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Home My WebLink AboutBlk 13, Lot 1,2 - 219723410004EAGLEC`UNTY DEPARTMENT OF ENVIRONI�_'1TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT Na 51 (this does not constitute • a building or use permit) Owner OMA E. CUNNINGHAM System Location Lots 1 and 2 - Block 13 - Fulford (cabin) Licensed Contractor * Conditional Construction approval is hereby granted fora N/A gallon N/A Septic Tank or NIA Aerated treatment unit. No fee charged: Remodel Absorption area (or dispersal area) computed as follows: of existing system. Perc rate NIA inches in NIA minutes N/A sq. ft. absorption area per bedroom N/a # of bedrooms N/A x sq. ft. minimum requirement Mxyc_,Naxx kx APPROVED FOR INCINERATION TYPE TOILET ONLY. Date August 200 1975 Inspector zz�� Erik W. Edeen, R.P.S. FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. Date Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All .installation must comply with all requirements of.the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 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 structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or both. PERMIT NO. Name of Owner: _ Address of Owner ENVIRONMENTAL HEALTF, � P.O. BOX 811 EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: Location of Proposed System: Legal Discription: Type of Structure: Single Family Dwelling ( Water Supply: Private Well ( ) Location: Size of Lot: Phone: Other: No. Bedrooms Distance From leach field: Public Water Supply: An appropriate plat plan must accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS 66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be obtained at the Eagle County sanitarian's office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone 328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final inspection. Name, address, and telephone of person responsible for design of system The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Tank Capacity: Absorption Area:. REMARKS: gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( ) DENIED ( ) Permit No._ Fee Receipt: File: The above individual sewage disposal system was installed by AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date: Sanitarian: 0051-Lots 1 & 2 Block 13 Fulford JOB NAME- Cunningham JOB NO, jq-�- 6��5q is ()o OR LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED PERMIT # 51 C� /� > ' OWNER: Oma E. Cunningham LOCATION: Lots 1 and 2 - Block (50' x 120') REMODEL EXISTING SYSTEM APPROVED FOR INCINERATION TYPE Application: 8-20-75 �{ kCA I C) — l.j v 4 (C'0-1 `J l ( 13 - Ful ford � ,Q ,� na` TOILET ONLY. Erik Edeen 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 277 ®e NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A. 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. 1085 Please call for final inspection before covering any portion of installed system. OWNER: Tom Hopson PHONE: MAILINGADDRESS: P.O. BOX 2313, Avon, CO 81620 AGENT: PHONE: SYSTEM LOCATION: Lots 1&2, Block 13, Fulford LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: T �� GALLON BfPTIE /W��FhNK OR GALLON AERATED TREATMENT UNIT. 40,00 DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: ENVIRONMENTAL HEALTH OFFICER: DATE: I-PlIX14S CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH AL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUT ORITY 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. INSTALLED ABSORPTION OR DISPERSAL AREA: N/A SQUARE FEET. Holding INSTALLED S£Pi6TANK: 1000 GALLONS DEGREES 15 FEET from the residence. SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALSAND ASSEMBLY X YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: X YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: Construction was done before the septic permit was issued Doc menta -ion of the system components and um co e eived from Mr. Hopson, the current owner of the property. ENVIRONMENTAL HEALTH OFFICER: DATE: October 15 , 1998 ENVIRONMENTAL HEALTH OFFICER: DATE: (RE-INSPECTIO S RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT 8: CHECK S: CASHIER: ISDS Permit # 0 Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY P.O. BOX 179 EAGLE, CO 81631 328-8730/927-3823(Basalt) PERMIT APPLICATION FEE ' $150.00 J PERCOLATION TEST FEE $125.00 PROPERTY OWNER: a MAILING ADDRESS: 3,1— e D n PHONE: APPLICANT/CONTACT PERSON: c /v) , �U-k)QA/ ` PHONE: LICENSED SYSTEMS CONTRACTOR: ,� ADDRESS: PHONE PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYS EM:� Legal Description: Z _/ Gz �2 Parcel Number: _ _) Lot size: Physical Addres : — BUILDING TYPE.' (Check applicable category) Residential / Single Family Number of Bedrooms ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial / Industrial* Type HOT TUB Yes ( ). No WATER CONSERVATION PLAN: Yes ( ) No TYPE OF WATER SUPPLY: Well( ) -spring-( ) Surface ( •) Public ( ) Name of Supplier: Give depth of all wells within 200 feet of system: *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANC PAYABLE TO: ^EAGLE COUNTY TREASURER" SIGNATURE: DATE:-27 - jc�q C aD AMOUNT PAID: ' RECEIPT#''`% DATE: 7 f C CHECK #��-CASHIER: TIME LOG Travel Perc Final -. I 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 October 15, 1998 Tom Hopson P.O. Box 2313 Avon, CO 81620 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit #1085-91, Tax Parcel #2197-234-10-004. Property location: Lots 1 &2, Block 13, Fulford, CO. Dear Mr. Hopson: 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. Thank you for taking the time to help us in documenting the components of your system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division at (970) 328-8755. Sincerely, 1,' 1 4"- Janet Kohl Environmental Health Department Eagle County Community Development ENCL: Final ISDS Permit cc: files 4+,, Q •yP T •.i�a:.,,d•i 2S �� •. Yr i. v - it r l • 11 w 1' � � ��N • � , _i ttill �+ � .t +��' - r 1. "i`_?!]'g .tilti ?- �:'a?; :5 .. it ...•!� �. �_ sM `_tea _` '6 - -7;4 OC) ec- 37Qa TA -qt i Cl/ to,4,1 -Bq c F/4 L A!at 30 42,eTsi es /O,gqc� Zo -moo ,230 ct t Z4 L q. la- i s NAME 1085-91 TxPrcl#2197-234-10-004 .JOB NAME Block 13, Lots 1 & 2 35 Paseo Place-'bp-1N0PSO� Onn C..ttnninaha,r, ,JOB Na JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED _ CJ 6 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 KLNET PROFIT JOB FOLDER Product.278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.