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
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.0. BOX 179 SHEET NO —
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EAGLE, CO 81631 CALCULATED BY Ptk' DATE
CHECKED BY DATE 00
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EAGLE COUNTY ENVIRONMENTAL HEALTH
CITIZEN COMPLAINT
DATE RECEIVED: RECEIVED BY: JTRACKING #2'`TM
SOURCE: PHONE LETTER PERSONAL
COMPLAINANT: �'►�
ADDRESS: 5 PHONE:
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LOCATION OF COMPLAINT:
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DEPARTMENT:
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1954-000 Tax #2111-029-00-004
Lot #5, Eagle River HOFFMAN
JOB NAME Ranch, 14243 Hwy 6, Eagle
JOB NO.
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DATE STARTED
DATE COMPLETED
DATE.
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O- COST SUMMARY
TOTAL SELLING ®_■
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TOTAL MATERIAL
pi
MISC. COSTS
TOTAL JOB COST
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GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
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5 �
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JOB FOLDER
Printed in U.S.A.