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Home My WebLink About921 Mayne St - 211108402013INDIVIDUAL 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. 1910-99 BP NO. TOG #B99-1539 OWNER: THOMAS D. KIRK PHONE: 970-376-5224 MAILING ADDRESS: P.O. BOX 5023, VAIL, CO 81658 APPLICANT: SAME PHONE: SYSTEM LOCATION: Y21 MAYNE STREET, GYPSUM, CO TAX PARCEL NO. 2111-084-02-013 LICENSED INSTALLER: BOSSOW EXCAVATION, REX BOSSOW LICENSE NO. 23-01 PHONE: 970-524-9888 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 4 BEDROOM RESIDENCE 1250 GALLON SEPTIC TANK 1125 SQUARE FEET OF ABSORPTION AREA VIA 37 CHAMBERED UNITS AS REQUESTED BY OWNER SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE AND INSPEC- TION PORTALS IN EACH TRECH. RAKE ALL TRENCH SURFACES TO PREVENT SMEARING OF SOILS DUE TO THE EVIDENCE OF CLAYS. FENCE OFF THE LEACH FIELD AREA TO PREVENT LIVESTOCK FROM GRAZING OVER IT. DO NOT INSTALL IN WET WEATHER. CALL EAGLE COUNTY ENVI- RONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PORTION OF THE INSTALLATION, OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS RECEIVED FINAL APPROVAL. ENVIRONMENTAL HEALTH APPROVAL: DATE: MARCH 27, 2001 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: 1147 SQUARE FEET (VIA 37 STANDARD INFILTRATOR UNITS ) INSTALLED POLYETHYLENE SEPTIQANK: 1500 GALLONS IS LOCATED 325 DEGREES AND 12 FEET INCHES FROM THE CLEANOUT. COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT ON MARCH 30 2001 THE TANK FOR THIS SYSTEM IS LARGE ENOUGH FOR 5 BEDROOMS, BUT THE LEACH FIELD IS ONLY LARGE ENOUGH FOR A 4 BED— ROOM RESIDENCE. FENCE OFF THE LEACH FIELD TO PREVENT LIVESTOCK FROM GRAZING ON IT. ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. (j ENVIRONMENTAL HEALTH APPROVAL ! // ��Ai DATE: APRIL 9. 2001 complete Applications Will NOT Be Accepted ,rite Plan MUST be attached) ISDS Permit # M _ R Building Permit # 9 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: % a o r'1�1'S Jam• ! 1Q MAILING ADDRESS: f a 3Q>l S��-�%�� I t�s PHONE: APPLICANT/CONTACT PERSON: PHONE: LICENSED SYSTEMS CONTRACTOR: LA-ie-m o yel� PHONE: 5 a COMPANY/DBA : �a„b)� "'� E�r�rT/, ADDRESS : I G 3'7 PERMIT APPLICATION IS FOR: (✓) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: L•OT o�25 HoaigE PA_.<7U# SZ06d,1•1s Tax Parcel Number: ,a��bP>4ba-o( 3 Lot Size:.3.9:c`,e�� Physical Address: -/,Ahol-I /r/gVnr& BUILDING TYPE: (Check applicable category) (vl" Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number of Bedrooms Number of Bedrooms Type TYPE OF WATER SUPPLY: (Check applicable category) ( )-Well ( ) Spring ( ) Surface (Public Name of Supplier: 77 wy o4 yPSann *These systems require design by a Registered Professional Engineer SIGNATURE Date: L'_a3 -77 AMOUNT PAID : RECEIPT #: 13 7a0 DATE: A CHECK #: I n6i T5 CASHIER: Community Development Department (970) 32878730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com DATE: March 27, 2001 EAGLE COUNTY, COLORADO TO: Bossow Excavation FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Reissuance of Individual Sewage Disposal System Permit No. 1910-99, Tax Parcel #2111-084-02-013. Property Location: 621 Mayne Street, Gypsum, CO., Kirk residence. Enclosed is your ISDS Permit No. 1910-99. 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. Do not back fill any part of the installation until it has been inspected. If all items are not completed, a reinspection fee of $47 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- 8755. cc: files Enclosures: ISDS permit # 1910-99; ISDS Final Inspection Completeness Form Community Development Department (970) 3 28-8730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com EAGLE COUNTY, COLORADO April 9, 2001 Thomas D. Kirk P.O. Box 5023 Vail, CO 81658 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit #1910-99, Tax Parcel #2111-084-02-013. Property location: 921 Mayne Street, Gypsum, CO. Dear Mr. Kirk: 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, C 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: •PHSYSICAL ADDRESS: LEGAL DESCRIPTION:_ MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES_ NO TIME WATER DEPTH INCHES OF FALL SOIL PROFILE W IT MMM MM M MA I ON wom a- mm&wommm TIME TO DROP LAST INCH: 4 ,`.�M PERC RATE: t30 ::5 MINIMUM LEACH FIELD SIZE &IMUM SEPTIC TANK SIZE: COMMENTS: VV6 A y- uLA,r\_, ENVIRONMENTAL HEALTH SPECIALIST DATE R U1, L-2 q L� r ,. I ,a ,g 9 ISDS. Permit 19��, s Date :s � ISDS Final Inspection Cgnleteness Form Tank is gal. Tanis Material"' J - v Tank. is located f t . and 2 CJ degrees from CLI1t.� - (peramnent landmark) Tank is located ft. and degrees from (permanent landmark) Tank set level. Tank lids within 8" of finished grade. Size of field ft' units lineal ft. 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 -,tape, _ rubber gasket etc. Tezik has two compartments with the.- urger...: ,q% artment closest to the house. \/.-Measure: distance and relative direCt:on to: leld; (� i1yDepth of fiel". ft. Soil interface raked. OInspection portals at the end of each trench.. -V Proper distance to setbacks. V Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) Type of pipe used for building sewer line , leach field � Other t �'\�5 � Inspection meets reguirements. Copy form to installer's file if recommendations for improvement ware suggested. ACTION TAKEN: Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 10,0 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 EAGLE- COURT-Y-ENV . HEALTH P.O. BOX 179 EAGLE, CO 81631 JOB uS A.40 HEET NO. CALCULATED BYDATE__ CHECKED BY, SCALE m R: �r L 1910-99 Tax #2111-Ub4-UL—UiJ Lot #25, Filing 2 KIRK JOB NAME Horse Pasture Subdivision gfi21 Mavne Street, Gypsum JOB NO.— Ft) BW B LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED DK jn 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 L00/ JOB FOLDER Product 277 5 JOB FOLDER io-7 z t- dirk 111D-q 9 ke 2 S �2 Uzi d Printed in U.SA tzwa- -3/30/0j Kir1< iR ID CSc�p c�m� C ZS J Z .: .. s-_ - _ •1fw-3 tY?`aF3a - - �.-.gam-, -.ter :.• t. ___-�` ,,. ... _ _..._ . -. :. __ ,�.. ,- - _ •,-- _..+. _ .. ., ��' .w >s- E`':: F. `k. �-sy� 3 ::?�'4-"^.'p'-,�'-s*. F- c �-s=_:-a g.� 'A= f e '-,t -`�tP� .y- Y1.,-. �y .. 'S .. _'..... _ - _ : - , _-_: _ _ , - .., _ - _. - .. a _ _ - . 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