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HomeMy WebLinkAbout107 Granada Glen - 210712107013INDIVIDUAL 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. 1362 Please call for final inspection before covering any portion of installed system. OWNER: Rand GarbacZ PHONE: 949-1743 MAILINGADDRESS: P.O. BOX 1662 o;ry: Avon State: C0 ZIP: 81620 APPLICANT:Bob Brownlee, Summit Habitats, Inc. PHONE: 949-1743 SYSTEMLOCATION: Lot 12, The Glen, Cordillera TAX PARCEL NUMBER: LICENSED INSTALLER: _S.gott_.Dav:Ls/Dayis Excavating LICENSENO: 27-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 1138 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 30 infilltrator units and inspection portals at the end of each trench. Have engineer do final inspection. ENVIRONMENTAL HEALTH APPROVAL: 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: 1 $ SQUARE FEET. via 30 infiltrators INSTALLED SEPTIC TANK: 1250-- GALLON DEGREES FEET FROM SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY_ YES —NO COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: X YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: Install as per engineers design. ENVIRONMENTAL HEALTH APPROVAL: DATE: ENVIRONMENTAL HEALTH APPROVAL: DATE: — (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # 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.E PROPERTY OWNER: Rand Garbacz MAILING ADDRESS: P.O. Box 1662, Avon, CO 81620 PHONE • 303-949-1743 Bobrown ee APPLICANT/CONTACT PERSON: Summit- Habitats, Inc. PHONE:-...303-949-1743 LICENSED SYSTEMS CONTRACTOR: To be determined ADDRESS• PHONE• PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPA] LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description• Lot 12, The Glen, The Divide at Cordillera X Parcel Number: Lot size• 3.3Y7 Ac. Physical Address: BUILDING TYPE: (Check applicable category) (X) Residential / Single Family Number of Bedrooms 4 ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial / Industrial* Type TYPE OF WATER SUPPLY: Well( ) Spring ( ) Surface ( ) Public (%) Name of Supplier: Cordillera Metro Dist. UEVRW *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: � jfN4 AMOUNT PAID: RECEIPT# DATE: CHECK # CASHIER U" COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO September 1, 1994 Rand Garbacz P.O. Box 1662 Avon, CO 81620 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Final of ISDS Permit No. 1362-94 Parcel # 2107-121-07-013, Property located at: Lot 12, The Glen Cordillera Dear Mr. Garbacz, 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 building 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. Since ely, non Garton Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit enclosures COMMUNITY DEVLOPMENT DEPARTMENT (303)328-8730 DATE: TO: FROM: EAGLE COUNTY, COLORADO June 161 1994 Bob Brownlee Environmental Health Division 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Issuance of Individual Sewage Disposal System Permit No. 1362-94 tax Parcel # ????-???-??