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Home My WebLink About924 Mayne St - 211108402004INDIVIDUAL 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. 1719-97 BP NO. TOG OWNER: JIM COPPLE PHONE: (970)524-0208 MAILING ADDRESS: P.O. BOX 83405, LINCOLN, NE 68501 APPLICANT: DAN LISTER PHONE: (970) 524-7585 SYSTEM LOCATION: 924 MAYNE ST., GYPSUM TAX PARCEL NO. 2111-084-02-004 LICENSED INSTALLER: BOOK AND SONS EXCAVATING, RON BOOK LICENSE NO. 18-97 PHONE: 524-9649 INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTICTANK, 844 SQUARE FEET OF TRENCH ABSORPTION AREA VIA 27 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. DO NOT INSTALL IN WET WEATHER AND RAKE TRENCH SIDE WALLS IF SMEARING OF. SOILS OCCURS CALL ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION OR WITH ANY QUESTIONS. ENVIRONMENTAL HEALTH APPROVAL: IV ii7Jt DATE: _ 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 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 SQUARE FEET (VIA f INSTALLED c on c r P t a TANK: I n n n GALLONS IS LOCATED 6 n DEGREES AND I I FEET FROM the clean out near the house. COMMENTS: ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED INAL AfERQUAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL��-�=—DATE:November 24, 1997 S (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: PHONE • MAILING ADDRESS: o ll APPLICANT/ CONTACT PEON ; '--jD:M ( PHONE: MAILING ADDRESS: ►(� - 5�-- ('4.,o.p_T (7 LICENSED ISDS CONTRACTOR: e1�y� i - PHONE: R4 ) COMPANY/DBA: OfiLj AD RESS: Goq *************************************************************************** PERMIT APPLICATION IS FOR: (f,,ly`�New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: \ems„ ?o3mire Fi1ing:,;L- B1ock: Lot No. �(a Tax Parcel Number: Street Address: Lot Size: *************************************************************************** BUILDING YPE: (Check applicable category) (residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface (L)/Public Name of Supplier: Number of Bedrooms Number of Bedrooms Type *These systems.require,,design by a Registered Professional Engineer SIGNATURE: A3h i. Date: *********************************************************************** TO BE COMPLETE BY THE COUNTY , AMOUNT PAID: 350,Db RECEIPT # Mxj 0-3,�- DATE: CHECK #: 'A i(,kf CASHIER: /�slJ Community Deveiopment Department (970) 328-8730 Fax: (970) 328-7185 TDD: 1970) :? - EAGLE COUNTY, COLORADO November 24, 1997 Jim Copple P.O. Box 83405 Lincoln, NE 68501 Eagle County Building P.O. Box 179 500 Broadway Eagle. Colorado 81631-0179 RE: Final of ISDS Permit No. #1719-97, Tax Parcel #2111-084-02-004. Property location: 924 Mayne Street, Gypsum, CO. Dear Mr. Copple: 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: October 27, 1997 TO: Book and Sons Excavating FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Reissuance of Individual Sewage Disposal System Permit No. 1719-97, Tax Parcel #2111-084-02-004. Property Location: 924 Mayne Street, Gypsum, CO., Copple residence. Enclosed is your ISDS Permit No. 1719-97. 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. Due to weather constraints, all permits issued before November 14, 1997 must be completed by, December 1, 1997 for 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 Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970.) 328-8797 EAGLE COUNTY, COLORADO DATE: August 18, 1997 TO: Western. Slope Constructors 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. 1719-97, Tax Parcel #2111-084-02-004. Property Location: 924 Mayne Street, Gypsum, CO., Copple residence. Enclosed is your ISDS Permit No. 1719-97. 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 �o j5 e NIW 0;02, z a � 1gZ �wMQ s I� y ►�'-� a u 'fl u 7 V I r lJ C-' U ln� cep pip 1 i� a'tn Oa � N 1 9 iJUJ rtKl"!1 I = / /t l PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: qaq aG, n f L f- s-f MAILING ADDRESS: p, ��u ��y�s- �,.�� /Vd �,y I TYPE OF DWELLING:5,� NUMBER OF BEDROOMS_? TEST HOLES PRE-SOAKED: YES_ NO TIME rrnmcn ns•flmv 1 2 3 1 - -- 2 -- - 3 iav�nzO F-i yr 2 K.M"" 3 Aft-.uz 1 2 3 SOIL PROFI 0' 3� 3 -71% 40 `11 4 2- L/L g, 13 3 0s 2 ba, 3I ,2-v Akd� 3/yi�3 3/20 s, Db D 1' �� j 3�� P� �I 15 �� I i,y 3/ �pLL 6' 05 G 6�/ I I t� � S I U 7' " 1 z ;2o Time to drop last inch 5 - 2-o PERC RATE: ;.0 MINIMUM SEPTIC TANK SIZE: /LL MINIMUM LEACH FIELD SIZE: 17nl COMMENTS: PEuRC( TEST DONE BY: Environmental Heal rev. 6/90ks Officer DATE: Z 3 crykat,h-,2-0 e2, h,64 -- ISDS Permit # 1 Date�9 ISDS Final Inspection Completeness Form ✓Tank is gal. Tank Material L/ Tank is located ��ft. and degrees from G �/zau�✓ (permanent landmark) Tank is located ft. and degrees from (permanent landmark) ✓ Tank set level. //Tank lids within 8" of finished grade. JZ Size of field �jt2 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. Inlet and outlet is sealed with tar tape, rubber gasket etc. Tank has two compartments with the larger compartment closest to the y / house. 'V Measure distance and relative direction to field. Depth of fiefd:ft Soil interface +raked. f ✓ Inspection portals at the end of each trench. ✓ roper distance to setbacks. V Chambers properly installed as per manufacturers specifications. P P Y P P (Chambers latched,_end plates properly installed, rocks removed from trenches, etc.) 1✓ Type of pipe used for building sewer line leach field--SPK e- 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 3 bklvl /Vm:13.< 5 )( & -K qq Q, AIA x 1119-97 Tax #2111-084-02-004 Lot #16, Filing 2 COPPLE JOB NAME . Horse Pasture Subdivision JOB NO. JOB LOCATION BILL TO DATE STARTED. DATE COMPLETED DATE BILLED i (iyLc`�7 La'ezt' jedwm-6'4:G4ZLX 7 � — b -7 — fi JOB COST SUMMARY 116-1/1 -7 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 277 ®p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 pw-- JOB FOLDER Printed in U.S.A.