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HomeMy WebLinkAbout253 Cedar Dr - 211106405008INDIVIDUAL 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. 1775-98 BP NO. TOG OWNER: MATTHEW ELLIOTT PHONE: 524-2369 MAILING ADDRESS: P.O. BOX 639, GYPSUM, CO 81637 APPLICANT: MIKE ELLIOTT PHONE: 390-0369 SYSTEM LOCATION: 253 CEDAR DR., GYPSUM, CO TAX PARCEL NO. 211106405008 LICENSED INSTALLER: ELLIOTT PLUMBING &HEATING. MIKE ELLIOTT LICENSE NO. 46-98 PHONE: 524-5005 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1500 GALLON SEPTIC TANK 937.5 SQUARE FEET OF ABSORPTION AREA VIA 30 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. DO NOT REMOVE MUCH OF THE NATIVE SOIL SO THAT THE LEACHFIELD IS INSTALLED AT THREE FT DEPTH TO AVOID CLAY COMPONENTS IN SOILS AT LOWER DEPTHS. LEACHFIELD SHOULD NOT BE INSTALLED IN FILL OR DIS- TURBED SOIL IN GULLY AREAS. BE SURE TO MAINTAIN ALL APPLICABLE SETBACK REQUIREMENTS RAKE TRENCH SURFACES TO PRE- VENT SMEARING OF SOILS. CALL EAGLE COUNTY 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 APPROVAL: (z:L4_ i DATE: MAY 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 IN, 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: 937.5 SQUAREFEET(VIA 30 TNFTT.TRATCIR TTNTTc ) INSTALLED concrete TANK1500 GALLONS IS LOCATED 28-L DEGREES AND 10'6METFROM TN-F. C:T.RANnTTT NFAR THE CORNER OF TTTF ROTTQF NFAR TIIFTYRIVEWA COMMENTS: NY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROV DATE: JULY 17, 1998 Inuomplete'Applications Will NOT Be Accepted �(Sife Plan MUST be attached) ISDS Permit # __ I'7 "7 Building Permit # C APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE.- 9EAGLE COUNTY 50/0 - EAGLE, CO 81631 328-8755/927-3823 (Basalt) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * MAKE ALL REMITTANCE PAYABLE'.TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: P 4 0+t> MAILING ADDRESS: ��. �Q G S//oS� lo. /b3% PHONE• J 7- APPLICANT/CONTACT y- 236 � PERSON: PHONE • 3 - 0 3 6 -!�j LICENSED SYSTEMS CONTRACTOR: �� (: 6 k6 �'� �'� • / ` I<<r_/ t'54'6pHONE: S Z `f -S D COMPANY/DBA: ADDRESS: __ �� b3,�, G psl� . *************************************************************************** PERMIT APPLICATION IS FOR: (,Y NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: La /' 1. ��` ��,c (! p6_4 Tax Parcel Number: �- ( 1 7� EgS(�0 Lot Size • j 1 k A c t-C Physical Address: BUILDING TYPE: (Check applicable category) 'Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface ( Public Name of Supplier: *These systems require sign by a Registered Professional Engineer SIGNATURE: r S Date: ********************************** **************************** *** ******* AMOUNT PAID: RECEIPT # : DATE: J �9 CHECK # : ((k1 CASHIER: , Sh q. 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, COLORADO July 17, 1998 Matthew Elliott P.O. Box 639 Gypsum, CO 81637 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit #1775-98, Tax Parcel #2111-064-05-008. Property location: 253 Cedar Drive, Gypsum, CO. Dear Mr. Elliott: 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 ENCLAnformational Brochure Final ISDS Permit cc: files ISDS PERMIT # I r, 7j--- q K PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH OWNER: m "tkf o Gr I h o�,tr PHSYSICAL ADDRESS: �kb;� l'e&ct r .Ur. LEGAL DESCRIPTION: L.o+ (g F i h. ti G rj -& r 4 r o (.i , MAILING ADDRESS: 9? D. b x i 3 91(03 ul TYPE OF DWELLING: S C - MBER OF BEDROOMS: S TEST HOLES PRE-SOAKED: YES X NO SOIL TIME WATER DEPTH INCHES OF FALL RATE PROFILE n� 06 i ��'�izs j t I,�zS ,33z a, 3.0 �,f4n 2 C/OI ..1`w`" ?c�,937�5" 1, q3s�1 �1 5 g (1, ' t) 's .�,2 �.aasd� ��� , �� ,�►�.� �.2� �, �� 10' TIME TO DROP LAST INCH: PERC RATE: MINIMUM LEACH FIELD SIZE: q375MINIMUM SEPTIC TANK SIZE: ©D ,j(UTA0,_, --'kj_& q I q8 ENVIRONMENTAL HEALTH SPECIALIST DATE I L tIk" 30 • t� c1A Zl 6,t� wtt-w 7:. I Iasaj„ ISDS Permit #_ ISDS Final Inspection Completeness Form J /�� Date !�V ."" Tank is IGDD gal. Tank Material C.#�� � � � g _ Z Tank is located �� ft. and L� degrees from (permanent landmark) , TaTrk is located ft. and degrees from r�e&Y,C�t ✓2 tc� (permanent landmark) Tank set level: Tank lids within 8" of finished grade. ✓ Size of field -Lunits lineal ft. Technology � Cleanout is installed in between tank and house(+ 1/100ft). There is a 'IT" 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 1 1Z'-3 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 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 Tank 50 10 5 10 50 25 10 10 .:::- :- 7 :... C -: : Z n .5.: ..j. ---7 H. ...c Gmn Af4is 01471 ': Cm, P"i TOU SEE!-M22M- 1775-98 Tax# 2111-064-05-008 Lot# 18, Filing 5 ELLIOTT JOB NAME Bertroch Subdivision 253 Cedar Dr., Gypsum JOB NO--��_ OB LOCATION BILL TO DATE STARTE 714 3 DATE COMPLETED DATE BILLED s%iglg8 ne-e ar P r�� 4 'd 52y-5 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 278 2, v d 4oim t 1775_ - R 3 JOB FOLDER Printed in U.SA �jL 4 -775- � 8