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HomeMy WebLinkAbout1450 Copper Spur Rd - 168904400014INDIVIDUAL 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. 1875-99 BP NO. 1 2 6'yi OWNER: LAURIE AND JIM LYONS PHONE: 970-653-3006 MAILING ADDRESS: 1450 COPPER SPUR RD., McCOY, CO 80423 APPLICANT: SAME PHONE: SYSTEM LOCATION:_1450 COPPER SPUR RD., McCOY, CO 80423 TAX PARCEL NO. 1689-041-00-011 LICENSED INSTALLER: BOB'S EXCAVATING AND HOME REPAIR LICENSE NO. 47-99 PHONE: 970-653-4281 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A FOUR BEDROOM RESIDENCE. 1250 GALLON SEPTIC TANK 1500 SQUARE FEET OF TRENCH ABSORPTION AREA VIA 48 CHAMBERED UNITS AS REQUESTED BY INSTALLER. SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE AND INSPEC- TION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT SMEARING OF SOILS AND DO NOT INSTALL IN WET WEATHER. BE SURE TO MAINTAIN WELL SETBACK OF 100 FEET TO THE LEACH FIELD. CALL EAGLE COUNTY FOR FINAL INSPECTION PRIOR TO BACK FILLING AN PART OF THE INSTALLATION OR WITH ANY QUESTIONS REGARDING INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS RECEIVED FINAL APPROVAL. ENVIRONMENTAL HEALTH APPROVAL:44JAA_AL cl7I DATE: JUNE 1, 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: 1532.34 SQUAREFEET(VIA 48 -FQ -16 TNFTT,TRAToR UNTT4 ) INSTALLED CONCRETE SF. TT TANK: 11 2 5050 GALLONS IS LOCATED _ 69 DEGREES AND _2,D FEET FROM THE CLFANOUT ON THE EAST SIDE OF THE HOUSE. COMMENTS: FTNA1', INSPECTION PERFORMED BY LAURA FAG10ETT ON RFPTF.MRRR I S,_1999 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 APPROVALi.Q_� (1 -bbt DATE: SEPTEMBER 27, 1999 (Site Plan MUST be attached) ISDS Permit # 1 U l - � I 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 $1.50.00 PERCOLATION TEST FEE $200.00 * * * .-MAKE'ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ************************************************************************** PROPERTY OWNER: y U /1'j's PHONE: MAILING ADDRESS: APPLICANT/CONTACT PERSON; PHONE: t_ to MAILING ADDRESS: LICENSED ISDS CONTRACTOR: 060PHONE: COMPANY/DBA: Bs ADDRESS: -C I,/grtq Lj *************************************************************************** PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # ( if known) Legal Description: Subdivision: Tax Parcel Number: Street Address: NJ-0 Co, Filing:_Block: Lot No. L--Z)�% - V . Lot Size: ,` �s2 Sjo v.2 <,,u . � A-Arl C C4 -4 *************************************************************************** BUILDIN TYPE: (Check applicable category) ( Residential/Single Family ( ) Residential%Multi-Family* ( ) Commercial/Industrial* Number Number Type _ of Bedrooms of Bedrooms TYPE OF WATER SUPPLY: (Check applicable category) ( Vj Well ( ) Spring ( ) Surface (.) Public Name of Supplier: *These systems equire d ign by a Registered Professional Engineer SIGNATURE: Date: -.TAVA"? ************* ************************************************** ******** TO BE COMPLE&D Y THE COUNTY 4 AMOUNT PAID: 5� �� RECEIPT #: l ���' C DATE: CHECK # : U CASHIER: ISDS PERMIT # 0 57' 9% PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH . OWNER: J i m o-m 5 •PHSYSICAL ADDRESS: 1245-o R 3 LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES NO SOIL TIME WATER DEPTH INCHES OF FALL RATE PROFILE 01 1 1: ©O 2' i o �� �'�� �� . 3�5 . a �. G ►3.33 a� , ►S 13 /K 1, ID 25 .5?7 .24 $ 13,33 a D 4� z a r�{•;2� I I, z 5 .5 / 2 / 2 r b a e 511 7 .5 13.33 /, ® C1 L1 r v / : 35 -3f� 12 3�S lvZ`� • 3�s • 2� . 25 A 3. 0 ��} 8 yo.3�5 m 2' o12s 13•33 aO 40 lz�%�1� l`,�S , 3� .2 S 2 13. 3-3 g O j 10f TIME TO DROP LAST INCH: PERC RATE: MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: (, Ll ` ENVIRONMENTAL HEALTH SPECIALIST DATE t I ISDS Permit # �� %J�'99 Date ISDS Final Inspection Completeness Form " Tank is gal. Tank Material�t _ Tank is located � ft. -and � de gees from Lffd- (permanent landmark) Tank is located ft. and degrees from (permanent landmark) Tank set level. Tank lids within 8" of nished grade. Size of field �S�J2 ft yg units lineal ft. Technology EA R� L-I�Cleanout is installed in between.tank and house(+ 1/100ft). 1, 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 1 ger compartment closest to the ,,house. l II / Measure distance and relative direction to field. A �d o Depth of field -3 ft. Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. tfPChambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) 66k-x- Type of pipe used for building sewer line leach field Other h- 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 r f--W w, -n in= %4u OWI t,:rPW%EMU FEE!4*2*ml a M= 1875-99 Tax# 1689-041-00-011 1450 Copper Spur Rd. LYONS JOB- NAME McCoy JOB NO. 6 P' 125 A BILL TO DATE S��}}AhRTE q DATE COMPLETED DATE BILLED 4-o 2 SS0 - ? JOB COST SUMMARY L F TOTAL SELLING PRICE q 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 277 r a: 168-?-0g1-06-o« - JOB FOLDER i87s me u Printed in U.SA 1875-,1R I&89-0y/-oo-61/ l y-5-0 cat AC4644 P--d- )WcC&?d-