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HomeMy WebLinkAbout4529 Frying Pan Rd - 246702300024INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1537 Please call for final inspection before covering any portion of installed system. OWNER: Bert Pearce PHONE: (97O) 927-4485 MAILINGADDRESS: 4547 Frying Pan Rd. clty:Basalt State: CO ZIp: 81621 APPLICANT: Randy Hughes PHONE: (970) 329-2309 SYSTEMLOCATION: 4529 Frying Pan Rd. TAX PARCEL NUMBER: 2467-023-00-024 LICENSED INSTALLER: Clement Hughes Excavating (970)963-2004 LICENSENO: 09-95 DESIGN ENGINEER OF SYSTEM: 0 INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: This permit is for the repair of the existing septic tank only and does not imply that the current system meets the Eagle County Regulations. This is a pre-exsiting nen eenferming system. All east iron pipes may also be replaeed. --Call Eagle-C�­­ for a final inspection px-io ckfillin . / ENVIRONMENTAL HEALTH APPROVAL: DATE: CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF T EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GRANTED IN 25- 10- 104. 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. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED. FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE 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:exi s t ing SQUAREFEET. dry Well INSTALLED SEPTIC TANK: 1000 GALLON 80ON DEGREES 64' 10" FEETFROM the clean -out next to the house SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X YES —NO COMPLIANCE WITH COUNTY/ STATE REQUIREMENTS: YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: 9 ENVIRONMENTAL HEALTH APPROVAL: DATE: October 24,1995 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # ISM Permit APPLTOAMN POR •xA PIVIDUAL' SEWAG.D DISPOSAL BYSTER PERM-T A. 1VxR0�NMENTdi1a YEAi '1�T FFICE - EAGLE COUNTY it �t it o'; *'k � h �b * * ek zL• sk !c �t � � � k h .t � � �: •&' � � 1't .i+c 5k �� tk �(• � �: *. s� �S' ok.�e dk vk $f � �s �e � � 7ti•'k •14 it �t �+t ',k & � �c Ik * 9t �c �F * * 9t * •k �It .i k 3r * VMMIT APPLICATION FEE g150., 00 ;. PERCOLATION TEST FEE $200. 00 v� k MARE ALL RZINITTANCE PA.XABLE TQ: "EAGLE- COUNTY TREASURER" � •k •k rk oh Y4 ,M � � * oM � dl• .sF �k �4 � * Nr *• !� �r 9t ;k �t �r dk �'t at it dt 'k ak `ek � � l�K � �k 'A lit lit 5l• is o4 lit 'k 9t /c k 1F � 7r k •k •rI: �' 1k �k * * '!t Yr dk ik * '* k •k k• �k * '* � i}ROPEWY OWNER: PHONE. NAILING ADDRESS;_ . _ .'� /ff'r;7 �:7 /�c�/. _ ',�, '.stq APPLICANT/CONTACT PERSON: PRONE: MAILING ADDRESS; LICENSED ISUS CONTRAC' QR.*..IC' :2 PHONE COMPANY/bails: ADDR2 SS �t•h•�•t�Jrkk�":yY•h•�S•k k�rvt��r•hkh*�F�kis�t�kk,4•k�c:k�Cy�sk•A�h��C�s��s•�kaktkrk��l�kk�r�,�,r�k*kk,�,�,��,�*,�.�hak���rst*fir PERMIT APPLICATI019 IS FOR: ( j -'-.New Installation ( ) Alteration Repair * a�• at• � dt � �'t �k •k �k dr its :it sk 54 k Yt � Ye * Je 'Je sk h �t 9t vt * � •k k h •k a+e * k k +ts at � 4r ek •k �r #• � de * �t re wb• * �e •�. �k a4 :q• v4 �F is Ott yt� Ye •9r le 9e 9r yF * t4 � * * * LOCATION OIL PROPOSED II3L7MDUAL SEWAGE nUPOSA•L SYSTE'24: Duia.diml Permit (if known) Legal De ,cription: Subdiviaion: • � �R�'iIing:_..°Block:_Lot No._ Tad; Parcel Number:L Lot Size:. 112-61CW Street Address: q !� ���l���ele�r�ds�;k�k�:+r9k•#**�itA�,74•kik**'&k�*�•!r•h'h.'��•�•*�•h k�*9r�**74�Jd�>1r'rty'cit**s�9clFdt�4�9k��ikisak�'Veitst* BUILDING TYPE: (Check appi icab I.e... category) {,) Resident�ai/Singh patM .l,•y ( j Residenti4l/Nulti-Famil.yt: ( y Commeizo,ial/Industrial.