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HomeMy WebLinkAbout10000 Gypsum Creek Rd - 219323400008INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway . Eagle, Colorado 81631 Telephone: 328-8755 Building P�rATi� 11010 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 (� Please call for final inspection before covering any portion of installed system. OWNER: .Tames A. Fitzsimmons PHONE: (970) 524-9722 MAILINGADDRESS: 3316 Gypsum Creek Rd. City: Gypsum Stale: CO ZIP: 81637 APPLICANT: Same PHONE: SYSTEMLOCATION: 10000 Gypsum Creek Rd. , Gypsum TAX PARCEL NUMBER: 2193-234-00-008 LICENSED INSTALLER: James A. Fitzsimmons, Corky's Gas LICENSE NO: 13-97 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 28 infiltrator units as requested by SPECIAL REQUIREMENTS: OWrie-, Install in sprial diGtrihni-inn in tranrhac wit�S ol..—It b n h tank and the house and inspection ports in each trench. Rake trench surfaces if smearing Of soils is apparent. Fence off leach field to prevent livestock grating in h C 1T h County or ina inspection before back filling any part of the installation, or if you have any questions regarding installation of the system Do not install in wet weather. ENVIRONMENTAL HEALTH APPROVAL: 4 ^�Gr� DATE: May 2, 1997 CONDITIONS: 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: 868 SQUAREFEET. via 28 infiltrator units INSTALLED SEPTIC TANK: 1250 GALLON 51 DEGREES 12 FEETFROM the end of the house - 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: ENVIRONMENTAL HEALTH APPROVAL: DATE: I 0 1-3Ml 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: UAmr' A- I-IIZSimij)_ows PHONE:R (514) y'7a MAILING ADDRESS: 1..3/C CgI064m CK jQd (� /r✓,S Lf M, C L>) o APPLICANT/CONTACT PERSON: j 1aaes A M�?S 1I awv5 PHONE: (-5jLo q�a2 MAILING ADDRESS: LICENSED ISDS CONTRACTOR: �/ 0I LL A- ri 12,Si jZ,-nv J> Pi -,ONE: -7 �; � COMPANY/DBA: ADDRESS: `75-31!, 6:-X!t&g23 PERMIT APPLICATION IS FOR: (/i---New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit #�b �_(if known) Pam, IIZ � 11 Legal Description: Subdivision: 6&,Z,3 rnG Filing:_Block: Lot No. Tax Parcel Number: 6 L jLot Size • :3 d A Street Address: 0 • rn i e M (Werl- SUP), G K Iq U (new ************************************************************************* BUILDING; Tf PE: (Check applicable category) ( Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF ( ( WATER SUPPLY• Check applicable category) Well ( Spring ( ) Surface Public Name of Supplier: Number Number Type _ of Bedrooms_ of Bedrooms *These systems require design by a Registered Professional Engineer SIGNATURE: Cl - Date: 1700 ( 7 TO BE COMPLETED BY THE COUNTY _ AMOUNT PAID: `� . ' RECEIPT # : ! 3l d DATE: 3116 Iq CHECK #: y o j6— 1 CASHIER: J64L /k Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO October 3, 1997 James Fitzsimmons 3316 Gypsum Creek Rd. Gypsum, CO 81637 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit No. 1689-97, Tax Parcel #2193-234-00-008. Property location: 10000 Gypsum Creek Rd., Gypsum, CO. Dear Mr. Fitzsimmons: 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)328-87'�O '=ax: '970) 28- 185 -DD: (970) 328-87 9' EAGLE COUNTY, COLORADO DATE: May 2, 1997 TO: James A. Fitzsimmons FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1683-97, Tax Parcel #2193-234-00-008. Property Location: 10000 Gysum Creek Rd., Gypsum, CO., Fitzsimmons residence. Enclosed is your ISDS Permit No. 1683-97. It is valid for 120 days. 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 $42.50 must be paid before a reinspection is made. Your building permit CO will not be issued until final approval has been given for the ISDS Permit. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328- 8755. cc: files Enclosure: ISDS Final Inspection Completeness Form 1JU5 PERMIT PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION : Ca 3 ! sh �4MSC 4 NAP,} '1z� MAILING ADDRESS-Y C 1/4S � -` 3� I to Grc ✓-M ul TYPE OF DWELLING: NUMBER OF BEDROOMS3 TEST HOLES PRE-SOAKED: YES_ NO TTME wnmcn nsnmv 1 2 3 1 2 3 1 2 3 i[tflr� 1 2 3 SUlL FRUYIL 0' 15 IV4 ! � 1"2- Z Z I Arlie W" `i O 13 2, qd 13 3 3� �cc 30 2 3Z 1� s/ 'f� s/s 3,s �'� 3`� ��,.3 yo i3 4 3 1 � I q 3�8 1$ �1/6 3 �g , IS 1 1114 6.3 q 0 D 51 v 42 2 cr`1g '�LJ ��g 1114 20 40 6, 171 19 3'r �/y — 'iq 20 o yD g� S� 5b S 19 19 3�� Z o 3/8' {rg 3/ g 3 3 13, ,01 D2 Iq� Iq?/ �r'`�_ IU i Time to drop last inch-1 32 &a^ PERC RATE: 32- MINIMUM SEPTIC TANK; SIZE: I000 MINIMUM LEACH FIELD SIZE: gLiq ✓;o- COMMENTS : F.ey 6e, 0 ff I;ve s /v c 4 • Y (474-. rL*� lcw l Ism d sail 411ac A�G wk,,d ddw.4 w/(ter di-ij ,A/< PERC TEST DONE BY: Environmental Heal rev. 6/90ks .�2 ` 6�'$ _ -704 5 DATE: y l2 q 1 9 Officer azi 6,6 D�E �- 30 MP: ISDS Permit # /w 83- 91 Date tb[kv ISDS Final Inspection —T Completeness Form Tank is � 25� gal. Tank Material �A Gam? ✓ Tank is located /2 ft. and S% "degrees from (permanent landmark Tank is located ft. and degrees from (permanent landmark) ✓Tank set level. 