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)
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* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* *
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
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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:
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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
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Lot #2, Filing 1, BROWN
JOB- NAME Soderberg Subdivision
330 Sunrise Ct., Carbondale
,00"J—OR LOCATION
BILL TO
DATE STARTED
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DATE COMPLETED
DATE BILLED
- 1000
/ 12 S
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�" 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
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JOB FOLDER Product 277
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JOB FOLDER
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