HomeMy WebLinkAbout222 Lariat Loop - 210505403002 - 1112-91ISINDIVIDUAL 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. 1112
Please call for final inspection before covering any portion of installed system.
OWNER: Stan Spry
PHONE: 926-5221
MAILING ADDRESS: Box 1438, Edwards, CO 81632
AGENT: PHONE:
SYSTEM LOCATION: Larriot Loop, Lot R-21, South Forty Subdivision
LICENSED INSTALLER:ll LICENSE NO. Sd •
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 487 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 16 Infiltrators In trenches/ 1601 of 101 SB2 in trench
Place inspection portals at end of each trench.
ENVIRONMENTAL HEALTH OFFICER: DATE: 11 / 01 / 91
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: T VQ 7 SQUARE FEET. W*A �+ /IJI� /TI^pTs/S
INSTALLED SEPTIC TANK: ) 000 GALLONS 40 DEGREES —4 5 FEET T/'W 5.E,
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
APPLICANTIAGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
ISDS Permit -#
-
;. Building -Permit #
.. APPLICATION._FOR...INDIVIDUAL..SEWAGE'DISPOSAL SYSTEX:PERMIT"'
;_ENVIRONMENTAL,HEALTH.OFFICE--EAGLE:COUNTY-
P..O. .BOX. 179 - -..
EAGLE, _CO 81631
- 328-8 27-382`3 Basalt) 70O
PERMIT APPLICATION FEEPERCOLATION TEST FE 125
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PROPERTY OWNER: Gc 5��✓� f �J�.ti iiL�
MAILING -ADDRESS: I`3�,� l�S PHONE-,.'
APPLICANT/CONTACT PERSON: S ram. PHONE: cjVz-
LICENSED SYSTEMS `CONTRACTOR. TA, Je - 5!? _ !
ADDRESS: _ . - _-_-_ r__ PHONE:'
PERMIT -'APPLICATION` -IS' -FOR:-``(` NEW --INSTALLATION (-j_ ALTERATION (--)-REPAIR
LOCATION OF PROPOSED INDIVIDUAL §,EWAGE DISPOSAL S TE : [ ff
Legal - Description: /Lot. 1 -- �. _LLE4 L
Parcel Number: Lot size: t ��
Physical --Address-. - ._U- /-:r ,.�7 7��.
____.. BUILDING--TY ----(Check- applicable category) 22
( Residential / Single Family Number of Bedrooms J
Number --of -Bedrooms -- - -
( ) Commercial / Industrial* Type
HOT- TUB - --- - _ .. _ -- _ ----Yes
WATER CONSERVATION: PLAN,: Yes- (:.) ;-: No
TYPE OF WATER SUPPLY: We'll( j Spring ( ) Surface,, ( )
Public (Name of _Supplier... 44;rk -,;�
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: �/ Z71
AMOUNT PAID: RECEIPT# �� -�� DATE:
- CHECK V3 -- CASHIER:
L- 1g5.41"1000
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ISDS PERMIT # ///Z
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: S7ati/ Sp��
LEGAL DESCRIPTION: 022-2 Lari",I L-V
MAILING ADDRESS: zyx g
TYPE OF DWELLING: Sr /�Ps NUMBER OF BEDROOMS..3
TEST HOLES PRE-SOAKED:
YES X NO
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PERC RATE: &E /3 MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE: 417 4y j +rr,.�
COMMENTS:
/D$2 AtraJs AIM f-l"' ' �s1,e /Vla A1117y
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DONE
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a& Health 0
DATE:
cer
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
December 5, 1991
Mr. Stan Spry
Box 1438
Edwards, CO 81632
RE: Final of ISDS Permit No. 1112
Dear Mr. Spry:
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,
(� Et
C. Kell e tCarhart
Y
Office Assistant
ckc
Encl: Information Sheets
Final ISDS Permit
cc: Chrono File
Building Permit Filey
1112-91 TxPrc1#2109-042-10-007 ���G�C�3,ryl�s
JOB NAME _ Larriot Loop, Lot R-21 %77 ��� C�� JOB NO.
South Forty Subdivision
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
-----------
2
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 �0 NEW ENGLAND BUSINESS S ? Printed in U.S.A.
