HomeMy WebLinkAbout534 Lariat Loop - 210505403011 - 1034-91ISINDIVIDUAL 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. 1034 Please call for final inspection before covering any portion of installed system. OWNER: William T. and Janice Wezwick PHONE: 303-827-5921 MAILING ADDRESS:- P.O. BOX 1887, Vail, CO 81658 AGENT: PHONE: SYSTEM LOCATION: 0534 Lariat Loop, South 40 LICENSED INSTALLER: Ron Heinen LICENSE NO. 03-91 DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: Q6 O SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 320 lineal ft of 10" SB2 or 200 lineal ft infiltrator. Place inspectio portals at end of each line. ENVIRONMENTAL HEALTH OFFICER: DATE: _it_il 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: [ a0'0 SQUARE FEET. 1�^� L q INSTALLED SEPTIC TANK: GALLONS -a O DEGREES d 1 FEET ^ "' G�'~ o " SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY 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: ENVIRONMENTAL HEALTH OFFICER: " "� DATE: •+ `/ ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: q-/,�) Permit # / U sz APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Z ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNT LL S� T_�� P.O. BOX 179 .6� i EAGLE, CO 81631 '"1 328-8730/927-3823(Basalt Zl IOs PERMIT APPLICATION FEE $150.00 ERCOLATION TEST FEE $125.00 NAME OF OWNER: �61w. T. �nn; r& S. MAILING ADDRESS: 2.0 ` x la37 ItC�9W159HONE: 30Y _ 'qa/ NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Ran V6,'; me, y, ADDRESS: , ' (6 Grand h-oft- . . T__aa (e , (20 PHONE* PERMIT APPLICATION IS FOR: ()() NEW INSTALLATION ( ) ALTERATION { ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Addre Parcel Number: Legal Descript BUILDING OR SERVICE TYPE: (Check applicable category) (�C) Residential / Single Family --- ( ) Residential / Multi -Family ( ) Commercial / Industrial NUMBER OF PERSONS: --.C�l NUMBER OF BEDROOMS: SPA TUB WATER CONSERVATION SOURCE AND TYPE OF Give depth If supplied SIGNATURE: Yes (X) No ( ) PLAN: Yes ( ) No O WATER SUPPLY: Well( ) Spring ( ) Creek/Stream ( ) of all wells within 200 feet of system: by community water, give name of supplier: DATE: AMOUNT PAID: S RECEIPT## �� DATE: CHECK # CASHIER: TIME LOG Travel Perc Final 6© 60 l� NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" y COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO April 11, 1991 William T. and Janice Wezwick P.O. Box 1887 Mail, CO 81658 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 RE: Issuance of Individual Sewage Disposal System Permit No. 1034 Enclosed is your ISDS,Permit No. 1034. The enclosed copy of the permit must be posted at the installation site. You must call our office for final inspection before covering any portion of the installed system; the deadline for final inspections is December 1. If you have any questions, please feel free to contact us at the following numbers for your calling area: Basalt/El Jebel 927-3823 ext. 730; Eagle Valley 328-8730. sincerely, Roger Hosea Asst. Environmental Health Officer Community Development cc: ISDS file encl. RH/alm COMMUNITY DEVELOPMENT DEPARTMENT (303) 318.8730 EAGLE COUNTY, COLORADO William T. and Janice Wezwick P.O. Box 1887 Vail, CO 81658 RE: Final of ISDS Permit No. 1034 Dear Mr. and Mrs. Wezwick: 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 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. Also enclosed are informational sheets regarding the care of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division, P.O. Box 179, Eagle, Colorado 81631. We can also be reached, depending on your calling area, at the following numbers: Eagle Valley 328-8730; Basalt/El Jebel 927-3823. Sincerely, Raymond Pl/ Merry, R.E.H.S Environmental Health Off' er RPM:ckc Encl: Informational Sheets Final ISDS Permit cc: Chrono File ISDS File Building Permit File ISDS R T # r6';�V I PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: k/ i-I,I t v-e �, w v,c k LEGAL DESCRIPTION: Z 7 ti6/ MAILING ADDRESS: t',�,, TYPE OF DWELLING: NUMBER OF BEDROOMS�`� c TEST HOLES PRE-SOAKED: YES NO TIME WATER nRpmm T7%Te"T-TFC e-Ir T; AT.T. Dame Qn'rT nnn%'"rT V 1 2 3 1 2 3 1 2 3 111 2 13 0' 7 : I G'/Z ' 0 r o�� � 3'� 2 /z /� �z 10 zo ro z' Z 1 ���r to 7-° 3' a; 61 ly ` l S f l r afL Time to drop last inch PERC RATE: 3a MINIMUM SEPTIC TANK SIZE: Z MINIMUM LEACH FIELD SIZE: %�, 7— COMMENTS: c-7 Z �• Y o�C 7—� 9`f1 i���1�`��-a/ �9/rs/� L 12 5'�e-�' �i``-� ;i7yl/' i�,�-�„S' PERC TEST DONE BY: DATE: Envir6nmen rev. 6/90ks ealth Officer lJ r v OC-) C)7 > C- m o� z IS o z N � �1 Ill � -Tl O D o rn 71,1 s � rn z n rn 7 a n 0 I JOB 1034-91 TxPrcl#2105-054-03-011 NAME _0534 Lariat Loop, South 40 William T./Janice Wezwick JOB NO. 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 ®g NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.SA ear - � � ,� . - �' ITT `,, -- �� �, .�;u .. .;�; ��'.,::. lo pS34� Z-1t.11 ° oZ� �iceif /q'n c '-/- /,1-? �-f - -7/0Q/ 3�2 D t o t4 a s3 4r u•-• aG.d� Sd � _r S ' �O Cy'g0 c/'ui►S/