-??? Property Located at: Lot 12, The Glen, The Divide at Cordillera. Enclosed is your ISDS Permit No. 1362 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 Shannon Garton or Laura Fawcett at 328-8755. cc: f iles COMMUNITY DEVLOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 DATE:May 23, 1994 Rand Garbacz, Parcel # "??? Lot 12, The Glen, The Divide at Cordillera Dear I.S.D.S. Applicant: Your application for an Individual Sewage Disposal System (ISDS) Permit for #1362-94 has been received. Issuance of your permit is on hold until the following materials or fee(s) are submitted. X Payment of $150.00 Application Fee Payment of $200.00 Percolation Test Fee Site Plan Licensed System Contractor (See attached list) Engineer Design X Other:the lot parcel number, and the physical street Address. Please keep in mind that an incomplete ISDS permit application will result in delaying issuance of any corresponding building permits. If you have any questions please contact us at 328-8755. When calling or submitting information please reference your ISDS application #1362-94. Please submit information to: Eagle County Environmental Health Division P.O. Box 179 500 Broadway Eagle, CO 81631 I RESULTS OF SOIL PERCOLATION TEST LOCATION OF PROPOSED SYSTEM:-. (c(oply LOT : /d —BLOCK:-,-:—' SUBDIVISION: (wNwy- gTcamurm ,7-mF 6toA DATE OF TEST-__ S 5 PRE—SOAK FROM-.wo S 5/9 TO /L9%0 51$19v (Time) ate me Date HOLE #1 34 AVERAGE MPI TIME 0. DIAMETER _!� /�'i,�•+l DEPTH Qom_ vv __lS•+r-t TYPE OF SOIL --if-Tr e,_&l w (Ss?jw WATER -DEPTH D TO START It�3. 5 HOLE #Z ':_' AVERAGE MPI TIME DIAMETER to q &m(w i, f K..y DEPTH TYPE w_ SOIL GiLry c,,a-� WATER DEPTH TO START INCHES OF FALL RATE 0,?S" _ .ya . Q e.j7r _ y0.o INCHES OF FALL RATE a: -bay' Z y. o HOLE #3 y.3q AVERAGE MPIJ INCHES TIME OF FALL DIAMETER �r`/6XL;4 o.��S DEPTH _ sic' TYPE UP SOIL ��� WATER DEPTii SOIL PERCOLATION RATE �0,7 MPI REMARKS LOCA'i'IGtJZSF �`CF.`� RATE N,Q C SUMMIT SOILS P. O. Box 1957 Dr(illonf CO 80435 FAY 303 30 j 468 5891 PROFILE HOLE LOG LOT 12, THE GLEN CORDILLERA, EAGLE COUNTY, COLORADO 0 -1' TOPSOIL AND VEGETA77ON 1 ' - 40 SILTY CLAY WITH GRAVEL, SLIGHTLY FIRM, MOIST 40" - 6' SILTY CLAY WITH GRAVEL, VERY FIRM, DRY 6' - 9,SANDY GRAVELLY SILT, DENSE, DRY NO WATER TABLE ENCOUNTERED NO IMPERVIOUS STRATA ENCOUNTERED . o0 RESULTS OF SOIL PERCOLATION TEST LOCATION OF PROPOSED SYSTEM: LOT. /d _BLOCK: �^ SUBDIVISION: lwbAxy g•rCca DATE OF TEST-. 6 5 M PRE-SOAK FROM-.. 0930 5/5/9yl TO 1600 51519Y (Time) ate me Date HOLE #1 34.0 DIAMETER !a AVERAGE MPI TIME AA*,*, Y1-4w— DEPTH 34 TYPE SOIL 5fveyc_ wl &I!W WATE"EPTH TO START S ~ HOLE #2 .'•' AVERAGE MPI TIME DIAMETER to "I If6r4,0 DEPTH ` TYPE SOIL - av, WATER DEPTH TO ST ART 7 ? �� INCHES OF FALL RATE 02L yTQ Q, s?� INCHES OF FALL p,�TS (,aS HOLE #3 3' AVERAGE MPI INCHES TIME OF FALL DIAMETER Ir /iXtit 0,1225 — -•�' � 9 �r.J o. 2S DEPTH _ sRc'��_wu+/ i 7,3�S TYPE OF WATER DEPTH TO SOIL PERCOLATION RATE 317 MPI RF IARKS - LOCATI Gts�f ,'F.