Loading...
HomeMy WebLinkAbout917 Mayne St - 211108402015INDIVIDUAL 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. 1794-98 BP NO. TOG OWNER: JEFF KOENKE PHONE: 954-786-3185 MAILING ADDRESS: 2001 NE 30TH COURT, POMPANO BEACH, FL 33064 APPLICANT: DICK ARNOLD PHONE: 379-3184 SYSTEM LOCATION: 917 MAYNE STREET, GYPSUM, CO TAX PARCEL NO. 2111-084-02-015 LICENSED INSTALLER: B & B PLUMBING, INC.. SCOTT BRYNILDSON LICENSE NO.21-98 PHONE: 970-625-3370/ 379-3185 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK 1125 SQUARE FEET OF ABSORPTION AREA VIA 37 INFILTRATOR UNITS AS REQUESTED BY INSTALLER. SPECIAL REQUIREMENT&INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEAN OUT BETWEEN THE TANK AND THE HOUSE, AND INSPECTION PORTS IN EACH TRENCH. RAKE TRENCH SURFACES TO PREVENT SMEARING OF SOILS. FENCE OFF LEACH FIELD TO PREVENT ANIMALS FROM GRAZING IN THE AREA. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION, OR WITH QUESTIONS REGARDING THE INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUTT SEPTIC SYSTEM APPROVAL. ENVIRONMENTAL HEALTH APPROVAL: DATE: JULY 2. 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 Wr1H 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: 1 1 9 5 SQUARE FEET (VIA 37 INFILTRATOR UNITS ) INSTALLED CONCRETE TANK: 1500 GALLONS IS LOCATED 14 2 DEGREES AND JM FEET FROM THE CT.FANOUT COMMENTS: ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE Post -it- Fax Note 7671 Date -z �f-/e& pages WORK IS COMPLETED. To j From ENVIRONMENTAL HEALTH APPROVAL v Co:/Dept. Co. / Phone # Phone # Fax # Fax # r 7�� SENT BY: 6-15-98 ; 15:39 ;CommunityDevelopment- 13036253377;# 2/ 6 in(:omp.lete-Applications Will NOT Be Accepted (Site Plan MUST be attached) - ISDS Pexmit f � � 9q - q � Building Permit , TD L APPPLICATION FOR INDIVIDUAL BEWAGZ DIBP'OSAL SYSTEM PERMIT ENVIRONLKENTAL HEALTH OrIPICE . - EAGLE COUNTY P. 0. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) *ilr�4�k**itk*�tlrek*�rIrIr4�!*�Irvkdkir�kie�k***�Ir�k�kk��k�k�Ir�kAr�kIkek�Irak9r�***91e*#*��**Ir4�Ifeyt*�ikiE�dtatde�ilydkat� * PM MIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE'TO: *EAGLE COUNTY TREASURER! PROPERTY OWNER: _% � K. MAILING ADDRESS: ,00/ Al . 3y Cam" L N P, rL.. 33&,o PHONE: �rs`l-iv�-31�s APPLICANT/ CONTACT PERSON: _.&j ,D i C l:'�U l C� . PHONE. q/ 8y LICENSED SYSTEMS CONTRACTOR: �.�'� `�Y` yl�i S OA4PHONE: & Z5' 33 CO..ANY / DBA.: ',2,e PlylryC��,i . Gt �i�lC° , ADDRESS: � 83 / �� �^U✓d� � (J P PERMIT APPLICATION IS FOR: �5'G(a Sb (Y,) NEW INSTALLATION ( ) ALTERATION (') REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: f At Tax Parcel Number: aA Physical Address: *k -e Size: . ";'' 0S x n2(aq BUILDING TYPE:. (Check applicable categoary) - (' ' Residential/Single Family Number of Bedrooms ZV (.) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) spring ( ) Surface (tyk� Public Name of Supplier: aW QV *These systems r quire deSiqm by a Registered Professional Engineer SIGNATURE: i Date: < LJ AMOUNT PAID: 290- r) RECEIPT 0 7 q��/ DATE: CHECK 0: ! Y0119 CASHIER: 06/15/98 03:57 TX/RX N0.1639 P.002 Community Development Department (970) 328-8730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com EAGLE COUNTY, COLORADO Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 September 8, 1998 r9 'I n 3 �� I NV �" PF Jeff Koenke j' ( 2001 NE 3 Gt1i Court Pompano Beach, FL 33064 RE: Final of ISDS Permit #1794-98, Tax Parcel #2111-084-02-015. Property location: 917 Mayne St., Gypsum, CO. Dear Mr. Koenke: 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, 111'-v� 44f— Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Informational Brochure Final ISDS Permit cc: files Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: June 2, 1998 TO: B & B Plumbing and Heating FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 e�Y RE: Issuance of Individual Sewage Disposal System Permit No. 1794-98, Tax Parcel #2111-084-02-015. Property Location: 917 Mayne Street, Gypsum, CO., Koenke residence. Enclosed is your ISDS Permit No. 1794-98. It 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. Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Please call our office well in advance to allow for scheduling of final inspection. Your building permit TCO will not be issued until final approval has been given for the ISDS Permit. 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 the Environmental Health Division at 328- 8755. cc: files Enclosures: ISDS permit # 1794-98; ISDS Final Inspection Completeness Form Community Development Department (970) 328-8730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com EAGLE COUNTY. COLORADO Scott Brynildson B & B Plumbing 1831 Railroad Ave. Rifle, CO 81550 August 25, 1998 Dear Mr. Brynildson, Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 Eagle County Environmental Health received a phone call August 17, 1998, from Chip Allen of your organization, explaining a dilemma he encountered while installing the Koenke septic system located at 917 Mayne St., Gypsum, Colorado. Evidently, in order to gravity feed the leachfield, trenches were dug extensiNely deep (7 feet). Although technically in compliance with Eagle County regulations, the mosc effective treatment of wastewater is accomplished by using shallow trenches. In order to verity the necessary 4 foot separation to groundwater and bedrock, Eagle County suggested that B & B Plumbing provide an 11 foot profile hole adjacent to the leachfield. During a site visit on August 18, 1998, Environmental Health investigated the profile hole and analyzed the soil. At that time, the soil was found to consistent with that of the initial percolation test. In the future, please keep in mind that shallow trench installation in leachtields maximizes efficient wastewater treatment. If you have any questions regarding this master, don't hesitate to call me at (970) 328-8755. Thanks for your cooperation. Sincerely, E101 OW ®r Z/ Heather Savalox Environmental Health Specialist cc: Jeff Koenke ISDS PERMIT # 1 l qq - q y PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH OWNER: :%FF l'o•e0k PHSYSICAL ADDRESS: 4i-7 1,71ALl ne 5 t • (,�osu� , CD LEGAL DESCRIPTION: 017 # Z T MAILING ADDRESS:_ ,�' oo l NE 36 fh C t . L H P , FL 73 o%`f TYPE OF DWELLING: /�- S F, NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES NO SOIL TIME WATER DEPTH INCHES OF FALL RATE PROFILE T/(1�9� 3,y ' ,2 2l 3 S� 20 os z5;fm zi3% zs>>� ��� �rz 6' j� zZi 110 71 13.381 z 1 J s�� rrz S 91 5 2 Y �'z 7i3''z Z�'z �v z �D �U� TIME TO DROP LAST INCH: PERC RATE:klo /'t MINIMUM LEACH FIELD SIZE:II ZZO(MINIMUM SEPTIC TANK SIZE: /aSZ� z) COMMENTS: re"I9 a g1_1 ���� �G� ".��a( �i� � 0 • , ,ki /Y , 3o ENVIRONMENTAL HEALTH SPECIALIST IJATE s ISDS Permit # I-�-7 1- 9g Date. ISDS Final Inspection_ Completeness Form V Tank is 1 06 gal. Tank Material ;' t JL Tank is located 1600 ft. and '? degrees from (permanent lan rk) Tank is located ft. and degrees from (permanent landmark) V Tank set level. Tank lids within 8" of finished grade. L4 �15er6 Size of field ftz units lineal ft. Technology IY i v A I-y (s �q 36v 1� Cleanout is installed in between tank and house(+ 1/100ft). Z 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, rubber gasket etc. Tank has two compartments with the larger compartment