HomeMy WebLinkAbout8th Ave Lots 5-6 - 219723404008Work Classification: NewPermit
CO
Address Owner Information
Permit Status: Active
Project Address
219723404006
Permit Type: OWTS Permit
Permit NO. OWTS-10-12-8329
Expires: 2/28/2013 Issue Date: 10/31/2012
Parcel No.
8TH AVE - LOT 5 & 6 FULFORD, CO
Private Wastewater
System
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
Phone:
Cell: (970)904-0694
Inspection
For Inspections call: (970) 328-8755
Inspections:
IVR
PhoneEngineer(s)
Contractor(s)Phone Primary ContractorLicense Number
SPEIGEL CONST.(970)524-1212 Yes50-12
Chris Speigel
Speigel Construction
Permitted Construction / Details:
Installation is granted for a 1000 gallon plastic holding tank with an alarm to indicate when pumping is
necessary. Maintain access to the tank lids and keep the tank lids to within 8 inches of finished grade.
Provide a cleanout between the dwelling and the tank. Call Eagle County Environmental Health for a final
inspection prior to covering any components of the system.
Issued by: Environmental Health Department, Eagle County, CO
October 31, 2012
Date
Customer Copy
Terri Vroman
CONDITIONS:
1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT
COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT
2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED
3. 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
4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL
SYSTEM TO BE LICENSED
Work Classification: NewPermit
CO
Address Owner Information
Permit Status: Active
Project Address
219723404006
Permit Type: OWTS Permit
Permit NO. OWTS-10-12-8329
Expires: 2/28/2013 Issue Date: 10/31/2012
Parcel No.
8TH AVE - LOT 5 & 6 FULFORD, CO
Private Wastewater
System
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
Phone:
Cell: (970)904-0694
Inspection
For Inspections call: (970) 328-8755
Inspections:
IVR
PhoneEngineer(s)
Contractor(s)Phone Primary ContractorLicense Number
SPEIGEL CONST.(970)524-1212 Yes50-12
Chris Speigel
Speigel Construction
Permitted Construction / Details:
Installation is granted for a 1000 gallon plastic holding tank with an alarm to indicate when pumping is
necessary. Maintain access to the tank lids and keep the tank lids to within 8 inches of finished grade.
Provide a cleanout between the dwelling and the tank. Call Eagle County Environmental Health for a final
inspection prior to covering any components of the system.
Office Copy
October 31, 2012
Issued by: Environmental Health Department, Eagle County, CO Date
Terri Vroman
CONDITIONS:
1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT
COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT
2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED
3. 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
4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL
SYSTEM TO BE LICENSED
VKL c.vw-P loon g PbaC(_.,)
DEPARTMENT OF
P.O. Box 179
ENVIRONMENTAL HEALTH
500 Broadway
(970) 328-8755
Eagle, CO 81631
FAX: (970) 328-8788
www.eaglecounty.us
TOLL FREE: 800-225-6136
www.eaolecouniv.us
a,
EAGLE COUNTY
PERMIT APPLICATION FOR ONSITE WASTEWATER_ TREATMENT SYSTEM
OWTS PERMIT # BUILDING PERMIT #
INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED)
FEESCHEDULE
APPLICATION FEE $800.00 MAJOR REPAIR FEE $800.00 MINOR REPAIR FEE 400.00
This fee includes the OWTS Permit, Site Evaluation (Percolation Test, or Soil Profile Observation) and Final
Inspection. Additional fees may be charged if a re -inspection is necessary, or a pre -construction site visit or
consultation is needed. The re -inspection fee is $135.00
Make all remittance payable to: Eagle County Treasurer.
Property Owner: l S Sf 1 L G Phone: 017 U" 9G Y` 0 6 0/ 'V
Mailing Address: � U K i 3 z U eAGLL — email 01 AT HOG 3 GMA16-
Registered Professional Engineer: j (Z IS S P 1 L G L" L Phone: 9 -7o `l U y'o 6 qy`
Applicant or Contact Person: C Ali 1 S S %0 f L- G L L Phone:
Licensed Systems Contractor: G 14/� ( S S el C G 6 L-
19 7o'- 9 0 y —o6, gV
License # -S C ` 2-
Company I DBA: -9 F 1 L G CA L G G1161. / Phone: 27 U' I lJ y p G" L�
Mailing Address: BOx 13 2 C> z A(s L[_ G0' email
Permit Application is for: _K New Installation Alteration Repair
Location of Proposedonjiff
` Wastewa er T eatment System: i ^
Legal Description: rul_ rcD O4 : 33 5 Q hG� W+
Tax Parcel Number: ;� , ef -7 —a 3 4 0 _� 00_. Lot Size: 5 z S
Assessor's Link: www.eaalecounty.us/patiel
Physical Address: Z- 0 T S LC �- 8 T ti A V L F61 I- FGA 0-
Building Type: _.Residential / Single Family Number of Bedrooms:
Residential / Multi Family Number of Bedrooms:
Commercial / Industrial* Type of Use: k G C r
*These systems require design my a Registered Professional Engineer
Type of Water Supply: Private Well Spring Surface X Public
If Public Name of Supplier:
FC4 LF0At2
Applicant Signature:
Office Use Only . BO
Amount Paid: �� __ Receipt #:.-,
Check #: / Date: I 01314?__
ISDS Pez"t # ` 10 12 32-9 Date I J z I z
_ Tank is 10.QC) gal • Tank Material �
�O .f Tam is located } - and L LLAWO
es _
�.r�e s..er�s1W
zantic is located ��ft- and es �
a..e+.w
` Tank net level. _.Tank lids within SO of finished grade.
Size of field units lineal ft.
Technology
—.�- Cleanout is installed in, between tank and house (} 1/100ft) .
There is a *TO that goes dawns 14 itches in the inlet and
outlet of the tank:
V Inlet and outlet is sealed with taip.taper rpbber gasket etc.
two compartments with the .;-1 ►z X*Mpawtment closest to the,"
house
didtance and relative
Depth of field- � ft _
Sail interface raked_
Inspectioa portals at the end _of each tremch_.
proper distance to setbacks.
Chambers properly installed as per manufacturerO 8pe0ificativns.
(Clambers latched, end plates properly installed, rocks temoved from
trenches, etc.) Leach fielc—
Type of pipe used for building sewer Line
Otherinspection meets
Copy fora to installer' a f31s if rscoa+seAdatioms for iaipt^aveaa►ent wire
suggested.
ACTION TAKEN:
S es tmaks
well 'potable House property bake Dry Tank Drain
Feld 100
25
20
10
s0
25 1.0
to
TdJ& so
10
5
10
50
10 *
10
P.O. BOX 179
EAGLE, CD 01631
CALCULOM IrY_
uATrz
CHECKM BY
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