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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 .. ........... ....... . ...... ... .... ... . ........ .............. ......... ..... ... ... .. ....... ...... . ....... ............. ..................... . ......... .... ................. ... .................................................. ...... . . ...... . ...... ..... ..... . ............. ... .. ..... .... ........... ........... .. . ............. ............. .. .......... . - .............. . . ........... ..... ........ ........................ . ... . ........................... ........................................................................................... ..... . .... ... ......... .... . ... ........... ............. .......... ................................. ............ . .. . ...... ... ............ 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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--