`�:T A75 RATE la 3 _ zy, o _ Z y. 0 RATE IS.fo _ �c..o SUMMIT SOILS P. 0. Box 1957 Dillon CO 80435 (303 468-1989 FAX ( 03) 468-5891 PROFILE HOLE LOG LOT 1.2, THE GLEN CORDILLERA, EAGLE COUNTY, COLORADO 0 -1' TOPSOIL AND VEGETATION 1 ' - 40" SILTY CLAY WITH GRAVEL, SLIGHTLY FIRM, MOIST 40" - 6' SILTY CLAY WITH GRAVEL, VERY FIRM, DRY 6' - 9' .SANDY GRAVELLY SILT, DENSE, DRY NO WATER TABLE ENCOUNTERED NO IMPERVIOUS STRATA ENCOUNTERED Prepared for: Summit Habitats, Inc. P.O. Box 2755 Avon, CO 81620 Prepared by: Alpine Engineering, Inc. P.O. Box 97 Edwards, CO 81632 INTRODUCTION The Cordillera Subdivision is located in the Squaw Creek Valley near Edwards, Eagle County, Colorado. We have not yet reviewed the sewer collection system in the area. We have contacted Johnson and Kunkel who indicated that the area of the Glen is not served by a sewer line. The site is being developed by Summit Habitats for Rand Garbazcz. PROPOSED USE A four (4) bedroom residential single family home is proposed to be constructed on the site. QUANTITY OF SEWAGE (4 bedroom house)(2 people/bedroom)(75 gpd)(150%) = 900 gpd It is our understanding that low flow fixture units are proposed. However no reduction is requested. SEPTIC TANK SIZE 900 gpd x (30hrs/day/24hrs/day) = 1125 gallons, USE 1250 GALLON or larger PERCOLATION TESTS, SOIL PROFILE HOLE Soils investigations, percolation tests and the soil profile were performed by Summit Soils, per report dated October '93, Job # 930105. Although the percolation rate recommended per soils report was 30.7 min/in we would recommend using 40 min/in based upon the percolatioin rate of the last 15 min of the test. Soil profile holes were completed by Summit Soils; the report is attached. ABSORPTION TRENCHES i A = [Q/5]T0S = [900/5](40)0s = 1138 SF 50% reduction for infiltrators = 569 SF Check with application rate A = 900 gpd/1.2 gpd/sf = 750 @ 50% reduction = 375 SF OK USE 569 SF 569 SF _ 3' wide per trench = 190 feet 2 trenches minimum, each 95 ft long 16 infiltrator units @ 6.25' long = 100' HORIZONTAL DISTANCES The subdivision is served by a public water system, so there is no well. The volume of use per day is under 1000 gpd, so that standard setbacks to dry gulches, streams, etc are required. ISDS Permit I 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.C, *************************************************************************7 PROPERTY OWNER: Rand Garbacz MAILING ADDRESS: P.O. Box 1662, Avon, CO 81620 PHONE- 303-949-1743 Bobrown ee APPLICANT/CONTACT PERSON: Summit Habitats, Inc. PHONE. 303-949-1743 LICENSED SYSTEMS CONTRACTOR: To be determined ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPA17 LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Lot 12, The Glen, The Divide at Cordillera Parcel Number: Lot size- 3.3`f7 Ae- Physical Address: BUILDING TYPE: (Check applicable category) ()Q Residential / Single Family Number of Bedrooms 4 ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial / Industrial* Type TYPE OF WATER SUPPLY: Well( ) Spring { ) Surface ( ) Public (%) Name of Supplier: Cordillera Metro Dist. UEVR7WA *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURFRI, SIGNATURE: