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HomeMy WebLinkAbout871 West River Valley Rd - 211102100008INDIVIDUAL 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. REPAIR PERMIT NO. 1954R-00 BP NO. OWNER: DR. MICHAEL HOFFMAN PHONE: 970-328-2330 MAILING ADDRESS: P.O. BOX 4388, EAGLE, CO 81631 APPLICANT: GENE MASTROIANNI PHONE: 970-328-2330 SYSTEM LOCATION: 14243 HWY 6, EAGLE, CO TAX PARCEL NO. 211-024-00-004 LICENSED INSTALLER: AAAA SEPTIC PUMPING, JIM WILSON LICENSE NO. 26-00 PHONE: 970-524-9524 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: GALLON TANK SQUARE FEET OF SPECIAL REQUIREMENTS: REPAIR OF EFFLUENT LINE LEADING FROM TANK TO LEACH FIELD. ENVIRONMENTAL HEALTH APPROVAL: 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 WILL RESULT IN 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: SQUARE FEET (VIA ) INSTALLED EXISTING SEPTIC TANK: 1500 GALLONS IS LOCATED 98 DEGREES AND 28 FEET 6 INCHES FROM THE SOUTH EAST CORNER OF THE HOUSE. COMMENTS: CLOGGED CAST IRON PIPE LEADING FROM THE TANK TO THE FIELD WAS REPLACED WITH PVC PIPE. THE OUTLET "T" OF THE TANK WAS REPLACED, AND AN EFFLUENT FILTER WAS PLACED ON THE OUTLET. AN ADDITIONAL RISER RING WAS ALSO PLACED ON THE 2ND COM- PARTMENT OF THE SEPTIC TANK. A CLEANOUT BETWEEN THE TANK AND THE HOUSE WILL BE INSTALLED IN THE SPRING OF 2000. 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 APPROVA�I°/� C.L_�(.( Jz-k�w — DATE: MARCH 13, 2000 Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # `'S qk- U U Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: W MAILING ADDRESS: ► r PHONE: �i APPLICANT/CONTACT PERSON: {7Q(A c? r9l PHONE: � 0 LICENSED SYSTEMS CONTRACTOR: PHONE: COMPANY/DBA: tF , tN� ADDRESS: L O 6 `AW-C:� 9-1yc-2 C(AnLh� PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION .'\J REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: G (O G Tax Parcel Number: ( 1 --0 Physical Address: I i or- -t J P"A BUILDIN TYPE: (Check applicable cat Residential/Single Family )Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ) Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: Lot Size. - Number Number Type _ of Bedrooms of Bedrooms *These systeT require design by a Registered Professional Engineer SIGNATURE: Date: " 8 - OE) AMOUNT PAID. r RECEIPT #: ' 0 L_ CHECK #: DATE: _ CASHIER: Community Development Department (970)328-8730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com March 13, 2000 Dr. Hoffman P.O. Box 4388 Eagle, CO 81631 EAGLE COUNTY, COLORADO Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Repair Permit #1954R-00, Tax Parcel #2111-024-00-004. Property location: 14243 Highway 6, Eagle, CO. Dear Dr. Hoffman: 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 (970) 328-8755. Sincerely, Janet Kohl Environmental Health Department Eagle County Community Development ENCL: Informational Brochure Final ISDS Permit cc: files ISDS Permit # l q 5q _c)O Inspector Date ,2(1 l ` 0 v ISDS Final Inspection Completeness Form ✓ Tank is ( Segal. Tank Material VA(ARn.�, t_ Tank is located 281 �f`t. and (I � degrees from SO(A-il QALt C � (permanent landmark) Tank is located ft. and degrees from (permanent landmark) Tank set level. Tank lids within 8" of finished grade. Vl Q �J �l-CJJ�n Ilt 0.c�� z cQ Size of field ftz units lineal ft. Technology Cleanout is installed in between tank and house(+ 1/100ft). - o IQ C%GY—a- "T" that goes down 14 inches in the inlet an outlet of the tank. Effluent filter on outlet- es or No L� t// ��, Inlet and outletr' sealed with tar tape, rubber gasket etc. Q0 Ux Lei c Jlu Tank has two compartments with the larger compartment closest to the house. Measure distance and relative direction to field. Depth of field ft. Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) Splash plate(s) installed at least in first trench inlet. Type of pipe used for building sewer line , leach field Other 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 '---'OUNTY-ENV.-itEAL-TH JOB -0(0 -oo(4 .0. BOX 179 SHEET NO — -- EAGLE, CO 81631 CALCULATED BY Ptk' DATE CHECKED BY DATE 00 .qf'Al F ..I.., 1 1.11.---, '—, mvrvn, tuutuvi r—c I ULLrmcc i-vuo-zo.wov EAGLE COUNTY ENVIRONMENTAL HEALTH CITIZEN COMPLAINT DATE RECEIVED: RECEIVED BY: JTRACKING #2'`TM SOURCE: PHONE LETTER PERSONAL COMPLAINANT: �'►� ADDRESS: 5 PHONE: i, Al Al H e n LOCATION OF COMPLAINT: f i NATURE OF • I' / / ixxxxxxxxxxxxxxxxxx DEPARTMENT: . �� ASSIGNED TO: l-aa I �Li DATE AND ACTION TAKEN: t Ty �1Q Y�ie_ vise rune; h 4 aGrifs • e a h d 5Ae bad. - ,i k &av P% e.< ki k 7 7 Gu, l l? tl t�aawe — wai Wkix 2�3 7Z79 a� w tt k r a ? teocfifiela ageows Ao he- 5,iikzim a-ni(Py-fli iY We"t as a 9-n� o%r as ulezf r',hcas s-% ein . rl It II(0--a e _-'Y, — ?..E`er /Wu, C K,-,-o lr , .k ! f of 17•�`� > '' -�.i % d 3 7 , l `�_ .`lam' 1,'1�-c5'Y Z- `k• - �_/ '} �' �. �•��`,` + t,^ , s • i " n � � 1 ��•Y`, t�):�1.'_Lc-y._; � � j !'.�' ��;(.� ��,1 t�,�'b�'�-;•1-t<,t - ,i !_;i yy.�):`<.:.�i 1 7._����' �.������%.t—�����'� TIME SPENT: (� f. �� "r�; t`L Ip` �uCOMPLETED: n� � . _ . . :. . xz7� d ' ^` ^ 2g« . y « _. , _ / .\/ \ / !� \� � � }\� � � � � w: r� �� � .� � � >> r �� . `� � ��»� ° `� J\ .���_. :\« y\��> > . , « . » � � � I.� � � z � y y �� n 1954-000 Tax #2111-029-00-004 Lot #5, Eagle River HOFFMAN JOB NAME Ranch, 14243 Hwy 6, Eagle JOB NO. /-'3q-, R 1 A(`ATIl1N r DATE STARTED DATE COMPLETED DATE. �'/ Mp f f1m ma WKI ji� �zm_ m mrspWIFAII u/011111 M Mm M O- COST SUMMARY TOTAL SELLING ®_■ a y ~ I Al At _ TOTAL MATERIAL pi MISC. COSTS TOTAL JOB COST _■ GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE Ig2U3 5 � z` 111 crn JOB FOLDER Printed in U.S.A.