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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 1 2 3 1 2 3 1 2 3 1 2 • � �D I 0' 5,35 53?5 3.82� ,93 .93 /31/ I 119.2 r 11-5 3.X 4,2< 1.33 /J► /,3S�i ..�.. 3 �S119ill, 21,9< 11.114 �.a,C 3�� 1, .0 a 141 �.�.. , ,�.G� 2�h 5' 30 _ � 2Lc ; �� ti� ZS,12 `J`i I S o I4113.t�� f 3. �3 3 �. 35 �6�- 125, 2&, 3/z 3,8J CYO s' i re O 5/10 ,�-1 y 29. 8s ��;5 .g3�� /,o J./2 s �6,A l,o�s 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 ■■■■■e ■■■■■e ■■e■��®eye■■■■■■■ice ■■�r�i■�re■�i■��■■��+��� wee ■��►�■elegy■Il�tl�:�■eee■■■■ ■■■■■see■■®!�e■■■■■ i■■■■ ■e■■■■®■sees■■ 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 dJ /o (A XlPIA)tj t T, < Ak -- % naa Vol 11 it JOB 80ST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX 'C. COSTS