HomeMy WebLinkAbout32468 Hwy 6 - 210506200012 - 1199-92ISINDIVIDUAL 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. 9 1 99 Please call for final inspection before covering any portion of installed system. OWNER: Mark. Sifers PHONE: 926-358 MAILING ADDRESS: P.O. Box 1444, Avon, CO 81620 AGENT: PHONE: SYSTEM LOCATION: 32468 Hwy 6 LICENSED INSTALLER:__ S. Ruder Excavating LICENSE NO. i0-93 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 427 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 12 infiltrator units in trenches or 160 lineal feet SB2 in trenches. Install inspection portals at end of each trench. AENVIRONMENTAL 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 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: ))-,,��yGS�QUARE�F/E'E}T� INSTALLED SEPTIC TANK: _1b GALLONS �L_ DEGREES/FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: L/ J PROPER MATERIALS AND ASSEMBLY DYES 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: W ell ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: t ISDS Permit # Building Permit #= APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY P.O. BOX 179 EAGLE, CO 81631 328-8755/927-3823(Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 ************************************************************************* PROPERTY OWNER: MAILING ADDRESS:��L �"Y���1//�i�/, �/� vunup./%�- ` 2� i i -APPLICANT/CONTACT PERSON: ��6��,5' �}'�� PHONE • �p�f p ` t Ski LICENSED SYSTEMS CONTRACTOR: ADDRESS: PHONE: *************************************************************************** PERMIT APPLICATION IS FOR: M NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: &�-1 `��"l m'z;row� v Parcel Number: alC) 's- p 6 — bc--)-©Lot size:,��� Physical Address:G BUILDING TYPE: (Check Residential / ( ) Residential / ( ) Commercial / TYPE OF WATER SUPPLY: applicable category) Single Family Number Multi -Family* Number Industrial* Type_ of Bedrooms of Bedrooms Well( ) Spring ( ) Surface ( ) Public (v<j Name of Supplier: 2ZL-9. *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: DATE: AMOUNT PAID: RECEIPT# S CHECK # �0 DATE: CASHIER: COMMUNITY DEVELOPMENT DEPARTMENT (303) 323-5730 EAGLE COUNTY, COLORADO DATE: July 27, 1993 500 BROADWAY P.O. BOX 179 EAGLE; COLORADO S 1631 FAX (303) 325-7207 TO: S. Ruder Excavating P.O. Box R Edwards, CO 81632 FROM: Eagle County, Environmental Health RE: Issuance of Individual Sewage Disposal System Permit No.: 1199 Parcel #: 2105-062-00-012 Property Located at: 32468 Hwy 6 Enclosed is your ISDS Permit No. 1199 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. The final inspection is to be done before any portion of the installed system is covered. The deadline for the final inspections done by Eagle County Environmental Health is December 1. Systems designed by a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County does not perform final inspections on engineer designed systems. Be aware that.the specifications on the permit are minimum requirements only. Installers should bring this to the attention of the property owner. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact us at 328-8755. cc: file Building Department, File # 5526 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO August 9, 1993 Mark Sifers P.O. Box 1444 Avon, CO 81620 500 BROADWAY P.O. [SOX 179 EAGLE, COLORADO 8 1631 FAX (303) 328-7207 RE: Final of ISDS Permit No. 1199, Parcel #2105-062-00-012 Property located at: 32468 Hwy. 6, Edwards. 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 dwelling 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, Tania M. Busch -Weak Environmental Health Specialist enclosed: information Brochure Final ISDS Permit cc: Files BP #5526 ISDS Permit # J/ Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY P.O. BOX 179 EAGLE, CO 81631 328-8755/927-3823(Basalt) PERMIT tAPPLICATION yFEE y y$150.00 PERCOLATION TEST FEE $200.00 lG **'IC**********9� JC aG 7C***** F �l' aG **�''%C iti lG il''A']�'�'�']r'�''if'i[�'`i[]�'`F`�l•�i�1. .1. .b .L J. .L .L .l. .L .� ___._ _._ _._ _._ _ _ _ PROPERTY OWNER: MAILING ADDRESS APPLICANT/CONTACT PERSON: ,��/%/ PHONE: LICENSED SYSTEMS CONTRACTOR: ADDRESS: PHONE: PERMIT APPLICATION IS FOR: K) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: 2� Parcel Number: �-DO --Old Lot size:��,p�� Physical Address:---=�. BUILDING TYPE: (Check applicable category) Residential / Single Family Number of Bedrooms ,9 ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial / Industrial* Type TYPE OF WATER SUPPLY: Well( ) Spring ( ) Surface ( ) Public (,K) Name of Supplier:j(//9 *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# DATE: CHECK # CASHIER: PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: <7 prep S ,. LEGAL DESCRIPTIGv• j 7-1 on A400 MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS,] TEST HOLES PRE-SOAKED: YES NO TIME WX M-- ---- t NMI 10,314 maim _N1 i Md I no Time to drop last inch PERC RATE: MINIMUM SEPTIC TANK SIZE:_zuoo MINIMUM LEACH FIELD SIZE: a COMMENTS: % V- l �'(_ ✓ , _h ? 7977-2 it A _ ��,n� IK.QI UUAZ by: Environmental Health-0 rev. 6/90ks cer DATE: 7/-,-9Lo J EAGLE COUNTY .. .� M ()ATE�1» DATE g"S41 ADC I��TOf 11 i t j �, � . /r.(1 .OVf�/•Cif.-� Olf , e. `TA, caaAY Adjoining 2107-01 PEARL %..vela— -. E v 00 I- 378 EAGLE RIVER MOBIL E0.�l�l2��er C'o, I � v of p� : FuTue� Ou r d'Gcz� OJW '`ems 51 rE 00 i x O O ►M 0 O O a Nt V, 7 a �t3 � [Si � z , f �yf�s 46 F i �f. a W 199• V F� F� l�'z .FSo89 o� ,oSFir z W 1199-92 - Parcel #2105-062-00-012, Lots 4&5 Section 6, Twnshp 5S, 32468 Hwy 6 Sifers JOB NO. _ JOB LOCATION BILL TO DATE STARTED f DATE COMPLETED DATE I / /Y ( ev U �/v a S - lcl -K 64 Yf ' v ✓ RJ 10 C L J ) 4- .5-V- -`��- e JOB COST SUIAAARY TOTAL SELLING PRICE JOB FOLDER Product 278 ®p NEW ENGLAND BUSINESS SERVICE, INC. GROTON, MASS. 01471 JOB FOLDER m I Z ,?Vwqs I