HomeMy WebLinkAbout902 Mayne St - 211108104004INDIVIDUAL 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. 1666
Please call for final inspection before covering any portion of installed system.
OWNER: David & Patsy Shaakel PHONE:_970) 524- 6 1
MAILING ADDRESS: _ P.O. BOX 317 City: Gypsum State: co ZIP: 81637
APPLICANT: Dan Lister, P.O. RQx 694,GynsuTn, CO 81 637 PHONE: (970) 24-7 $
SYSTEMLOCATION: 902 Mayne St , Cy sum, co TAX PARCEL NUMBER: 2111-081-04-044
LICENSED INSTALLER: Western Slope cnnstrurtnrs, Dan T i star LICENSENO: 40-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS: (mil, V47-pi L'I�Ix--�iE�lz
SQUARE FEET OF SEEPAGE BED 1�SQUARE FEET OFTRENCH BOTTOM. via 32 infiltrator units as�e ted by
SPECIAL REQUIREMENTS: -installer. Install in s rial distribution in trPnelieS, with.a rleannnt between
the tank and the house, and inspection ports in each trench. Rake trench surfaces to pre-
vent m rims_of soils- Do no dig trPnrba in t weather- Call the County for final ins—
pection prior to back filling any art of the installation, or if you have any questions
re ar i
into 199completed b)z November o
ENVIRONMENTAL HEALTH APPROVAL: DATE: _November 5, 1996
CONDRIONS:
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: 1152 SQUAREFEET. via 32 infiltrator units
INSTALLED SEPTIC TANK: 1250 GALLON 355 N DEGREES 9 1 10" FEET FROM the cleanout
SEPTIC TANK ACCESS TO WITHIN 8" 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: a Zt,Q JZ
,C a +fit c ,) j&A"U 1
//����4 h
ENVIRONMENTAL HEALTH APPROVAL: 0jAnIL(. ALTO DATE: April 28,1997
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 # t' " ) � 6 -- q"6,
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: PHONE:
MAILING ADDRESS:
APPLICANT/CONTACT
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR: �I b" heSi,-
COMPANY/DBA: SA o-s4. , SIQO,� CQ-A&' j„'. ADDRESS:
PHONE: _b7c)
E : -Et?o ) S5.;2Q-7sjS.
**************************************************************
PERMIT APPLICATION IS FOR: (� New Installation ( ) Alteratio*************n
Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
(-
Building Permit # ID6- (if known)
Legal Description: Subdivision:-L use f'4,SlCyy Filing: Block:
'Lot No.%
Tax Parcel Number: �_� `g Lot Size: ,,00
Street Address:
v v
BUILDING (PE: (Check applicable category)
(Residential/Single Family,
Number of Bedrooms
( ) Residential%Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) �60e11 ( ) Spring ( ) Surface
(� Public Name of Supplier:
*These systems require design by a Registered Professional Engineer
1- "� n
SIGNATURE: �. 11JL Date:
TO BE COMPLETE BY . 7HE COUNTY
AMOUNT PAID: RECEIPT # : r DATE: 1q�
CHECK #: $�, CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
12q
April 28, 1997
Davt and Patsy Shankel
P.O. Box 317
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1666-96, Tax Parcel #2111-081-04-044.
Property location:902 Mayne Street, Gypsum, CO.
Dear Mr. and Mrs. Shankel:
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,
JOJ/
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
May 22, 1997
David and Patsy Shankel
P.O. Box 317
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1666-96, Tax Parcel #2111-081-04-044.
Property location:902 Mayne Street, Gypsum, CO.
Dear Mr. and Mrs. Shankel:
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,
JA�
Janet Kohl 00
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: November 5, 1996
TO: Western Slope Constructors
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. 1666-96, Tax Parcel
#2111-081-04-044. Property Location: 902 Mayne St., Gypsum, CO, Shaskel
residence.