* Number Number Type TYPE OF WATER SUPPLY: ( Check ' app'licab.le • category) f "t vdel ( ) ,prim 1. ::s t'; j:-' ( } Public Name of $Upp *These systems regiiire design k>y';•tjister•ed Professional Engineer of Bedrooms r of Bedrooms __-- — SIGNATURE: -' Date kdeaFat���lrl�r*dris�t9t*•h�ric�]IC�c��t�ktit**•-k���e�ak�#i'�r''re,k9c_�t�aitik'*�*�•�'*�9rJt9eie�4*tir�c]k'�t91eik9k�l�'��k�fir*�*k�k*ak �4?:i�^lip E"e!X l�Jc+t�a I`•t� It,vK4A-- Yit PT DATE: CAMIER: Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO Date: October 13,1995 TO: Randy Hughes FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1537-95 Tax Parcel #2467-023-00-024. Property Location: 4529 Frying Pan Rd. Basalt, CO. Pearce residence. Enclosed is your ISDS Permit No. 1537-95. It is valid for 120 days. The enclosed copy of the permit must be posted at the installation site. Any changes in plans or specifications invalidates the permit unless otherwise approved. Please call our office well in advance for the final inspection. Installation must be completed by December 1 for all new construction for which.permits were issued prior to November 15. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328-8755. cc: files Community Development Department (970)328-8730 Fax:(970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO October 24, 1995 Eagle County Building -- P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 Bert Pearce 4547 Frying Pan Rd. Basalt, CO 81621 RE: Final of ISDS Permit No. 1537-95 Parcel #2467-023-00-024. Property located at: 4529 Frying Pan Rd., Basalt, CO. Dear Mr. Pearce, 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. Also enclosed is a brochure regarding the care of your septic system. Be aware that later changes to your building may require appropriate alterations of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division at 328-8755. Sincerely, Janet Kohl Environmental Health Department ENCL: Information Brochure Final ISDS Permit cc: files 4., i Z0 d z0154O ^L 5E 5 GrAs ISDS Final Inspection Completeness Form Tank is � 1 gal. Tank Material C--OLICU Tank is located ft. and Tank is located ' ft. degrees from (permanent landmark) and degrees from_.67"ta,�" (permanent landmark) a Tank 'set level. ✓ Tank lids within 8" of finished grade. Size of field ft2 units lineal ft. Technology vJ Cleanout is installed in between tank f and house(+ 1/100ft). There is a "T".that goes down 14 outlet of the tank. Inlet and outlet is sealed with etc. inches in the inlet and tar tape, rubber gasket Tank has two compartments with the larger compartment closest to the house. 5 ` Measure distance and relative direction to field. Depth of field ft. (i Soil interface raked. Inspection portals at the end of each trench. L�u Proper distance to setbacks. Other Inspection meets requirements. Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: ) Setbacks � Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 1 M■.EM■ME ■MERNMEMEM®® ■MEME®EMEME■ ■EMEMEMEMEME ■EMEMEME®EM■ ■■ NEMMEMEME ■ ■MEME■ ■mmom■ ■MEME■ 1537-95 TP#2467-023-00-024 JOB NAME 4529Frying Pan Rd. `Basalt, CO 81621 JOB NO. 106: t OCATION , BILL TO DATE STARTED DATE COMPLETED DATE BILLED ! V ( �% ��� O&A' JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE r ! J�F_�I K,�'� � _ ,. >i I ' .� tinr�.•'�, ... -: A SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT FOLDER _..fie` r.'�1Wi,''��,� t ~. �• i' �� • stir ...`.� • , 6�' '^"1$ �' xF.. Printed in USA