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) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200�; * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ************************************************************************** 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� / ` - *************************************************************************** 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 ' 01. L 3' 17j, ��/, T r y �, 7, �S - -- i {<<� -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.