DATE: AMOUNT PAID• RECEIPT# DATE: CHECK # CASHIER- V jG i N1Ti' MAF' SITE PL.f�ttil 6m i[F— M15 , /O ib//All Tit tl,C J'O /�c.FicresrAcs ti �l L LET t2 I The Gen The DiVide atCordil6r4 If1FILTgATDgs II 1 C. 0. cleQ400 t IN Ff�T2s. — ► Fp LC D w E�ISTI 061 GON TOV 2r— 7-0 2,0 MAKIA4vl4 CO V ET OVEiZ p)ZDV / PE / �' Of m1rgrl OVE - ItJFI(-r-PAro / „ �S / tsICH S/G� OIG ' � o ANT/,SEND —Die corr£� G-"ivT/�E Ti�n�}. P\T S twv A`k LpT 1'L =XISIS N�� c-,�ovNo 1 �U1 OSTcL FROM SEPMC TAW Rm 4.2 PROVIDE aUVE►. DER/ ARpJNp MANIFOLD TO PROVIDE STABLE. l.E'VEL' PIPE-` L To AesoRPna+ TRaacHEs SPUTTER PIPE DETAIL r m r ROCK COMPACTED 3/4' SCREENED _ - •� � �.r....••r:.•-�-�• ` �. .mil � '.• NOTES: 1. END PLUG Nor tF.r;t'D 3. 4' PVC PIPE 4. (2) 22-1 /2' ELBOWS 5• BACKFILL do COMPACT TO SPECIFICATIONS 6. Ham• TYPE PLUG. WHERE REQUIRED 7. WYE W(TH 45 ELBOW (ALL BELL FITTINGS) B. SEWER UNE. SEE PLAN FOR SIZE SEWER CLEANOUT DETAIL NTS 1. .. !' .q Is! sn ,o p cu iv _ M _l Y '� — 0 0 0 0 3 0 o° o < < o <c. S. o0 uO c 0 past v Gp d O. a 0 o A A0 0Y r Al �3 1_O. 7^c'r (3o% Ar Z�0 O A 0got0 H O .Ao?. •m°rOm ao—c a &o O 3 ° a c G3 0 ° >oZM�0 Ko° o >ac 0 ' v 5C'3 o > o ,o3'a dm�eo` ,O�um3� 3o (A O \^ 3 0 a U- '�a Y n0 A ° r�-�"T, A °° A�0 o0. M 0e e m�< 0 0 �� > 0 o 0 3 u e to o > � o O _ 3 Ao0 o' 0 a 0 3 - -a 0. 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O — 3 o &O A 0G0�2c0*1g or�a ..o ,O '? .� O G 0 ° 01 0 �o o 0 0 ,-a n 0 3 0 10 . 0 �° am—a a c Y S 7 O m _o aM o03 a oc,0. O Y i 0 IfC O Q e - _.0 C �� o'?rC La 0^0 ouope 3 00 1 7 •� --o �•m� ° c,0c u0o.00 o0 o 000oO.C. o • 0 3 �`C p 0o 0 o a 0 c ,� 0 -- n _n 3S0 voo�o0.F-o 0 o•° Z,0 s 0 0 o 0 0 O O p 0 73 M O o•xw•f3*vo3a—o gJ-c c$a O O _ Cc 7 • a =03M • ��. 0c •41�0 3 V W m,O•� 070 S 1 O O a 0 u C � O "GO p < a��m o00 03 o p-1p O o ,o,00'nm^Cb e O A o� c3<�r a�CDm ° A is 7 c QS 3 G_vS ° toC. c u o o ° �� a S > O< > O 0 S-O 0 6 - 3 A� a 0 O O e v a a v o aO u Le Z�•eOv_. o°oao�'o' Y O •' gG C_ v +O M. a'3�D 0• o° ° _c-0 e o n o o n 3 0 o O. Zaoe 7>0 d ° 1 .0 A • • . .O $ 1 1��030. 0 30 • � C 0 0 0 0 C r RESULTS OF SOIL PERCOLATION TEST (cOply LOCATION OF PROPOSED SYSTEM:•. LOT. /d BLOCK: �-�'� SUBDIVISION: 1wNmr 4T�a rya j? F (,w� DATE OF TEST- 5 PRE-SOAK FRCu{: 0730 5 5/4 TO /800 5161?Y '7Time) (D(Date) the ate HOLE #1 34•0 AVERAGE MPI TIME DIAMETER IF DEPTH TYP E , SOIL --j flT Y u_jt-t w{ CSNW WATE"EPTH TO START HOLE #Z '_' t AVERAGE MPI TIME DIAMETER 6 y Amw 9 MAW DEPTH ,fir ��i►iN TYPE fir~ SOIL- WATE DEPTH TO START 7 ?� HOLE #3 3 _1 AVERAGE MPI TIME DIAMETER q moll DEPTH TYPE i5F SOIL If WATER DPT}i TO START INCHES OF FALL p.S D.?3" 2: .1 7-c' — RATE 3L. O yo.o INCHES OF FALL RATE o•aTs' ty, o _ 1.i: hS Z y. 0 . INCHES OF FALL RATE — ,315 yO.0 SOIL PERCOLATION RATE m"7 MPI REMARKS - LOCATE 0r4—U . ,'F. SUMMIT SOILS P. O. Box 1957 Diuon CO 80435 (3O3 468-1989 FAX (03) 468-5891 PROFILE HOLE LOG LOT 12, THE GLEN CORDILLERA, EAGLE COUNTY, COLORADO 0 -1' TOPSOIL AND VEGETATION 11 - 40" SILTY CLAY WITH GRAVEL, SLIGHT ZY FIRM, MOIST 