HomeMy WebLinkAbout4024 Lake Creek Rd - 210529300021 - 1055-91ISINDIVIDUAL 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. 1055
Please call for final inspection before covering any portion of installed sy_ste-m.
OWNER: Harold Logan PHONE: 328-7220
MAILING ADDRESS: 2215 E7th Ave, Denver, CO 80206
AGENT: PHONE:
SYSTEM LOCATION: Lot 7-5, above NY Mtn Project/Parcel # 2105-293-00-021
LICENSED INSTALLER: John Seipel 35-91
LICENSE NO.
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
GALLON SEPTIC TANK OR 1250 GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 51 O SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 180' of 10" SB2 requested by installer. Place inspection portals
at the end of each trench.
L ENVIRONMENTAL HEALTH OFFICER � � DATE: 8/5/91
CONDITIONS: - �-
1. ALL INSTALLATI S MUST COMPLY WITH ALL REQ F THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS, ADOPTED PURSUANT TO ALL
ANTED IN 25-f0.104, C.R.S. 1973, AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO S RUCTURES 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. G yC/
INSTALLED ABSORPTION OR DISPERSAL AREA: ,'/�� , � C/ SQUARE FEET. 'V"A a / O " �� �I se
1IS
INSTALLED SEPTIC TANK: � GALLONS DEGREES FEET � NW C0rW'"`- J11i4"e
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS ANDASSEMBLY 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: A4 DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
AMOUNT PAID: RECEIPT #: CHECK #:
CASHIER:
-ISDI 'Permit # J
Building Permit # Z/�/
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. PERCOLATION TEST FEE
PROPERTY OWNER: (d
MAILING ADDRESS: _'�/K_
APPLICANT/CONTACT PERSON:
PHONE:
LICENSED SYSTEMS CONTRACTOR: OVO
J
ADDRESS: l�� S: �� � (j / 6P) F/&,/ PHONE:
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: Lod 7-S'
Parcel Number: p Lot size:
Physical Address:
BUILDING TYPE: - - (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 REMITTAN P LE TO: "EAGLE COUNTY TREASURER"
SIGNATURE: DATE:
AMOUNT PAID: RECEIPT#( ,� �p�� DATE: ; % ��
CHECK # 3 �l CASHIER: /� L�
TIME LOG
Travel Perc Final ij_,,,��
ga rC) /00
COMMUNITY DEVELOPNIENT
DEPARTMENT
i303; 32S-8730
EAGLE COUNTY, COLORADO
August 15, 1991
Mr. Harold Logan
2215 E 7th Ave
Denver, CO 80206
RE: Final of ISDS Permit No. 1055
Dear Mr. Logan:
700 BROADWAY
P.O. BOX I ; 9
EAGLE. COLORADO 31631
A (303) 32S-720'
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,
PaPond P . Merry, E . H ---=�
vironmental He fficer
RPM:ckc
'Encl: Informational Sheets
Final ISDS Permit
cc: Chrono File
ISDS File
Building Permit Pile
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
August 5, 1991
Mr. Harold Logan
2215 E 7th Ave.
Denver, CO 80206
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
RE: Issuance of Individual Sewage Disposal System Permit
No. 1055
Dear Mr. Logan:
Enclosed is your ISDS Permit No. 1055. 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,
c `�
Raymond P. Merry, R.E.H.S.
Environmental Health Officer
Community Development
RPM:ckc
Enclosure
cc: ISDS File
--- - LOGH�
RECEIVED
01
9 1991
EAGILE `j !"OUNTY
CONUNINI-Y DEVELOPMENT
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ISDS PERMIT #
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION: �' �J 7—s-- '44.4"'t /t/-)/i°l�rY If-, F � 5 � � � .I
MAILING ADDRESS: 40
TYPE OF DWELLING: S r._S �a�`� NUMBER OF BEDROOMS
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TEST HOLES PRE-SOAKED: YES
M
ES OF FALL RATE SOIL PROFIL'j:-;
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PERC RATE: UAC ] MINIMUM SEPTIC TANK SIZE:
R
MINIMUM LEACH FIELD SIZE: -f-/ 11
COMMENTS:
PERC TFaT D Y:
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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 ®® NEW ENGLAND BUSINESS SERVICE, INC„ GROTON, MA 01471 Printed in U.S.A.
JOB FOLDER
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