HomeMy WebLinkAbout211 Lariat Loop - 210505402004 - 1052-91ISINDIVIDUAL 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. 1'0.5.2 Please call for final inspection before covering any portion of installed system. OWNER: Tim Benedickt PHONE: 949-5221 MAILING ADDRESS: BOX 542, Vail, CO 81568 AGENT: PHONE: SYSTEM LOCATION: Lot R 14, South Forty Subdivision 211 Lariat Loop LICENSED INSTALLER: Vail Builders - Tim Benedickt 22-91 LICENSE NO. DESIGN ENGINEER OF SYSTEM - INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK OR 1,000 DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 487 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 180' of 10" SB2/16 infiltrators 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 /N 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. w 1 INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET. Yfa old /�/oi'$ //i INSTALLED SEPTIC TANK: IODD GALLONS 46;- DEGREES I0'T'/ SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS ANDASSEMBLY 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: a /y 71 ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT A PPLICANTIAG ENT: OWNER: AMOUNT PAID: RECEIPT N: CHECK #: CASHIER: ISDS Permit # . [J 5-aL 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 v$150.00 ' PERCOLATION TEST FEE $125.00 PROPERTY OWNER: MAILING ADDRESS: � X �5'VCI� Z)Q9 � O = PHONE: APPLICANT/CONTACT PERSON: ��A PHONE: LICENSED SYSTEMS CONTRACTOR: m1w ADDRESS: PHONE: *********************************************************************** PERMIT APPLICATION IS FOR: (U NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL S WAGE DISPOSAL S' Legal Description:_ ,�2 A/ 1! Parcel Number: AI06-6T#_ a�D Physical Address: 'M : , size:— /, O-F '�,4061 BUILDING TYP (Check applicable category) (residential / Single 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 (✓Name of Supplier: 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: � RECEIPT# a / CHECK # TIME LOG Travel Perc Final 6d ao DATE : � - CASHIER n EAGLE COUNTY, COLORADO Octo'Der C , 1� 9-1 Tim Benedickt P.O. Box 542 Vail, co 81658 PE: Final of ISDS Permit No. 1Q52 Lear Mr. Benedickt: Tfiis letter is to inform you that the above_ J"eIerenced ISDS Permit l,as been inspected and finalized. Enclosed i_s a copy to retain for your records. Also enclosed are informational sheets regarding the. cart of your septic system. If you have any que.�tions re-gardinc; this permit, plE!ase contact the Eagle County Environmental Health Divisic.?i; P.O. Box 179, Eagle; Colorado 81631. We can also be reached, depenc.ing on your calling area, at the following numbers: Eagle Valley 328-8730; Basalt/El Jebel 921-3823. Sincerely, C. Kelley Carhart O-ffice Assistant ck- Encl: information Sheets Final ISDS Permit cc: chrono File 1 Building Permit File August 30, 1991 Tim Benedickt Box 542 Vail, CO 81568 RE: Issuance of Individual Sewage Disposal System Permit No. 1052 Dear Mr. Benedickt: Enclosed is your ISDS Permit No. 1052. 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 depending on your calling area: Eagle Valley 328-8730; Basalt/El Jebel 927-3823, ext. 730. Sincerely, Roger Boyd Environmental Health Assistant Community Development RB:ckc Enclosure cc: ISDS File ISDS PERMIT # /06.2 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: "M 33,me, LEGAL DESCRIPTION: MAILING ADDRESS : ,&X 55v /&/ . L' gx,�5.? TYPE OF DWELLING: *5. NUMBER OF BEDROOMS 3� TEST HOLES PRE-SOAKED: YES NO rf<��G S-h 1 2 3 1 °; 2 3 1 2 3 1 2 30'Si! G �5 2�17 `l� a� 134 z � g /D 13,3 13.3 2� b 3-5 3� �� cox -gyp% 3�� ;L• �p5 II'1 ►big lilti g Z g g ao77 9 ,� g 3, 431 1.33� g S 8 /3.3 /3.3 6' .5b .5/ 5 Z ��' l2� ��-'z� y 'z g1 9.71 /3.3 7, 3.5 bb 04 0 Z 12 13� 13' i i 3 3 j3 z 5 S /D S l3 3 15 10,1s 10-1� Time to drop last inch Id-� PERC RATE �IS� �3 MINIMUM SEPTIC TANK SIZE : /©DD ,P,✓� s MINIMUM LEACH FIELD SIZE: 4?7 9 /, ,-,,4 AD, 10, sea 1(, 1"UM11, COMMENTS: PERC TEST DONE BY: Envir,bnmen rev. 6/90ks DATE: ealth Officer J x 47� _ //g 5 �D 1052-91 Tx Prcl#4105 0 LA JOB NAME Lot * 14, South Forty Subdiv. - g�3 1� {, 211 Lariat Loop JOB LOCATION BILL TO DATE STARTED DATE COMPLETED BILLED FOR A.M. DATE TIME P.M. v%,kC12 r, A � ]� 9— ev— OF l.(1� PHONE �t C� 'Z- AREA CODE NUMBER EXTENSION O. Ax a� t l Lt MOBILE - \i AREA CODE NUMBER TIME TO CALL MESSAGE U— l d:z— 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 v e 1 L,av/;qf- /- I NET PROFIT �! bedremn h s-leW- as tvoo Qa l( on I SIGNED 471 JOB FOLDER Printed in U.SA FORM 74600� � �900°� RECLED . MADE IN U.S.A. Y �� O 0 ' � 2� _ A.0 k.. \0- (o2•'S bo. v -- 5�� 55.o g2,s So,v c}7.5 c}�,o 2,5 40,0 V7 S '1�.0 �J1,� 0,0,0 21.5 2S, 0 22. 20.o