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HomeMy WebLinkAbout155 Gore Range Ct - 185521100104INDIVIDUAL 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. 1506 Please call for final inspection before covering any portion of installed system. OWNER: Blair and Diane Bakken PHONE: (970) 926-2090 MAILINGADDRESS: P.O. Box 55 Qlry: Wolcott State: CO Zip: 81655 APPLICANT. Blair Bakken PHONE: (970) 524-7551 SYSTEMLOCATION: 0155 Antelope Cr., Wolcott, CO TAX PARCEL NUMBER: 1855-211-00-104 LICENSED INSTALLER: Blair Bakken LICENSE NO: 53-95 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1 000 GALLONSEPTICTANK for 3 bedrooms; 1250 for 4 bedrooms ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 604 SQUARE FEET OF TRENCH BOTTOM. for 3 bedrooms; 805 sq. ft. for 4 bedroom SPECIAL REQUIREMENTS: Install no deeper than 2-2 1/2' deep at trench bottom. Install inspection portals at the end of each ser-iallv distributed trench. Rake trench side -walls and call the County for final ins e i rto ac n . ENVIRONMENTAL HEALTH APPROVAL: DATE: August 1, 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: 805 SQUARE FEET. INSTALLED SEPTIC TANK: 1250 GALLON 125 N DEGREES 30 FEETFROM Cleanout next to house. SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X YES —NO COMPLIANCE WITH COUNTY STATE REQUIREMENTS: �_ YES —NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: 22 Biodiffusers were installed in 3 trenches. Leach field is 11'8" SW of septic tank. ENVIRONMENTAL HEALTH APPROVAL: DATE:SePtember 29,1995 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # dote Plan MUST be attached) ISDS Permit # �J 1. q1) 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: el- A 01 w PHONE: MAILING ADDRESS: APPLICANT/ CONTACT PERSON* �L-Mtet i sa m m , PHONE: 7 575- A MAILING ADDRESS: Po ao x vtv ol-e0- 7 G 0 e88 6 T LICENSED ISDS CONTRACTOR:) ��,( �-1 PHONE: ) COMPANY/DBA: ADDRESS: *************************************************************************** PERMIT APPLICATION IS FOR: (---ed. New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if: known) Legal Description: Subdivision: ,/�' PJE % Le , �Tn PO 9 P �iling:_Block: Lot No. HrA?'% Tax Parcel Number: Lot Size: 40 A C.PLe-S Street Address: *************************************************************************** BUILDING TYPE: (Check applicable category) (P,g Residential/Single Family Number of Bedrooms 73 ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) () Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: *These systems require design by a Registered Professional Engi SIGNATURE: Date: Z�75,� *************************************************************************** TO BE COMPLETED BY THE COUNTY _ AMOUNT PAID: C7'Zd RECEIPT # : l D 0-5-/ 57 DATE: % / 2- A CHECK # : ly'�-17 4-1 CASHIER: Community Development Department (970)328-8730 Fax:(970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO September 28, 1995 Blair and Diane Bakken P.O. Box 55 Wolcott, CO 81655 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit No. 1506-95 Parcel #1855-211-00-104. Property located at: 0155 Antelope Cr., Wolcott, CO. Dear Mr. and Mrs. Bakken, 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 H alth Department ENCL: Information Brochure Final ISDS Permit enclosures COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 Date: TO: FROM: RE: 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 EAGLE COUNTY, COLORADO August 1, 1995 B Cross 55 Environmental Health Division Issuance of Individual Sewage Disposal System Permit No. 1506-95 Tax Parcel #1855-211-00-104 Property Location: 0155 Antelope Cr., Wolcott, CO. Enclosed is your ISDS Permit No. 1506-95 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 OWNER: PERCOLATION TEST EAGLE COUNTY $NVIRONMENTAL HEALTH DEPT. w LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: � NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES J� NO TIME 1 � XZJC�Wnmrn ncnmv NMIIM-MgI n, MEI =IN El Time to drop last inch 2_0 PERC RATE: Z O GI u%SE2PPTICCIZE: %GZ30 wt=_1QK)m* � a ycj MINIMUM LEACH FIELD SIZE:— Czz, (gpl14 COMMENTS: cep DCLA � .V\, 7 -?� e,�c�• c eu-0 6- n PERC TES O, E Y : viraamen rev. 6/90ks ealth O :3•V �W_A e DATE: Eficer ecoa 6vYl VU yn- c� I i- rri 13LM li C, I Eft 0 C -fL 1 13ZO' f f3-iQirL 4 AtvE 3AKKEE I¢ OF THE WE Ee.i"tGw i.. PO , 6c� x s 5 ' ,T� W►*+ :5 H i P 3 S. R Ka ry b k. 8 3 w. 'VJOLC Co -._ Nona. MoAA,NTA r nJ L-OT 2-7 m 7 ( � n IL ,fhTIG Tp +v k. 31.-AIR $ Of AmlE r5 A K.KE�I! Po, %3ox 5 5bkJOLCOlT CO - C.O ISDS Final Inspection Completeness Form Tank is Z5p gal. Tank Material �C1/j.V C Tank is located ft. and I2S degrees from is ocated f and degrees dVC/�T 1 V from (permanent landmark) '— Tank set -level. lids within 8" of finished grade. Size of field 01. ft2 a units lineal ft. Technology 6747 itQet, VU Cle n�is insta ed in between tank and house(+ 1/100ft). There is a "T".that goes down 14 inches in the inl t 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 relative direction to field.) bi d� — u A lJ Depth of field �� � ft. Soil interface raked. _ Inspection 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: 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 j10' 50 10 * 10 f; "IX10 e 1 EMEN®IMEMEMEMOEM ■ommom®®mmoemoss ■EREMMEER®EN O■■ eMtEM IMMEM IEMI ME ■eEEMIMME NMEN on ■EEMMIMEMERIME no ■MENEWEEMENEMME ■«EMIMME■ ■ENE■ ■ENEMIMMEM■ NEESE ■ommom omm ■mops ■om■tmmom������� sums`►` sommoMEMO WSMIENHE ON-aoafsi wommmum■mommeoms ■wommEMEMEMIERINIE ■SIESIMENEENmomv ■MtNIENESSEMENEM ■.MMIMMEMEMOEM ■emommommoommum■ 1506-95 Tax #1855-211-00-104 JOB NAME 0155 Antelope Cr. BAKKEN Wolcott, CO JOB NO. .0 IAC 1 A/%AT1AA1 BILL TO DATE. STARTED DATE COMPLETED DATE BILLED — r -- ) n o e� 'in set w i e+ c� �e h o "` �Oe-I-w �� �. u �ariAz. I reQoeS+eJ blclures Ver',� cal-�6,n oAer -HU a�vY s 'n celled . We w'-%0 Vice S 5�- t,-Qv,, i p reS dre- cc(.f i ve s _ /a, Iq 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 2713 C% NEW ENGtAND BU$INESS SERVICE, INC., GROTON, MA 01471 JOB, FOLDED a Printed in U.S.A. d �ti- liC ?t-0 GL�� C)aa" -4 Cr. C04o' WilL