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HomeMy WebLinkAbout15400 Cottonwood Pass Rd - 218933101003 - 1420-94ISINDIVIDUAL 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. Please call for final inspection before covering any portion of installed system. OWNER: Tim & Debbie Ware PERMIT NO. 1420 PHONE: _ gb3-$99 MAILING ADDRESS: P.O. BOX 28511 clry: E1 Jebel stela:CO_ ZIPS $1628 APPLICANT: Michael Owen PHONE: - 963-_806 5 SYSTEM LOCATION: 15400 Cottonwood Pass TAX PARCEL NUMBER: _ 218 - 31-01 -003 LICENSED INSTALLER: Michael Owen LICENSE NO: 64-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 562.5 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 19 Blodiffuser units in two trenches. Install View ports at the end of each trench and do not backfill until final inspection is completed. ENVIRONMENTAL HEALTH APPROVAI 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): PRIOR TO COVERING ANY PORTION OF THE SYSTEM. NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED INSTALLED ABSORPTION OR DISPERSAL AREA: 562 . 5 SQUARE FEET. INSTALLED SEPTIC TANK: 1000 GALLON 116 DEGREES 83 FEET FROM SE corner of east side of house SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X 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 REANSPECTION WHEN WORK IS CORRECTED. COMMENTS: This System ENVIRONMENTAL HEALTH ENVIRONMENTAL HEALTH APPLICANT / AGENT: 'ERMIT FEE PERCOLATION TEST FEE (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS OWNER: RECEIPT # CHECK# DATE: �f DATE: Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) -ISDS Permit # Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY .P. 0. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION - TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ************************************************************************** PROPERTY OWNER: -al L V�$BT�? GJa,eE MAILING ADDRESS: Bo x f74ZY PHONE: APPLICANT/ CONTACT PERSON: AfreKneG Qw eal I cb;u 3 7 -23J YPHONE : 763 -g®6 S LICENSED SYSTEMS CONTRACTOR: ©cyaA) PHONE: 2.63-8&65' COMPANY/DBA: kPta443i & i.4A7,AW6 ADDRESS: Pd• Qflx *************************************************************************** PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: i.OT 3 , )qAP Y 9+cG-aerv&� Legal Description: S. ft*L-= A1. E. Ora., 5ge-. 33 7-owosgzA 6 S. 9,wbt '27 GI. -F 6 W O Tax Parcel Number: Z! E9 33 t O 1 O 3 Lot Size: S.7y AC5 Physical. Address: 151(00 IZZ: Lc6rmOwao Rk-S5 ,�,,,a� , GA"e &V c Go, Sl6Z3 BUILDING TYPE: (Check applicable category) A Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: ()t) Well ( ) ( ) Public Name (Check applicable category). Spring ( ) Surface of Supplier: Number Number Type _ of Bedrooms 0 of Bedrooms *These systems requires design byaf�Registered �/Professional Engineer SIGNATURE: ( ���-� p"�r�� �6 f41'r-W6 Date: 9 2O 9 ************************************************************* **** ******** AMOUNT PAID: RECEIPT DATE: CHECK CASHIER. T— COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO October 31, 1994 Tim & Debbie Ware P.O. Box 28511 E1 Jebel, CO 81628 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Final of ISDS Permit No. 1420-94 Parcel # 2189-331-01-003, Property located at: 15400 Cottonwood Pass. Dear Mr. & Mrs. Ware, 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. Sincerely, Jeff Fedrizzi Environmental Health.Specialist ENCL: Information Brochure Final ISDS Permit enclosures ISDS PERMIT PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. LEGAL DESCRIPTION: MAILING ADDRESS: Peg. -37-4, 5/ic�.�'%,:;6�' „ TYPE OF DWELLING: NUMBER OF BEDROOMS_ TEST HOLES PRE-SOAKED: YES NO TIME wamry nrnmtr _-_ _—_ _"' "� �'-"-".' icr►ir+ �UllPRO"'IL 1 2 3 1 2 3 1 2 3 1 2 101 1f14 �- �� _4? 3 I. 7 2' �)L 2 A$ 4, j. jo 7 4-7 i��� l j jy �y 3�y .�31,..2„Sg- y �' gym' i r3 ri%i iz 3/�, 1 r icy Time to drop last inch PERC RATE: MINIMUM SEPTIC TANK SIZE:_-75-0 MINIMUM LEACH FIELD SIZE: COMMENTS: C PE C TEST DONE BY: r ® �S DATE v onm i.Health Officer 1 Z rev. 6/90ks �� LLB JOB. NAME _ 1420-94 — WARE Tim & Debbie 2189-331-01-003 JOB NO. 15400 Cottonwood Pass Rd inn nrernni BILL TO 730 DATE STARTED ',ATE COMPLETED i rvt wT\P e w Y 6 3 �, � y - 7y7 V DATE 6ILLED N •-- l c� CAS , CiV y Y r ✓ JOB COST SUMMARY TOTAL SELLING PRICE _ TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS `/o OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 *fie NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. own AM r J N sl f -,q lq;o 51400 COT&jl- v--CO A*56 ,wo crab Az6vq��� -/,I k-)91-71cly� D/)- 719