HomeMy WebLinkAbout925 Mayne St - 211108402011INDIVIDUAL 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. 1755-98 BP NO. TOG
OWNER: RHODA SCHNEIDERMAN PHONE: 970-949-5633
MAILING ADDRESS: P.O. BOX 1281. AVON, CO 81620
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 925 MAYNE STREET, GYPSUM, CO TAX PARCEL NO. 2111-084-02-011
LICENSED INSTALLER: AAAA SEPTIC, JIM WILSON LICENSE NO. 24-98 PHONE: 524-9524
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 CLEAN OUT BETWEEN THE TANK AND THE HOUSE
AND INSPECTION PORTS IN EACH TRENCH. FENCE LEACH FIELD AREA TO PREVENT LIVESTOCK FROM GRAZING OVER IT CALL EAGLE
COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION OR WITH ANY
QUESTIONS REGARDING INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED WITHOUT SEPTIC SYSTEM
APPROVAL.
ENVIRONMENTAL HEALTH APPR AL: DATE: APRIL 23, 1998
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: 1125 SQUARE FEET (VIA36 INFILTRATOR UNITS )
INSTALLED CONCRETE TANK: 1250 GALLONS IS LOCATED 245 DEGREES AND 31 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.
ENVIRONMENTAL HEALTH APPROVAL DATE: SEPT. 24. 1998
(Site Plan MUST be attached)
ISDS Permit # !� 5'
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/CONTACT PERSON: d
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR:
COMPANY/DBA:
AD RESS':
PHONE: ( )
PHONE: ( )
PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair
**************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit #
Legal Description:
Tax Parcel Number:
Street Address:
(if known)
Subdivision: Lot
L_ ( --�p� Lot Size:
******************************
BUILDINC/TYPE: (Check applicable category)
�) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF VATER SUPPLY: (Check applicable category)
( Well ( ) Spring ( ) Sur -ice
Public Name of Supplier: C(
*These sys
SIGNATURE:
**********
Number
Number
Type _
of Bedrooms
of Bedrooms
***
Yeges gn by Registered Professional Engineer
jDate: -- "" L
*****************************************************
TO BE COMPLETED BY THE COUNTY
AMOUNT PAID: RECEIPT
CHECK #:
P, I
#: ( (1 U g 3� DATE: (P
LIP % CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: April 23, 1998
TO: AAAA Septic Pumping
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. 1755-98, Tax Parcel
#2111-084-02-011. Property Location: 925 Mayne St., Gypsum, CO,
Schneiderman residence.
Enclosed is your ISDS Permit No. 1755-98. 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.
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.
Please call our office well in advance to allow for scheduling of final inspection. Your building
permit TCO 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
Email: eccmdeva@vail.net
http: //www.eagle-county.com
EAGLE COUNTY, COLOKADO
September 24, 1998
Rhoda Schneiderman
P.O. Box 1281
Avon, CO 81620
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
J
RE: Final of ISDS Permit #1755-98, Tax Parcel #2111-084-02-011. Property location: 925
Mayne Street, Gypsum.
Dear Ms. Schneiderman:
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
ISDS PERMIT 1'1,9D`jX
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: 0(RN5,
LEGAL DESCRIPTION: Q)T-#7_ 3
MAILING ADDRESS: 125 MAWr j-V
TYPE OF DWELLING: NUMBER"OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
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PERC RATE: MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE:
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ISDS Permit #/755-98
Date t/Y- VL� H-5
ISDS Final Inspection
Completeness Form
11 Tank is IdS-8 gal. Tank Material (/01, Ly
✓ Tank is located 31 ft. and 244Ldegrees from 0&191.11 oZ
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
V Tank set level. ✓ Tank lids within 8" of finished. grade.
Size of field ftz units lineal ft.
Technology
y 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.
V Inlet and outlet is sealed with tar tape, �bergask-� etc.
✓ Tank has two compartments with the larger compartment closest to the
house.
'� Measure distance and relative direction to field. a-S�
t/ Depth of field 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.5/7✓�-ES- , leach field 52LLY-
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
CALCULATED ev DATE
CHECKED BY
DATE
:::-:- :., , � -: - ;-Ms, i'5.! --r—, t ! ac ufotm gan 01471 FRE
1755-98 Tax # 2111-084-02-011
JOB NAME , Lot#23, Filing 2 SCHNEIDERMAN
Horse Pasture Subdivision
925 Mavne St., Gypsum
JOB NO. %
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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
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