HomeMy WebLinkAbout20285 Hwy 131 - 168905300017INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1495
Please call for final inspection before covering any portion of installed system. BUILDING PERMIT# 10354
OWNER: James I and Ellen Matlock
MAILINGADDRESS: 20285Hwy 131
APPLICANT: James Matlock
SYSTEMLOCATION: 20285 Hwy 131, Bond (repair
LICENSED INSTALLER: James Matlock Matlock .Pro
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 569 SQUARE FE
SPECIAL REQUIREMENTS: Serially distribute 16 1
less than 100' from house. Install cl
inspection prior to backf4114
ENVIRONMENTAL HEALTH APPROVAL:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMEN
TO AUTHORITY GRANTED IN 25- 10- 104. 1973, AS AMENDEC
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTI
TO OR USE WITH ANY DWELLING OR STRUCTURE NOT APPI
REQUIREMENT OF THE PERMIT AND CAUSE FOR BOTH LEG,
3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHC
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE
PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
INSTALLED ABSORPTION OR DISPERSAL AREA: 576 SQUARE
INSTALLED SEPTIC TANK: 12 5 0 GALLON 1 2 ON DEGREE
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY _
COMPLIANCE WITH COUNTY/ STATE REQUIREMENTS:
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL
COMMENTS:
ENVIRONMENTAL HEALTH APPROVAL:
ENVIRONMENTAL HEALTH APPROVAL:
(1
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
PERMIT
PERCOLATION TEST FEE
OWNER:
RECEIPT #
CHECK#
(Site Plan MUST be attached)
ISDS Permit
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:
PHONE: 197D 1 fv-,3-4135%®
APPLICANT/ CONTACT PERSON- -JA12�r,.S %%%ti uo e k PHONE: (970 ) 6!r?-V I
MAILING ADDRESS: ti0n f e l3 /
LICENSED ISDS CONTRACTOR: Tl_PHONE: (976 65" -t/3y®
COMPANY / DBA : j� 7LOcK -�' Sinns� Sawr�ADDRESS : ;?p e. c52 2
***************************************************************************
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration N Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # AJ
0h 73 (if known)
Legal Description: Subdivision:
Filing:_Block: Lot No.
Tax Parcel Number: j & -& !-_ -� - 6 Lot Size:
Street Address: oag,5- bLZQV
BUILDING TYPE: (Check applicable category)
(�) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY:
O Well ( )
( ) Public Name
(Check applicable category)
Spring ( ) Surface
of Supplier:
Number
Number
Type _
of Bedrooms
of Bedrooms
*These systems require design by a Registered Professional Engineer
SIGNATURE:,,,,a, �,�z,Date:
TO BE COMPLETED BY THE COUNTY ell
AMOUNT PAID: .�^ b . U� RECEIPT # : I C 63 q I DATE:
% 5
CHECK #: 501 CASHIER: S
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
May 7, 1997
James and Ellen Matlock
20285 Hwy 131
Bond, CO 80423
RE: Final of ISDS Permit No. 1495-96, Tax Parcel #1689-053-00-012.
Property location: 20285 Hwy 131, Bond, CO.
Dear Mr. and Mrs. Matlock:
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
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,
,/A � GLL'
Janet Kohl e�
Environmental Health Department
Eagle County Community Development
ENCL:Information Brochure
Final ISDS Permit
cc: files
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
DATE: July 13, 1995
TO: Matlock Professional Services
FROM: Environmental Health Division
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328.7207
RE: Issuance of Individual Sewage Disposal System
Permit No. 1495 Tax Parcel #1689-053-00-012
Property Location:20285 Hwy 131, Bond, CO 80423.
Enclosed is your ISDS Permit No. 1495-95 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. Please call
our office well in advance for the final inspection.
Systems designed by a Registered Professional Engineer must be
certified by the Engineer indicating that the system was
installed as specified. Eagle County does not perform final
inspections on engineer designed systems.
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
Community Development Department
(970)328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
December 12, 1995
Dear Applicant,
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
The Environmental Health Division would like to notify you to
make a formal request to extend your Individual Sewage Disposal
System(ISDS) Permit #106-% into the 1996 construction year. The
Environmental Health Division discontinued percolation tests on
November 15, 1995 and.final inspections on December 2, 1995 due
to climatic conditions.
