HomeMy WebLinkAbout462 Amherst - 211120407006INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
Telephone: (970) 328-8755
P.O. Bog 179 - 500 Broadway, Eagle, CO 81631
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE.
PERMIT# IS-2580-06
BUILDING PERMIT# TOWN OF GYPSUM
OWNER: SHAD REED
PHONE: 970-390-5623
MAILING ADDRESS: PO BOX 2049 GYPSUM
APPLICANT: SAA
PHONE: SAA
SYSTEM LOCATION: 462 YALE CT. GYPSUM
TAX PARCEL NO. 211120407006
LICENSED INSTALLER: STEVE KELLY — KELLY MTN
LICENSE NO. 37-06
PHONE: 970-401-3722
DEVELOPMENT
DESIGN ENGINEER: N/A
PHONE:
SYSTEM SIZED TO ACCOMODATE A 4 BEDROOM RESIDENCE:
INSTALLATION GRANTED FOR THE FOLLOWING: 1250 GALLON 1( 500 ACTUAL) 2 COMPARTMENT TANK, 1125 SQUARE FEET
OF ABSORPTION AREA CREDIT VIA 56 Q-4 INFILTRATORS IN SERIAL DISTRIBUTION, TRENCH CONFIGURATION
SPECIAL INSTRUCTIONS:
• DO NOT INSTALL IN WET WEATHER.
• TRENCHES WILL BE CONFIGURED IN TRENCH CONFIGURATION, SERIAL DISTRIBUTION
• RAKE ALL TRENCH BOTTOMS BEFORE INSTALLING INFILTRATORS, AND ALL TRENCH SIDEWALLS
BEFORE COVERING THE SYSTEM
• IF UNFAVORABLE CONDITIONS EXIST BETWEEN THE INSTALLATION AND THE FINAL INSPECTION,
SPECIAL PRECAUTIONS MUST BE TAKEN TO PROTECT THE DRAIN FIELD AREA FROM THE ELEMENTS.
• DOUBLE ENCASE ALL SEWER PIPE UNDER ROADS
• CALL EAGLE COUNTY FOR FINAL INSPECTION PRIOR TO BACK -FILLING ANY PORTION OF THE
INSTALLATION OR WITH ANY QUESTIONS.
• THE BUILDING TCO AND CO WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS BEEN INSPECTED AND
APPROVED
ENVIRONMENTAL HEALTH APPROVAL: VkAcv G'ra"
DATE: 11/21/2006
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, AND WILL RESULT IN
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 56 Q-4 INFILTRATORS)
INSTALLED 1500 GALLON SEPTIC TANK LOCATED 206 DEGREES AND 54 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: cr
DATE: 5/16/2007
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
Telephone: (970) 328-8755
P.O. Box 179 - 500 Broadway, Eagle, CO 81631
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE.
PERMIT# IS-2580-06
BUILDING PERMIT# TOWN OF GYPSUM
OWNER: SHAD REED
PHONE: 970-390-5623
MAILING ADDRESS: PO BOX 2049 GYPSUM
APPLICANT: SAA
PHONE: SAA
SYSTEM LOCATION: 462 YALE CT. GYPSUM
TAX PARCEL NO. 211120407006
LICENSED INSTALLER: STEVE KELLY — KELLY MTN
LICENSE NO. 37-06
PHONE: 970-401-3722
DEVELOPMENT
DESIGN ENGINEER: N/A
PHONE:
SYSTEM SIZED TO ACCOMODATE A 4 BEDROOM RESIDENCE:
INSTALLATION GRANTED FOR THE FOLLOWING: 1250 GALLON 2 COMPARTMENT TANK, 1125 SQUARE FEET OF
ABSORPTION AREA CREDIT VIA 56 Q-4 INFILTRATORS IN SERIAL DISTRIBUTION, TRENCH CONFIGURATION
SPECIAL INSTRUCTIONS:
• DO NOT INSTALL IN WET WEATHER.
