HomeMy WebLinkAbout100 Colorado River Rd - 211305205001INDIVIDUAL 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. 1320 Please call for final inspection before covering any portion of installed system. OWNER: William Stephens PHONE: 524-7460 MAILINGADDRESS: 0524 County Rd. 151 City: Gypsum Stele: CO ZIP: 81637 APPLICANT: SAA PHONE: SYSTEM LOCATION: 0010 Colorado River Rd TAX PARCEL NUMBER: 2113-052-00-010 LICENSED INSTALLER: —Two Rivers Landscaping LICENSENO: 16-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 7 5 f) GALLON SEPTIC TANK "Repair Permit only ABSORPTION AREA REQUIREMENTS: 'Installation of a septic tank SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: ENVIRONMENTAL HEALTH APPROVAL: 1 L'�t`'�— , 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. 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: `�— S/QUU,/ARE FEET.. J INSTALLED SEPTIC TANK: GALLONS cOFDEGREES 3( FEET FROM SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND p / PROPER MATERIAL AND ASSEMBLY vZYES _NO J 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: ENVIRONMENTAL HEALTH APPROVAL: t DATE:/ ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) d�- -ISDS Permit # 690 Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 9ti3O� jU PD2A ' 328-8755/927-3823 (Basalt) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: MAILING ADDRESS: Cr>:J Tjp )=�/ L yj: -j tj Ln `e�I Zo PHONE: APPLICANT/CONTACT PERSON: �� �L j ,�PN�S PHONE:�� 1 ZL LICENSED SYSTEMS CONTRACTOR: wj Lj-1 jh-,t:j PHONE: COMPANY / DBA : � _ 1 n L , 26!g ADDRESS: r'Y:o) ,::,'➢ 4�zxn> *************************************************************************** PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION vlkl REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: IYMUy Tax Parcel Number: C91 f 3 - ©5 a _ U00/D Lot Size: Physical Address: l�J� C�� '�i✓�j�_�1�'i�►�jj"( �� �1��`7 BUILDING TYPE: (Check applicable category) (� Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: ( Well ( ) ( ) Public Name *These systems require (Check applicable category) Spring ( ) Surface of Supplier: Number Number Type _ of Bedrooms of Bedrooms design „by a jRegistered Professional Engineer SIGNATURE: *************************** * AMOUNT PAID: a`D%r1� Date: RECEIPT #: DATE: _ CHECK #: CASHIER: COMMUNITY DEVLOPMENT DEPARTMENT (303) 328 8730 EAGLE COUNTY, COLORADO April 1, 1994 William Stephens 0524 County Rd. 151 Gypsum, CO 81637 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Final of ISDS Permit No.1320-94 Parcel #2113-052-00-010 Property located at: 0010 Colorado River Rd., Dotsero Dear Mr. Stephens, 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, 7 Tania M. Busch -Weak REHS Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit cc: files COMMUNITY DEVLOPMENT DEPARTMENT (303)328-8730 DATE: TO: FROM: RE: 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 EAGLE COUNTY, COLORADO March 21, 1994 Two Rivers Landscaping Environmental Health Division Issuance of Individual Sewage Disposal System Permit No.1320, Tax Parcel # 2113-052-00-010 Property Located at: 0010 Colorado River Rd. Enclosed is your ISDS Permit No. 1320 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. 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. 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 Tania M. Busch -Weak at 328-8755. cc: files n -� t :) �t .; M15Iles 1320-94 - Parcel #2113-052-00-010 JOB NAME, 0010 Colorado River Rd. STEPHENS JOB NO. _ JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED sue; 3/0//C-/ 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 Qp NEW ENGLAN.D BUSINESS SERVICE, 'INC., GROTON, MA 01471 JOB FOLDER Printed in USA. i Z 50 (fam, Z3 �o 5-reph� -460