HomeMy WebLinkAbout323 Strohm Cir - 211106406001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway - Eagle, Colorado 81631
Telephone:328-8755 ORIGINAL PERMIT # 1219-93
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 15 9 5
Please call for final inspection before covering any portion of installed system. * REPAIR TO FAILING SYSTEM'
OWNER:'Rqnrial 1 & Marsha Rnhy,7arlPr PHONE: (970) 524-7832
MAILINGADDRESS: P.O. BOX 36 city: Gypsum stale: CO gyp; 81637
APPLICANT: same PHONE:
SYSTEMLOCATION: 323 Strohm Circle, Gypsum, CO TAX PARCEL NUMBER: 2111-064-06-001
LICENSED INSTALLER: Elliot Plumbing & Heating, Mike Elliott LICENSENO: 7-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: / k: .rY13.7 6t 70 Ge-a w G s-& ��i 19 e-c.-;
/ is Ate_d fe ar-� J,.- sa��c ./�/. "T.h,'s u„11
1250 GALLON SEPTIC TANK/eXlstirig system)re-.,iA/ il,- 't �.{v 1 e '..-f�I {_�a VIl L 46 10��,1,-47(- r.�
ABSORPTION AREA REQUIREMENTS:` �t �" d �'A' IA.-ek- `� " ._.��U �f% y`,-7t/A ke-�"
i/as-4.stct 'n' . 16 l�ds `l/v� ��G ,_4,1e _
SQUARE FEET OF SEEPAGE BED JEE25L SQUARE FEET OF TRENCH BOTTOM-v1 infiltrator units as reques 6)
SPECIAL REQUIREMENTS: Iris
as possible.
Tn.g I inspection action = ortal l i,n eaCbtrgn.0 11 tho('minty for a
final inspection prior to back filling any part of the system, or if -you have anygnPGt;nnS,
ENVIRONMENTAL HEALTH APPROVAL: DATE: I /
CONDITIONS:
/. 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: 1 12 9 SQUAREFEET.Via 36 infiltrators total area including existing
INSTALLED SEPTIC TANK: GALLON DEGREES FEET FROM field.
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: ��1 �! �GGP e� �i�lY DATE:_ 17 IT/ IP
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)
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* *
* MAKE'ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: aka I l
MAILING ADDRESS: Rr,-x
APPLICANT/CONTACT PER N. KC?i1c 0,jl !� A
MAILING ADDRESS: 1 � '{ f
al f 1
LICENSED ISDS CONTRACTO
COMPANY/DBA: Qt %ADD SS: Q,t
PHONE: 1270 ) 5,39 7* P
PHONE:
Ea p, -
- '7 3,
******************************************************************** ****
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration (Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # (if known)
Legal Description: Subdivision:Filing: ;Block: Lot No.��
Tax Parcel Number: ( - 0 Lj - CGC L Lot Size:
Street Address: m C -� , ij �?3- Wt V7
r
*********�k***4c4e�t*****�e***fie********�ti•*�c**************sic***4c*********�t4c********
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 ( ) Sur ce
(Public Name of Supplier: s>.i.SLM
*These s
gn
SIGNATURE:
************ * ***** *******
H� Reg' tered Professional Engine•e.
Date:
****************************** *** **********
TO BE COMPLETED BY THE COUNTY
AMOUNT PAID: RECEIPT #:
CHECK #:
DATE: _
CASHIER:
Community Development Department
(970)328-8730
Fax:(970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
June 7, 1996
Randall & Marsha Rohweder
P.O. Box 36
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1595-96 Parcel #2111-064-06-001.
Property location: 323 Strohm C&e, Gypsum, CO.
Dear Mr. & Mrs. Rohweder:
Eagle County Building
P.O. Box ! 7 9
500 Broadway
Eagle, Colorado 8 163 1 -0 179
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
May 10, 1995
Randall and Marsha Rohweder
P.O. Box 36
Gypsum, CO 81637
Dear Mr. and Mrs. Rohweder,
Eagle County Building
P.O. I3ox 179
500 Broadway
Eagle, Colorado 8 1631-0179
At the end of March we were notified of a possible failing individual sewage disposal system located at 323
Strohm Circle. At this time we visited the site and documented the following conditions:
1. Odor in the north east comer of the absorption area
2. Wet soils over the entire absorption area
3. Possible solids with in the inspection portals of the absorption area
4. An impression in the ground filled with wet soils and residual waste at the south end of
the absorption area.
