HomeMy WebLinkAbout215 Beacon Rd - 211105314001INDIVIDUAL 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. 1596
Please call for final inspection before covering any portion of installed system.
OWNER: Terry Davis PHONE:_ (970) 524-6462
MAILING ADDRESS: P.O. BOX 1926 City: Ea;ale stale: CO zip: 81631
APPLICANT: same PHONE:
SYSTEMLOCATION: 215 Beacon Rd. , Gypsum TAX PARCEL NUMBER: 2111-053-14-001
LICENSED INSTALLER: Terry Davis LICENSENO: 44-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATOICCJJEREBY GRANTED FOR THE FOLLOWING:
� GALLON SEPTIC TANK
Irk SeGvv�c (�. , iV1AGin�Afut S�E-lExc.n� d f� o(tL��t GLt�:I /,� etvt�ch
ABSORPTION AREA REQUIREMENTS: U
SQUARE FEET OF SEEPAGEBED%cT61 SQUARE FEET OF TRENCH BOTTOM. via Infiltrator units as requested
SPECIAL REQUIREMENTS: Install in area near excavating equipment In i all n i al d; i b > ti On i n
trenches, with a cleanout between the tank and the house, and inspection ports in each trenc
Rake trench side walls to prevent smearing ofsoils,Do no in all in wet weather all
the County for final inspection prior to back filling any part of the installation, or if
you have any questions.reqn-rdinc, The installatiQn.
ENVIRONMENTAL HEALTH APPROVAL: <
DATE: .Tun G� �Gl /a'( P 1. 1996
CONDITIONS:
ti. 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.
Z. 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: 750 SQUAREFEET. via 24 Infiltrator units
INSTALLED SEPTIC TANK: 1250 GALLON 70 DEGREES 37.5 FEET FROM 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: l (I7
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 4
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" 2-1
PROPERTY OWNER:
MAILING ADDRESS:
PHONE: JIM`�y�o2
APPLICANT/CONTACT PERSON;PHONE: _( )
MAILING ADDRESS:
LICENSED ISDS CONTRA
COMPANY/DBA:
ADDRESS:
***************************************************************************
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # (if known)
Legal Description: Subdivisionl�dYCC4 Filing: aBlock: Lot No.
Tax Parcel Number: Lot Size:
Street Address: c%i�� Ecc" C-,;)/u
***************************************************************************
BUILDING TYPE: (Check applicable category)
(/Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number
Number
Type _
of Bedrooms .a
of Bedrooms
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(()---"Public Name of Supplier:
*These systems require desi n by a Registered Professional Engineer
SIGNATURE: Date: %%�i31 f,J 1976
*********************************************************** *************
TO BE COMPLETED . Y THE COUNTY
AMOUNT PAID: RECEIPT #: DATE: �� !
CHECK #: aQ CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
October 17, 1996
Terry Davis
P.O. Box 1926
Eagle, CO 81631
RE: Final of ISDS Permit No. 1596-96, Tax Parcel #2111-053-14-001.
Property location: 215 Beacon Rd., Gypsum, CO.
Dear Mr. Davis:
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
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,
Missie Trujill
Environmental Health Department
Eagle County Community Development
ENCL:Information Brochure
Final ISDS Permit
cc: files
Town of Gypsum
Community Development Department
970) 3283730
Fax: (970) 328-71 S
TDD: 970) 328-S7p7
EAGLE COUNTY, COLORADO
DATE: June 3, 1996
TO: Davis Enterprises
Cagle County Building
P.O. B 0 X ' 9
00 )roadway
Cagle. Colorado R 163 1 -0 179
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System Permit No. 1596-96 Tax Parcel
#2111-053-14-001. Property Location: 215 Beacon Rd., Gypsum, CO, Davis
residence.
Enclosed is your ISDS Permit No. 1596-96. 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.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special conditions
which may have been placed on the permit. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made. Your building permit CO will not be
issued until final approval has been given for the ISDS Permit.
