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HomeMy WebLinkAbout258 Cedar Rd - 211106405020INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone:328-8755 G� YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1620 l Please call for final inspection before covering any portion of installed system. OWNER:Ken & CherVl_B1UrtOn PHONE: (97()) 128-5265 MAILINGADDRESS: P.O. BOX 113 city: Eagle state: CO Zip: 81631 APPLICANT: same PHONE: SYSTEMLOCATION: 258 Cedar Drive, Gypsum, CO TAX PARCEL NUMBER: 2.111-064-05-020 LICENSED INSTALLER: Vanderwalker Construction, Bob Vanderwalker LICENSENo: 20-96 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUAREFEETOFSEEPAGEBED 844 SQUARE FEET OF TRENCH BOTTOM. via 24 infiltrator units as requested by SPECIAL REQUIREMENTS: installer. Install in serial distribution in trenches, with a cleanout between the tank and the house, and inspection ports in each trench. Be sure to maintain all set- backs Rake trench surfaces to prevent smear1ng of soils Call the County for final ins -Dec prior to back filling any part of the installation, or if you have any questions regarding the installation. ENVIRONMENTAL HEALTHAPPROVAL: DATE: September 5, 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: 864 SQUAREFEET. via 24 infiltrator units, sized at 18' per unit. INSTALLED SEPTIC TANK: 1000 GALLON 260 DEGREES 7 FEETFROM the house SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY Y_ 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: November 96,199 7 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) t 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: APPLICANT/CONTACT MAILING ADDRESS: 4 Ci1eVC1 1 Fj ttr PHONE: 003).3a PHONE: _( ) ��o x- 3k; (0 5 !`Y'f- O -too/ LICENSED ' ISDS CONTRACTOR: LrQr+� -cxk �C�ev- C P ONE: q COMPANY / DBA : lJoid t,IrC. eak", SL- ADDRESS: / Q G ( P U PERMIT APPLICATION IS FOR: (y) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # --//Oei5ff known) Legal Description: Subdivision: &AICC �, Filing:LBlock: Lot No. 1 Tax Parcel Number: D b Lot Size:J'3/q a Street Address: �Jr ( Pri, r I,&d ._ems BUILDING TYPE: (Check applicable category) (Y esidential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ of Bedrooms 3 _ of Bedrooms TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface �y VT Public Name of Supplier: ` � 0uj. l *These systems require design byr a Registered Professional Engineer SIGNATURE: / / 7 �y Date: ` - t�k�r�lck�e9r.F**kic*Y4c*Y�c' icF4c�e*�c4cE*ic9cic*9c*4c*�r**�ct*t4c*t*ie�c�cic4ckkk4c*is***k*ic'tkF4c*ir•kic�c*F OW - TO BE COMPLETED BY TH a,�OUNTY 9 / AMOUNT PAID: � S ©-f' RECEIPT # : �35 DATE: `7 ✓ (,� CHECK #: % CASHIER: Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: September 6, 1996 TO: Vanderwalker Construction FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1620-96, Tax Parcel #2111-064-05-020. Property Location: 258 Cedar Drive,Gypsum, CO., Blurton residence. Enclosed is your ISDS Permit No. 1620-96. 