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Home My WebLink About3288 B Cooley Mesa Rd - 211108106008INDIVIDUAL 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. 1 585 "`?k OWNER: Stave Pptara PHONE: (970) 128-5291 MAILINGADDRESS: P.O. BOX 25 city: Eagle State: CO zip: 81631 APPLICANT: Tim Quells PHONE: (970) 524-7281 SYSTEM LOCATION: 3288 B Cooley Mesa Rd.. TAX PARCEL NUMBER: 2111-081-06-004 LICENSED INSTALLER: High Country Builders Of Gypsum, Bruce Bair LICENSENO: 30-96 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 125O GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 805 SQUARE FEET OF TRENCH BOTTOM. via 23 infiltrator units as requested SPECIAL REQUIREMENTS: by Tim Quells. Install in serial distribution in trenches with a cleanout between the tank and the house, and inspection ports in each trench. Rake trench side walls to prevent smearing of soils Fence Off the leach field so animals are not allowed to graze in the area. Call the County for a final inspection prior to back filling any part of the installation. Do not install in wet weather. ENVIRONMENTAL HEALTH APPROVAL: _ DATE: two 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 I$ APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. INSTALLED ABSORPTION OR DISPERSAL AREA: 805 SQUAREFEET.via 23 infiltrator units INSTALLED SEPTIC TANK: 1250 GALLON 165' DEGREES 30'9" FEETFROM C1eanout- 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: DATE: .Tune 28, 1996 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE 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) *'tPERMIT APPLICATION FEE $150.00 PER COLATION TEST FEE $200.00 * * * MAKE ALL.REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: -S PHONE: (2.96) 22- r-t' MAILING ADDRESS: APPLICANT/CONTACT PERSON* nx, CIL PHONE: (MCf ) MAILING ADDRESS: ® ,per ( -1 LICENSED ISDS C NTRACTOR: 7 C-PHONE: COMPANY/DBA: MP2,=,:, AD RESS: ************************************************************************** PERMIT APPLICATION IS FOR: ()p New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # 166S (if known) //1_ 06- 60� Legal Description: Subdivision: �ad-' Filing:Block:`- Lot No. Tax Parcel Number: � jLot Size: _ ir" Street Address: BUILDING TYPE: (Check applicable category) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type_ of Bedrooms _ of Bedrooms TYPE OF WATER SUPPLY: (Check applicable category) ( Well ( ) Spring ( ) Surface '�! Public Name of Supplier: *These systems require design by a Registered Professional Enginee0-1 SIGNATURE: Date: TO BE COMPLETED BY THE COUNTY AMOUNT PAID: ! RECEIPT CHECK #: #:: _`` %rI DATE: d CASHIER: ` I-JuJ rCKI"Il.I = 1�_ PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. 141 OWNER: LEGAL DESCRIPTION: lib F 3� �-ujo4UAS; on MAILING ADDRESS: 32g g Coo (eyeS�- ?�d49&c�(, TYPE OF DWELLING: S 4. •a S,F'1—/- NUMBER OF BEDROOMS �r*rr�r�r�rr�r�rr�r�r�r 1*3'ww haw 1v I sfi,,dy - ,s z i i 4-,- j TEST HOLES PRE-SOAKED: YES_ NO TIME L7T mein Tn. TTT1 A 1 Z 7 2 79 33 3 Z,9�6 3 1 112—/3 2 �Z 3 /� 1q 1 2 k°�� 3 RATE 1 o' 2 �T �; SOIL PROFI: o 1� 1" -!� �3Z 2� `�`r ��/b 3 (�.a j3�5 5 r�clay Sz 53 s� d(�d 1$ I�4��81 61S31S S/Sl 7/0 5-1,) 8 036q-,bde- 0 Z 03 0 113/1Co 5h 1 6 (0 g w 101 OK 0 a � 5/<' AP- 'l ON 5l �S (c-P Time to drop last inch yam . GIQyc,/: PERC RATE: c�(2 MINIMUM SEPTIC TANK SIZE: 12 -Z: s1�(ay MINIMUM LEACH FIELD SIZE: DS ? Vja, 3 1n�i��Yoiiti uht V-�y�.� u��` COMMENTS: officer DATE: b L' ISDS Permit # Date-' ✓ ISDS Final Inspection Completeness Form Tank is /�Sa gal. Tank Material C�Yi�(✓� // g Tank is located //o5 de rees t. and from (permanent landmark) Tank is located ft. and degrees from (permanent landmark) _ Tank set level. ✓ Tank lids within 8" of finished grade. i ✓ Size of field.6�ft2 r�2 units lineal ft. Technology _4.44/fi'�i� .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. _L/ Tank has two compartments with the larger compartment closest to the house. V Measure distance and relative direction to field. ✓ Depth of field �-q ft. Soil interface raked. Inspection portals at the end of each trench. _ V Proper distance to setbacks. L/ Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) Other O k% ✓ 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 SHEET NO. 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COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 ®© NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER I(( j j-5 /'59s &(..2-71 9T, Printed in U.S.A.