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
l�u.3 rCKI'il I ' vO 7 b
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: %6`G.y Dav;
LEGAL DESCRIPTION: Z 1S c- 'eAcc ,,,,
MAILING ADDRESS: p fox l `3210 aWe_ , co
TYPE OF DWELLING: f�s`, �{ A' .,
S��ce�c NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES (� NO
TIME W�msn n�nmv
1
2
3
F1
2
3
ttA*1•t;
SOIL PROFI
2
3
1
2
p'
12
�Q
p
bZ
I S�g
13l
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is 3/e
LN
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I `-t'/ �l(�/
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3/
3/
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3' � I
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5
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4'
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5'
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z
2
1
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BIZ
la
iv
9
10 (
( 0 ho
0
3
32
1AI
7,0
C
Time to drop last inch f Q f� yb' / if
PERC RATE: f 0 MINIMUM SEPTIC TANK SIZE : /OO6 S` ` SGkzq
MINIMUM LEACH FIELD SIZE: 5�03 N jA'jj4k4Df-
COMMENTS: RIXA`
PERC14/pS � jp �,,,
S�DON kj:' s
r
E vironmental Health O
rev. 6/90ks
WWI Il
fs aj-- -wq
(✓{ CAI (Ty -
DATE: S
.cer
l-ju3 rtKra.l = l J ', (,
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL..HEALTH DEPT.
OWNER:
i
LEGAL DESCRIPTION:
MAILING ADDRESS: �O. f3ok J 9`2(0
TYPE OF DWELLING: i2CS;o{c.,.�� NUMBER OF BEDROOMS 3
�r>r>rx.�r�r�r�ric�rF r�rrr*rr�r�r�rr�t�rrrir�r�rrrr
TEST HOLES PRE-SOAKED: YES_ NO
TIME. wamcn nvnm"
1
2
3
I
---- ---
2
-
3
iav�,nr�.� �r
rr►i,t�
xi'.'1'E
SOIL PROFI:
1 2
3
1
2
0' L
Y�
T21�.
4
37
4 Z
3�
` 3
�'7/8�
Z`�% �'
14
JP 4 J 1 8
(Ou IG51��� l�l
8�
o ,�
Time to drop last inch
PERC RATE: MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE:
COMMENTS:
PERC TEST DONE BY:
TE:
Environme7h al Health cer
rev. 6/9
ryo
ISDS Permit # 1�-W ?6 Date
ISDS Final Inspection
Completeness Form
✓ Tank is gal. Tank Material
✓ Tank is located 37�s it. and ?a° degrees from Gai ,Uf Aeck! G�'n
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. 'Tank lids within 8" of finished grade.
V1 Size of field ft2 ��� units lineal ft.
Technology tOWA -V''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.
Tank has two compartments with the larger compartment closest to the
house.
Measure distance and relative direction to field.
Depth of field ft.
✓ Soil interface raked.
Inspection portals at the end of each trench.
✓ Proper distance to setbacks.
Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
Other 'S� ij'►f� ��1 A �`' %v1 ,7Nd ► y /�(C� i 5 �'aG%eO1 1 rv� �� SH ✓m�1' `/
Inspection meets recMirements.
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
'Meld 100 25 20 10 50 25 10 10
Tank 50 10 5 10 50 10 * 10
5 J"l tr s i0h Tivin
L
I'/sl AEG
m
/tia �
/� o
C7
f%ft
IE
C)
(i/�k:
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1.J70-70 lax 1t L111—UD-5-14—UU1
Lot# 11, Filing 2 DAVIS
JOB NAME . Bertroch Subdivision
215 Beacon Rd.
JOB 'NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED T
DATE BILLED
i 5
D
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5 o �45 I rt _ tJ- Pam- r i t F (L E Vj t T�-4 `r t- A-76
—7/910 I�c�
JOB COST SUMMARY
TOTAL SELLING PRICE
1 U
TOTAL MATERIAL
- la-
TOTAL LABOR
I
LrL tu"in will �kowe.- « wA Gi' ,- �d y� �VIS 111� L�ji l�
INSURANCE
• y 1� � -i' �� U��tcl�� � kE�� ��'�— ` •�� YVL,I-i,4�� %-� i
SALES TAX
o (lv. � t 4 In v>, � t � 6r �
misc. COSTS
Cm��
TOTAL JOB COST
A� ue�1k
GROSS PROFIT
`�
LESS OVERHEAD COSTS
% OF SELLING PRICE
t
Llmlt lj
NET PROFIT
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