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 cD 0 3 0 m3 °7•(��mm i (3D N 3 0 N CD O D' d 0 (D 3 o N 0 3 m N 3 OR y O O N N N O 3 r o I o d-. O O. C _ 7 0 3 I N C (D N 7- (D -D0 C O C cn CD 7 y O cr O C C) 1 - O 0 0 n L " CD tv O - COR N I 5R n O. 7 CD -• O CD (c o o f (D =r N CD0- I c o m m o C V < o S. i n. Cl C f�0 =") C) N 'O X CD CD O CO N O C7' 3 O O y (D rn 3 �_' X 7 �• _d CD 7 G � G o ? ?. N 0 N CD S N G N 0- N O CD A 3 N i O CD CD fD - C CD i �. CD o x o 0 �m Er 3 (D CD N C N -. C0 CDEr C y 0 CD CC N C n' y. N O 3 N 0 O N CD 0 NM�CD3 0 CDcr o 0 C C1 N G N CCDD l< O o 0 Co. ; N_ O O O N :3 (D CL =r CD V' 0 m m o O Q O V' %< Er CL C N C (D C CD t0 t1 C N N CL CD 0:3c (D N N CS O N = CD O -. 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C y ::.... _ d cn CT " CJC » N N CT N CT N CA N CA G) » O Ul O (D 0 N " 3 - N C:) =r C 0 Iy N CT _ Cr ri CT » CT » _ O » c p• CD N M cm M O O _ O _ O _ O ((DD 7�- � n z D rm rm mm v I D op mm m D 0Zm z m00 Co 3 3 z (� m C z 3 V N w 0 O D m N z D 0 vcnz -om—� D r G) zmcn ' I Cl) z ''O 0 D =0m �C/)cn �rz r cn mm C X m cn 1JUJ PERMIT /_ (20-4j1 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. 10, OWNER: ­F LEGAL DESCRIPTION: K MAILING ADDRESS: PO TYPE OF DWELLING: NUMBER OF BEDROOMS 3 TEST HOLES PRE-SOAKED: YES_ NO TIME wnmrn nVnMil 1 2 3 3 1 2 3 kLgTE 1 2 SOIL PROFII p' 00 U. — �O a IL,a g 4 51 ri T ZO ►b a 14� I 1 ;_ 3-14 _ 10 ,7 5 , G2S i 5 g,c� ao 6, ! E , 3 �z� I2r'' s , Z5 �3,31z5' ,q�04 11,4 13.33 .a ID.0 .b ,2-) ,2�r , Time to drop last inch PERC RATE: 12)0.O MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: COMMENTS: LZ 1 4 f6'A J a .r t I `' t Al , Y_�Q it f IT—1 ,­1 n Pr;RC TEST DONE bY: Environment rev. 6/90ks C& N 4- DATE : $/17 1q,11,1 ealth Officer J 40 Sob ' �. Z IN C7 m z 6v\ ISDS Permit # I1t20�9�{ Date I&djg7 ISDS Final Inspection Cg=leteness Form Tank is .000 gal. Tank Material 6JJ)tZAj--;& Tank is located r7 ft. and L2L degrees from U Q !j (Parmanant landmark) Tank is located ft. and degrees from (Permanent landmark) Tank set level. ✓ Tank lids within 8" of finished grade. ✓ Size of field ft2 24 units lineal ft. Technology in ili�ra-f-nr 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. Ncedl tic Ctre of lnleA'�"r" 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 1 - 3 ft. - y Soil interface raked. Inspection portals at the end of each trench. Nca�t lx✓A--" I. . �1�0�.•� Proper distance to setbacks. z3' -+-o d.✓y &h �.' Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) 5h ev-> er ptocks Smlcd Other Inspection meets reolirements. Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: NOTE W A Y"cd ---o' bd4-Loceti 4vevlches -s c4euaall -3' 4-0 (:-WLj �'c;lures �►ccdc� b,r�,�i'na9 J 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 * 10 844 C�75J -Z- -4 to ql+ .-PA--z- c-) -3 4 4 C;A lcal-k 40 OLO a- It- 00 +tutcam- 9 1620-96 Tax# 2111-064-05-020 JOB NAME . Lot#5,Filing 5 BLURTON 258 Cedar Drive JOB NO. Z 1-3 dnR 1 AC`ATIAN BILL TO i DATE STARTED DATE COMPLETED DATE BILLED q- � Ip�2� ill JOB COST SUMMARY ` E / v �� TOTAL SELLING PRICE TOTAL MATERIAL IC T 14M 6UL.PJN T C� Z1. TOTAL LABOR ' INSURANCE. SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 sas p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. pA- a 5� a �c .fit �Catluj O17dY, A as Cec' tip. CA 5; 5 fie, d%wz�t '5�1-7 lgco� 2� ► I- OCt�-- vs-�aa �zSh� 4AJW'