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HomeMy WebLinkAbout15877 Gypsum Creek Rd - 219533300006INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1005 Please call for final inspection before covering any portion of installed system. OWNER: Bill Walden PHONE: 524-9311 MAILING ADDRESS: 15877 Gypsum Creek Road AGENT: PHONE: SYSTEM LOCATION: 15877 Gypsum Creek Road LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK OR Zb2frOt GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: o® SQUARE FEET OF SEEPAGE BED 697 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Keep 1 aarh fi al d. tin feat from creek 240 If of 10" SB2, 143 75 If of infiltrator (23 units) per owner's request. Inspection portals at end of each line ENVIRONMENTAL HEALTH OFFICER: DATE: 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, C.R.S. 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 CAUSE FOR BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT. 3. SECTION Ill, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED ACCORDING TO THE REGULATIONS. FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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. INSTALLED SEPTIC TANK: GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALSAND ASSEMBLY YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: ENVIRONMENTAL HEALTH OFFICER: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1005 Please call for final inspection before covering anv oortion of installed system- OWNER: Bill Walden PHONE: 524-9311 MAILING ADDRESS: 15877 Gypsum Creek Road AGENT: PHONE: SYSTEM LOCATION: 15877 Gypsum Creek Road LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 'v C GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: cp0 SQUARE FEET OF SEEPAGE BED 697 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Keep leach field 50 feet from creek.- 240 if of 10" SB2, 143-75 if of infiltrator (23 units) per owner's request. Inspection portals at end of each line ENVIRONMENTAL HEALTH OFFICER: DATE: 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, C.R.S. 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 CAUSE FOR BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT. 3. SECTION Ill, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED ACCORDING TO THE REGULATIONS. FINAL APPROVAL OF SYSTEM: (r0 BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. p INSTALLED ABSORPTION OR DISPERSAL AREA: t 1 �I3yy.S lF�EElT.. - INSTALLED SEPTIC TANK: (2 GALLONS l!����,, � DEGREES l3 U FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS ANDASSEMBLY ?v YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: V YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: ENVIRONMENTAL HEALTH OFFICER: /""7- t '1 .i1C. DATE: `' Z q -`L " ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: OWNER: AMOUNT PAID: RECEIPT M: CHECK M: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT � 77VIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: 0���J �j P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT n .prr)1_ATTO^! TEST FEE e , �� r9 ER�1IT APPLICATION FEE $150.00 - NAME OF OWNER: VOA A' P � MAILING ADDRESS: 1 5 ._ ,�� L �r�r C� V, PHONE: NAME OF APPLICANT (If different f om owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ; �� wau LICENSED INSTALLER: ( ) YES () NO — ADDRESS: A 6 Q u PHONE: PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE. DISPOSAL SYSTEM: Physical Address: S8 _% Parcel Number: Lot Size: 0 C_ Legal Description: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: WASTE TYPES Check applicable cateaories : Commercial or Institutional () Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( Dishwasher (} Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank Composting Toilet ( ) Incineration Toilet Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES () NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( ) NO - NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATURE: DATE: 3, �{ fd INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope 6? — 5 Depth to Bedrock (Per 8' profile hole' Depth to Groundwater table SOIL PERCOLATION TEST RESULTS: eo Minutes per inch in Hole #1 r,, Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: Absorption Trench, Bed or Pit ( ) Evapotranspiration Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: ���i'�,j'`'U RECEIPT NUMBER DATE DATE: CHECK NUMBER