HomeMy WebLinkAbout8005 Gypsum Creek Rd - 219316101001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION br- 10011
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1483
Please call for final inspection before covering any portion of installed system.
OWNER: John Jodrie PHONE: 524-7738
MAILINGADDRESS: P•O• Box 157 city: Gypsum state: CO zip: 81637
APPLICANT: Same
PHONE: Same
SYSTEMLOCATION: Sec 9 & 16, Town 6, R 85 TAX PARCEL NUMBER: 2193-093-00-002
LICENSED INSTALLER: High Country Builders of Gypsum/Bruce Bair LICENSE NO: 29-95
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 675 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 19 infiltrators as per owners request. Install inspection portals at
the end of each trench. Rake side walls if there is smearing of clays. Call the county f
a final inspection befo ac ng
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 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:" 6 75 SQUARE FEET.
INSTALLED SEPTIC TANK: 1000 GALLON 135' DEGREES 575" FEET FROM southeast corner of house
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY _X YES _NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: X 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: 7 / 26 / 95
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
(Site Plan MUST be attached)
ISDS Permit # A S 3 —6�
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. 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:
MAILING ADDRESS:
APPLICANT/CONTACT PERSON; rsolkw%, �
MAILING ADDRESS: tky, is "j GE—k0 ,vim
LICENSED ISDS CONTRACTOR:
COMPANY/DBA: ADDRESS:
PHONE: C305),2-4- Zi3
PHONE:
PHONE: ( )
0 0� ff
PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair
**************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit #
Legal Description:
(if
gee,9 * 1 b I (rW r. �
8
Subdivision: Filing:_Block: Lot
No.
Tax Parcel Number:
vZ j
Y 3
- 0 G( 3
Lot Size:
Street Address:
`�
w,wt���
SCLJA"
P-C!
BUILDING TYPE: (Check applicable category)
(Vlj-., Residential/Single Family Number of Bedrooms
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY:
Well ( )
( ) Public Name
(Check applicable category)
Spring ( ) Surface
of Supplier:
*These systems require desig by a Registered Professional Engineer
SIGNATURE: Date: 4/-7-�'�"�
TO BE COMPLETED BY ' THEA COUNTY
AMOUNT PAID: RECEIPT #: tGQ/0 'DATE:
CHECK CASHIER:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
July 26, 1995
John Jodrie
P.O. Box 157
Gypsum, CO 81637
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328.7207
RE: Final of ISDS Permit No. 1483-95 Parcel #2193-093-00-002
Property located at: Sec. 9 &16, Township 6, R 85, Valley
Rd., Gypsum, CO 81637.
Dear Mr. Jodrie,
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 328-8755.
Since ,
gShannFnGarton
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
enclosures
ISDS PERMIT
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:��
LEGAL DESCRIPTION: X VV); j
v
MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES %C NO
TTME Wamvn n nmv
..EMIMMM11NIMMINNEIREE!
INNM-MINIMM�i'
Time to drop last inch`
PERC RATE:_ MINI �SEPTIC TANK SIZE: ,
MINIMUM LEACH FIELD SIZE:
COMMENTS:
PERC TE
En
rev. 6/90ks
DATE:
officer
16 a
r
ISDS Final Inspection
/ Comp eteness Form
Tank is OO gal. Tank Material
ilia
Tank is located `J-ft. and L3-�2 degrees from
(permanent landmark)
Tank is located ft. and degrees from
(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.
LZ Inlet and outlet is sealed with tar tape, rubber gasket
etc.
Tank has two compartments with the larger compartment
rclosest to the house.
�easure distance and relative direction to field.
Depth of field ft.�.,��' ;
Soil interface raked. 1
I pection portals at the end of each trench.
Proper distance to setbacks.
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN:
CcMJ�ek,
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
1
l«som®®mm®es
I«r®O■■R®■■MI
INEEMEMER®MME
«EMEMEMEME■
■ENSIMENMEMEN
■E■■■■■E■■■■
■onsmommomo■
.E.■.■■■■■E■
aw■
WIN
NI'llummul
dommo
MEMO
MEMO
MIMERESSIMMEME OMEN
t���r�■ ■�s�����■ ■ems■
■MMEMEMEMEMMEMMIN■
■MESEEMMIAMMOMMINIE■
MUMMEMERIMEME MEN
MESSEEMEMEME ONE
■NESEEMENSEENNEE■
■IMnEEMMMOMME MEN
WINvMSEEMEEMENIMM■
C O (D
gN o -�ca0 � m J,ZDj /� g00
'mC 0 —�� cOc0 p >Z o �� rIll L4MM
r ,o / / 14 > Z
rn o o S� -0 cD a cmi�z n r r /�`��:. -'m2
.'(D nO �m�\
imo C > D
co 3 c0c -, 0 p m
D N< mrZ O cr d N z o
�a(D ? �
o s3 3 SDQ a► 0
<' m co o 0 Ln N r l
o N o'3 n� O N
rnm 3 m
r
rn n Q �< Q 0 v m r
Z >
C(D v .-+. O O (D m m D II r
d) fi n =' U)
o CC) �n Vi (Z p m
O n m
> �
° a �' U) CD 0 X ? / I.Ajjr
CD =3 3
0 (D
m
OV08) ,4S'4S9
_
o ° � C 86'959 I'
0 � 1 I/(0
t co
O n w 0 < I !
a 0 (DLO
`OD
n c :I7 00
aa= U V
0 0 "
3D m CJI Ill l
cD r?i
o
a ° a D ! !
r
7 m
i o p 0 0
r
3 :3
� / r
2(D
/D 0 N 0
L o o i I rl
i
(D l I
0 a o r 1 l
m o
Cb
s v� 0 3 /i / , ° �9 � .
c o / ; A.
< I ! Aj
Z ��
0 ZY 0 / r
CA
(D Q Qr \ ! I • N r-
0 O O \ ,! I r/ ul D O O
0 to cn d M C \ 1 I -A>
:3p�C 0p \ �l UlcX 1 ITI m z
o aCD < MM \ s / �Io, ► nr N NON
cD \ r rn
o
0 `G f�* �,9. ; /� /' > m N D SIN
r 1
o z o fix. �y / z
rn
cD m
t
go
C J !
1
Z Z } I / I /q,`10 `
I I • } C12
n\ 1 I 1 n
V h O
L' }
V • J /'\ I I V\/
r a
ti
�QO� r
lb
J
LIS I I �� n\ Z
v ��` ate w c' `� • v FC'� �p m
O % C) 0 OGi .� oti\'��. D g
1483-95 Tax Parcel #2193-093-00-002
JOB NAIL Sec 9 & 16, Town 6, R 85 JODRIE
Gypsum Creek Rd., Gypsum
JOB NO.
BILL TO
":,4
, I
-, —
}
) z ("')
DATE BILLED
Ly- C>� 0I/
e-"( (s L
zj'Y24 osLj.2�4� Z/
L
s
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 Q® NEW ENGIAND BUSINESS SERVICE, INC., GROTON, MA 01471
JOB FOLDER
Printed in U.S.A.