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HomeMy WebLinkAbout11 Hawk Ln - 247106306011INDIVIDUAL 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. 1 1 1 4 8 -92 Please call for final inspection before covering any portion of installed system. OWNER. Gary Smith 927-9450 PHONE: MAILING ADDRESS:_ 0011 Hawk Lane, Basalt, CO 81621 AGENT: PHONE: SYSTEM LOCATION: Lot 14, Ruedi Shores, Filing 1, 0011 Hawk Lane, Basalt, CO 81621 LICENSED INSTALLER: Gary Smith LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: 382 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Owner requested Infiltrators: 10 Hole being dug by backhoe 100' to SW - no bedrock. Install inspection portals. 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 COML/ANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. T 1 1 INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET. yi�t LlI]'/j/et7Or.5 �yJ 1IG�eS, '�5/y0 INSTALLED SEPTIC TANK: Q J D GALLONS J� DEGREES 31 FEET ft§M 51. Corker o SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVALOFSYSTEM IS MADE. ARRANGE /A`RE-INSPECTION WHEJN WORK IS COMPLETED. COMMENTS: SuMn s JS Sli/lA b�e TOr 3 16-40'+SYYI 1100-5e !%. .- %[n 7/Pi/S SIZe,,O//lar R 3 6eG�"reem �,-A is s za -For a 4 beo1r&dv-,,. ENVIRONMENTAL HEALTH OFFICER: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT N: CHECK M: CASHIER: incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # / / L/F-- Building Permit _#1 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. b. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) k PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE �125.00 T MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PRDPERTY OWNER: " S j, /-4 MAILING ADDRESS: Do it i4LAJ�- "e r �as�� 66 8/62/ PHONE : j2_'7 F11S b APPLICANT/CONTACT PERSON: 5-At .-v C-, q PHONE: LICENSED SYSTEMS CONTRACTOR: ��, A�a✓L PHONE: / Gr 5 COMPANY/DBA: ADDRESS: PERMIT APPLICATION IS FOR: ()() NEW INSTALLATION (, ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: L.O� /e`���, S�rc2F s �ti�-•+s %� Tax Parcel Number: `7-47j - Q&-3 Lot Size: 4C Physical Address: ©o i/ 44w1, i.o, BUILDING TYPE: ( Check applicable category) Residential/Single Family Number of Bedrooms Z ( ) Residential/Multi-Family: Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: we 11 ( ) ( ) Publ--c Name (Check applicable category) Spring ( ) Surface of Supplier: *These systems require design by SIGNATURE: ,441 o 9 <X: Ilk: 'A * * * * Ilk ','*1k kr a Registered Professional Engineer Date: AMOUNT PAID : � �� } RECEIPT Ito L DATE: _ � CHEC-K CASHIER: TIME LOG: TRATEL: PERC: FINAL: RECEIVED APR v 0 lScj2 EAGLE COUNTY k:ONIMUVITY DEVELORVIEN1 DEPART,b1ENT 303 3 20.S 7 0 May 19, 1992 Gary Smith 0011 Hawk Lane Basalt, CO 81612 RE: Final of ISDS Permit No. 1148-92 E00 BROADWAY P.O_ BOX 179 EAGLE. �:OLORAPO S 1631 FAX 303! 328 7107 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 dwelling may require appropriate alterations of your septic system. If you have any questions regarding t-,_s permit, please contact the Eagle County Environmental Health Division at 228-8"5=. Sincerely, Brenda Henderson Office assistant Environmental Health /bh ENCL: Information Broch,Ure Final ISDS Permit cc: Files BPR 5303 COMMUNITY DEVELOPMENT DEPARTMENT (303) 3 28-8 730 EAGLE COUNTY, COLORADO May 5, 1992 Gary Smith 0011 Hawk Lane Basalt, CO 81621 RE: Issuance of Individual Sewage Disposal System Permit No.: 1148-92 Dear Applicant: 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 Enclosed is your ISDS Permit No. 1148-92 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. Please call our office well in advance for the final inspection. The final inspection is to be done before any portion of the installed system is covered. The deadline for final inspections done by Eagle County Environmental Health is December 1. Systems designed by a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County does not perform final inspections on engineer designed systems. Be aware that the specifications on the permit are minimum requirements only. Installers should bring this to the attention of the property owner. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact us at 328-8755. Sincerely, Brenda Henderson Environmental Health Administrative Assistant Enclosure cc: ISDS File Building Department --` 5303 1SDS PERMIT =Ll4g PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: MAILING ADDRESS: �0 TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO TIME wamry nrvmw e" "­1 2 3 1- 2 3 1 2 3 1 2 3 01 lay y� 4.575 �,�75 16.0 _73 T 7.5 3. 3 7-5 ? -16 1.5 E, 7 21 73 15 3 1 11.15 10.5 137-4 /7-5 1)5 3-4 4' 30 13,715 12_0 /5 5 5::1 Ez,3 /5,0 115 go 91 71 A�11 15 15 7_� 7 8' F5 S 15, X5 15 7_t-, /0 Time to drop last inch -5--1 j PERC RATE: u5,-o 167 MINIMUM SEPTIC TANK SIZE: 1)51) 4y 0ainer reru sI MINIMUM LEACH FIELD SIZE: 362 COMMENTS: A- A4 PERC TEST DONE BY: Environmental Hekith 0 cer DATE :�'g_�Z_ rev. 6/90ks 2 3 1148-92, Parcel # 2471-063-06-001 Lot 14 Ruidi Shores, Filing 1, Basalt CO 0011 Hawk Lane, Gary Smith JOB NO. - dues LVCATiOIV BIL 'T DATE STARTED DATE COMPLETED DATE BILLED 5-�-92 -5. 9Z 5-1$-9z Ins���I 10 In�;'/h..�.�Ys d ,.mors fP ues lvd� 405 a N arta/S , 5 Q l e ra/cal �,�r a 3 beo�roew. �ie`sQ �� aY•mar uP JOB COST SUMMARY raawI TOTAI - ---- ---- --- / l 00i1 &'k J6-12 ia0°; 31 %+ S.E, canna W I 0 to hops P, JOB FOLDER Product 278 ®3 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER J s L�50 p 2 �!l CDSGr07(sVl la Units rri 74e>�s �er a 3 �raflw., I'd fie (Fi9^ fi fo 7�r�k �5 Sd,TC�+� Tar a 7 �rcarn nUwS,e f" L leI t �rp- 54. coma- 6T hoost 70 i,r34 m.,&� coder