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Home My WebLink About910 Mayne St - 211108107001INDIVIDUAL 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. 1501 Please call for final inspection before covering any portion of installed system. OWNER: Golden and Thelma Bair PHONE: (970) 945-7551 MAILINGADDRESS: P.O. BOX 547 City: Glenwood Spring§i,,e: CO ZIp.81602 APPLICANT: Dan L1Ster PHONE: (970) 524-7585 SYSTEMLOCATION: 910 Mayne St. Gypsum, CO TAX PARCEL NUMBER: 2111-081-07-001 LICENSED INSTALLER: Western Slope Construction/ Dan Lister LICENSE NO: 50-95 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 604 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Rake trench sidewalls, and install inspection portals at the end of each trench. Install field between 2-2 1/2 feet deep. Call County for final inspection, and don't backfill before insr complete. ENVIRONMENTAL HEALTH APPROVAL: DATE: July 21, 1995 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: 604 SQUARE FEET. Via 34 infiltrators INSTALLED SEPTIC TANK: 1000 GALLON 80 0 DEGREES 141811 FEET FROM house SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND X PROPER MATERIAL AND ASSEMBLY _ 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: clean out is located in crawl space under house ENVIRONMENTAL HEALTH APPROVAL: �L/�-�'-c_--ao� e.t_ A (� DATE:�I 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 # 15 0 1- l APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT VVIROMMENTAL 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 : ' (q'?O ) q+S 7• APPLICANT/CONTACT PERSON- �i� , S� F PHONE : MAILING ADDRESS: LICENSED ISDS CO TRACTOR: 1J(xrN '\,-,\ S 'T �5 PHONE: COMPANY/DBA: %,?,ic�..,41 l,�P' C'en`ADDRESS: Un Y (eU *************************************************************************** PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: s,- Filing:,ZBlock:Lot No. Tax Parcel Number: A- - O `�-� `�- OQ L Lot Size•. Street Address: *************************************************************************** BUILDING TYPE: (Check applicable category) (� Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Sur ce (�O Public Name of Supplier: cv- Number of Bedrooms Number of Bedrooms Type *These systems require design by a Registered Professional Engineer SIGNATURE: G� Date: �c TO BE COMPLETED BY THE COUNTY AMOUNT PAID:_ RECEIPT DATE: -7- 1 0 1 CHECK # : __ �`"(. '� CASHIER: C COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO. August 16,-1995 Golden and Thelma Bair P.O. Box 547 Glenwood Springs, CO 81602 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 RE: Final of ISDS Permit No. 1501-95 Parcel #2111-081-07-001. Property located at: 910 Mayne St., Horse Pasture Subdivision, Gypsum, CO. Dear Mr. and Mrs. Bair, 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. Sincerel , Janet Kohl Environmental Health Department ENCL: Information Brochure Final ISDS Permit enclosures COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO DATE: July 21, 1995 TO: Western Slope Constructors FROM: Environmental Health Division 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 8 163 1 FAX (303) 328.7207 RE: Issuance of Individual Sewage Disposal System Permit No. 1501 Tax Parcel #2111-081-07-001 Property Location:910 Mayne St., Gypsum, CO 81637 Enclosed is your ISDS Permit No. 1501-95 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. Engineer as builts must be submitted for permit to be finalized and C.O. issued. 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 a�ua FLRVU I 7I,3UI / ) PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. _TRMA LEGAL DESCRIPTION: MAILING ADDRESS: j+q C,7 / � ^ n a r. �� l U TYPE OF DWELLING:. NUMBER OF BEDROOMStj TEST HOLES PRE-SOAKED: YES_ NO TIME wnmon r,z•r,.,t� FE MIAMI= IMIMM I MmiElm ��=' Time to drop last inch - PERC RATE: l t.Dt� MINIMUM SEPTIC TANK SIZE: 1066' MINIMUM LEACH FIELD SIZE: Q+ ft� COMMENTS: r PERC TEST DONE BY: Environmental H It rev. 6/90ks DATE: Officer '--' �� e ISDS Final Inspection Completeness Form ---�ZTanki is 1-1/Ub gal. Tank Material 1 v Tank; is located 0A ft. and . f degrees from b (permanent landmark) Tank is located ft. and degrees from (permanent landmark) Tank,set level. Tank lids within 8" of finished grade. V Size' of field ft2 _ units. lineal ft. / Technology Cleanout is installed in between tank and house(+ 1/100ft). r, C4wl There is a "T".that goes down 14 inches in the inlet and outlet of the tank. i --41-ZInlet and outlet is sealed with tar tape, rubber gasket etc. _ I/_ Tank!has two compartments with the larger compartment closest to the house. easure distance and relative direction to field. f Depth of field _ Soil Anterface raked. �Insp�ction 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: I I' Setbacks Well Potable Water Lines House Property line Lake Stream Dry Tank Drain Gulch Field 100 25 20 10 50 25 10 10 Tank 501 10 5 10 50 10 * 10 ■o EMMEMENEM U®MI■ NONE HMO �� fit■ � ■,�. MEQHAI, "'EME■ ■ Ll MENEM ■oom■ ■ENE■ ■ ■ 1501-95 Tax#2111-081-07-001 JOB NAME Horsepasture F#2,L#9 BAIR ''910 Mayne St. ' Gypsum. Co R1h17 JOB NO. JOB LOCATION __ BILL TO DATE TARTED DATE COMPLETED DATE BILLE /D j- 02� �5 A/ - 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 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Printed in USA JOB FOLDER a " e �,� , � . .�. - `.. „,mot:, � + �. ��: L � �. ` .� _ � �� ., «` i .+ C(T `-o ��' HoE CRYSTALENE @ 18X24 ARCHITECTS' STANDARD FORM t CA SCALEt DRAWN BY �,t ! -'t � `� REVISED '�7'f" 1 i•; ' ram: • - ��r _ DATE APPROVED BY DRAWING NUMBER �- J - _ MADE iN U.S.A.