40" - 6' SILTY CLAY WITH GRAVEL, VERY FIRM, DRY 6' - 9' ,SANDY GRAVELLY SILT, DENSE, DRY NO WATER TABLE ENCOUNTERED NO IMPERVIOUS STRATA ENCOUNTERED ALPINE ENGINEERING INC COMMUNICATION RECORD PROJECT LCi r !Z , tHE r BEN DATE $ - Z 7- ` L/ THE Dtui BEAT PERSON CONSULTED P-A+) M E-0 Q-Y FIRM l5=A Gt.E' G8 ADDRESS TELEPHONE PURPOSE OF CONTACT SITE GB% EIWA taOU JOB NO. BY 6 le,W K to -A. I L-It-e v` COPIES TO 5Djo l-5VVW L [fe S w ir►rn 1'TCcI�lr iT �: Scoif Da vts . Memorandum ❑ Telephone Conference Meeting Minutes n Transmittal [� The following was discussed [I Transmitted Herewith �Vc� 23 R 1' v ► s` ' +ccC a►�r ?�Gte Glee TG�� c/r v,;&_ rose R2V i -y lot ' Vack* lbfj �,,,� -t2c 1 I, -!z� 1.5 deeps L44,mf0-v►o,l 0-n fi.4P— We-5,f oratjn4 301 -eE fevLt VU j T ty e,. 7U �e LoaeIfeef W tl, 4 �.5 ' of o-F P-4.1e Edwards Business Center . P.O. Box 97 - Edwards. Colorado 81632.305/926-3373 . FAX 303,926-3390 _i-vac. a as cfs ?o -Fee of crC qq -F,,,f 1�� 1���:10+ Ce1:;set, -6 f -cef 4ve-" , o ��wt;�i�.lk '�, -_fie .�._la�.�• w t< A-ss v vac C. I t* r ScC�TT i &V M C-v r r.C, vTE ptVTe' S uw tome- fay AUorNF V3 , 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 $200.0 PROPERTY OWNER: Rand Garbacz MAILING ADDRESS: P.O._ Box 1662, Avon, CO 81620 PHONE. 303-949-1743 Bobrown ee APPLICANT/CONTACT PERSON: Summit Habitats, Inc. PHONE. 303-949-1743 LICENSED SYSTEMS CONTRACTOR: To be determined ADDRESS: PRONE: PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAT LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Lot 12, The Glen, The Divide at Cordillera Parcel Number: Lot size: 3.3117 Ac Physical. Address: BUILDING TYPE: (Check applicable category) ()Q Residential / Single Family Number of Bedrooms 4 ( ) Residential / Multi -Family* Number of Bedrooms { ) Commercial / Industrial* Type TYPE OF WATER SUPPLY: Well( ) Spring ( ) Surface ( ) Public (%) Name of Supplier: Cordillera Metro Dist. *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:-1 � _/ - C� DATE: 1Ne AMOUNT PAID: RECEIPT# DATE: CHECK # CASHIER: � � v y t 96 t AflN �V O b Z \ : ♦b % %14Ajt C. � °� �� I ,III --- O — _ � v` rnrn � � :.' "'s t • t� a \ � �� \ �'" i•IIIIIIII.I�'III O •' ::� �� •l<.',t.'• �': � • �, •IIII I I I Ilil I �i \ = _ -_= � � ;_ Via.•, • �I II, III, �•, ., .� • A •. iI . � *a0 tIII' III illllilll II' � , YS�y Sii.•`q' � 'i.'4' 1 .3 , �I III . I I i. III b� � o ��'ti' �'.;,'. _,i'r � :}. I / ! .:•*': ' I:I �II �,II I�il � .P, * ' .:fit;. •.i, t'• .J�2.. a A y�� ��J !1 � "i 11 II I I I I I I I .l • Fitt• �n^. .:J . t. � �' • gip: y ;,. • � �';';, � .' � •, may' � Q ` —j t •.i`•, � V` .4• N <Im V, )mil f '�• � j '',y � � ��3*':: , + /00,00 I ' \ \ �.k t•; : Vic. i•� • t S•.• si^il�'''M.� , 3, • _� \ i 71 f le W \ oo VI ID of y Q-. � z Z r � ", ti '. ..•�•+� .� ... �� g 1362-94 - JOB NAMI., Lot #12, The Glen,, Cordillera GARBACZ JOB NO. . JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED ` •l G 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 �.e NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.