closest to the house. Measure distance and relativedirection to field. Depth of field -7 ft$IE-NO 404W / �0✓ VSoil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks.,r �`- O"?' �L4 Chambers properly installed as per manufacturers specifications.pt�c� f12 b� (Chambers latched, end plates properly installed, rocks removed �3� trenches, etc.) Type of pipe used for building sewer line S614• 416) leach field Other W 1 D�YoP �i� 4JI0 16r a L Ll'1d4 C 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 CALCULATED BY- DATE CHECKED BY DATE !.n GMW A45S 01.4.1 !-C%!,P."jEMLI FeE4*u:-f:!l INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION Telephone: (970) 328-8755 P.O. Bog 179 - 500 Broadway, Eagle, CO 81631 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT# 2559A-06 BUILDING PERMIT# TOWN OF GYPSUM OWNER: PATRICEO & EMILY BARELA PHONE: 970-524-7335 MAILING ADDRESS: P.O. BOX 4022, GYPSUM, CO 81637 APPLICANT: SAME AS ABOVE PHONE: SAA SYSTEM LOCATION: 917 MAYNE ST. GYPSUM TAX PARCEL NO. 211108402015 LICENSED INSTALLER: REX BOSSOW LICENSE NO. 50-06 PHONE: 970-524-9888 DESIGN ENGINEER: N/A PHONE: N/A NOTE: SYSTEM SIZED TO ACCOMMODATE A TOTAL OF 4 BEDROOMS. ANEW THREE BEDROOM RESIDENCE IS BEING CONNECTED TO THE EXISTING ISDS INSTALLED IN 1998 UNDER PERMIT #1794 THAT WAS SIZED FOR FOUR BEDROOMS BUT SERVED A BARN / DWELLING UNIT THAT CONTAINED TWO BEDROOMS. IT HAS BEEN REPRESENTED TO THIS DEPARTMENT THAT THERE WELL NO LONGER BE SLEEPING ACCOMODATIONS / DWELLING IN THE BARN / GARAGE ONCE THE NEW RESIDENCE IS CERTIFIED FOR OCCUPANCY. OUR RECORDS INDICATE THE EXISTING ISDS CONSISTS OF A 1,500 GALLON CONCRETE TANK WITH-1,147 FEET OF ABSORPTION AREA VIA 37 EQ 36 INFILTRATOR CHAMBERS IN A TRENCH CONFOGURATION — THE TANK CAN HANDLE FIVE BEDROOMS BUT THE DRAIN FIELD IS SIZED FOR FOUR. INSTALLATION GRANTED FOR THE FOLLOWING: RUN A BUILDING SEWER FROM THE NEW RESIDENCE TO THE EXISTING SEWER LINE COMING FROM THE BARN/GARAGE AND CONNECT JUST ABOVE THE EXISTING CLEANOUT. NO 90 DEGREE CONNECTIONS ARE ALLOWED. GLUE PIPING TOGETHER AND PROVIDE A CLEANOUT OUTSIDE THE NEW DWELLING AND EVERY 100' IF NECESSARY. SPECIAL INSTRUCTIONS: PROVIDE A SITE PLAN SHOWING THE NEW DWELLING LOCATION AND BUILDING SEWER ROUTE AT FINAL INSPECTION. ANY DRIVEWAY CROSSING OF THE BUILDING SEWER MUST BE DOUBLE ENCASED. WATER LINE CROSSINGS MUST BE ENCASED FOR THE DISTANCE OF THE APPROPRIATE SETBACK AS SPECIFIED IN CHAPTER IV EAGLE COUNTY LAND USE REGULATIONS. • Call Eagle County for final inspection prior to back -filling any portion of the installation or with any questions. • The Building Certificate of Occupancy will not be issued until the septic system has been inspected and approved. ENVIRONMENTAL HEALTH APPROVAL: DATE: 09/14/06 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: 1125 SQUARE FEET ( VIA 37 STANDARD INFILTRATORS) INSTALLED 1500 GALLON SEPTIC TANK LOCATED 246 DEGREES AND 126 FEET 0 INCHES FROM FIRST CLEANOUT FROM THE NEW 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: 10/02/2006 Department of Environmental Health Eagle (970) 328-8755 Fax: (970) 328-8788 El Jebel (970) 704-2700 TOLL FREE: 800-225-6136 EAGLE COUNTY P.O. Box 179 500 Broadway Eagle, CO 81631 www.eaglecounty.us APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ISDS Permit # 6q5� 9-©0 Building Permit # ZC) INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED) FEE SCHEDULE APPLICATION FEE $350.00 This fee includes the ISDS Permit, Site Evaluation (Percolation Test, or Soil Profile Observation) and Final Inspection. Additional fees may be charged if a re -inspection is necessary, or a pre -construction site visit or consultation