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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 6 Ct N 00°01'27 E -Tt�ro (,, m a) <F \ hm v S 00°01'05 348.49' 5 .2 ' 97.00:1 j�v�J,o a\ a F- �• �'a a a z ss, ss� Q 100, m a 56.26' 46.3 4' P 293.93 .00 F 9� fn1i . F2 _. O � O O�� O O Q N O "O D O m 8- Do r 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 TTMF. WAMVIn ne"nmv 1 2 3 1 2 3 1 2 3 A.M.Cz 1 2 3 50IL PROFIL OR 10 iC 'A -A I.%� .1.5 ;5G j 7, ! 6 31 4' 16 s' 13 50 j0 5a� ,as- lb 16 as a' qbC0 a.`?5 jq 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 3 a v �f� a U 11446 it lupl% r sswe •1 r o au •V" •1s c4we 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. .40rlRAMO /soS