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HomeMy WebLinkAbout1405 Hwy 6 - 211501400001INDIVIDUAL 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. 1722-97 BP NO. MI-10614 OWNER: LEGRANDE BAIR PHONE: (970) 524-5114 MAILING ADDRESS: 906 MAYNE ST, GYPSUM, CO 81637 APPLICANT: BRUCE BAIR, 904 MAYNE ST, GYPSUM, CO 18637 PHONE: (970) 524-9421 SYSTEM LOCATION: T 37,T5S, R 87W,SEC 1, HWY 6, GYPSUM, CO TAX PARCEL NO. 2115-014-00-001 LICENSED INSTALLER: HIGH COUNTRY BUILDERS, TIM QUALLS LICENSE NO. 47-97 PHONE:(970) 524-7281 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK 900 SQUARE FEET OF TRENCH AREA VIA 29 EQUALIZER 36 OR 29 STANDARD INFILTRATOR UNITS AS REQUESTED BY THE OWNER. SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEAN OUT BETWEEN THE TANK AND THE HOUSE, AND INSPECTION PORTALS IN EACH TRENCH. DO NOT INSTALL IN WET WEATHER, AND RAKE TRENCH SIDEWALLS IF SMEARING OF SOILS OCCURS. DO NOT BACKFILL WITH ROCKS GREATER THAN 8 INCHES IN DIAMETER. CALL ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACKFILLING ANY PART �O�F THE INSTALLATION. CALL WITH ANY QUESTIONS. p ENVIRONMENTAL HEALTH APPROVAL: /,LG(z aa� �jw DATE: o l a � � q-7 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: R 9 9 SQUARE FEET (VIA 2 9 H-1 0 i n f -i l t- rn f o r 11 n i t- ) INSTALLED concrete TANK: 12 5 0 GALLONS IS LOCATED 190 DEGREES AND 16 FEET FROM the cleanout. COMMENTS: ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. �/1J� �f ENVIRONMENTAL HEALTH APPROVAI;u.�A/1/�r�U DATE: September 2. 1997 r .(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: MAILING ADDRESS: APPLICANT/CONTAC'. MAILING ADDRESS: LICENSED ISDS CONTRACTOR: 1 %►� �a l� PHONE: 1f7U )Say- 7z6'/ COMPANY / DBA : ", , ,,; IN ADDRESS : A, 7? � �scs w� f1637 *************************************************************************** PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDU�A(L SEWAGE DISPOSAL SYSTEM: Building Permit # M1 - -I (if known) all I + s 5,, Legal Description: Subdivision: Filing: —Block: Lot No. Tax Parcel Number: 2 _�L_ ��, ��'-® ca j_Lot Size:%36 4cRf Street Address: $ -,b BUILDING TYPE: (Check applicable category) ( Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: ( ) Well ( ) ( ) Public Name Number Number Type _ (Check applicable category) Spring ( ) Surface of Supplier: of Bedrooms_ of Bedrooms *These systems require design by a Registered Professional Engineer ale SIGNATURE: �-,�� Date: ,7 *************************************************************************** TO BE COMPLETED BY THE COUNTY 0 /0/�� AMOUNT PAID: 3J`-0-0 RECEIPT #: � � DATE: �- CHECK Na CASHIER: Community Development Department . (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: August 22, 1997 TO: High Country Builders 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. 1722-97, Tax Parcel #2115-014-00-001. Property Location: T 37, T5S, R 87W, Sec 1 Hwy 6, Gypsum, CO., Bair residence. Enclosed is your ISDS Permit No. 1722-97. 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 Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO September 2, 1997 LeGrande Bair 906 Mayne Street Gypsum, CO 81637 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit No. 1722-97, Tax Parcel #2115-014-00-001. Property location: Tract 37, T5S, R87W, Sec 1, Highway 6, Dotsero, CO. Dear Mr. Bair: 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 1JU3 11thmi I = I / PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: (ract 3-7, TG-S k S'? 1k) * S-fC MAILING ADDRESS: TYPE OF DWELLING: NUMBER . OF BEDROO] Inq6 t4S rwwwwwwwty­wwww �y TEST HOLES PRE-SOAKED: YES ?<1 NO TTMF 501L PROF--, 2 3 2 3 1 2 3 1 2 3 of j 0 D 7") 28 -7/10 ,443,.� S 3' v 7 4' uo 20 X", Yi 51 161 30 74 LIS _/ /0 8, lj� 21 6 6 5 '157 Time to drop las inch--51� PERC RATE: MINIMUM SEPTIC TANK SIZE: /ol150 MINIMUM LEACH FIELD SIZE: q00 0 — u n 0 A C, /,L� 0-6 COMMENTS: DO ILIA I Rldat/a- GAO 0 kZ u q06 X 03 77- "(6 q00 - ----------- -29,03 VV PERC TEST DONE BY: DATE: �/,)2/q-� Environmental Health Officer rev. 6/90ks I ' J 0 �q SEAT/G T.ANX /2j"� �jG. fl' 11 .2DFt. ISDS Permit # Date /%-% ISDS Final Inspection Completeness Form LX Tank is agal. Tank Material Tank is located �`CJ ft. and q0 degrees from c'La tfr ,)r . (permanent landmark) Tan is oca d rees f (pe ent dma Tank set level. Tank lids within 8" of finished grade. Size of field �� ft, a units lineal ft. Technology ITUo 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 ias two compartments with the larger compartment closest house. Measure distance and relative direction to field. Depth of field ft. Soil interface raked. Inspection portals at the end of each trench. to the 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 buildi g se line leach field 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 l L 1, 73 LL 4c=c EAGLE -COUNTY ENV. HEALTH SHEET NO. 40 e± 6�, P.O. BOX 179 EAGLE, CO 81631 CALCULATED BY DATE CHECKED BY DATE o ;-ea:s; 2r,5.1 :Pacm; �: !r.. Gr3,.cn k'ass FREE 1-8*225-6380 r 0 . ON, O 'jp A m o o co m o co Ul cn A O ca —I O CD cn COFFEE POT SPRING CAM' v 0 O o00 �( ? W o' ID"PO 0 o` O ZMO (n DID ID ��_ �` + �� 7 No 14 i �I� �� �_ , Q =` ( O aq . o 00Ul al co ko IQ O � , i \ 1IA O NNrjO") \�� A 1 �`� — �i i'%i� i` ��� i - - r� I W I V 1 j � 6, CD _ (V f,Ul o / 11 �r\ � � � � � � • ff Fo I Id o o to A; /` ���, A �J \, `'�:::::' I • �s ,.�' . . 1722-97 Tax # 2115-014-00-001 JOB NAME Tract 37,T5S,R87W, SEC1, BAIR Hwy ^, 6 , Gypsum rr,, {.� oil -{'I'G 1) 4rir, Z' PL\ . Ui 6 i- Ll t>tJe r U JOB NO. t ' JOB LOCATION BILL TO DATE START D g� DATE COMPLETED DATE BILLED V,;iall 7 q-7 1 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 277 ®a NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER �r�f7a2-a 1 Printed in U.S.A.