is needed. The re -inspection fee is $55.00. The pre -construction site visit fee is $85.00. Make all remittance payable : Eagle County Treasurer. t Property Owner: � j � Phone: ?70 233S_ Mailing Address: Q� Applicant/Contact Person: Licensed Systems Co tractor: Company/DBA: O!S'6� Mailing Address: or), /Jx Phone: U,1 License # 57 c, Phone: Permit Application is for: r New Installation Alteration r Repair Location of Proposed Individual Sewage Disposal System: Legal Description: YLP_ 54 7c?,Tjv-aJ Tax Parcel Number: C; 0,�q a js Lot Size: Assessor's Link: www.eaalecounty.us/patie/ Physical Address: 1 "7 S� Building Type: f- Residential/Single Family Number of Bedrooms: 3 r Residential/Multi Family Number of Bedrooms: r Commercial/Industrial* Type of Use: *These systems require design by a Registered Professional Engineer Type of Water Supply: r Private Well r Spring r Surface F Public If Public Name of pplier : (�4 fill'( Applicant Signature tr14� /V Ap I i- Office Use Only Amount Paid: d!!�- Receipt#: Check#: Date: DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX: (970) 328-8788 TOLL FREE: 800-225-6136 www.eaglecounty.us EAGLE COUNTY October 2, 2006 Patriceo & Emily Barela P.O. Box 4022 Gypsum, CO 81637 RAYMOND P. MERRY, REHS Director RE: Final approval of Individual Sewage Disposal System ISDS Permit #:2559A-06; Tax parcel #:211108402015; Property location: 917 Mayne St. Gypsum Dear Mr. & Mrs. Barela, This letter is to inform you that the above -referenced ISDS Permit has been inspected and finalized. Your septic system has been sized to accommodate 3 bedrooms. Enclosed is a copy to retain for your records along with a brochure regarding the care of your septic system. Additional information about the maintenance of your septic system as well as information about private wells can be accessed through web site links provided on the Environmental Health Department's home page at hqp://www.eaglecoLmty.us/envHealth/ Be aware that changes in the use of your property or alterations of your building may require commensurate changes to, or relocation of, your septic system. Landscape features, trees with tap roots, irrigation systems and parking areas above the drain field can cause premature system failure. It is equally important that you notice and immediately repair dripping faucets and hissing toilets as this will certainly cause the system to fail. By following a few simple guidelines, like avoiding grease or other additives down the drain and making sure your septic tank is on a pumping schedule, your system has been designed to last for many years. If you have any questions regarding this information, please contact us at (970) 328-8755. Sincerely, 'Perri Vroman Administrative Technician IV cc: ISDS permit folder Town of Gypsum Building Department Chrono efile Encl: Final ISDS Permit Informative materials 500 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX: (970) 328-8788 TOLL FREE: 800-225-6136 www.eaglecounty.us EAGLE COUNTY September 14, 2006 Rex Bossow, Bossow Excavating P.O. Box 468 Gypsum, CO 81637 RAYMOND P. MERRY, REHS Director RE: Issuance of Individual Sewage Disposal System (ISDS) Permit #2559A-06. Tax Parcel #211108402015; Property Location: 917 Mayne St., Gypsum, CO Dear Rex, Please find enclosed ISDS alteration permit, number 2559A-06 to conduct the construction exactly as indicated on the permit. It remains valid for 120 days or for the duration of a current building permit. The enclosed copy of the permit must be posted at the installation site. Any changes in plans or specifications must be pre -approved by this department. It is important to