71, Tank lids within 8" of finished grade. ps _" Size of field ��� ft' � 3 units lineal ft. Technologyfi ✓ Cleanout is installed in between tank and house(+ 1/100ft). _Z There is a "T"'that goes down 14 inches in the inlet and outlet of the tank. _Z 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 fieldi �_ ft. .✓ 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.) Type' of pipe used for building sewer line a% PVc each field �) P; Pe- Other 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 JOB --COrgT—Y EV!1 A P BO- SHEET NO. Of- .-9- 0 EAGLE, 631 b CALCULATED BY DATE b CHECKED BY DATE SCALE PROX72N.-1 -z ig;e Snee',S; 205-11 PadoeM �g Inc. Gralon Mass.: ':Or P-Clil- TOLL FREE 1-800-225-6380 'ZL H I i ,t I, i I I+,:, f-V fie V—n4l P-828 11 /09/90 13:21 PG 1 OF 1 JOHNNETTE PHILLIPS EAGLE COUNTY CLERIC, COLORADO WARRANTY DEED REC DOC jl) 5.00 7.50 1. THIS DEED, Made this 2nd day of : November ' 19 90 between IVAN C. HINES and HARRIET A. HINES of the *County of Jefferson and State of Colorado, grantor(s), and JAMES A. FITZSIMMONS and CAROL V. FITZSIMMONS whose legal address is 3316 Gypsum County Road Gypsum, CO 81637 RECORDER'S STAMP of the County of Eagle and State of Colorado, grantees: pp WITNESS, that the grantor(s), for and inconsideration of the sum of Seventy—five Thousand & 00/ 1 Di�LLARS, the receipt and sufficiency of which is hereby acknowledged, have granted, bargained, sold and conveyed, and by these presents do grant, bargain, sell, convey and confirm unto the grantees, their heirs and assigns forever, not in tenancy in common but in joint tenancy, all the real property together with improvements, if any, situate, lying and being in the County of Eagle and State of Colorado, described as follows: The WzNWksEk and the NWkSWkSEk of Section 23, Township 6 South, Range 85 West of the 6th P.M., COUNTY OF EAGLE, STATE OF COLORADO also known by street and number as 30 acres vacant land, Gypsum Creek Road TOGETHER with all and singular the hereditaments and appurtenances thereunto belonging, or in anywise appertaining, the reversion and reversions, remainder and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, claim and demand whatsoever of the grantor(s), either in law or equity, of, in and to the above bargained premises, with the heieditanients and appurtenances. TO HAVE AND TO HOLD the said premises above bargained and described, with the appurtenances, unto the grantees, their heirs and assigns forever. And the grantor(s), for theracives, their heirs and personal representatives do covenant, grant, bargain and agree to and with the grantees, their heirs and assigns, that at theime of the ensealing and delivery of these presents they are well seized of the premises above conveyed, have good, sure.l-erfect, absolute and indefeasible esta- of inheritance, in law, in fee simple, and ha ve good right, full power and lawful authority to grant, bargain, sell and convey the same in manner and form aforesaid, and that the same are free and clear from all former and other grants, bargains, sales, liens, taxes, assessmentq, a cumbr ces and rest fictions of whatever kind of ature soever, a ce t 1990 d su}},, a vent t x s e ments, rig Ls or way and reserva ipns, it any, and except ��ie maE�ei acce �eed 6X �] g pursuant to paragraph 8f(a) and any rights of parties not shown of public record in accordance with p ragraph 8(b) of Cont act to Bu and Se between rant( and ra�ntets anc� exce�t l�ui cin� and zonin re lations an any mall1 ers an ac�urat( and �►e a ove argaine premis in t e qute an peaceable possession otgl�ie grantees, their heirs add assigns, against all an every person or persons lawfully claiming or to claim the whole or any part thereof, the grantor(s) shall and will WARRANT AND FOREVER DIE ND. WITNESS W F th ntor( ha ve executed this deed on the date set forth above. an inesHarrieW nes STATE OF COLORADO Countyof Jefferson sS. The foregoing instrument was acknowledged before me in the County of Jefferson , State of Colorado, this 2nd day of November , 19 90 , by Ivan C. Hines and Harriet A. Hines My commission expires 12 / 7 / , 19 93 . Witness my hand Ad official seal. [SEAL] .t. Notary _ 7910 Ra on Roac Arvada C 80005 *survey would show. Add *�f in Denvet,.insert."City and." cl') lx1 - No. 921. Rev. 2-84. WARRANTY DEED (to Joint Tenants) Bradford Publishing, 5825 W. 6th Ave., Lakewood, CO 80214 — (303) 233-6900 3.84 1683-97 Tax# 2193-234-00-008 JOB NAME 10.5 mile marker FITZSIMMONS 10000 Gypsum Creek Rd Gypsum, CO JOB NO. i� 9 // 6 16 _InR I n(`ATInm BILL TO DATE STARTEDi DATE COMPLETED DATE BILLED A'� 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 ®q NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 lOE FOLDER )D13) -2 /5LY5-;�- /o 000 Gl yP6-uw /To5/,al-tf.tc rJ5 � �P� h Ova G�y�sum Cv�� -Fl Tz 5! IVt/u �1L�5 Printed in U.S.A. 161� i7 16i'S1(0 ?-`? l D 00 0 0-I y P- U M 041W�2d F)7 z5/or'cC'ti5