HomeMy WebLinkAbout926 Mayne St - 211108402005INDIVIDUAL 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. 1608
Please call for final inspection before covering any portion of installed system.
OWNER: Gaj 1 Orrick PHONE: (970) 476-671 1
MAILINGADDRESS: P.O. Box 1 225 City: Vai 1 State: CO ZJP: 81658
APPLICANT: same PHONE:
SYSTEMLOCATION: 926 Mane Strpet, Cynsrtm TAX PARCEL NUMBER: 2111-084-0 -00
LICENSED INSTALLER: Dig It Excavating & Construction R. Stephens.IDENSENO: 48-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK i---
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 844 SQUARE FEET OF TRENCH BOTTOM, via 24 infiltrator units as/egyesltied by
in a er.
SPECIAL REQUIREMENTS: Install in serial distribution in trenrlies, with a rlPannnt bptwPan the tank
and the house, and inspection ports in each trench. Rake trench side walls if smearing of
soil is evident Do Not 'install in wet weather, ll the Cnlmi-y for final ins pI rfjon nr,nr
to back filling any part of the installation, or if you have any questions regarding specif-
ic technologies.
ENVIRONMENTAL HEALTH APPROVAL: DATE: .limp 14, 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: 844 SQUAREFEET. via 24 infiltrator units
INSTALLED SEPTIC TANK: 1000 GALLON 235 DEGREES 14 FEETFROM the south west rnrnpr of the honGp
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:
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
SENT BY:
;# 1/ 3
4-19-96 ; 15:38 ;CommunityDevelopmenti
(Site Plan MUST be attached)
ISDS Permit # _4 V (�
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. .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: ► G. P121 d PHONE:
MAILING ADDRESS: _._�.._ ?� .j s��L Cf'O c�'l�i S� }
APPLICANT /CONTACT PERSON: i� � ���/CI� PHONE:
MAILING ADDRESS.
LICENSED ISDS CONTRACTOR: r -/
COMPANY/ DBA •
ADDRESS
PERMIT APPLICATION IS FOR: ( New Installation Alteration Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit , (if known)
Legal Description: Subdivision: SOU s .Filing: P-Z1ock• Lot Na. /%
Tax Parcel Number: L-� Lot Size • _
Street Address*
BUILDING TYPE: (Check applicable category)
{ Residential/Single Family LNUmber
er of Bedrooms ( ) Residential%Multi-Family* of Bedrooms
{ ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
{ ) Well. ( ) Spring ( ) Surface
()(j Public Name of Supplier:(
*These systems re ire design by a egistered Processional Engineer
SIGNATURE: S
TO BE COMPLETED BY THE COUNTY
AMOUNT PAID : . 36- _ (1U RECE1
CHECK
PbSt-li' FOX N0 0 7Ei71
Date 411r,
p AAa R
To
Co./Dept.
Co.
Mono If
Phone #
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
September 11, 1996
Gail Orrick
P.O. Box 1225
Vail, CO 81658
RE: Final of ISDS Permit No. 1608-96 Parcel #2111-084-02-005.
Property location: 926 Mayne Street, Gypsum, CO.
Dear Ms. Orrick:
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,
JW-4� J�
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: June 14, 1996
TO: Dig It Excavating & Construction
FROM: Environmental Health Division
Eagle County Buildiniz
P.O. fox i -')
500 Broad".: av
Eagle. Colorado
RE: Issuance of Individual Sewage Disposal System Permit No. 1608-96, Tax Parcel
#2111-084-02-005. Property Location: 926 Mayne Street, Gypsum, CO, Orrick
residence.
Enclosed is your ISDS Permit No. 1608-96. 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 lju�) rCKI"Il 1 �. Q
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
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OWNER: Err; ck rr-eL�
LEGAL DESCRIPTION: Lo ct ( -7kf,Sf.
MAILING ADDRESS: �, Qpk / ZZ S VaJ f C�t2
TYPE OF DWELLING: K,eS�c��vv� c..Q S,� oS'w lir
NUMBER OF BEDROOMS 3
TEST HOLES PRE-SOAKED. YES NO
TIME woman r,z•r,.,i
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PERAR TE: %• (07 MINIMUM SEPTIC TANK SIZE: 100
MINIMUM LEACH FIELD SIZE: �'��S 67S �yqs . (p
COMMENTS: /,Tll/�y►471—
PERC TEST DONE BY:
Environmenta
rev. 6/90ks
'lth Officer
DATE: t
ISDS Permit #&6 1cx7 Date r �UI IP
IS Final Inspection
Completeness Form
Tank is gal. Tank Material
Tank is located ft. and oLIdegrees from5/ 0 h)l .
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. _Tank lids within 8" of finished grade.
Size of field f z aq units lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
There is a 'IT" 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.
_ X 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:
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
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1608-96 Tax# 2111-084-02-005
JOB NAME _'4Lot#11,Filing#2 ORRICK
Horse Pasture Subdivision
(,vn cnm _ rn
JOB NO. 7Z
` �..
JOB LOCATION
BILL TO
DATE STA/R^TED
ll!
DATE COMPLETED
DATE BILLED
I L
C / C.
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. 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
Printed in U.S.A.
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