HomeMy WebLinkAbout13929 Colorado River Rd - 186113401003INDIVIDUAL 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. 1445
Please call for final inspection before covering any portion of installed system.
OWNER: Derrald F. Newman PHONE: 524-7417
MAILING ADDRESS: 13929 Colorado River Road city: Gypsum
s1ale: CO ZIP: 81637
APPLICANT: same PHONE:
SYSTEM LOCATION:SE1/4 Sec 13, T.3S, R.86W. TAX PARCEL NUMBER: 18 6 1— 13 4-01-003
LICENSED INSTALLER: TWO Rivers Landscape & Construction Inc.LICENSENO: 12-95
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 402.5 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 402.5 SE of b o pti on n h (1 1 Tnfi 1 trator 11nits as requested),Install inspection ports at theend of earb trenob and do no backfill until final
inspection is comnlptprk
ENVIRONMENTAL HEALTH APPROVAL: DATE: Xn
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: 436.8 SQUARE FEET.
INSTALLED SEPTIC TANK: 1000 GALLON 275 DEGREES 221 211FEETFROM west side of the 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 RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS:
fl
ENVIRONMENTAL HEALTH APPROVAL: DATE:
ENVIRONMENTAL HEALTH APPROV DATE:
it
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
1111:U1L1j.1#
.LeLe tipplicaLlons W111 NOT Be Accepted
("Lte Plan MUST be attached)
ISDS Permit # `%Lt
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)
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* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200�;
*
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
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PROPERTY OWNER: /5,
MAILING ADDRESS: �3�I of 9 eol_0691D0 PHONE:
APPLICANT/CONTACT PERSON: DEZ1e1q1.Q /V,�CGJ/ AAI PHONE: 75Ll j
LICENSED SYSTEMS CONTRACTOR: '70 wl✓E s- PHONE:
COMPANY/DBA: ADDRESS: J�391--�6 13 N -�► -rn3
�Y4e�e*�F7Y4e�tr�t9c�k4e�F*�t�k�k�k�k4e�t4e�k;k�k4r*�kie�k�F�k�t�t�Y�kic9eieie�Y�kic�k�t9e�c�fe�k�e*4c4r4e�r�k*�eic�e4c�k�t*�t4e�t�e �k*fir*�t�t
PERMIT APPLICATION IS FOR: (Y() NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: OF SEG 13 T }� �� u/
Tax Parcel Number: %f/✓E2S �ENb ZOT co Lot Size: ?..346 4C .
Physical Address:
BUILDING TYPE: (Check applicable category)
(�C) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
(X) Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
Number
Number
Type _
of Bedrooms
of Bedrooms
*These systems require design by a Registered Professional Engineer
n .T
SIGNATURE: � /� '�L '�-L�� Date: /� J� / ` -
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AMOUNT PAID: � o t d RECEIPT If -
CHECK
��� # :DATE :
#: 0 CASHIER:
Ji
COMMUNITY DEVELOPMENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
April 3, 1995
Derrald F. Newman
13929 Colorado River Road
Gypsum, CO 81637
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
RE: Final of ISDS Permit No. 1445-95 Parcel 1861-134-01-003,
Property located at: SE1/4 Sec 13, T.3S., R.86W.
Dear Mr. Newman,
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,
of (Fedr' i
Environme tal Health Specialist
ENCL: Information Brochure
Final ISDS Permit
enclosures
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 16, 1995
Derrald F. Newman
Environmental Health Division
Issuance of Individual Sewage Disposal System
Permit No. 1445-95, Tax Parcel # 1861-134-01-003
Property Located at: 13929 Colorado River Road.
Enclosed is your ISDS Permit No.. 1445 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 the
Environmental Health Division at 328-8755.
cc: files
ISDS PERMIT
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:. ,� /�_�)Ll� / Y FGZ> My q
LEGAL DESCRIPTION: V2--_ 114 o�= SFC,
MAILING ADDRESS: f.3,�7 � c t
TYPE OF DWELLING: /� ��� N�� NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
TIME
1
E
3
1
2
3
1
2
3
1
2
3
SUIL FROFIL
1-01
y/ty
z
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01.
L
3'
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T
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y
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7,
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--
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{<<�
-20
—_ ." /✓ d
Time to drop last inch
PERC RATE: MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE: L109m
COMMENTS: 'il- /� S21 e,` /'rfh' d2 Ti %_ c✓�
PERC TEST DONE BY:
DATE:
Officer
rev. 6/90
T
w
1445-95 NEWMAN
JOB NAME = 13929 CO Rvr Rd.
1861-134-01-003
JOB NO.
incx i nr�eTrnN
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
i � n
s/'
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 277 ®& NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.