• TRENCHES WILL BE CONFIGURED IN TRENCH CONFIGURATION, SERIAL DISTRIBUTION
• RAKE ALL TRENCH BOTTOMS BEFORE INSTALLING INFILTRATORS, AND ALL TRENCH SIDEWALLS
BEFORE COVERING THE SYSTEM
• IF UNFAVORABLE CONDITIONS EXIST BETWEEN THE INSTALLATION AND THE FINAL INSPECTION,
SPECIAL PRECAUTIONS MUST BE TAKEN TO PROTECT THE DRAIN FIELD AREA FROM THE ELEMENTS.
• DOUBLE ENCASE ALL SEWER PIPE UNDER ROADS
• CALL EAGLE COUNTY FOR FINAL INSPECTION PRIOR TO BACK -FILLING ANY PORTION OF THE
INSTALLATION OR WITH ANY QUESTIONS.
• THE BUILDING TCO AND CO WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS BEEN INSPECTED AND
APPROVED
ENVIRONMENTAL HEALTH APPROVAL: ��
DATE: 11/21/2006
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, AND WILL RESULT IN
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: SQUARE FEET (VIA_)
INSTALLED GALLON SEPTIC TANK LOCATED DEGREES AND FEET INCHES FROM
COMMENTS:
ANYITEM 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:
Department of
Environmental Health
Eagle (970) 328-8755
Fax: (970) 328-8788
El Jebel (970) 704-2700
TOLL FREE: 800-225-6136
EAGLE COUNTY
P.O. Box 179
500 Broadway
Eagle, CO 81631
www.eaglecounty.us
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ISDS Permit # �251�: _0 4P Building Permit # T O 6
INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED)
FEE SCHEDULE
APPLICATION FEE $350.00
This fee includes the ISDS Permit, Site Evaluation (Percolation Test, or Soil Profile Observation) and
Final Inspection. Additional fees may be charged if a re -inspection is necessary, or a pre -construction
site visit or consultation is needed. The re -inspection fee is $55.00. The pre -construction site visit fee
is $85.00. Make all remittance payable to: Eagle County Treasurer.
Property Owner: t9r\ _(Q¢,% Phone:
Mailing Address: P® Z� ,
Applicant/Contact Person: �� Phone:
Licensed Systems Contractor: 5.�� �� �_e,&V License # -7--06
Company/DBA: r� 1�.�ye to pme� $ Phone:
Mailing Address:�xiM
Permit Application is for: New Installation r Alteration r Repair
Location of Proposed Individual Sewage Disposal System:
Legal Description: b N-xflscrk, 61A iz4„. \ [ai-S i2703063 W R N! 10-Os 970;5-Z7 OCCoi-l`l-0: IZ90-719
Tax Parcel Number: Z/ NZ-0 �07 606 Lot Size: Z,330 ou—re-S CD Co w-o0�19-
-oS
Assessor's Link: www.eaglecounty.us/pat[eZ
Physical Address: 1AL 6VPAity, W 9/137
Building Type: residential/Single Family Number of Bedrooms:
r Residential/Multi Family
r Commercial/Industrial*
Number of Bedrooms:
Type of Use:
*These systems require design by a Registered Professional Engineer
Type of Water Supply: r Private Well r Spring r Surface r Public
If Public Name of Supplier
Applicant Signature
Office Use Only
Amount Paid: Receipt#: Check#: Date:
ISDS PERMIT # a S ,� U _ O (
BUILDING PERMIT #
SOILS EVALUATION/PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH
OWNER: S �, a A. \� e z
PHSYSICAL ADDRESS: �� f C 1 S v, C C) 3
SUBDIVISION: ,� LOT NO.: $
TYPE OF STRUCTURE NUMBER OF BEDROOMS: L�
..,.r ._ ._...y, Y..