It was our understanding that Scott Green was going to fix the system once he became a licensed installer
through our office. Mr. Green has not become licensed as of today. I have enclosed a list of all licensed
installers with in Eagle County and an application to repair your system for your convince. Please note that if
your absorption area is not displaying any of the above mentioned characteristics today it is still a failing
system that will need to be fixed. Be aware that any alterations or repair work performed on an individual
sewage disposal system without a permit is considered a Class I Petty Offense.
Contact Eagle County Environmental Health for any additional information. Your immediate attention to this
matter is appreciated.
Sincerely,
Melis rujillo
Environmental Health Specialist
enc
cc: file
ISDS Permit # 15 y3—
1
Date 011
I DS Final Inspection
Completeness Form
Tank is gal. Tank Material C�(e
✓ Tank is located eft. and Z35" degrees from
(permanent landmark)
landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. 01Z Tank lids within 8" of finished grade.
�,AA ha, -,(-
Size of field 1/2S ft2 units lineal ft.
Technology 'tY1A/fry->Y 5
✓' 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. � P
Inlet and outlet is sealed with tar tape, rubber gasket etc.
`6
xl
r r
Z�5
l..__—U
—
7
s,
Tank has two compartments with the larger compartment closest to the
house.
y Measure distance and relative direction to field.
—/ Depth of field ft.'"
Soil interface raked.
L✓ Inspection portals at the end of each trench.
V Proper distance to setbacks.
Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN: d r eL4.
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
INDIVIDUAL 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. PERMIT NO. 1 2 I 7
Please call for final inspection before covering any portion of installed system.
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
ISDS Permit
Building Permit # r�
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOX 179
EAGLE, CO 81631
328-8755/927-3823(Basalt)
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
**************************************************************************
PROPERTY OWNER:
MAILING ADDRESS:
APPLICANT/CONTACT PERSON:
LICENSED SYSTEMS CONTRACTOR:
C�C{y- cd Jd
Lni
Say-75I1 wens-Ic.
ADDRESS irC�C�S��<d PHONE:
PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PRQPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
e a� go(�200
t size: ld ay a _
Physical Address: 3
BUILDING TTYE: (Check applicable category)
( Residential / Single Family Number of Bedrooms Ll
( ) Residential / Multi -Family* Number of Bedrooms
( ) Commercial / Industrial* Type
TYPE OF WATER SUPPLY: Well( ) Spring ( ) Surface-( )
Public ( Name of Supplier: jign A:f (''Upro n
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
SIGNATURE:` D� 2� � DATE: �3 /
*********************************************************** *** ***********
AMOUNT PAID: 31SC), r)C� RECEIPT# ` GI `7 DATE:
CHECK # CASHIER:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-z730
EAGLE COUNTY, COLORADO
November 4, 1993
Randy & Marsha Rohweder
P.O. Box 36
Gypsum, CO 81637
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO S 1631
FAX (303) 328-7207
RE: Final of ISDS Permit No.1219-93 Parcel #2111-064-06-001
Property located at: 323 Strohm Circle, Gypsum.
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 dwelling 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,
4L t (t 6L
Tania M. Busch -Weak
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: ISDS # 019 - -
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES L' NO
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PERC RATE: (1,Q9_ CC) MINIMUM SEPTIC TANK SIZE: `'CD5C
MINIMUM LEACH FIELD SIZE:
COMMENTS: 0 i fuLL lC t�'l �9�C11 , u bQ bA 1� n1 �(
SOIL PROFILE
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PERC TEST DONE BY: Cw p '
DATE •
Environmental He lth Officer
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1219-93 Tax Parcel #2111-064-06-001, 1595-96 Tax#2111-064-06-001
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323 Strohm Circle, RohWeder
323 Strohm Circle
.Gypsum, CO Bertroch Subdiv.
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