HomeMy WebLinkAbout183 Hwy 131 - 194115200006INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755 MI- 10426 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1663
Please call for final inspection before covering any portion of installed system.
OWNER: Dale Johnson PHONE: (970) 328-6446
MAILING ADDRESS: P.O. ROX 63 City: Wolcott State: CO zip: 81655
APPLICANT:_ same PHONE:
SYSTEM LOCATION: Hwy 131, Wolcott TAX PARCEL NUMBER: 1941-152-00-006
LICENSED INSTALLER: Dale .Johnson LICENSE NO: 72-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 844 SQUARE FEET OF TRENCH BOTTOM. via 24 infitrator units as requested by
SPECIAL REQUIREMENTS: own r. Install in serial distrih>>t;nn in trenrhAc no deeper than I fear Tn stall a cleanout between the tank and the house and inspection orts in each trench. Rake
trench surfaces to nreven sm a ;nu of .n;1G_ Maintain 12' setr- from the rnnd rUt_, Call
the County for fine inspection prio backfilling any part of the installation, or with
any questions. Mus
ENVIRONMENTAL HEALTH APPROVAL: ,r -
DATE:-NnVemhPr 14e 1996
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY' ALL REQUIREMENTS OF TbI • 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: 844 SQUAREFEET. via 24 infiltrator units
INSTALLED SEPTIC TANK: 1000 GALLON 202 DEGREES 59 FEETFROM the cleanout near the end of the house
SEPTIC TANK ACCESS TO WITHIN a" 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: Februaryd, 199R
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
328-8755/927-3823 (El Jebel)
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
*
*
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: ��/P� ✓ O /� it Ss..t PHONE: &Ae) ZZt-6
MAILING ADDRESS.. O /d ,-
APPLICANT/CONTACT PERSON, �/� PHONE: ear)1.Z?--Z
MAILING ADDRESS: /
LICENSED ISDS CONTRACTOR: PHONE: _( ) �"67Vs'(V
COMPANY / DBA : ADDRESS: d V-- (a -;,)
***************************************************************************
PERMIT APPLICATION IS FOR: flo"I New Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVII`D-UAL SEWAGE DISPOSAL SYSTEM:
BuildirXc-j Permit # �l Q7d� (if known)
Legal Description: Subdivision:
Tax Parcel Number: �- t-�
Street Address: lj�� VU h'C r,A--,f.1
_Filing:_Block: Lot
'"NNo/'.
Lot Size: • // 640<-
***************************************************************************
BUILDING TYPE: (Check applicable category)
(� Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrizrl*
Number
Number
Type _
TYPE OF WATER SUPPLY: (Check applicable category)
Well ( ) Spring ril Surface
( ) Public Name of Supplier:;,ol.K /�Ot,�, �✓�<�
of Bedrooms
of Bedrooms
e-
*These systems ^equire *sjgn by a Registered Professional Engineer
SIGNATURE: Date : ! f A 1?1
TO BE COMPLETED BY THE COUNTY
AMOUNT PAID: 3 r%i. RECEIPT
CHECK #:
# : ( `f DATE: (-J1q(p
CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
February 6, 1998
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
Dale Johnson
P.O. Box 63
Wolcott, CO 81655
RE: Final of ISDS Permit #1663-96, Tax Parcel #1941-152-00-006. Property location: 500
Hwy 131, Wolcott, CO.
Dear Mr. Johnson:
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:Informational Brochure
Final ISDS Permit
cc: files
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: November 14, 1996
TO: Dale Johnson
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. 1663-96, Tax Parcel
#1941-152-00-006. Property Location: Hwy 131, Wolcott, CO. Johnson
residence.
Enclosed is your ISDS Permit No. 1663-96. 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
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15DS PERMIT Tf (;
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTIC
MAILING ADDRESS:
TYPE OF DWELLING: r, NUMBER OF BEDROOMS
TEST HOLES PRE—SOAKED: YES NO
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Time to drop last inch
PERC RATE: -20 /'2f'j MINIMUM SEPTIC TANK SIZE: /'000 ry
MINIMUM LEACH FIELD SIZE:- 8 41k Cz
COMMENTS: 51. " j: 0 ',el
PERC TEST- DGNE--..BV
-z�, s_:-'-_ DATE: / i l / ' 1 7(.i
vironmepytal/Health] Off icer I f
rev. 6/
ISDS Permit # !ur(; 3 %� Date //%Z 9L
�i/7ns�"3? ISDS Final Inspection /,K
Completeness Form
_ l Tank is i010 gal. Tank Material
" Tank is located !a' ft . and ZLZ degrees from f' i Lief l �Yira �G �,
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. Tank lids within 8" of finished
�- Size of field ft2 units lineal ft.
Technology /r� Ty'irhr5
7i Cleanout is }n between rank and house(+ 1/ 00ft).
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.
Measure distance and relative direction to field.
Depth of field � ft.
_/ Soil interface raked.
Inspection portals at the end of each trench.
u` Proper distance to setbacks. _+ S,
YGY9"� � �' <'�-� : 7�" �? � i''✓u 12'I G�Yy G/`%t,%L�il
Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.) 5'a�5kty '44A,(41y i7,,vr
Other
Inspection meets requirements.
Copy form to installers 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
Sauk 50 10 5 10 50 10 10
lb-& -0 1
it 1�1
t 1 3
fil
SHEET NO. OF
CALCULATEDBY DATE
CHECKED BY DATE
2'5-1 i.e. Groton. Mass 01471 Tc C,C!r PHONE TOLL FREE 1.800-225-M
JOB NAME
1663-96 Taxi% 1941-152-00-UUb
Hwy 131 JOHNSON
Wolcott, CO
JOB NO. Mil HOP
JOB LOCATION
BILL TO
DATE STARED
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 ®e NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.SA.
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