Enclosed is your ISDS Permit No. 1666-96. 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
IS71 S Aa&o
Flo
General Contractor • Quality, a Family Tradition
May 12, 1997
Eagle County Environmental Health
P.O. Box 179
Eagle, CO 81631
RE: Septic Final for Shankel Residence @ 902 Mayne Street in Gypsum
Dear Laura:
I am sending this letter, at your request, as written confirmation that the pipe runs were secured to
the end plates of the trenches at 902 Mayne Street in Gypsum. I understand this letter will allow
you to issue the "Final' on the septic for the Shankel residence.
If I can assist you further in this matter, please call.
Sincerely,
Daniel R. Lister
--I�t�wzj
DL:mlm
(303) 524-7585 P.O. Box 694. Gvosum. CO 91637 FAX 12021 924-9711
t6
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: DIVI'd
LEGAL DESCRIPTION: Lo-� 1, ISIk i F, I I nc4 I t . k r< -�u V-,f(f- 67 om
--,e- �G�
MAILING ADDRESS: P0. P -::;
cz" ps() M
TYPE OF DWELLING: Sk`� �pj, NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES x NO
TTME
2
3
2
3
2
3
2
3
Oil Sr I
L)
121,
<
3 1
4_5
0
6
J0
7-1
Ito
2�, Z-4
/6.0
5
no 0
%
/,yj
i--O'
157
Time to drop last inch
PERC RATE: MINIMUM SEPTIC TANK SI E:
MINIMUM LEACH FIELD SIZE:
: COMMENTS
a. a
A v r7'
'. u"),, 41
0 L L i _54
2-
PERC TEST DONE BY:
tnvironmental Health Officer
rev. 6/90ks
T
DATE: 15 1 —_
ISDS Permit # qjo
Date
Tank is 1Z SUga1. Tank Material
Tank is located / andLS degrees from ��
(parma`` enttlandmark)�
Tank is located � ft. and �� degrees from
(Permanent k)
~Tank set level. 'Tank lids within 8" of finished grade.
Size of field ft2units lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
✓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.
ensure distance and relative direction to field.
✓Depth of field 2t .
-' "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.)
Other -
Inspection meets resuirements.
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. -v (oyxj2A--L OF
CALCULATED BY-d(ZJ- DATE
CHECKED BY DATE
.. ........... ....... . ......
... .... ... . ........ .............. ......... ..... ...
... .. ....... ...... . ....... ............. .....................
. ......... .... ................. ... ..................................................
...... . . ...... . ...... ..... ..... . .............
... .. ..... .... ........... ........... .. . ............. .............
.. .......... . - .............. . . ........... ..... ........ ........................
. ... . ........................... ...........................................................................................
..... . .... ... ......... .... . ... ........... ............. ..........
................................. ............ . .. . ...... ... ............
Al
..... . ..... .......................... ...................... 7 .............
......... .......................................................... ............. ............
... .. .......... ........... . .... -- ........ ... ....
......................... ....................... ... . ......
. .............. .. .......... .... . ........................ ..........
............................ ............. . .............
.............. .............. ... .......... ............ ..............
... ........... ............. . ...........................................
............ ............................ . ............. ..............
. ................ ....
.................. ............. ........................................
... ... .......... . ....
..........
. ............. .............. ............. . ............. ...............
.. ........................... ...........................................
.. . .... . ......... ....................... .. . ......... .... .... .. ................................................
... ..................... - ................... ..................................................................
............................ ........
............. .............
a
.................. ................ .... . .................
.......... ........ .. ............. . ....... .....
.. .............................. ...... ...........
......... ............. .. .. ........... ................
.....
.acoeo, L-VAM , o i T: Orcer NKNE TOU FREE !-MM —i
J! n. Graton. mass i4, ---
4003 Af
I iA
man
t �
ti .♦
rr.- - .•.. , i
,
1666-96 Tax# 2111-081-09-044
JOB NAME Lot#1, Filing 1, sHAOKEL
Block 1, Horse Pasture
JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
l GX� t
DATE COMPLETED
DATE BILLED
- I
02 �h
I
V i 7
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.SA
sal
!v
l� 2
y.
�c
r+ ,I M�w - �-t
qua J71
A, n
2lll-08�- oq-o��
4 f,11 f--m--