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Home My WebLink About476 Mosher Ln - 210924301001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 I Telephone: 328-8755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1553 Please call for final inspection before covering any portion of installed system. OWNER: Chris Adams PHONE: (970) 328-5434 MAILINGADDRESS: P.O. BOX 2119 City: Eagle State:: CO zip: 81631 APPLICANT: Chris Adams PHONE: (970) 328-5434 SYSTEMLOCATION: 0476 Moser Lane, Ea le, CO TAx�RCELNu�uiB�R: 2109-243-01-001 LICENSED INSTALLER: DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1500 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: NO:"� SQUARE FEET OF SEEPAGE BED 938 SQUARE FEET OF TRENCH BOTTOM. via 27 infiltrators, as requested SPECIAL REQUIREMENTS: Install in serial distribution in a trench configuration. Fence leachfield to keep 1ivestoc away. Install a cleanout between the house and the tank, an inspection porta in each trench Rake trench surfaces except for the pipe end runs -co act those Call the Counfore back -filling for final inspection, and don't Insrall-during precipitation. k.��tc..eGs,'.. Q o�,3 ,6 ENVIRONMENTAL HEALTH APPROVAL: ATE December 11, 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. 1l 3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED. I 1 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: 938 SQUAREFEET. via 27 standard infiltrator units. INSTALLED SEPTIC TANK: 1500 GALLON 98 DEGREES 24 FEET FROM the corner of 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 ENVIRONMENTAL HEALTH APPROVAL: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS DATE: October 9, 1997 DATE: APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK# (Site Plan MUST be attached) V ISDS Permit # /SY5 v i 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: /S MAILING ADDRESS: Ro 41 APPLICANT/CONTACT PERSON; MAILING ADDRESS: LICENSED ISDS CONTRACTOR: COMPANY / DBA : a /i Z )67 fAl-eq a� ADDRESS: PH NE • (�"J� .-�G Xl PHONE: _( ) : 677 0 )'3a- F-/G ? Z� *************************************************************************** PERMIT APPLICATION IS FOR: Kj New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision. Y"Filing: Bloc40, k: irLit No. Tax Parcel Number: �' �� `f �_-_ j - Q - l ( _ Lot Size: -1k--ems Street Address: *************************************************************************** BUILDING TYPE: (Check applicable category) (i7<) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ TYPE OF WATER SUPPLY: (Check applicable category) (.) Well ( ) Spring ( ) Surface ( Public Name of Supplier:`-� of Bedrooms of Bedrooms *These systemsgrequire design by a Registered Professional Engineer SIGNATURE:%�� ---- Date: *************************************************************************** TO BE COMPLETED BY THE COUNTY AMOUNT PAID: RECEIPT CHECK #: #: iolW DATE: 016/�S fi 71 CASHIER: /�IL Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO October 9, 1997 Chris Adams P.O. Box 2119 Eagle, CO 81631 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit No. 1553-95, Tax Parcel #2109-243-01-001. Property location: 0476 Moser Lane, Eagle, CO. Dear Mr. Adams: 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, kL, Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Informational Brochure Final ISDS Permit cc: files Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: September 23, 1996 TO: Adams Construction, Inc. Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Permit No. 1553-95, Tax Parcel #2109-243-01-001. Property Location: 0476 Moser Lane, Eagle, CO., Adams residence. Enclosed is your ISDS Permit No. 1553-95. It 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. Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Your building permit CO will not be issued until final approval has been given for the ISDS Permit. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328- 8755. cc: files AJ-J F L-F%1-11 I PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTIC MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES- NO TIME WAMVM nvnmv 3 1 2 3 RATE SOIL PROF1 1 2 3 1 2 01 0 /7 If 1 L 2 2 0Q 11014 17- 1 3' 3 41 tj� jig zoo= 5 ' 5 6' 6 +7 0 8 8 �vf 1014 S1-:2 3/4- i9 l.� 54 Time to drop last inch— PERC RATE: MINIMUM SEPTIC TANK SIZE: R67116n MINIMUM LEACH FIELD SIZE: O Ul_ COMMENTS L UV PERC TEST DONE BY: DATE. Environmental Health Officer rev. 6/90ks 05/08/06 Environmental Health 500 Broadway Eagle, Co. 81631 To Whom It May Concern: I am building an addition to my house at 0476 Mosher Ln., Eagle Co.. I installed a septic tank for the portion of the house we are living in as well as for the proposed future addition. There is only one bedroom in the existing residence and there will be an additional three bedrooms in the addition proposed. Th you, Chris Adams ISDS Permit # l.7✓ 3-�� Date ISDS Final Inspection • Completeness Form --ZTank is 62 w gal. Tank Material Tank is located �1 ft. and;.0 �8 degrees from Coy _ �eu� (permanent landmark) Tank is located ft. and degrees from (permanent landmark) ✓ Tank set level. "� Tank lids within 8" of finished grade. Size of field n13$ ft' Z7 units lineal ft. Technology dard_ to '' t�r ✓ Cleanout is installed in between tank and house(+ 1/100ft). There is a "T" that goes down 14-Anches in the inlet 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. iMeasure distance and relative direction to field. Depth of field Z' 3 ft. Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) Type of pipe used for building sewer line 4111A CWLy leach - field 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 10 50 10 * 10 �/✓�oSlj« Lin - � 0675 -� I 90- 0, 0 C.AMiA4F- 44' E K) V S Lo PE w wi 119 r PYO, --- --- SJ EAGLE-- COUNTY ENV. HEALTH-_--_. P.O. BOX 179 EAGLE, CO 81631 FRGD%7221 �q lg�e SPevs; 265.1 iFaacem �- ric . Groton mass ::17. -: or,;: e-Tj, iOLL FREE 1.800-225-6380 JOB SHEET NO. OF_ CALCULATEDBY DATE CHECKED BY DATE Qfl.Al r 1553-95 Tax# 2109-243-01-001 Lot#1 Lady Belle View ADAMS JOB NAME 0476 Moser Lane Eagle, CO JOB tVO.�P I 1 /q2 OB LOCATION BILL TO DATE STARTED / DATE COMPLETED DATE BILLED c� 1'4-4�t . Y22 ZI&Z, Z'L.2 1!/ 1Zlq�' n' 1 'n SDS ll`�7. - 0 0- -' G 09 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 ®6 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 � FOLDER Printed in U.S.A. 153-�s Iv�/�7 tbW5 W(O We ' L CSC 103b-1 105 —q5- 'C` i c�� SrY zv,