TEST HOLES PRE-SOAKED: ❑ YES ❑ NO
TIME
WATER DEPTH
INCHES OF FALL
RATE
SOIL
PROFILE
0' k
f1
SCO.
r
2�,l
' i
2.zs
�:2s
29
t
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re T(t
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39
s
5
i3 c
2 7,d
20,
c�,�
j7 S
4'
iqkt
sfaw
SrI
22,75
�,2
��
r
2= 7=7
59
a
(SSO
0
Z�i,a
l'zS
125
3 S
f 7,a
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� 7. S0
f7S
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TIME TO DROP LAST INCH: . j� PERC E: �j r•
MINIMUM LEACH FIELD SIZE: Z MINIMUM SEPTIC TANK SIZE: 1 Sj
E c, It.
COMMENTS:
Rio �'tovN6wc, i��
(� �l\CC, QN
WATER SUPPLY: 2 PUBLIC ❑ PRIVATE
WELL LOCATION:
OTHER ATER FEATURES: Ny W U J e c v d 2
- 0 _0
ENVIRONMENTAL HEALTH SPECIALIST DATE
,,is:,r_,cl
� bF
s41 e,
W
- (4
ISDS Permit # a3O0-06 Inspector Date 5/1 b /07
ISDS Final Inspection
Completeness Form
Tank is gallons. Tank material P 10 � �1(. LV r la
Tank (1) is located CLLft. and degrees from C If a v, 0 u f'
Tank (2) is located ft. and degrees from
Tank set level. Tank lids within 8" of finished grade.
Size of field 1 120ft2 5 L units
lineal ft. Technology Qu i c K H
Cleanout is installed in between tank and house and one every 100ft?
1 of J ,?
v "T" that goes down 14 inches in the inlet and outlet of the tank. Effluent filter on outlet- Yes o>
y1 andef
`j Inlet and outlet is sealed with tar tape, rubber gasket, etc.
Tank has two compartments with the larger compartment closest to the house.
5 Measure distance and relative direction to field.
✓Depth of field d- ft.
✓Soil interface raked.
Inspection portals within each trench.
Proper distance to setbacks. Clalnw-dlun so
Chambers properly installed as per manufacturers specific'
ahoris: (Chambers latched, end plates properly
installed, rocks removed from trenches, etc.),
All
V-I'Splash-�late(s) installed at trench inlets. (A0
✓Type of pipe used for building sewer lines Ch leach field SD�<
✓ther Pubbcv (geplines a4-(Ache --nbf b1c 1-11e yvfl-ir. yvep, J �
b�ery y
Inspection meets reguiremedts.
Copy form to installer's file if recommendations for improvement were suggested.
ACTION TAKEN:
Setbacks:
Well Potable
House Property
Lake
Dry Tank Drain Field
Water Lines
line
Stream
Gulch
Field 100 25
20 10
50
25 10
Tank 50 T10
5 10
50
10 * 10
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970) 328-8755
FAX: (970) 328-8788
TOLL FREE: 800-225-6136
www.eaglecounty.us
FAG LE COUNTY
November 21, 2006
Steve Kelley
Kelley Mountain Development
PO Box 1234
Gypsum, CO 81637
RAYMOND P. MERRY, REHS
Director
RE: Issuance of Individual Sewage Disposal System (ISDS) Permit #2580-06. Tax Parcel
#211120407006, Property Location: 462 Yale Ct., Hardscrabble Ranch Gypsum
Dear Mr. Kelly,
Please fmd enclosed ISDS permit, number 2580-06 to conduct the construction exactly as indicated on the permit. It
remains valid for 120 days or for the duration of a current building permit. The enclosed copy of the permit must be
posted at the installation site. Any changes in plans or specifications must be pre -approved by this department. If
you are receiving this permit and have not been contracted to perform the installation, please contact us
immediately.
Also enclosed is a final inspection completeness check list to assist you in making sure all of the detailed points of
an inspection have been properly addressed before calling for your final inspection. All components of the system
must be exposed for our inspection. Projects that require multiple inspections will be assessed a re -inspection fee
of $55.00 payable before or at the time of inspection. It is extremely important to remember to rake all infiltrative
surfaces and avoid installing systems in wet or frozen ground.
