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HomeMy WebLinkAbout330 Sunrise Ln - 239128403002INDIVIDUAL 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. 1865-99 BP NO. 12528 OWNER: DAVID BROWN PHONE: 970-925-2254 MAILING ADDRESS: P.O. BOX 91, ASPEN, CO 81612 APPLICANT: MARK PRZYBYLSKI PHONE: 970-927-9119 SYSTEM LOCATION: 330 SUNRISE LANE, CARBONDALE, CO TAX PARCEL NO. 2391-284-03-002 LICENSED INSTALLER: RUDD CONSTRUCTION, MARK PRZYBYLSKI LICENSE NO. 45-99 PHONE: 970-927-9119 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK 1125 SQUARE FEET OF TRENCH ABSORPTION AREA. A 50% REDUCTION IN SIZE OF FIELD WILL BE GIVEN IF CHAMBERED UNITS ARE USED, 37 UNITS ARE NECESSARY FOR 3 BEDROOMS. SPECIAL REQUIREMENTS: THESE ARE MINIMAL REQUIREMENTS FOR 3 BEDROOMS. INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE, AND INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PRE- VENT SMEARING OF SOILS. DO NOT INSTALL IN WET WEATHER. GRADE THE LEACH FIELD SO THAT THE SURFACE MOISTURE RUNS OFF OF THE FIELD. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALL- ATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS RECEIVED FINAL APPROVAL. ENVIRONMENTAL HEALTH APPROVAL: DATE: MAY 17, 1999 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: 1128 SQUAREFEET(VIA PF.RFF.RAT-FD PTPF & GRAVFT ) INSTALLED POLY .THTL .NE. TANK: 10 0 Q GALLONS IS LOCATED 91 0 DEGREES AND 5 7 ' FEET FROM THE CLEANOUT GRAVEL AND PIPE WERE COVERED WITH FILTER FABRIC PRIOR TO BACK FTTTTNCTHE TRFNCT4FS COMMENTS: INSTALLER WAS TOLD TO RAKE ALL TRENCH SURFACES PRIOR TO BACK FILLING THE TRENCHES. 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 A&D4=(LL. � ,lip DATE: JUNF 1 1, 1 999 Incomplete Applications Will NOT Be Accepted (S!Lte ,Plan MUST be attached) ISDS Permit # 165 _. t Building Permit # 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: i b MAILING ADDRESS: / C) �.%; Cv. FIG �� PHONE: APPLICANT/CONTACT PERSON: 1" IAgXZ �SIU PHONE: LICENSED SYSTEMS CONTRACTOR: -2-U00 tU L PHONE: / Z?" 91I F. 3z ay-k- k3o- IT /j COMPANY/DBA : 2 ld' n CU �Z'[6ua CDAj ADDRESS: / 3 z- ;�G P 4iE. .4-Se4L�7 *************************************************************************** PERMIT APPLICATION IS FOR: (V NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Tax Parcel Number: Physical Address: JJU dys ,AZ IJ e 41,.,. 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: *These systems require des SIGNATURE: *************** ********* AMOUNT PAID: Number of Bedrooms Number of Bedrooms Type n by a Registered Professional Engi eer g ' Date: ` * **************************** * ************* RECEIPT #: CHECK #: _ DATE: CASHIER: --- - ------- ------------------------------ -- - - ----------- %% % % so ld) It E 03 CL 'AS eD ISDS PERMIT# -// PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH ,OWNER: cc&cLoq -PHSYSICAL ADDRESS: 3 W /"Yun L� '13e,119 COA i_2, LEGAL DESCRIPTION: .j 1) t 2 -4 "/1/ MAILING ADDRESS: VO (6 M 'P) TYPE OF DWELLING: ILS P NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES NO SOIL TIME WATER DEPTH INCHES OF FALL RATE PROFILE (y -75 1 sx5 6, 2 � lz -3, 11 < E,245 . 7� _1715 3-- Ao Eao to 713J 21 31 Is 3-2 41 :2-0 10 51 Z� 61 A�n -711 q-3 -26 0 1675' 'Z Jo 81 D 0- 9 2 < c')o 21-j 10 TIME TO DROP LAST INCH: PERC RATE: JO MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: 1000 r ENVIRONMENTAL HEALTH SPECIALIST DATE m )C4441t- ISDS Permit # t 06 r7-1 ri Date ( /q' j ISDS Final Inspection Comipleteness Form Tank is /0/)D gal. Tank Material �ke_, B ti (Z Tank is located 5/ Tt. and a(o degrees from . (permanent landmark) 4^ Tank is located ft. and degrees from (permanent landmark) Tank set level. � Tank lids within 8" of finished grade. Size of field Iio�� ft2WaraVle units lineal ft. Technology re11: .-L U111 - � Ic?i(k 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. Inlet and outlet is sealed with tar tape, rubber gasket etc. Tank has two compartments with the larger compartment closest to the ho se. f i1 G� Measure distance and relative direction to field. ✓Depth of field 3 ft. Soil interface raked. Inspection portals at the end of each trench.. Proper distance to setbacks. _ Chambers properly installed as per manufacturers specificat ions.,f,C-bu .4:, . (Chambers latched, end plates properly installed, --rocks removed .from4„,r,...,;,; trenches, etc.) Type of pipe used for building.sewer line leach field i Other - Inspection meets rec;uirements. 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 JOB 'iJ l_ a t1v ' — � • 1(V j — EAGLE" -COUNTY ENV. HEALTH P.O. BOX 179 EAGLE, CO 81631 SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE `� r SCALE PRODUCT 204-1(Single Sheets) 205-1(Padded) ®® Inc.. GrM, Maw. 01471. To Order PHONE TOLL FREE 1-800.725-M I `-7 174 Imp , akl, ° &I I96 s -q q we-U > /D D' J Ad 4 M,),- /it " 30 pl/tIn W i Tam )o4�- i o o o o, 1050 &Al"�J° - .s I-�iaa`6- 3,77 TPJZ'��- iooD-yy iaxif ZJ91-264—U:3—UO2 Lot #2, Filing 1, BROWN JOB- NAME Soderberg Subdivision 330 Sunrise Ct., Carbondale ,00"J—OR LOCATION BILL TO DATE STARTED �9 DATE COMPLETED DATE BILLED - 1000 / 12 S 07, Ai r 1 �� i`C p V10-1 . fj{( J7 TZ �" JOB COST SUMMARY TOTAL SELLING PRICE /,p A717 TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT L±) JOB FOLDER Product 277 2 1 JOB FOLDER I 4)II M 3C7 Uh�sl Lc)t Z t( h1 j 1 5cx�..erb� raj S�,b_ ��— Printed in USA (yQ \ 1 i t ` \ mal. \ i \ \ i i t L-'------------------------------y---1------- -- --- ------ --- -------- - ---------------------— --------- ------------------------------------------ _ - - .5' UTILITY EASEMENT n �`��