HomeMy WebLinkAbout57 Spinnaker Ln - 247106201005INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755 6-P
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE.
Please call for final inspection before covering any portion of installed system.
PERMIT NO.
t D 6 `7
1619
OWNER: .Terry & Debra Govreau PHONE: (970) 927-4450
MAILINGADDRESS:0057 Spinnaker Lane, Basalt, city: Basalt State: CO Zip: 81621
APPLICANT: same PHONE:
SYSTEM LOCATION: Spinnaker Lane Basalt TAX PARCEL NUMBE R: 2471-062-01-00
,Fn1 i Y)9r `� on5 t Tu cat' cT ,..�
LICENSED INSTALLER: LICENSE NO:
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 infiltrators as requested by instal
SPECIAL REQUIREMENTS: TnStal 1 in serial distr;lblat:ien in trpnrhps wi th a rl e81AOLlt bet Weep. the tank and
the house, and inspection ports in each trench. Rake trench side walls to prevent smearing
of soils- Maintain all set harks Call the eminty for final inspection prior to back filli
any art of the inssttelilatIone or: fyyoubhave .anyyc!gone's CL:Onse gr .rd ngi,:cthe�,i �.t
verIfleation of WPll lneatinn npedPd nnnn final inspection
ENVIRONMENTAL HEALTH APPROVAL: DATE: August 7, 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 280 DEGREES 9'6n FEETFROM tbp rlpannnt betw,-Pn the tank and hone
i
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: Finis�grade not dPtPrminPd at Limp of ins}lection Ricer riDgs may be . --heeded
ENVIRONMENTAL HEALTH APPROVAL: DATE:SentembPr 4,1996
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
PERMIT
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. 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:
MAILING ADDRESS:
PHONE: R70
APPLICANT/CONTACT PERSON. _Sg mq PHONE:
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR:
DBA: ^ ��' PHONE:
COMPANY/ n�^
�� elfA. _rJ'S i- , ?�,DDRESS :
PERMIT APPLICATION IS FOR.: (x) New Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # )C) 71 (if known)
Legal Description: Subdivision:bj(filing:]_Block: Lot No. .5
Tax Parcel Number: a J_ O �_� �_� Lot Size: t (�
Street Address :
BUILDING TYPE: (Check applicable category)
()() Residential/Single Family Number of Bedrooms J�
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
(( Well ( ) Spring ( ) Surface
Public Name of Supplier:._S2t4,
*These systems require design y a Registered Professional Engineer
SIGNATURE:=Date: 1 -oi-ci
cp
TO'BE COMPLETED BY THE COUNTY
AMOUNT PAID: �.%— .RECEIPT #:�av` DATE:
CHECK #: CASHIER:
1JUJ rtKl"I1 I = r lD'V7~~�(n
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION ,.
' ,
MAILING ADDRESS:
TYPE OF DWELLING: e C; l IZE wrz /�
=� NUMBER OF BEDROOMS � M
r ����k�7t�Ic7kkyCYtyt�k�lt��k��k��1r���
TEST HOLES PRE-SOAKED: YES NO
TIME wi�m�D n�nmv
NMI
Im
via
I
all:
Time to drop last inch ) p- 2C)
C' PERC RATE: UMyy� a_ MINIMUM SEPTIC TANK SIZE:
960 MINIMUM LEACH FIELD SIZE:
COMMENTS: J�X'i al Ci4��1�u.�-U .�(.��en
PERC TEST DONE BY:
Environikdptal Health O
rev. 6/90ks
cer
DATE: `] / , l¢
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GG U reau 6P,4 16671
ISDS Permit #I�i
Date o%
ISDS Final Inspection
Completeness Form
Tank is �4-L gal. Tank Material
G �i eau
Tank is located < � ft. and .z� degrees from
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level
lids within 8" of finished
Size of field &Xa ft2 a3 units lineal ft.
Technology
l/ 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.
0
Measure distance and relative direction to field. 6um, 4
z
Depth of field J� / 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 �O�r�riJ�-i,T�
Inspection meets it en k
Copy form to installer's file if recommendations for n
improvement were suggested.
ACTION TAKEN:
Y�
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.
CALCULATED DATE bho
CHECKED BY DATE
-Qrl.Al P
:S:-, i S-eels, 215.1 Paorteo! ®-f Inc.. Groton, Mass. 01471 To Order PHONE TOLL FREE
1619-96 Tax# 2471-062-01-005
JOB NAME _ windward Ranch GOVREAU
Lot# 5, Filing 1
JOB NO. ��-
JOB LOCATION
BILL TO
DATE STARTED/
r /
DATE COMPLETED
DATE BILLED
,a.(,&
-7 �0 G
C�
JOB COST SUMMARY
1
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 ®p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.