ISDS permits are active for 120 days after the date of issue if
no Building Permit has been issued for the same property. If a
Building Permit has been issued for the same property the ISDS
will expire at the same time as the building permit.
If you still plan to apply for a Building Permit this year or in
the early months of 1996 you will need to have a percolation test
conducted before your Building Permit will be released. You will
have to contact a Registered Professional Engineering(RPE) firm
to conduct your percolation test.
If you have had your permit issued and have not had your final
inspection completed, but plan on constructing the system in the
next few weeks, please give our office a call and we will
evaluate your permit on a case by case situation.
Please give the Environmental Health office a call at 328-8755,
if you have any questions regarding your permit extension
process.
cc: ISDS Permit #/65-`jSFile
n --
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: / I/ �
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING:
TEST HOLES PRE-SOAKED: YES
WATF.At �Inrpmu
I &C"� --( I ��
NUMBER OF BEDROOMS
NO
T7.T/�TTt+t� /1T TT T T
ME
01
mmi
nw-
I
MM
MIN
FO am,
IMMMI
0 WE
I 2r
L41
im
W41
wMiMig
FAW
=10WEA1
Time to drop last inch v
PERC RATE: 1'�] MINIMUM SEPTIC TANK SIZE: 2 60
MINIMUM LEACH FIELD SIZE:]
COMMENTS: CV-I-v,
n2 uouU . d-v an lam ' .P r f
PERC TE y ;
DATE:
TnvirbAmental Health Officer
rev. 6/ 9 0 k s i�� •-
PERCOLATION TESTS: (See specifications on pg. 3)
1. Percolation test shall be conducted for all new construction
and for all new leach fields or repair permits.
2. Colorado Registered Professional Engineers are required to
conduct the .percolation tests on systems designed by-them.-
3. Can be conducted by the Environmental Health Division only on
a conventional systems after adequate site preparation.
4. If the percolation test is done by Eagle County & the results
show that the soil is unsuitabe for a conventional system, a
Registered Professional Engineer will be required to design
the system. Your percolation test fee paid to the county will.
not be refunded.
SOIL PROFILE: (See specifications on pg. 3)
One soil profile test hole at least eight feet deep or to
bedrock, must be completed to give an indication of the soil
condition of the area. If a Registered Professional Engineer
performs the percolation test, soil profile data must be
submitted as well.
SPECIAL NOTES:
A) All individual sewage disposal systems permits are
issued to the licensed installer indicated on the
application.
B) The County of Eagle, Colorado requires a permit for the
installation or renovation of any ISDS. Only Systems
Contractors licensed by Eagle County are authorized to
perform this'work..' A list of current Systems
Contractors is available upon request.
C) Eagle County Board of Health declares that its general
policy is to require the use of public sewer systems
where and whenever feasible and to limit the
installation of ISDS only to areas that are not
feasible for public sewers. Eagle County will not
issue an ISDS permit where the applicants dwelling is
within 400' of a public sewer and where the Sanitation
District is willing to serve.
2
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ew
ISDS Final Inspection
/ Completeness Form
v Tank is �L�,�v gal. Tank Material
Tank is located �9'`�ft. and f3� degrees from ��w�
(permanent landmark) -
Tank is located ft. and degrees from
/ / (permanent landmark)
✓ Tank set level. f/ Tank lids within 8" of finished grade.
!� Size of field ft20 units lineal ft.
Technology I
Cleanout is installed in between tank and house(+ 1/100ft).
_ There is a "T".that goes down 14 inches in the inlet and
o-/ outlet of the tank.
V 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.
Depth of field ft.
Soil interface raked.
y Inspection
p portals at the end of each trench. -Ao;�Lc---c�zA;�a�c�%
Proper distance to setbacks.
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN: -mod`
lbW � '
.U:6
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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1495-95 Tax#1689-053-00-012
JOB NAME, 20285 Hwy 131 MATLOCK JOB ���
Bond, Co.,80423
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