HomeMy WebLinkAbout736 Eagle Crest Rd - 210518301005 - 1078-91ISINDIVIDUAL 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. 1078 Please call for final inspection before covering any portion of installed system. OWNER: Gary Sandor PHONE: 476-2421 MAILING ADDRESS: 230 Bridge Street, Vail, CO 81657 AGENT: PHONE: SYSTEMLOCATION: Lot 25, Block 6, Lake Creek Meadows LICENSED INSTALLER: S . Ruder LICENSE No. 29-9 1 DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 900 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 3001 of 10" SB2, 29 infiltrator units requested by the builder, Place inspection portals at the end of each trench. ENVIRONMENTAL HEALTH OFFICER DATE: 7 ,2 CONDITIONS: 70, 1. ALL INSTALLATION UST COMPLY WITH ALL REQUIRE E60N EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GR 25 10-104, C.R.S. 1973, AS AMENDED. 2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRU TURES 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 /S APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM, INSTALLED ABSORPTION OR DISPERSAL AREA: �00 SQUARE FEET. (I� !ii///iI^ol//'/ �Vl'L17,5� INSTALLED SEPTIC TANK: Lo GALLONSDEGREES r FEET TANM 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: If ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT M: CHECK k: CASHIER: ISDS Permit 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 L PERCOLATION TEST 125.00 PROPERTY OWNER: GA'R L/ MAILING ADDRESS: 2--?,C. Ur PHONE: Z1 APPLICANT/CONTACT PERSO r C� r `j PHONE: Cl Z. '� 3� 0 C/ 1 LICENSED SYSTEMS CO CT - , �9! � ADDRESS: , PHONE: PERMIT APPLICATION IS FOR: (j- NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: L_A I' = c-C k r\-t r A 0 c'"* (j `> Parcel Number: t 2 F) L - r 1 (,e- Lot size: -7/V Physical Address. c- --1 3& 1� A 7 I E C 2 FS7--­) 1-2) o \- t7 F 1 177F 7 BUILDING TYPE: - -- (Check apic,ble category) ('�rResidential / Singplle 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 (1- j- Name of Supplier• Ll Ct1 LJ -t S 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 REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" SIGNATURE : � DATE AMOUNT' PAID:*2T RECEIPT#— 62 DATE: 3/ & - CHECK #_ I (ClD( CASHIER: TIME LOG - Travel Perc Final -- REPAIR PERMIT APPLICATION 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 S100.00 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $125.00 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: DATE: PHONE: 2c/app 2/91 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO July 22, 1991 Mr. Gary Sandor 230 Bridge Street Vail, CO 81657 715 CHAMBERS AVE. „°^ "� ; • P.O. BOX t79 ^h, EAGLE. COLORADO 81631 FAX (303) 328.7207 RE: Issuance of Individual Sewage Disposal System Permit No. 1078 Dear Mr. Sandor: Enclosed is your ISDS Permit No. 1078. The enclosed copy of the permit must be posted at the installation site. You must call our office for final inzpection 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 depending on your calling area: Eagle Valley 328-8730; Basalt/El Jebel 927-3823, ext. 730. Sincerely, Raymon . Merry, R.E .--- Envir nmental Health er Community Development RPM:ckc h Enclosure cc: ISDS File COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO August 26, 1991 Mr. Gary Sandor 230 Bridge Street Vail, CO 81657 RE: Final of ISDS Permit No. 1078 Dear Mr. Sandor: 500 BROADWAY 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, C. Kelley Carhart Office Assistant ckc Encl: Informational Sheets Final ISDS Permit cc: Chrono File ISDS File' Building Permit File Application PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER:��,u,•- LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: c NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES_ NO TTMR wnmL`y -F-1 MLUf , ,rI I av1L !'PCUr 1LL 1 2 3 1 2 3 2 3 1 2 1.' is 3 -"gib l 7 00 a a IPA` 3' '3( 3 3 ; 31 9.3a Oa a g 4 1 Sa�ei 4 ',3_s - _3 r 3: 7Iq 7l1 t , 5' c �) �7 q1 ? L/a �1' ) I I ' I l y n �D 6 3 -/6 �l7 )I' I - 3 /q v` n rr Yo `�, 3-�a i 4. a o 12 aD ao 20 8 11 8 °j „ ` If 3 r, 54 y a D 7r.150 � N 01 0� =6j J Time to drop last inch j-moo�P�Or'tOf PERC RATE: O?��� MINIMUM SEPTIC TANK SIZE: s Q MINIMUM EACH F E D S Z o� I�eS 30b l0-�/0a l / r re G COM ENTS : �h r �/ !/ ` �i 6/,4r! � rs sa/f lS ps,a L[GGn.�a a 7 ��.1 aal.-�.tA Qh lyl rr / Jet �j r r f fl✓oOcs /� nu ti w(A r S�u� �ie(L n r nr:. na�_ b.A, IA PERC -Tff9 DO E BY- -.w=,�. rev. 6/90ks Oxford � ESSELTE MADE IN U.S.A. NO. R 752 1/3 .l 7y �49I.g3' a v yak - t N t 46 ---- i A N= .il to of- 1 �1194,24 R R_Y__��_ti Dot... c T L^ N 1 11 = 20 1 JOB NAME �C' Clh t5� 10 a-91 -6'7 ,JOB CVO, .,� inR i ncnTinN 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 �® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.