pay close attention to the special conditions which may have been included to address site specific issues. All components of the system must be exposed for our inspection. Please remember our annual time frame for ISDS installations (unless otherwise specifically approved by this department) in that permits issued on or before November 15 must be installed prior to December 1. If unfavorable conditions prevail between the installation and the final inspection (such as snow) special precautions must be taken to protect the components from the elements to allow adequate inspections. Please keep this office informed regarding the progress of your installation so we can provide responsive customer service when scheduling your final inspection. Occupancy of the new dwelling cannot be issued without the septic system being finally inspected. If you have any questions, please feel free to contact us at (970) 328-8755. Sincerely, Terri Vroman, Administrative Technician IV cc: electronic permit folder #2559A-06 electronic chronological file hard copy pen -nit file #2559A-06 Enclosures: ISDS Pen -nit #2559A-06 500 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 ISDS Permit # ),5-56,*-0 C, Inspector Date ISDS Final Inspection Completeness Form Tank is i `JD a gallons. Tank material �.csh (� r�i e e X 5 ► �� Tank (1) is located / a� ft. and ,Aqb degrees from " a ymot h.Q x + %o A&LO h o v er Tank (2) is located ft. and degrees from. Tank set level. Tank lids within 8" of finished grade. e-x i :5+T n 5 Size of field ft2 units lineal ft. Technology Cleanout is installed in between tank and house and one every 100ft? "T" that goes down 14 inches in the inlet and outlet of the tank. Effluent filter on outlet- Yes or No Inlet and outlet is sealed with tar tape, rubber gasket, etc. Tank has two compartments with the larger compartment closest to the house. Measure distance and relative direction to field. 2x t--, 'Ili Depth of field ft. Soil interface raked. Inspection portals within 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 trench inlets. 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 Field Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 Tank 50 10 5 10 50 10 * 10 EAGLE COUNTY ENVIRONMENTAL HEALTH FINAL AS -BUILT SKETCH SDS PERMIT # _ a 55q —I} DATE LOCATION ADDRESS ` 1? �t `s 0 rV4! 5 OA Co r Cry e an c l'S Ga A Pete, regarding the address of 917 Mayne Street, this system was originally sized for a capacity of 4 bedrooms. I have asked for the septic pumping records to verify the tank size from Emily and will add that to our files. Thank you for keeping us advised. Terri. 01/11/1995 01:51 954-785--4948 IV orCe- I a -1 Ito co !B o{ ~t ; 06/11/98 03:37 JEFF'S ROOFING INC t t i?t so 44a} LS u J,%k PAGE E2 t7w �.rer : -`e p f 1�c1L - 4-51-/- 9940 - 31 TX/RX NO.1636 P.002 -WMWWN"PF %a k I a L � V -4- 400 Wit 1 wc� 4w .r 4 LAN&bd AS 4q 1/y4-VO - Lax jf L111V0 FVLVIJ , � New � 917 Mayne St. Gypsum, CO - Jos i�i Parcel #27/ Kam— j�cc JOB �1Q. haw &U'-At,k �Iftdv 6441 - 37(Q V 39 �7S(o c� 3,, - Aoa., ,na nreTtnrr ) - w" WIM /A LOW, I ' ,► "FAB DATE STARTED DATE COMPLETED DATE BILLED Y • _ COST TOTAL TOTAL MATERIAL I / AN / -■01-0 V OSTS -■ ./D. .emu/ _!FE. 1i ,.« l.� 9/0"zo, %N�/� ,, 11�.Ir/, AZ9i7-M-4-1I � _■ / �GROSS nellll— %L1 Mew,,/ / i .LESS PROFIT �� WN2'109141- WWAN ow'09W."43KA , MA M - " OVERHEAD • % OF SELLING PRICE _■ Q. 66- 4"" oz 2/ JOB FOLDER Product 277 Ot O 6q&0� J FOLDER ov" a , Pdpted to USA �/ � .f'SE:-���5 p � � /�.Y„v � C� �7Y` � ✓ � /' \f/?�-j,,� / / �� ��/� � '�_S � �Q- �6-� j/an�'i^'t ' "� "'+' f�i'`'.('i� �� -Y� J J o ` � � �G��"`-�L �-1 19 .r y. L. Lmi