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HomeMy WebLinkAbout5200 Eby Creek Rd - 193906400003INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 g 1 bd _5-y i YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 15 7 Q —� � Please call for final inspection before covering any portion of installed system. OWNER: Eagle Ranch L.L.C. PHONE: (970) 328-6222 MAILING ADDRESS: P.O. BOX 1320 City: Eagle State: Cn Zip: _ 91631 APPLICANT: Bob Cunningham PHONE: _(A 70) 3 2 8-6 2 2 2 SYSTEMLOCATION: 5200 Eby Creek Rd., Eagle, CO TAX PARCEL NUMBER: 1939-052-00-005 LICENSED INSTALLER: Bighorn EXcayatLaIRSE NO: -4 T'- - 10-97 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK minimum size ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 750 SQUARE FEET OF TRENCH BOTTOM. via 21 infiltrators units as requested SPECIAL REQUIREMENTS: Install in serial distribution in trenches, with a cleanout between the tank and the house, and inspection portalls in each trench. Rake trench side walls to prevent smearing of soils. Do not install in wet weather. Maintain all set backs. Call the Count for a final ins ect'on rior to back fi lin anv Tyart of t e Aystem. �" ENVIRONMENTAL HEALTH APPROVAL: DAT? V201q / reissued 4-28- ] 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: 750 SQUAREFEET. via 21 infiltrator units INSTALLED SEPTIC TANK: 1 nQ0 GALLON 1 10 DEGREES 119 FEET FROM th P r 1 P an rni t o Pxt to tbp h Oil G 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: June 17, 1997 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK A do t�CWL_ (Site Plan MUST be attached) ISDS Permit # 15 � 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 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: r--"'U(.` Ie*N LPL C, PHONE: (?�o ) SZg 67_Z2 MAILING ADDRESS: I37_0 (EACrL= CcX.O rq/6S/ APPLICANT/CONTACT PERSON; �bR CuA%.I!lll6s�A►'�I PHONE: yea 6ZzZ MAILING ADDRESS: l3A-20 E6R,� . LICENSED ISDS CONTRACTOR: 3tLL Y'lK PHONE: %O -66�P� COMPANY/DBA: Y IK C&ArRucri r( ADDRESS: /q&o Egy CR-, kh, *************************************************************************** PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # `'(� VI (if known) Legal Description: Subdivision §�� 1d_6 Filing:_Block: Lot No. Tax Parcel Number: 9 -Q Z - © Q- © Jr-- Lot Size: _410 AC, Street Address: 5200 Ev? KG4 BUILDING TYPE: (Check applicable category) 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 ( ) Public Name of Supplier: *These systems require design y a Registered Professional Engineer SIGNATURE: G%� �/. • Date: ************************************************************************* TO BE COMPLETED BY THE COUNTY AMOUNT PAID: .RECEIPT #: DATE: 5 CHECK CASHIER: n - � � ���� Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO June 17, 1997 Eagle Ranch LLC Bob Cunningham P.O. Box 1320 Eagle, CO 81631 RE: Final of ISDS Permit No. 1570-96, Tax Parcel #1939-052-00-005. Property location: 5200 Eby Creek Rd., Eagle, CO. Dear Mr. Cunningham: 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, Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Information Brochure Final ISDS Permit cc: files Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: April 28, 1997 TO: Bighorn Excavating FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: WIssuance of Individual Sewage Disposal System Permit No. 1570-96, Tax Parcel #1939-052-00-005. Property Location: 5200 Eby Creek Rd., Eagle, CO. Cunningham residence. Enclosed is your ISDS Permit No. 1570-96. 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 Enclosure: ISDS Final Inspection Completeness Form :SUS PERMIT PEF, JLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: `/i LEGAL DESCRIPTION:rj-.0U 6Q jQ3�_v�a_G�_(��� MAILING ADDRESS: TYPE OF DWELLING: e5 NUMBER OF BEDROOMS 32x- w w r yc r � r 7t �1r �t �C �C �c llr it 71r �C 7r yc Yr 7lr yr �lr �r yr TEST HOLES PRE-SOAKED: YES X NO TTMF. i^'.^D -enmv TIT ATTT AT7 99A 9 P 1 .2 3 1/ 2 3 1 2 3 1 2 3 0' �b ail �'if 7� 2' i 11 4 37� : `I3�� • �' I r • 3 11,43 5 7I 4' 2S -- -- L ;?14" �'� h N ��� � 3►� f 3�S .2< 375' 13,3� .20.0 .O 66' 1: a _o . o //1/3 7' e T. 00,0 / 3 3 8' --- 3U 3S __ __ - �W.rPeb i Z Z� i 1 U7� s lJ J Time to drop last inch °� ti,vL 7,5-0 X '`� a Z� PERC RATE: MINIMUM, SEPTIC TANK SIZE: 6- MINIMUM LEACH FIELD SIZE: = Z COMMENTS: WXUA-, ^�_)rl)-r)xl -t..�2 .�"��1_� L� � 1 _) lei � rj Q.�. L'✓�-�U _G,Y� _ -_ PERC TEST DONE BY: DATE: Environmental Health Officer rev. 6/90ks ISDS Permit # L5 n b qq Date is Final Inspection Completeness Form ✓ Tank is gal. Tank Material Tank is located ) K ft. and LLDa degrees from (permanent landmark) Tank is located ft. and degrees from � (permanent landmark) Tank set level. Tank lids'within 8" of finished grade. 1/ Size of field ft2 units lineal ft. Technology i�Gi q/zys V Cleanout is installed in between tank and house(+ 1/100ft). y There is a "T" that goes down 14 inches 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. Measure distance and relative direction to field. —L/_ Depth of field 3 ft. v 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..) t,-,'_ Type of pipe. used for building sewer line S-3S leach field 435- 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 1570-96 Tax#1939-052-00-005 _ JOB NAME 5200 Eby Creek Rd. EAGLE RANCH n Eagle JOB NO. JOB LOCATION BILL TO DATE STAR ED C ( q DATE COMPLETED DATE BILLED 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 ENGI.AND BUSINESS SERVICE, INC.. GROTON, MA 01477 Printed in USA J�� FOLDER r r4 r u -r .a i JOB EAGLE -COUNTY ENV..HEALTH P.O. BOX 179 SHEET NO. OF - EAGLE, CO 81631 CALCULATED BY DATE CHECKED BY DATE PRODUCT 2N.1 5,g:e 5--eels; 205.1 iPaccm �— Inc. Gas mass. T Ur-';: P-N, TOLL RE 1.800-225-6380 14