CASHTFR. NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO Date: September 24, 1990 Bill Walden 15877 Gypsum Creek Road Gypsum, CO 81637 .. Re: Final of ISDS Permit No. 1005 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 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. Also enclosed are informational sheets regarding the care of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Officer, P.O. Box 179, Eagle, Colorado 81631. We can also be reached depending on your calling area at the following numbers: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle Area 328-8730. Sincerely, Roger C. Hosea Assitant Environmental Health Officer Community Development Enclosures: Informational Sheets Final ISDS Permit cc: Chrono file ISDS file# Building Permit file# EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: August 22,1990 RE: Issuance of Individual Sewage Disposal System Permit No. 1005 Enclosed is your ISDS Permit No. 1005 This copy of the permit must be posted on the installation site. You must call our office for final inspection before covering any portion of the installed system. If you have and questions, please feel free to contact us at the following numbers for your calling area: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle area 328-8730. Sincerely, �� o�--t Roger Hosea Asst. Environmental Health Officer Community Development cc: ISDS file RH/alm Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 ISDS PIRMTT#3`10f ZO PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: e , /l Vver/l/ -(,f M LEGAL DESCRIPTION: 1-5-S,77 MAILING ADDRESS: S TYPE OF DWELLING: Z C ab r '11S NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO_ TIME WATER nrPTH TMC"HF.S OV PAT.T. Ra'T'R "x5?L gf1TT. PRf)FTT.R 1 2 3 1 2 3 1 2 3 1 2 3 0' 30 17 � 3 3A / 7 "12— 'VZ Z 7e Z 2' S �5 i73/ 1b'1y. �� ��'/ 3/ z J �17 10 Y 3' 'fX 1 7�4/ lfi 4 V :117 17 z6% Jz i �lz /0 zv 10 17 5 * 3- 2-0 V7 �� � 1 3�`/ lL/ .�1 �� ZO L19 112 7 1 V V 6 /;I ^ 67 L..... y 0/ t d 7 iR I/L �� � 7 .�.JJ' [ 6? 47 ! F Q ' ell 1,� 's�z_ . `lz `��� '�� Time to drop last inch PERC RATE: fS MINIMUM SEPTIC TANK SIZE: JZ�7 0 MINIMUM LEACH FIELD SIZE: 6 Q7 9,0a e/,� Aod COMMENTS: SSA e /7Ps��t �'-,� l<eeP le-d S0 -7° , c a✓ oil (z 7eoo, yec2 (oe,I or�u �S f m PERC TEST DONE BY: & 4 DATE: Env' onmental Health officer rev. 6/90ks 5 Z W W I W U wcn w ZE JOB NAME ,SOB NO. -Art �. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 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 �Wk?® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A r - �sIlk � 0.7 "AO-C INDIVIDUAL 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. 1871-99 BP NO. OWNER: WILLIAM & LINDA WALDEN PHONE: 970-524-9311 MAILING ADDRESS: 15877 GYPSUM CREEK RD., GYPSUM, CO 81637 APPLICANT: SAME PHONE: SYSTEM LOCATION: 15877 GYPSUM CREEK RD., GYPSUM, CO TAX PARCEL NO. 2195-333-00-006 LICENSED INSTALLER: BILL WALDEN LICENSE NO. 50-99 PHONE: 970-524-9311 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK 375 SQUARE FEET OF ABSORPTION AREA VIA 13 INFILTRATOR UNITS AS REQUESTED. SPECIAL REQUIREMENTS: INSTALL IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE BUILDING. AND INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES AND DO NOT BACK FILL WITH ROCKS LARGER THAN 8" IN DIAMETER. FENCE OFF THE LEACH FIELD TO PREVENT LIVESTOCK FROM GRAZING IN THE AREA. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPEC- TION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION, OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. ENVIRONMENTAL HEALTH APPROVAL: DATE: MAY 19, 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: 651 SQUARE FEET (VIA 21 INFILTRATOR UNITS ) INSTALLED POLYETHYLENE TANK: 750 GALLONS IS LOCATED 60 DEGREES AND 15 FEET FROM THE BATH HOUSE COMMENTS: ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. AA pM� � � � ©� ENVIRONMENTAL HEALTH APPROVAL����/tA^ 11` DATE: Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # 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 (Basalt) * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: r G9' ►mod In c�.a W OJ J'2 + ro MAILING ADDRESS: 1 5-8 7 7 K a sV +., Cr-e-eA__ PHONE: ® -5 3,11 APPLICANT/CONTACT PERSON: PHONE:1Q 3 2-1 `i 31 } LICENSED SYSTEMS CONTRACTOR: 19, I( PHONE: It COMPANY/DBA: ADDRESS: A Me — PERMIT APPLICATION IS FOR: 06 NEW INSTALLATION f ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: 1�ec. I,Twv.1kr j 3 3--%' Tax Parcel Number:�1_3. — 0!0 — 0 Lot Size: I fl Q Gee s Physical Address: BUILDING TYPE: (Check applicable category) ( ) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: ( ) Well ( ) ( ) Publicf ';ame (Check applicable category) Spring K) Surface of Supplier: Number of Bedrooms Number of Bedrooms Type 44-k (. 