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Home My WebLink About2030 Cordillera Wy - 0000000000000 - IS1002-90INDIVIDUAL 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. 1 002 Please call for final inspection before covering any portion of installed system. OWNER: Kensington Land Co. - Buildings 1A, 2, 3 PHONE: 926-3500 pp MAILING ADDRESS: PO Box 988, Edwards, CO 81632 AGENT: PHONE: SYSTEM LOCATION; 2030 Cordillera Way, Lot 35A, 13, C Cordillera Filing II LICENSED INSTALLER: Rothberg - Tamburi ni & Windsor LICENSE NO. DESIGN ENGINEER OF SYSTEM: Roth berg , Tamurini & Windsor, 1100 Stout St., #750, Denver, CO 825-5999 INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 2250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Engineer design approved. Need perc test results No TCO will be issued until final septi E i nSpeGti en is aP; raved Cross Reference with #999. (� 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: (rO 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 COUNTYISTATE 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 PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT N: CHECK N: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number:3�� 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: MAILING ADDRESS: /-_ C,)., �-,X ISS'�i;, PHONE: �� ;�5�c-> NA11E OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): r-/%2 ADDRESS: /%l 7 <75 PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: (' YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: 6 C� ZZram_. Parcel Number: Lot Size:/l•/ac- Legal Description. BUILDING OR SERVICE TYPE (Check applicable category): 3 Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: :, j_)8,, NUMBER OF BEDROOMS: Z WASTE TYPES Check applicable categories): Commercial or Institutional (/-rDwelling ( ) Non -Domestic Wastes ( ) Transient Use (i-j Garbage Disposal (✓)'Dishwasher (' Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( } Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use { ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES (� IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: (L—rYES ( ) NO WATER CONSERVATION PLAN:ES ( ) NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: (>-4' Well ( ) Spring ( } Creek/Stream Give depth of all wells within 200 feet of system: Al If supplied by community water, give name of supplier: a,,,� SIGNATURE: c_�% �,r�j DATE:��i INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope SOIL PERCOLATION Depth to Bedrock (Per 8' profile hole Depth to Groundwater table 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 or Pit ( ) Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other AMOUNT PAID: RECEIPT NUMBER ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". DATE: (//X (Environmental Health Dept. - Rev. 41/88) REPAIR PERMIT APPLICTAION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS A permit fee of $150.00 shall be charged for alteration, enlargement or any repair involving alteration of an existing Sewage disposal system. This fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100.00 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $125 shall be charged for all new leach fields on repair permits. Percolation testing may be waived at the discretion of the Environmental Health Officer on certain repair cases where prompt action must be taken to prevent a health hazard. IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, A NEW SYSTEM SHALL BE INSTALLED COMPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEM/MALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM WAS INSTALLED: PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT : # SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: OWNER OF SYSTEM: ADDRESS: APPLICANT: PHONE: ADDRESS: PHONE: DATE: EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: August.l6, loan RE: Issuance of Individual Sewage Disposal System Permit No. 1002 Enclosed is your ISDS Permit No. 1002 This copy of the permit must be posted on the installation site. You must call our office for final inspection before covering any portion of the installed system. If you have and questions, - please feel free to contact us at the following numbers. for your calling area: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle area 328-8730. Sincerely, � oft Roger Hosea Asst. Environmental Health Officer Community Development cc: ISDS file RH/alm Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 _ Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 a. COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO 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 be conducting percolation tests between November 15, 1990 and March 15, 1991. Additionally, all final inspections on 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 2t� 7D �c�� Cor Nc��er� Zc1Q.0 Da e R uted Lo�cat9r,- Please review the attached Individual Sc return it with this completed form the ti PLANNING: Complies with - Subdivision Regulations: Zoning Regulations: Recommend Approval: COMMENTS: BUILD,ING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - COMMENTS: 44, zJ Applicdtion No. it Application and Tice. DATE YES NO REVIEWED BY DATE YES NO Roads: Grading: Drainage: Recommend Approval: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: REVIE14ED BY DATE YES NO REVIE14ED BY DATE I.S.D.S. Regs. Compliance: P u�v�5 Recommend Approval: COMMENTS: 5561 e �2e l "1 SS!i-P 1 C o 6-P ! ec �e Y 4' e `n ae— �,� 7-i-C i "15� 1 1002-90 TxPrcl# JOB NAME -Lot 35A,B,C Filing 2, JOB NO. Cordillera Subdivision JOB LQCATION \ r V BILL TO !�b DATE STARTED ATE bOMPLETE 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 �, NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A