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)
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* 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
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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 _/
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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
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0
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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
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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
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