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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 �2 re T(t �y 1�.�5 ���� �,z� 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 ► 3,7 .1 i�, ,o Z.S 2, � 1. 2f S, u f S, sd , ��(� � 7. S0 f7S - ?3 lo, 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 n FA date task/action follow-up start date completion date Qaa�, Cie t.a Q��t'� a u IL � e , 11 2CC�i- S �.� 5=�:✓e a_ �orL� waf c 0 CA 6r� X[uvc�tU.n - t / C�}- J 41+ C. � C;' C �v1n L. (' e, (!..,� i - C• i� `� it `l' C CC. 1 t� 1 v'� FA E C: iNec,� i i V �i r %G�l i� arc r Gl 5 `�E6,- Gt I J PROJECT CONTACTS name phone/fax e-mail 5hM Reee.T '?P. �30X 00 Y 9 q7D- 3VO -5&,. ?3 Sfeve Kell( ;e(�� rYl�n• 1Je.v£lopvn G gpswn e,r, Sllto37 q7n-qVl- 37aa 'rt�. 3-7-CI69 documents enclosed notes