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Home My WebLink About940 Valley Rd - 211108308002INDIVIDUAL 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. 1503 Please call for final inspection before covering any portion of installed system. OWNER: Gerry A. Mayne PHONE: (970 524-7536 MAILINGADDRESS: P.O. BOX 416 city: Gypsum, CO State: Zip: 81637 APPLICANT: Gerry Mayne PHONE: (970) 524-7536 SYSTEM LOCATION: 940 Valley Rd., Gypsum, CO TAX PARCEL NUMBER: 2111-084-01-002 LICENSED INSTALLER:_ Mayne Industries LICENSENO: 49-95 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: _ 1250 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 986 SQUARE FEET OF TRENCH BOTTOM. Via 28 infiltrators, as requested by owne SPECIAL REQUIREMENTS: Install in serially distributed trenches Rake trench side -walls, and don't install in wet weather. Install inspection portals at the end of each trench. Call County for final inspection before back -filling. ENVIRONMENTAL HEALTH APPROVAL: c DATE: August 2, 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: 986 SQUARE FEET. INSTALLED SEPTIC TANK: 1250 GALLON 120' DEGREES 36'9 FEETFROM the 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- G' ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE. CTIO IF NECESSAR RETAIN WITH RECEIPT RECORDS APPLICANT I AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # (Site Plan MUST be attached) ISDS Permit # f 0 0 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 * MAKEALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: f 'l t, y1 '0- J PHONE: (i %0) j a6' MAILING ADDRESS: �h LQ j C " APPLICANT/CONTACT PERSON; _ /L PHONE: MAILING ADDRESS: C>0 . 3 LICENSEDISDS CONTRACTOR: PHONE: - ,> COMPANY/DBA: ADDRESS: �-j (,5 S PERMIT APPLICATION IS FOR: ('7New Installation Alteration :Spair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # fct 0 (if known) Legal Description: Subdivision: �koe - ./'b��-PFiling :t�lock • * Lc Tax Parcel Number: �- I i - v 6 �� - Cj I - D .d Lot Size:_ Street Address: 1 L�Ei /��,_ �`�� t� i. cot , / 'r) �1 / Z� BUILDING TYPE: (Check applicable category) (1✓f Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface (vj- Public Name of Supplier: -TJv--Vj *These systems r quire design by a�Registered Professional Engineer SIGNATURE:��jl`= ✓% ;� y1% �-�t Date: _�•��% r/ TO BE COMPLETVn BY THCOUNTY Q i AMOUNT PAID: J930,h RECEIPT DATE: CHECK #: CASHIER: Community Development Department (970)328-8730 Fax:(970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO October 5, 1995 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 Gerry Mayne P.O. Box 416 Gypsum, CO 81637 RE: Final of ISDS Permit No. 1503-95 Parcel #2111-084-01-002. Property located at: 940-Valley Rd., Gypsum, CO. Dear Mr. Mayne, 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. Sincerely, Janet Kohl Environmental Health Department ENCL: Information Brochure Final ISDS Permit cc: files COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO DATE: August 2, 1995 TO: Mayne Industries FROM: Environmental Health Division 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81 H 1 FAX (303) 328.7207 RE: Issuance of Individual Sewage Disposal System Permit No. 1503-95 Tax Parcel #2111-084-01-002 Property .Location: 940 Valley Rd., Gypsum, CO. Enclosed is your ISDS Permit No. 1503-95 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 ISDS PERMIT PERCOLATION TEST. EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. y OWNER: �� ' `GPI Q LEGAL DESCRIPTION: J qqc) Mani MAILING ADDRESS: TYPE OF DWELLING: Cj NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: WATER YES X, NO /1 likiijTH INCHES OF FALL RATE SOIL PROFIL 1 `2 3 1 2 3 1 2 3 Ill 2 0' l 1134 i 3 13 % l / 2' 3 �2LA 1 v� 3 l3� (' 4 ' e� (0 5, �31 10 7' 8' 1W Time to drop last inch PERC RATE: ,tl/LF/ �UMINIMUM SEPTIC TANK SIZE: oO.'a vgj?" MINIMUM LEACH FIELD SIZE: COMMENTS: P RCC" rev. 6/90ks Yam. Time to drop last inch PERC RATE: ,tl/LF/ �UMINIMUM SEPTIC TANK SIZE: oO.'a vgj?" MINIMUM LEACH FIELD SIZE: COMMENTS: P RCC" rev. 6/90ks Yam. ISDS Final Inspection Co-mpreteness Form / Tank is gal. Tank Material A 'Y)1Y1 t1.1= -(_"c� ✓ Tank is located A'1ft. and 20' H degrees from (permanent landmark) Tank is located ft. and degrees from (permanent landmark) L� Tank set level. lank lids within 8" of finished grade. Size of field ft2 units Pineal ft. Technology Cleanout is insted in twe tank and house(+ 1/l0oft) . There is a "T" . tl'A� s�goes� down I4t inches in the inlet and outlet of the tank, Inlet and outlet"A `Seal d -ait 'ta[r tape, rubber gasket etc. �S �ee <' Tank has two comb tment 4itl the- larger compartment closest to the ho e. I ` t f; 4 1 4 Measure distance an;� el ve _rection to field. Depth of field ft.- Soil ., interfkace na efl yr. , ,•, Inspection portals at the end 'Ibi each trench. V Pro er distance to setbacks , -� ,f � = afi /'/ Other Inspection meets requiremen'. Copy form to installer's fink if rec idations for ?�A improvement were suggested. �M''.. 9 ACTION TAKEN: Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line ..Stream Gulch Field 4100 25 20 10 50. 25 10 10 Tank 50 10 5 10 50 10 * 10 ■■■■■NEEENNNEE■■■■■■N■■�� e■E■■N■®■■■■E■EEN■1■sNEOO■i ■M■■EEEOON� MIME■■®■■��■■■■ ■■■■�� 1■ 11� �l1111 t�■■■■■■MEMO ■O■Oe L I�! I�,MB�111■■■NENNNO� ■■■■■■■■ �lil MAE- I1Ilona ®NONE= liii.mol'i WEN NONE= ■EEOMOEE� Ili,t'� It I■Lyle 11o■N■■NONOp ■■E■MOEE■ it (■j1! ESL ii•M�N■NE= ■■■■■■■■■� pit: �% ■M■■MNNEi■O■ OEM OMEN ■�■■■■■■EMI :��[iisE■■■■■■■E■N■■ ■■■■■NON it-�� ■■■■■MMMiENOEMO o■■■■■■ �1��■■M■■ia■NiNi■■■ ■■■■/O 11190M■■■■■OME■■N■■ MEN ONE= MENEM M■E ;! ■��■■■■■OEM■■■MOO■■= 1503-95 Tax# 2111-084-01-002 JOB NAME _ 940 Valley Rd. MAYNE Gypsum, CO 81637 JOB NO. JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON. MA 01471 Printed in U.S.A. JO.B FOLDER \ I now �� tj T. - -To"V-Al 05 G rt Lt 0u— - Alk- e - t _ 4 t 1 A e� Et f , ii .. i