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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 , *************************************************************************** PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair *************************************************************************** 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: *************************************************************************** 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 1 CALCULATED BY_ CHECKEDBY SCALE 2'A.; ^eaea- -nc Groton, Mass 014-71 T., Cr�erPMCPjEMLI F;.;E 1.600-22-: F 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 �o ro � � DATE COMPLETED DATE BILLED E _ l�lrg 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. y T _ c 1 � s 1s-q �l Pam, 14)7-�)M-7 Z l I I - 1-1 1-02-001 �3+ % e SA 2.11f-i 11-z—o� l q 3* yAa :S,+ Z [ 2 ea44u/C-L 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 ) l Arw• f•�. • •Iry n�Mrv/ Mf air•► A Mr 6 StH• •I co rur► •` k"6y •�i� M�f M• w►r� IMw A/�w •Mr •sw • me or twrlr my hef Mr+M+ w/ M• h**Wg l <a./ •r•wvwwwto ov wurrrh A. of 1wt of my , w�.� .t alMtc I i P.A. F SINGLE FAMILY RESIDENCE BACHRACH VIP LTD TITLE SCALE Im= ao' 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 ' r, urttton (M>/ .• JrtA f o • TOPOGRAPHICAL MAP N _ PART Gir LOT 21, ~g141" 'y°Ei'i i •r HORS£ PASTURE, nuNG NO. ?, '�rintnlaeu�' o.oA ropw CF GYPSUM, SAW As ia• •oar wa £AC,L£ COK/NTY, camAD0 / Cr 1 w,