HomeMy WebLinkAbout904 Mayne St - 211108104003INDIVIDUAL 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.
Please call for final inspection before covering any portion of installed system.
PERMIT NO. 15 14
OWNER: Bruce And Inge Bair PHONE:_ (970) 524-9421
MAILINGADDRESS: P.O. Box 979 City:. Gypsum State: CO zip:81637
APPLICANT: BrllCe Bair PHONE: (970) 524-9421
SYSTEM LOCATION:_ 904 Mayne St Gypsum CO TAX PARCEL NUMBER: 2111-081-04-003
LICENSED INSTALLER:_ High Country Builders of Gypsum Bruce Bair LICENSENO: 30-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 899 SQUARE FEET OF TRENCH BOTTOM. via 29 infiltrator units as requested
SPECIAL REQUIREMENTS: Install in serial distribution in trench configuration Install a cleanout be-
tween the tank and the house and in each trench. Rake trench sidewalls if smearing occurs.
Do not install in wet weathe all the County for final inspection prior to back -filling.
or if you have an u tions re ar n t' n.
ENVIRONMENTAL HEALTH APPROVAL: DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REOUIREMENTS OF THE GLE 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: 9*10 SQUAREFEET. via 30 infiltrator units
INSTALLED SEPTIC TANK: 1250 GALLON 2900 DEGREES 47 FEETFROM cleanout next to 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:
ENVIRONMENTAL HEALTH APP
PPLICANT / AGENT:
ERMIT FEE
PERCOLATION TEST FEE
-EPRRHdSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
OWNER:
RECEIPT #
CHECK#
DATE:_Jjjne_ 7, 1996
DATE:
._ "(Site Plan MUST be attached)
* ISDS Permit # i �24_q&
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: �,� PHONE : ��%7/�) .%Z V-
MAILING ADDRESS:
�(� �Ul/ ��'9 /� yd
APPLICANT/ CONTACT PERSON* �i�!/��lJ PHONE:
MAILING ADDRESS: Q. &U/ 97!
LICENSED ISDS CONTRACTOR:
COMPANY / DBA : ADDRESS:
PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # :'jai (if known)
Legal Description: Subdivision: Filing: Filing•_LBlock• Lot No.
Tax Parcel Number: Lot Size:
Street Address: %C3- ,����/�/� .aT.e-,.,:: T
r
BUILDIN�YPE: (Check applicable category)
(V) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number
Number
Type _
TYPE OF WATER SUPPLY: (Check applicable category)
( ),-Well ( ) Spring ( ) Surface
(d� Public Name of Supplier: -779&2&Z /jF
of Bedrooms
of Bedrooms
*These systems require design by a�Ilegistered Professional Engineer
SIGNATURE: /�/�ZrJ Dater
***************************************************************************
TO BE COMPLETED BY TCOUNTY
AMOUNT PAID:RECEIPT #: DATE
CHECK #: 2x I CASH
Community Development Department
(970)328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
June 7, 1996
Bruce & Inge Bair
P.O. Box 979
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1574-96 Parcel #2111-081-04003.
Property location: 904 Mayne St., Gypsum, C.
Dear Mr. & Mrs. Bair:
Eagle County Building
P.O. Box ! �/ 9
500 Broadway
Eagle, Colorado 81 n31 -01 `-J
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
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: May 3, 1996
TO: High Country Builders of Gypsum
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. 1574-96 Tax Parcel
#2111-081-04-003. Property Location: 904 Mayne Street, Horse Pasture
Subdivision, Gypsum, CO, Bair residence.
Enclosed is your ISDS Permit No. 1574=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.
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
1Jll5 PLEMIT
PE�3COLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
:C
'i
OWNER: / r
LEGAL DESCRIPTION: J^�� %�Qs/r� ll rt G' f' Z-6 -3 _
MAILING ADDRESS: �Q. �pX �', _ 1JYI 00 � `6 31
J
TYPE OF DWELLING: Res S; n�j le .fit r�i 1 NUMBER OF BEDROOMS
_rrq
TEST HOLES PRE-SOAKED: YES_ s NO
TTME 'w5•T•w v n��,nv rwr.vac erT T� nT.,,T
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2
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150 SiZS
Time to drop last�1i� �� / o 6,�3 s c�
PERC RATE: _ �%^'l MINIMUM SEPTIC TANK SIZE: 4/ �4
MINIMUM LEACH FIELD SIZE : Z%C/ V/4 o,;) -,' % r _1
COMMENTS:
i
PERC TEST DONE BY:
AIA u �J 0-,W (A--U DATE:
ironmental Health Officer
rev. 6/90hs
IS
A IX)lm5
ISDS Final Inspection.
CompletenessForm
Tank is ( a5Q gal. Tank Material 0_0 rC
a
Tank is located ft. and aid degrees from dtd,�Aou-1 r..l�k4 +V 1wVf,.C,
Cain k, i►c� (permanent landmark)
N� Tank is located ft. and degrees from
f (permanent landmark)
Tank set level. Tank lids within 8" of finished
.� grade.
Size of field _ft, 30 units lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
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
c . is +k-L in le,+.
Measu e distance and relative direction to field.
Depth of field '`� 3 ft.
Soil interface raked.
Inspection portals at the end of each trench.
Proper distance to setbacks.
✓/ Other /`f Q-" dw .Q
'- d14 J a -A -fit A_ —
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
ter Lines line Stream Gulch
Field 100 25
Tank 50 10
20 10 50 25 10 10
5 10 50 10 * 10
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MENOMMEEMSEEMEMEN
MEMEMEMEMEMEMBEEN
MEMEMEMEMEMOMMEME
EMEMENEEMEMEMOMME
1574-96 Tax# 2111-081-04-003
Lot#3, Filing#1 BAIR
JOB NAME Horse Pasture
904 Mayne St.
JOB 'NO.
BILL TO
DATE STARTED
1
DATE COMPLETED
DATE BILLED
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(A
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T,
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% naa Vol 11 it
JOB 80ST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
'C. COSTS