HomeMy WebLinkAbout324 Strohm Cir - 211106407001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1703-97 BP NO. TOG
OWNER: RUSSELL PRICE PHONE: (970) 328-1234
MAILING ADDRESS: P.O. BOX 687, EAGLE, CO 81631
APPLICANT: MAKEE ANDERSON, ANDERSON BUIDERS PHONE: (970) 876-5205
SYSTEM LOCATION: 324 STROHM CIRCLE. GYPSUM, CO TAX PARCEL NO. 2111-064-07-001
LICENSED INSTALLER: HIGH COUNTRY BUILDERS OF GYPSUM, TIM OUALLS LICENSE NO. 47-97
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK, 1125 SQUARE FEET OF ABSORPTION AREA VIA 36 INFILTRATOR UNITS AS REQUESTED BY INSTALLER
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE
AND INSPECTION PORTS IN EACH TRENCH. DOUBLE SLEEVE THE EFFLUENT LINETEN FEET ON BOTH SIDES OF THE DRY GULCH AND
PROVIDE CLEANOUTS ON BOTH SIDES. CALL THE COUNTY PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION OR WITH ANY
QUESTIONS REGARDING INSTALLATION. BE SURE TO MAINTAIN ALL SET BACKS
ENVIRONMENTAL HEALTH APPROVAL:_--. DATE: JULY 2. 1997
CONDITIONS:
L ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EA E 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 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: 1 1 2 5 SQUARE FEET (VIA _'16 i n f i 1 t r a t ri r 1.1.n i t: )
INSTALLED concrete TANK: 12 5 0 GALLONS IS LOCATED 19 n DEGREES AND 11i ► g FEET FROM
the walkout basement of the house.
COMMENTS:
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE: October 16, 1997
i
(Site Plan MUST be attached)
ISDS Permit # ` 7e , � ` -
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:
MAILING ADDRESS:
PHONE:•-1�
APPLICANT/CONTACT PERSON; PHONE: J V)S
MAILING ADDRESS: ( jC-7 1-3 j C, ; Z 11 4-,,L, -q/ S'
LICENSED ISDS CONTRACTOR: fR� >G'.r /� ` PHONE: ( )
COMPANY/DBA: ADDRESS:
***************************************************************************
PERMIT APPLICATION IS FOR: (X) New.Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # 6 (if known)
Legal Description: Subdivision:64/U[A-U-C-h- Filing:6 Block: Lot No. 6
Tax Parcel Number: i j U (- 0 Lot Size: /.X
02-
Street Address:
BUILDING TYPE: . (Check applicable category)
( Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number
Number
Type _
of Bedrooms
of Bedrooms
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
( ) Public Name of Supplier: �i�?S'�,, fi,
*These systems require design by a Registered Professional Engineer
SIGNATURE:----.x __ Date:
************************************************************ *** *********
TO BE COMPLETED BY THE COUNTY `/
AMOUNT PAID: '�U.(TO RECEIPT #: 106.7-/ f42 DATE: -7
CHECK #: jao i-0 CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
October 16, 1997
Russell Price
P.O. Box 687
Eagle, CO 81631
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit No. 1703-97, Tax Parcel #2111-064-07-001. Property location:
324 Stohm Circle, Gypsum, CO.
Dear Mr. Price:
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 VVV
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: July 2, 1997
TO: High Country Builders of Gypsum
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. 1703-97, Tax Parcel
#2111-064-07-001. Property Location: 324Strohm Circle, Gypsum, CO.,Price
residence.
Enclosed is your ISDS Permit No. 1703-97. 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
HIGH COUNTRY BUILDERS, INC.
BOX 293
GYPSUM, COLORADO 81637
TIM QUALLS - 524-7281
BRUCE BAIR - 524-9421
To: v zE CIO-' ,`1 ,
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT,. M
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LEGAL DESCRIPTION:�j�'�
MAILING ADDRESS: P.0 , 3Dg [050, 11
TYPE OF DWELLING: `(� NUMBER OF BEDROOMS
*****************-***wwww w * w w w w *********************
TEST HOLES PRE-SOAKED: YES b yyN,14/18 NO
TIME WATER nrpTTH Tmr•urc nr rAT T nAM"
1
2
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Time to drop last inch -7 mi'm a
PERC RATE: () MINIMUM SEPTIC TANK SIZE: J , OCJO
MINIMUM LEACH FIELD SIZE:— O44 4 ,a VIC- 2.1
COMMENTS:
1� - W.A.
rff A
'VENWE6 .
PERC TEST DONE BY:
DATE:
Environment 1 Health.Officer
rev. 6/90ks
z 421 Lit
ISDS Permit # 234—q-) Date `7 �
ISDS Final Inspection
Completeness Form
Tank is gal. Tank Material
/ I l) p 1
f/ Tank is located ��
ft. and degrees from Y
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark) -
Tank set level. Tank.lids within 8" of finished grade.
Size of field ftz- units 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.
�o/ d
Inlet and outlet is sealed with t r tape= -
Tank er gasket etc. DLIyP�o�y,�clC�l%oP
/ V
V has two compartments with at e larger mmtentMA1ko*seL(t to the
house.
P/ Measure distance and relative direction to field.
Depth of field �� ft.
Soil interface raked.
L Inspection portals at the end of each trench.
j,.-' Proper distance to setbacks.
Chambers properly in a t re spec ica ions.
(Chambers latched, end plates properly installe r ks removed from
trenches, etc.)
Type of pipe used for building sewer line l leach field d'
`2
Other
&L02 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
EAGLE -COUNTY ENV.. HEALTH
P.O. BOX 179 SHEET NO. OF
EAGLE, CO 81631 CALCULATED BY DATE
CHECKED BY DATE
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PRCDVC'2N'-' :;n e5pevs; 2n5-1 I NOW; =ACZW = Jr, Gro!cn Mass. a.7' ': 3rzx: P-ME TOLL FREE 1.800-225-6380
1703-97 Tax9f zlll-un4-vc—vvl
JOB NAME Lot #14, Filing 6 PRICE
Bertroch Subdivision
a24 Strohm Circle, Gypsum
,oa No.'_7L c�
JOB LOCATION `" "1111'
DATE STARTED
DATE COMPLETED
DATE BILLED
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