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Home My WebLink AboutBlk 3, Lot 6,7,8 - 219724306007INDIVIDUAL 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. 920 Please call for final inspection before covering any portion of installed system. OWNER: Richard and Frances Turgeon PHONE: 524-9743 MAILING ADDRESS: Post Office Box 93, Gypsum, CO 81637 AGENT: Self PHONE: 328-7441 SYSTEM LOCATION: Lots 6, 7 and 8, Block 3, Fulford I1 LICENSED INSTALLER: Owner LICENSE NO. NSA DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE �}$OFOLLOWINGG::/T� 4C TA GALLON 3GPTfE TANK OR � GALLON AERATED TREATMENT UNIT. DISPERSAL REA REQUIREMENTS: r , SQUARE FEET OF SEEPAGE BED r ' SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: All wastewater must be discharged into the holding tank ENVIRONMENTAL HEALTH OFFICER: Sid Fox DATE: June 23 , 1989 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 COMLIANCE 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: SQUARE FEET. INSTALLED SEPTIC TANK: GALLONS DEGREES FEET 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 APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: ENVIRONMENTAL HEALTH OFFICER: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT/AGENT: Richard and Frances Turgeon OWNER: PERMIT Richard and Frances Turgeon AMOUNT PAID: $ 150 RECEIPT #: 1745 45 CHECK #: CASHIER: J • Brophy APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT 3310 ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00 NAME OF OWNER: - e �� z � MAILING ADDRESS: HONE . j �- 9' 7 -ie,3 NAME OF APPLICANT (If different from owner ADDRESS: jKei2-3 0 3� PHONE: -g7%3}) DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: PHONE:, PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION (:e) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: �JM-a43-66p-npg Lot Size: 73' "a' 10>��'' Legal Description: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: 1, NUMBER OF BEDROOMS: WASTE TYPES Check applicably categories): Commercial or Lnstitutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher ( ) Automatic Washer �( ) Spa Tub ( ) Other (Specify) : Wo,G 0j'�1 q ✓f�Y/r. 0 c4_�� TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM`PROPOSED: el Septic Tank Composting Toilet ( ) Incineration Toilet O Vault Privy ( ) Gr'ywater ( ) Chemical Toilet ( ) Pit Privy ( ) A ation Plant ( ) Recycling, Portable Use ( ) Other ( ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECT Y INTO WATERS OF THE STATE: ( ) YES O NO IS SYSTEM DESIGNED FOR LESS THA� , 00 GALLONS PER DAY: ( ) YES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( ) NO NOTE: The Environmental Health -Office may reduce the required absorption area upon approval of an adequate wader conservation plan.;��r�b SOURCE AND TYPE OF WATER SUPPLY: ( ) Well (X ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If suppled b omm 1 t y -, give name of supplier: S CP SIGNATURE: DATE: ZI INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope h/ Depth to Bedrock (Per 8' profile hole AM Depth to Groundwater table SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1 Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: Absorption Trench, Bed ( ) Above Ground Dispersal ( ) Under Ground Dispersal (X, ) Other AMOUNT PAID: .No RECE or Pit ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond NUMBER /-7C/,Y NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION>. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER (Environmental Health Dept. - Rev. 4/88) 4� COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORKDO October 4, 1990 Dear Applicant: 725 CHAMBERS AVE. P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 Please be advised that this office will not 'Je conducting percolation tests between November 15, 1990 ;and March 15, 1991. Additionally, all final inspections o71 installed systems must be completed prior to December 1. If you have any questions, please call me at 328-8730 or 927-3823 ext. 730 in the Basalt/El Jebel area. Sincerely, ► Roger Hosea Asst. Environmental Health officer RH/alm ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE T U C3 E.DL\( .21, . � (Name)331 o Date Routed U L �: Application No. Location Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form the the Environmental Health Office. PLANNING: Complies with - YES NO REVIEWED BY DATE Subdivision Regulations: Zoning Regulations: Recommend Approval: COMMENTS: BUILDING: Complies with - YES Building Permit Applied For: Building Permit Issued: G' Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: NO REVIEWED BY DATE YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with - YES NO REVIEWED BY DATE Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: oft COMMENTS: 6 tt —ro i z S u z V V% u& t Ti U w: Aw&a-�&u Aa vC rn u S T b e- all S G A K2C,P ok i pj i'a COMMENTS: 6 tt —ro i z S u z V V% u& t Ti U w: Aw&a-�&u Aa vC rn u S T b e- all S G A K2C,P ok i pj i'a 920-89 TxPrcl#A/qr7-A43-0(,- oo-7 JOB- Lots 6,7, 8, BlocK3, Fulford Richard & Frances Turgeon r i JOB LOCATION BILL TO _ DATE STARTED DATE COMPLETED DATE BILLED 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 278 �a NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Printed in U.SA JOB FOLDER