HomeMy WebLinkAbout450 Castle Peak Ranch Rd - 193922301008INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755 610
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE.
Please call for final inspection before covering any portion of installed system.
PERMIT NO.
U 5 /O
1584
OWNER: Snrrel Rills T)ayal n mant PHONE: (970) 328-671 5
MAILING ADDRESS:P-_Q_- Box 1857 City: Eag]_e State: CD ZIP: 81631
APPLICANT: Rusty Buick PHONE: (970) 328-6715
SYSTEMLOCATION: 450 Castle Peak Ranch Rd., Eagle TAX PARCEL NUMBER: 1939-223-01-008
LICENSED INSTALLER: T)afina I7.n33c1-rurtinn Tnr , Cary Ilefina LICENSE NO: 52-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 805 SQUARE FEET OF TRENCH BOTTOM. via 23 infiltrator units as requested by
SPECIAL REQUIREMENTS: Ins talleY Install in serial distribution in trenches with a cleanout between
the tank and the house, and inspection ports in each trench. Do not install in wet weather,
and rake trench surfaces o prevent smearing of soils Do not allow livestock in leach field
area. Call the County for final inspection prior to back filling any part of the installati
or if you have any Questions regarding the installation
ENVIRONMENTAL HEALTH APPROVAL: DATE: _Tine 19, 1996
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: 828 SQUAREFEET. via 23 Infiltrator units
INSTALLED SEPTIC TANK: 1250 GALLON 115 DEGREES 20 FEETFROM clean out
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: I V I I 11,Te
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
PERMIT FEE PERCOLATION TEST FEE
OWNER:
RECEIPT #
CHECK#
(Site Plan MUST be attached)
ISDS Permit
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 $200.00
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: .Si Eo Hraot .17�✓EtoP.s�6.Jr G�orCP. PHONE: (Q7o)
MAILING ADDRESS: _P.o_ F,ox Cd 914 B, l
APPLICANT/CONTACT PERSON* 7 srnq 13oic. k PHONE: (97a) 3Z$-67i
MAILING ADDRESS: P.o. Mx ITS 7 9,4Gca Cro 8161-1. /
LICENSED ISDS CONTRACTOR:
COMPANY/DBA:
ADDRESS:
PHONE: ( )
***************************************************************************
PERMIT APPLICATION IS FOR: (✓f New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # / 0) ( if known)
Legal Description: Subdivision: Rr &&ji Filing:_Block: Lot No.05
Tax Parcel Number: O 0 $ Lot Size: S 6- ,o ► .5
Street Address: �"b &,.RE P"K &4e,1+ & 64&if 60 81631
BUILDING TYPE: (Check applicable category)
(.) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
( ,/j Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
Number
Number
Type _
of Bedrooms 3 _
of Bedrooms
*These systems require design by a Registered Professional Engineer
SIGNATURE: d Date:
TO BE COMPLETED YL Tj41 COUNTYDATE:#: DATE:
AMOU PAID: �.�%
CHECK #: CASHIER:
t ,
d� 3,P F- & � � /
1JUJ rr-Kn11 = JJDT Y(.e
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
ve
OWNER:
1 ClL�
LEGAL DESCRIPTION: G
MAILING ADDRESS:
TYPE OF DWELLING:
TEST HOLES PRE-SOAKED: YES -L NO
TIME wamrn nvnmv �.,......_
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Time to drop last inch (\. )o h1,'m .
PERC MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE-
: �OJ
C11O''MMENTS : -6 n-vk � D�� k �1 h h �li�t II �Y441Qkt5 I[k,:eJrtl c,
tac)4 +YeAck aye �ta(�o
Do 11r){-a(fn) v--c ((1rc�
PERC TEST DONE BY:
vironmeVtal Health Officer DATE •
rev. 6/90ks /
N`�(f
EAGLE COUNTY
FAX COVER SHEET
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
P.O. BOX 1799 EAGLE, CO 81631
Ph: 970-328-8755 Fax: 970-328-8788
TO:C�
COMPANY:
FAX #: (!_5 3 r 7)/ 0
FROM:
NO. OF PAGES INCLUDING COVER SHEET:
REGARDING:
If you do not received all pages please call our office (970) 328-8755
Ft f
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r114-1,11
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ISDS Permit # Dateq /1'7/q�
ISDS Final Inspection
Completeness Form
Y Tank is I-26D gal. Tank Material � (2-
Tank is located D� ft. and degrees from C�-J
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
%I Tank set level. -aTank lids within 8" of finished grade.N-446C4-K"IV
_ Size of field �� ft2 0�3 units lineal ft. 0
Technology 1 V7 ' I -F0 f
S— 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.
X Tank has two compartments with the larger compartment closest to the
house.
�_ Measure distance and relative direction to field.
—,Y-- Depth of field" - 3 ft.
Soil interface raked.
k Inspection portals at the end of each trench.
Proper distance to setbacks.
' Chamberss p or peer y installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
A
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN: �R( Cv J JA T111 cV, p- g �j �,� 1 1(,�✓ i� 1�
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
ivuz�---
1584 Tax#1939-223-01-008 �}
JOB NAME Lot#13, Castle Peak �y �. i' � JOB NO.�
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DATE COMPLETED
DATE BILLED
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JOB C T SUMMARY
TOTAL SELLING PRICE
�T D �a� _ [�(� j?
TOTAL MATERIAL
`J/'D/D GLO-�l L
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TOTAL LABOR
INSURANCE.
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
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