel # : PARC1998-107
Zoning :
Lot(s) : 3
Type: Plumbing & Heating
Voice: 827-5711
JWNOFGYPSUM P.U. BOX 130 PLU BI;iV PERMIT
'
GYPSUM, CO 81637 I�' 1 ATI O N
(970) 524-7514
f U �-✓
'Appilcant to complete numbered spaces only. ' �^
::> f 34
BUILDING PERMIT NO.
JOB ADDRESS
910
LEGAL
2 .,DESCR.
I LOT NO.
t5LK
TRACT
(O SEE ATTACHED SHEET)
OWNER MAIL ADDRESS
ZIP K PIJONE
PLUMBING CONTRACTOR MAIL ADDRESS
PHONE LICENSE NO./.7/75t /
ARCHITECT OR DESIGNER MAIL ADDRESS
5
PHONE LICENSE NO.
ENGINEER MAIL ADDRESS
6
PHONE LICENSE NO.
LENDER MAIL ADDRESS
7
BRANCH
USE OF BUILDING
9 CLASS OF WORK:,kNEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
10 DESCRIBE WORK:
TOTAL VALUATION.
:4
PERMIT FEES
Type of Fixture or Item ,r
Fee
SPECIAL CONDITIONS:
WATER CLOSET (TOILET)
:
BATHTUB
.—LAVATORY (WASH BASIN) 1
SHOWER'
KITCHEN SINK 3 DISP.
DISHWASHER
APPLIC�ATIO EPTED BY:
PLANS CHECKED BY:
APPROVED FOR ISSUANCE BY:
LAUNDRY TRAY �, )
CLOTHES WASHER--"
AOTICE
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK
IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND
KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND OR-
DINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO
GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE
OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CON-
STRUCTION.
00,
NATURE OF CONTRACTOR (DATE)
WATER HEATER
URINAL
DRINKING FOUNTAIN* j
FLOOR -SINK -OR DRAIN
SLOP SINK
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GAS.SYSTEMS: NO. OPEN((dGS
WATER PIPING 6 TREATING EQUIP.
WASTE INTERCEPTOR
VACUUM BREAKERS
LAWN SPRINKLER SYSTEM
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
PERMIT II
TOTAL FEE iIVA�-
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
PERMIT VALIDATION CK. M.D. CASH
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1822-98 Tax# 2111-083-08-003
JOB NAME Lot #3, Robert Mayne Subdiv.
980 Petit Lane SANDOVAL
Gypsum, CO
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JOB LOCATION
JOB NO. T6 3��
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DATE SgTA TED
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DATE COMPLETED
DATE BILLED
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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 277
JOB FOLDER
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