HomeMy WebLinkAbout520 Mill St - Blk 26, Lot 14,15,16 - 219723414008INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION fpov6s 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. PERMIT NO. 1 4 4 6 OWNER: Ed & Pat Seegrist PHONE: 524-8108 MAILINGADDRESS: P.O. BOX 1233 city: Eagle slate: Cn zip: 816,11 APPLICANT: same PHONE: SYSTEMLOCATION: Block 26, Lots 14,15,16, Fulford TAX PARCEL NUMBER: 2197-234-14-008 LICENSED INSTALLER: N/A LICENSE NO: DESIGN ENGINEER OF SYSTEM: N/A INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: N/A SQUARE FEET OF SEEPAGE BED N/A SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 1000 gallon septic tank in accordance with Eagle County Land Use Regulations, Chapter TV, Design Critaria, 4-09-01 VATTT.T PRTVY_ Call rnir offira if you any questions re a - - 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: N/A SQUARE FEET. INSTALLED SEPTIC TANK: 1000 GALLON DEGREES FEET FROM 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: Homeowner shall annually inspect the tank for stability. No outside use of re water permitted. i ENVIRONMENTAL HEALTH APPROVAL: DATE: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE- PECTIO IF N ARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK# (Site Plan MUST be attached) ISDS Permit # i -I qL APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ************************************************************************** PROPERTY OWNER: l= r 4 r PHONE MAILING ADDRESS: zk APPLICANT/ CONTACT PERSON: PHONE: ( ) MAILING ADDRESS: LICENSED ISDS CONTRACTOR: COMPANY/DBA: ADDRESS: PHONE: ( ) PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE ,DISPOSAL SYSTEM: Building Permit # i0 g U ( if known) Legal Description: Subdivision: Filing:_Block z�&_Lot N8.-I � r Tax Parcel Number: Lot Size: Street Address: ST,e -L-- *************************************************************************** BUILDING TYPE: (Check applicable category) ( Residential/Single Family Number of Bedrooms _ ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface Public Name of Supplier:li *These systems require design by a Registered Professional Engineer SIGNATURE: r Date: TO BE COMPLETE9, BY THE COUNTY AMOUNT PAID: ro O© RECEIPT DATE: CHECK #: CASHIER: COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 . EAGLE COUNTY, COLORADO August 15, 1995 Ed and Pat Seegrist P.O. Box 1233 Eagle, CO 81631 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 RE: Final of ISDS Permit No. 1446-95 Parcel #2197-234-14-008. Property located at: Mill ST., Fulford, CO. Dear Mr. and Mrs. Seegrist, 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, jalu""WWL Janet Kohl Environmental Health Department ENCL: Information Brochure Final ISDS Permit enclosures COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 DATE: FROM: EAGLE COUNTY, COLORADO March 13, 1995 Ed & Pat Seegrist 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. 1446-95, Tax Parcel # 2197-234-14-008 Property Located at: Block 26, Lot 14,15,16 Mill Street, Fulford. Enclosed is your ISDS Permit No. 1446 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 0 ISDS Final Inspection / Completeness Form V Tank is 1 000 gal.* Tank Material C> (permanent landmark) ' V/ Tank is located 1-1 ft. and 210 degrees from / (permanent landmark) V Tank set level. Tank lids within 8" of finished grade. Size of�e�ld f 2 u s lineal ft. Tec6 n 1ogy I� Cleanout is installed in between tank and house.(+ 1/100ft). There is a "T".that goes down 14 inches in the inlet and JJ outlet of the tank. �l Inlet and outlet is sealed with tar tape, rubber gasket etc. Tank has t9wo compartments with the larger compartment closest to the house. Measure distance and relative direction to field. Depth of field ft. Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. Other . ` 1 Ct-KA- )0_e + (1-Yl KY) n IAl VA 4 A c ,k cn -AA ;n A m -Al /A Inspection meets requirements. {�v ���r Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: n J-;it 66 Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 0 ■EMENEEMEMEM ■O«EME®®ME® ■EMEMEMEME®■ ®EMEMEMEMEM■ ■OMEMEMEMEME IMi'ir EME MMENEEMEME■ MOREFORMEMEEMME■ MOREMENNEEMENno EMSEEMMEMEMEEME■ ■ERMSEEMOMMEMno ■�/_�t0 f° t�it�r■����i ■EMEMEMEMEMEMEM■ MEMEMEMEMEMEMMU■ ■EMEMEMEMEMENM■ MEMEEMEMEMEME No ■EMEMMEMENEEMOM■ ■ENEEMEMEMEMEME■ EMEMEMEMEMEMEMEN ■EMEMEMEMEM■MEM■ MEMEMEMEMEMEMEM■ ■MEMEMEMEMEMEME■ ■EM«EMEMENEEMEN ■EEMEMENEEMMMME■ 1446-95 SEEGRIST JOB. NAME Block 26, Lot 14, 15, 16 Mill Street, Fulford 2197-234-14-008 JOB NO. JOB LOCATION 00- BILL TO DATE STARTED DATE COMPLETED DATE BILLED 1 71,11, �+ s je�v l -s f re S 7 � `+ c v u l !' f�c ` [ , �h 3� fZ1�- � LziyL.,',,-' A/v 04176'11�le ui�e 0io MMA JO ---SU—MMAFiY TOTAL SELLING PRICE 1 . P• TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOL 1471 Primal in U.S.A. "Wa Sty . -=(ui 6cccc JOB FOLDER