In addition to avoiding installations during unfavorable site conditions, please be advised of our annual time frame
for ISDS installations, unless otherwise specifically approved by this department. Permits issued on or before
November 15 must be installed prior to December 1. Spring field activities typically resume around mid March.
Avoiding the winter months promotes better site evaluations, designs and installations resulting in the best private
wastewater system for our customers. If unfavorable conditions prevail between the installation and the final
inspection (such as snow) special precautions must be taken to protect the drain field area from the elements.
Please keep this office informed regarding the progress of your installation so we can provide responsive customer
service when scheduling your final inspection. The Temporary Occupancy Permit (TCO) associated with the
building permit cannot be issued without the septic system being finally inspected.
If you have any questions, please feel free to contact us at (970) 328-8755.
Sincerely,
Terri Vroman, Administrative Technician IV
cc: electronic permit folder
electronic chronological file
hard copy permit file
Town of Gypsum
Enclosures: ISDS Permit #2580-06
Final Inspection Completeness Checklist
500 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970)328-8755
FAX: (970) 328-8788
TOLL FREE: 800-225-6136
www.eaglecounty.us
EAGLE COUNTY
May 17, 2007
Shad Reed
PO Box 2049
Gypsum, CO 81637
RAYMOND P. MERRY, REHS
Director
RE: Final approval of Individual Sewage Disposal System ISDS Permit #:2580-06;
Tax parcel #211120407006; Property location: 462 Yale Court, Gypsum
Dear Mr. Reed,
This letter is to inform you that the above -referenced ISDS Permit has been inspected and finalized.
Your septic system has been sized to accommodate 4 bedrooms. Enclosed is a copy to retain for
your records along with a brochure regarding the care of your septic system. Additional information
about the maintenance of your septic system as well as information about private wells can be
accessed through web site links provided on the Environmental Health Department's home page at
http://www.ea leg cogn .us/envHealth/
Be aware that changes in the use of your property or alterations of your building may require
commensurate changes to, or relocation of, your septic system. Landscape features, trees with tap
roots, irrigation systems and parking areas above the drain field can cause premature system failure.
It is equally important that you notice and immediately repair dripping faucets and hissing
toilets as this will certainly cause the system to fail. By following a few simple guidelines, like
avoiding grease or other additives down the drain and making sure your septic tank is on a
pumping schedule, your system has been designed to last for many years.
If you have any questions regarding this information, please contact us at (970) 328-8755:
Sincerely,
Terri Vroman
Administrative Technician IV
cc: ISDS permit folder
Town of Gypsum Building Department
Chrono efile
Encl: Final ISDS Permit
Informative materials
500 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179
IS-2580-06 LB 5/16/07
462 Yale Ct, Gypsum
Lot 5, Hardscrabble Ranch
IS-2580-06 LB 5/16 1
462 Yale Ct, Gypsum
Lot 5, Hardscrabble Ranch
ft> -M
Y
ISDS PERMIT NUMBER
2580-06
TAX PARCEL NUMBER
2111-204-07-006
REGION/CITY
GYPSUM
DESIGN ENGINEER
N/A
I,
INSTALLER
KELLEY MTN DEVELOPMENT
ORIGINAL INSTALLATION DATE
5/16/2007
REPAIR OR ALTERATION DATE
N/A
TOTAL NUMBER OF BEDROOMS SIZED FOR
4
TANK #1 SIZE
fo 0
TANK #1 MATERIAL
PLASTIC
TANK #2 SIZE
N/A
TANK #2 MATERIAL
N/A
EFFLUENT FILTER ON TANK OUTLET
NO
DOSING CHAMBER SIZE
N/A
SECONDARY TREATMENT
N/A
EFFECTIVE ABSORPTION AREA
1120 SQ FT
LEACH FIELD TECHNOLOGY
QUICK 4 INFILTRATOR UNITS
- L"W / rr x ff- d r r t cA L. -f y r L- L/ W
PROJECT�,q. Rm her�-�..
PROJECT 54ad ,reed
project descriptio
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follow-up
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date
completion
date
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PROJECT CONTACTS
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e-mail
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documents enclosed
notes