HomeMy WebLinkAbout934 Mayne St - 211117102003INDIVIDUAL 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. 16 5 5
Please call for final inspection before covering any portion of installed system.
OWNER:- Chris and Mary Ann Porter PHONE: (970) 926-2015
MAILING ADDRESS: P. O. BOX 5640 O;ry: Avon State: CO 7Jp:81620
APPLICANT: Dan Lister PHONE: (970) 524-7585
SYSTEMLOCATION: Lot 21 Filing 2 Horse Pasture TAX PARCEL NUMBER: 2111-171-02-001
ypsum
LICENSEDINSTALLER:Western Slope Constructors -Dan Lister LICENSE NO: 40-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK (minimum size for 4 bedrooms)
ABSORPTION AREA REQUIREMENTS: �6't 19 f Z
XXXXX SQUARE FEET OF SEEPAGE BED 1406 SQUARE FEET OF TRENCH BOTTOM. (via 39 Infiltrator unit as requested by
V$PECIALREQUIRE ENTInstall lri serial distribution In a trenC C f' c ntractor)
ey tie ouse an t e tank, an - inspection porta s in eachtrench. Stay 5 feet away ro
dry gulches. Fence leachfield if livestock will be in the area. Call the County for final
.inspection before backfilling, and don't install during precipitation.
ENVIRONMENTAL HEALTH APPROVAL DATE:
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: 1404 SQUAREFEET. via 39 infiltrator units
INSTALLED SEPTIC TANK: 1250 GALLON 345 DEGREES 28 FEET FROM the r•1 Panmit
SEPTIC TANK ACCESS TO WITHIN 9" 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: May 7, 1997
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 27-3823 (El Jebel)
* PERMIT APPLICATION FEE $150.0 PERCOLATION TEST FE $200.00
*
*
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
******************************************************************* ******
PROPERTY OWNER:
MAILING ADDRESS:
APPLICANT/ CONTACT PERSON- Q\ PHONE: (470)
MAILING ADDRESS: ptc`� (OCK l c-� �-?c f (,z,-�
LICENSED ISDS CONTRACTOR: V_,cs n SA,PHONE:
COMPANY/ DBA : ADDRESS: CnR4 6-�PJ..A -� e c ,
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PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair
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LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # (if known)
Legal Description: Subdivision:. ,.� �m Filing:,aBlock: Lot No.4
Tax Parcel Number: A L J_ L-_L �2_ j Lot Size: f
Street Address:
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BUILDING,.,TYPE: (Check applicable category)
( Residential/Single Family Number of Bedrooms 4
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(Public Name of Supplier: (2�ps�,r,-,
*These systems
require design by a Registered Professional Engineer
SIGNATURE: Date:
TO BE COMPLETED B THE COUNTY
AMOUNT PAID: RECEIPT #: I Li ��� DATE: 101101C/ �J
CHECK #: c'�-- CASHIER:
Community Development Department
(9; 0) 328-8730
Fax: (970) 328-7 185
TDD: ;970) 328-8797
EAGLE COUNTY, COLORADO
May 7, 1997
Chris And Mary Ann Porter
P.O. Box 5640
Avon, CO 81620
RE: Final of ISDS Permit No. 1655-96, Tax Parcel #2111-171-02-001.
Property location: Mayne Street, Gypsum, CO.
Dear Mr. and Mrs. Porter:
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 (970) 328-8755.
Sincerely,
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL:Information Brochure
Final ISDS Permit
cc: files
10" rtKM1.1 /lam
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
Q
OWNER: P h tr i --� 4
LEGAL DESCRIPTION: -7j
MAILING ADDRESS: !_�`; r�
TYPE OF DWELLING:
O z� -t�i t1 t � �-trr �,' �� , NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES- NO
TIME wamrn r,z•nm"
1
2
3
I
2
3T
2
3
RATE
1
2
SOIL PROFIT
F
W&
3
54d
r
1113is
.g_/
L,6�4112
!1,� �
', t, 2 %
, 37`� / 3. 3
8
R,
55
4, to?
Time to drop last inch
PERC RATE: MINIMUM SEPTIC TANK SIZE: 0 j U
MINIMUM LEACH FIELD SIZE : l qo(" -Ay
COMMENTS : QE 7
V .J[ l CJ�/V10An1-1m�
PERC TEST DONE BY: t&
environmental He
rev. 6/90ks
DATE:
Officer
4j j
v
ISDS Permit # h �01 Date �I L
ISDS Final Inspection
Completeness Form
Tank is 2-50 gal . Tank Material
Tank is located Z$ ft. and 14 degrees from
(permanent landmark)
i/ Tank is located ?J ft. and 3� degrees from
(permanent landmark)
1�
JV"�' Tank set level. Tank lids within 811,of finished grade.
Size of field % ft2 all units lineal ft. '
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
.i 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.
(v w. Measure distance and relative direction to field.
Depth of field ft. CgJ�,Q (rig 2q,
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.) r
Other t�a51 Aik, A W-f-AyLLAa -eA j:C 0tj g ifi n 4-M ILO
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
Z-Ank 50 10 5 10 50 10 * 10
SHEET NO. LU
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DATE.
DATE
lb55-9b Tax #2111-171-02-001
JOB NAME _ 934 Mayne St., Gypsum PORTER JOB NO.
Lot 21, Filing 2, Horse Pasture
Gypsum, CO 81637
JOB LOCATION
BILL TO
DATE STARTED
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ro � �
DATE COMPLETED
DATE BILLED
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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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FINAL LOCATION OF DRIVE WAY TO 8E DETERMINED
ON SITE. THIS WILL INFLUENCE LOCA TION OF SEPTIC TANK"
THE SEPTIC SYSTEM DESIGN HAS BEEN STARTED BY
INTER MOUNTAIN ENGINEERING; YOUR DECISION RE L OCA TION
IS PENDING. (YOU HAVE PAID FOR DESIGN TIME TO -DATE )
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FOR MARYANN a CHRIS PORTER PO BOX 1275 LIMITED SITE PLAN SHEET 14 14
GYPSUM, COLORADO EDWARDS, CO $1632
LOT 21, HORSE PASTURE (970) 926.1142 o^Te 4/18J96 '
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