HomeMy WebLinkAbout908 Mayne St - 211108104001INDIVIDUAL 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. 1761-98 BP NO. TOG
OWNER: CALVIN BATES PHONE: 970-524-7922
MAILING ADDRESS: P.O. BOX 638, GYPSUM, CO 81637
APPLICANT: SAME //�� PHONE:
SYSTEM LOCATION: 9(!I/1MAYNE STREET, GYPSUM, CO TAX PARCEL NO. 2111-081-04-001
LICENSED INSTALLER: BIG HORN EXCAVATING, RON GROUT LICENSE NO. 5-98 PHONE: 970-328-6209
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 PORTALS IN EACH TRENCH. DO NOT INSTALL IN WET WEATHER FENCE OFF LEACH FIELD AREA TO PREVENT GRA-
ZING BY LIVESTOCK. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK-FLLING ANY PART OF
THE INSTALLATION. OR WITH QUESTIONS REGARDING INSTALLATION BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED
WITHOUT SEPTIC SYSTEM APPROVAL. /j
ENVIRONMENTAL HEALTH APPROVAL: -A/� C-O�C DATE: MARCH 19, 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 (VIA'16 i n f i 1 t r a t O r 13A t )
INSTALLED concrete. seat TANK: 1250 GALLONS IS LOCATED 2 3 0 DEGREES AND 21 ' 1 1 " FEET FROM
the corner of thehnnsP_
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: April 23, 1998
(Site Plan MUST be attached)
ISDS Permit #
2�`� _ 2 L___
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/CONTACT
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR:
COMPANY/DBA:
S PHONE: ( ),I';? 's'p'- 9a,:�
***************************************************************************
PERMIT APPLICATION IS FOR: X) New Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
J
Building Permit # _(if known).
Legal Description: Subdivision: ffdYSe- 1gSY01'e Filing• jBlock• Lot No.,J'_
Tax Parcel Number: j Lot Size: A .4
Street Address: 0 ` C7
m
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BUILDING TYPE: (Check applicable category)
( ) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
Public Name of Supplier:
Number
Number
Type _
of Bedrooms
of Bedrooms
*These systems require design by a Registered Professional Engineer
SIGNATURE: Date:
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TO BE COMPLETED BY THE COUNTY
AMOUNT PAID: e13,_0 RECEIPT #: � � DATE:
CHECK #: CASHIER:
Community Development Department .
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: March 19, 1998
TO: Bighorn Excavating
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. 1761-98, Tax Parcel
#2111-081-04-001. Property Location: 907 Mayne Street, Gypsum, CO., Bates
residence.
Enclosed is your ISDS Permit No. 1761-98. 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
EAGLE COUNTY, COLORADO
April 23, 1998
Calvin Bates
P.O. Box 638
Gypsum, CO 81637
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit #1761-98, Tax Parcel #2111-081-04-001. Property location: 908
Mayne Street, Gypsum, CO.
Dear Mr. Bates:
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
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: CiIVi✓►G��S
LEGAL DESCRIPTION:
A 6, _5t, Ucf. l S
MAILING ADDRESS: ►y ,6ok 0�v3g �,� �5�� to S / L 34
TYPE OF DWELLING: Y.�.� NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES j NO
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PERC RATE: 5 MINIMUM SEPTIC TANK SIZE: %ij`�'1F:, `
MINIMUM LEACH FIELD SIZE:
COMMENTS: 4hu~ off !.giul�ke4
PERC((TE(ST DONE BY:
Environmental Hea
rev. 6/90ks
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Officer
DATE:
ISDS Permit #_/ Date' Z ��
ISDS Final Inspection-
-/ Completeness Form
Tank is I - no gal. Tank Material
Tank is located ' �G ft. and 2iLdegrees from
'(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. Tank lids within 811_ of finished, grade.
_7Size of field'/Zf 2 I' ' units lineal ft.
Technology
Cleanout is installed in between tank and house(+1/iooft).
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
house.
Measure distance. and relative direction to field.
Depth of field `� /7� / ...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.) (,�Vt,&Y,
Type of pipe used for building sewer line�J; 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
CHECKED BY,
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1761-98 Tax# 2111-081-04-001
Lot# 5, Filing 1 BATES
JOB NAME Horse Pasture Subdivision
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JOB NO.
JOB LOCATION
BILL TO
DATE STARED
DATE COMPLETED
DATE BILLED
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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