HomeMy WebLinkAbout339 Eagle Crest Rd - 210518202006 - 1477-95ISINDIVIDUAL 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. 1 4 7 7
Please call for final inspection before covering any portion of installed system.
PHONE: 476-2201
Ceti: Vail Slate: CO Zip: 81657
PHONE: 476-2201
TAX PARCEL NUMBER: 2105-182-02-006
:CSVatlon LICENSE No: 22-95
RE FEET OF TRENCH BOTTOM.
equest, install 32 infiltrator units. Install in a
;uration. Rake trench side walls, install inspection
C 2con�ty for final inspection prior to backfilling
DATE:
EMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT
NDED.
iUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND BUILDING REQUIREMENTS. CONNECTION
'APPROVED BY THE ZONING AND BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A
t LEGAL ACTION AND REVOCATION OF THE PERMIT.
I WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED.
AGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED
JARE FEET.
GREES 29 FEETFROM Clean -out next to garage
X YES —NO
X YES _ NO
INAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
,tion fnrm for diGtribUtion C n0 figuration
DATE: 7
DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPr RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
"SENT BY: 3-21-94 ; 3:20PM ;Communityllevelopment13030262078;# 5/ 5
° Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit
Building Permit #
APPLICATION FOR IL.'DIVIDUAL SEWAGE DISPOSAL SYSTEM PnaHIT
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 $200.00
*
* MAKE ALL REMITTANCE PAYABLE TO: 14EAGLE COUNTY TREASURER"
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.PROPERTY OWNER: TES G A C- l �G\J C LO t' h l : N -T L LC
MAILING ADDRESS: 201 Gb2.E` C 12. _LZ. , I. \)4L -, CO PHONE: -1i,-ZZ01
APPLICANT/ CONTACT PERSON: G? 4G> S Now PHONE: L _7 G - 22o (
LICENSED SYSTEMS CONTRACTOR : P Ay 1 z Z ZON N PHONE:
; L 81 b3 Z
COMPANY DBA; Z2oNN ADDRESS: �•Q X IC�8S , aw�•R�SyCy.
PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISP05AL SYSTEM:
Legal Description: LO-C 8 Lk A y_ c- CZ(=_ = IL t`1LA Dde�
Tax Parcel Number: a I OS 1 '2) Z OZ• d0(p L,ot Size •
Physical Address: `�3G l=/-'rGLL G2L-�'7
BUILDING TYPE: (Check applicable category)
(u) Residential/Single Family Number of Bedrooms 4-
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER -SUPPLY.' (Check applicable category)
(X) Well ( ) Spring ( ) Surface
( ) Public Nance of supplier:
*These syst s re uir de ign by a Registered Professional Engineer
SIGNATURE: Date.: 5Lo clS
AMOUNT PAID: ��'d� RECEIPT #: � �� DA.TE; or f
CHECK #: _ CASHIER:
, t
44y 22, 11.001
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y.
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As req► oigtod' WO h4va aompTotG :ROX4014t.im) 'fait 13q
Ovula,t ins. , �� sit l�zt ah��ri��. thy. �XOP,0004d xo'bation 0 t
too- �anoo or 10a0h fio4d was bva lskb e.r The. location for Wto
Jp I
,k-0, Paroolation tesitIWOWTIOS thpLt thb. ruvi&m:or WX bo laa&ted Gloss
to or oA tho rMgla and tho , hAoh Geld will be located behina
MA
,1 The toot results WOVO as follows ,
34 iobl 'nch 30 min/inch 46 • min/inojh
Averags 37 %Winch
1, :�;, ��e ?�a��w��tx � ' m�,n j' �.s���Y • arty" � �i m3.,�/ ��oz�, �a� +w, ' �,�a�h �.�;t•d ►
Tf the leach field to locat&d on ;knptlier past of a lot~ am
' a444tjsnal paroointion toot quay bg roquirred. A prof i.1a hole will
41so ndod to pia oxcavated to verify atw hadr00% is not within �
fiat of the. cjro 4' surfaco, Our- expor anco in this' aroA, indlcatoo
thbt bsdk:ook wLII be, at dopt jis grik&tox, thiAn to sot below 'o
uundl AUtam I
it you hava 4PY gmmstions, please Oo ntaot. the ubdorsi gn,04.
sin ur.OIYP
"uo rLM1111
............�
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: -6eaa
LEGAL DESCRIPTION: LvJ (J
I
MAILING ADDRESS:
10
ULe_sfi
TYPE OF AWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
TIME wnmrn r,..MT?
EMI
-
-
Elm
110110ii��EMIN
i���iiii
NM
IN
IMMIwiN
NEII-INIMHIM1N�iiMAIN
IN
IN
MIN11110
010111MINIM
Time to drop last inch
PERC RATE: l./ 2
MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE:
COMMENTS:
rev. 6/90ks /f
MAY— 1 0-1pS UJED 1 40 SHOWDOFf r: HOPE: I HS ARCH I T P _ 02
r 11tt'' %yYj try n r
Y ,
• r
Zw
1 ,
�P' Lot: 9d C '
d,tY'+ �"+'�+wtar'.�, M'+i*r�++� ri+h"�w. rr,,,,,r,,�,, ; ,�,�,� "•
Lox 7
A1,
Lot B'
IV •;
1
.u�l_rwr'r+Wrw Par-olation Too
• �':��, � r d],gCk �► i, Lraikd �xa�� I�a�dpw��
ISDS Final Inspection
Comp eteness Form
u Tank is ) Z� gal. Tank Material
Tank is located ft. and 46degrees from g� a4,�aIU
(permanent landmark)
(permanent landmark)
.Tank set level. Tank lids within 8" of finished grade.
Size of field %9ft2 32— units -,IV lineal ft.
/ Technology
V Cleanout is installed in between tank and house(+ 1/100ft).
V There is a "T".that goes down 14 inches in the inlet and
outlet of the tank.
Inlet and outlet is sealed with tar tape, rubber gasket
etc.
Tank has two compartments with the larger compartment
closest to the house.
Measure distance and relative direction to field.
Depth of field ft. LC-& �1
✓Soil interface raked.
Inspection portals at the end of each trench.
Proper distance to setbacks. -:!:;a
V V U
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN:
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
■■■■■SIMIANS
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JOB NAME _
crec �— JOB NO. SF
QaAeuas
BILL TO
DATESTARTED /
DATE COMPLETED
DATE BILLED
52- New owners Howlyd L�- Qo-&ev7b(re &L, oN (-k r-/% 26)
�3 r
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 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471
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4,
,
JOB FOLDER
I
Printed in U.S.A.
i177-R I / 17745
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