4 skov,&-, {oi ref ,1 ti v *These systems require 7design by a Registered Professional Engineer SIGNATURE: t�' �� Date: ********************************************************************* ***** AMOUNT PAID: RECEIPT #: %a2 �5 -� DATE: CHECK #: CASHIER: qjte S E' 5. vs 'Al `4F s %sw '/ys w a/�, s � IN s� `1YE,'/Z St;` `/y Svv `��s�r `/y S `/Y S w `/y - s '/s S � s c `/Y m v- °%sml 14Y sw wcuu 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 DATE: May 19, 1999 TO: William Walden FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1871-99, Tax Parcel #2195-333-00-006. Property Location: 15877 Gypsum Creek Rd., Gypsum, CO., Walden property. Enclosed is your ISDS Permit No. 1871-99. It is valid for 120 days. The enclosed copy of the permit must be posted at the installation site. Any changes in plans or specifications invalidates the permit unless otherwise approved. Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Please call our office well in advance to allow for scheduling of final inspection. Your building permit TCO will not be issued until final approval has been given for the ISDS Permit. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328- 875 5. cc: files Enclosures: ISDS permit # 1871-99; ISDS Final Inspection Completeness Form 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 June 9, 1999 William & Linda Walden 15877 Gypsum Creek Rd. Gypsum, CO 81637 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit #1871-99, Tax Parcel #2195-333-00-006. Property location: 15877 Gypsum Creek Rd., Gypsum, CO 81637. Dear Mr. & Mrs. Walden: 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 ENCL:Informational Brochure Final ISDS Permit cc: files ISDS PERMIT PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH OWNER: 14YId A. 4- 01 1 W a l de-H PHSYSICAL ADDRESS: W Ur LEGAL DESCRIPTION: 5 X 33 - 0 -- B4f MAILING ADDRESS: TYPE OF DWELLING: FAI 0 UJf NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES ✓ NO TIME WATER DEPTH INCHES OF FALL RATE �Ar rn SOIL PROFILE nt v 1 I�/N z 13j�( I 'iy 3'�I I zs SR 2' '� I�'�Z ZU ZZ rl� !1 ��� �� ` rE 06 Islq uriz- z-3 3, ►�v , ��� 10 5 41 n�/ 1 I it �� 1 � � �51 10 ''Z- f /'ii IN 6' i� Z► ZI �1y Z�1��� �fZ ���{ �/z la �v 7' g' ray 9 30 ZZ3,l z3 �'/y 3% '/LI ��� �.��- � l0 10' r� r 4� TIME TO DROP LAST INCH: ZU PERC RATE: GD MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: �-SD wl y/G/LZ_ " S 9a ENVIRONMENTAL HEALTH SPECIALIST DATE -- R W � v � S .l 7 o cl Wyk 0-t3 a'I" 1e® a u i s rN ISDS Permit # Datezolclrl ISDS Final Inspection Completeness Form Tank is gal. Tank Material `rU tthj4 V\' — Tank is located ft. and b(l degrees from a-lml VI (permanent landmark) Tank is located ft. and grees from (permanent landmark) Tank set level. Tank lids within 8" of finished grade. 5-7 R� Size of field __` tz _units 51 � lineal ft. y Technology 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 pe, rubber gas ke etc. Tank has two compartments with the larger compartment closest to the house. Measure distance and relative direction to field. ` Depth of field-�L— ft.��1 _ Soil interface raked. t _ Inspection portals at the end of each trench. _ Proper distance to setbacks. r� Chambers properly installed as per manufac i ers ifications. C P P Y (Chambers latched, end plates properly installed, rocks removed from \ trenches, etc.) y Type of pipe used for building sewer line—,- - leach field ii�) k"t 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 50 25 10 10 Tank 50 10 5 10 50 10 * 10 MATED BY— DATE CHECKED BY SCALE DATE Grmn %4ss OICT !:Ci:!,P.+.ljEjOL' FnEE!4*2Z.-fj] 1871-99 Tax# 2195-333-UU-Uua JOE NAME 15877 Gypsum Creek Rd. WALDEN Gypsum JOB NO, BILL TO DATE S ARTEDG q DATE- COMPLETED DATE BILLED !f 5 11-7 N QG �L�,l� � N.�'J �� �G 0 �� ✓ p l � � � ��-GG� � /-c�cf �;%i:�� Gr ft' � �'G'C� {its" ` ���rhu�w ,�tll f(y��srs i"Y'd . ZpZ I -,7 JOB FOLDER Product 277 JOB FOLDER dr A let.1C I S D S IS71 99 W pybi) N lsDs # ����-Y9 (.v�GaFti ��"f�fbusE �� YP rs as -�/ get -99 /.s�8�/-49 Gtl�-GDE,v (3fI-T/� fib u s� i-p 2ao F� T.17K 0