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Home My WebLink About270 Cedar St - 211106405014INDIVIDUAL 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. 1657 Please call for final inspection before covering any portion of installed system. OWNER: Crystal fti Frank Grtti errPz, and Ronni P & Rill MnndhPnka PHONE:I:97n) 924-7038 MAILING ADDRESS: P . 0 _ Rox 1 1 2 6 City: Gvp cum State: Cn vp: A 1617 APPLICANT: Crystal Gutierrez PHONE: (970) 524-7038b/949-509 7� SYSTEMLOCATION: 270 Cedar T)r- Gyp.-,i,m, CO TAX PARCEL NUMBER: 2111-053-13-019 LICENSED INSTALLER: Bob' Home Repair, Robert Ford LICENSENO: 60-96 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 125 0 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 750 SQUARE FEET OF TRENCH BOTTOM. via 21 infiltrators as requested by owner SPECIAL REQUIREMENTS: Install in serial distribution in trenches with a cleano„t between h nk and the house, and inspection ports in each trench. Rake trench surfaces to prevent smear- ina of soils. Call the County for final inspection prior to back filling any part of the installation. Installation needs to be completed by 12-1-96, or ask for an extension into 1997. ENVIRONMENTAL HEALTH APPROVA : 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 2& 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: (1O 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: 756 SQUAREFEET. via 21 infiltrator units INSTALLED SEPTIC TANK: 1 290_ GALLON 120 DEGREES 19' 6" fzFG3HTF$r cl eanout next to the brntcP SEPTIC TANK ACCESS TO WITHIN B" 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. ENVIR MENTAL HEALTH APPROVAL: DATE:November 6, 1996 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # SENT BY: 0c0n ab => PPLINTERNATIONAL, IN ; qp 9-19.-96 15:06 ;CommunityDevelnpment-, 9709495809;# 2/ (Site Plan MUST be attachea-� SDS Pe rmi APPLICATION FOR INDIVIDUAL 8 EWAGE ENVIRONMENTAL HEALTH OFFICE R -DI $08AL EAGLE COUNTY PERmYT P- O- BOX 179 EAGLE, CO 81631 $-6755/927-3823 ** *** *w**(E Jebel) * PERMIT APPLICATION FEE $150-00 PERCOLATION TEST FEE * MAKE'ALL R $200.00 REMITTANCE PAYABLE TO: "EAGLE- -ynnl COUNTY TRE.s.SURER" PROPERTX OWNER: MAILING ADDRESS; U � Z S PHONE: �2 �3 APPLICANT/CONTACT PERSON; MAILING ADDRESS: PHON : 5z LICENSED ISDS CONT CTOR: O COMPANY/DBA: r PRO E: DRESS; 3 d PERMIT IS New Installation Alteration �P******�******QR**�*�****�*stallation *****************e***** LOCATION OF PROPQSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # 3 (if known) Legal Description: subdivision; lEfkC Filing:-6 Black Tax Parcel Number: j _ (� Lc�tQ. 2 -- — - - Ci Lot Size: a l Street Address: BUILDING TYPE: *** (Check applicable category fv Residential./Single Family f ) Residential/Multi-Family* Number Of Bedrooms _ f) Commercial/Industrial,* Number of SedroomS Type iY`rE OF WATER SUPPLY: (Check applicable category) ( ? Well ( ) Spring f Public Name of Supplier. Sits ace *These syste re u're esign by a Registered Professional Engineer SIGNATURE:Date TO BE COMPLET HY 'z'H OUNTY ( AMOUNT PAID: RECEIPT # : r L, DATE: t 1 CHECK #: CASHIER: Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO November 6, 1996 Crystal & Frank Gutierrez; Bonnie & Bill Mundhenke P.O. Box 1126 Gypsum, CO 81637 RE: Final of ISDS Permit No. 1657-96, Tax Parcel #2111-053-13-019. Property location: 270 Cedar Dr., Gypsum, CO. Dear Mr. & Mrs. Gutierrez, and Mr. & Mrs. Mundhenke: 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, 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: October 28, 1996 TO: Bob's Home Repair Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Permit No. 1657-96, Tax Parcel #2111-053-13-019. Property Location: 270 Cedar Drive, Gypsum CO., Gutierrez, Mundhenke residence. Enclosed is your ISDS Permit No. 1657-96. It is valid for 120 days. Please be advised permits issued prior to November 15th must be installed by November 27th. 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�u� rtKMll „l�Ofl"/''��P PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH'DEPT. OWNER: (:�LtTrlLE2 E7 M(ldb4,e LEGAL DESCRIPTION: C7% eMae- � #zC4 Fili MAILING ADDRESS: �� X (�a(� �? J I ��jo TYPE OF DWELLING: �' NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES_ NO TIME wAmrn nvnmLT EMIN� M_.Iw1onion es��i' . El MIAMI =MIMI om EM MICE11110 maim Time to drop last inch`��'" _ 1M 1V1 AC. 5 PERC RATE: J �� MINIMUM SEPTIC TANK SIZE: fa O QI10 MINIMUM LEACH FIELD SIZE: `2 A VV' '` ( ._ � P, Owl rl f COMMENTS :j��OVAC_ PERC TEST DONE BY: :iAI MAJ^— . C,tl C Izl 1 w to ff " P DATE: �,;Environment4l Health Officer rev. 6/90ks 1, 2 tooth y ab ISDS Permit Date 1,I4lg6-1 TSnS Final Inspection Completeness Form \/ Tank is 25� gal. Tank Material /Tank is located 101 /V . and ` Z0 0 degrees from I ��=it f� " 1-k to (permanent ) Tank is located ft. and degrees from (permanent landmark) Tank set level. Tank lids within 8" of finished grade. Size of field '15?o fta� units lineal ft. Technology ue� leanout 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. Mea ure distance and relative direction to field. Depth of field ft. Soil interface raked — �� Inspection portals at the end of each trend . TProper distance to setbacks. Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) / Other V 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 1657-96 Taxis 2111-053-13-019 JOB NAME . Lot#24, Filing 5 GUTIERREZ/ Bertroch Subdivision MUNDHE 270 Cedar Dr., Gypsum JOB NO. _L _67 OB LOCATION u . BILL TO DATE START D DATE COMPLETED DATE BILLED I0 ,4�9L� l u' �rd' - '�-' G�-C�t�ce 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 ®O NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.