HomeMy WebLinkAboutBlk 31, Lot 4-9 - 219723415009INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755 6 P
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO.
Please call for final inspection before covering any portion of installed system.
RETAIN WITH RECEIPT RECORDS
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APPLICANT / AGENT:
PERMIT
PERCOLATION TEST FEE
OWNER:
RECEIPT #
CHECK #
(5;; I pan MUST be attached)
ISDS Permit # I(0( cX�
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. o PERCOLATION.TEST FEE $200.00
* .,MAKE'ALL REMITTANCE PAYABLE TO: ".EAGLE COUNTY TREASURER"
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PROPERTY OWNER:
MAILING ADDRESS:
PHONE: 14-I1 ) 121-3403
APPLICANT/CONTACT PERSON* 12M E-121AJA9-Q',, PHONE: lo
MAILING ADDRESS: V17 P,7A (D-10 , I k& - /n 9 I
LICENSED ISDS CONTRACTOR: el.AAOJ( f t1Aj6BjtJb PHONE:
COMPANY/DBA: lit�IZ &w&hk2 ADDRESS: 02 �Z _ tJI�37
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PERMIT APPLICATION IS FOR: (yC) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # _jo_�-i t (if known)
Legal Description: Subdivision: Filing:_Block•31Lot No.
Tax Parcel Number: 2 °� -7 - 2 3 �- - p . O Lot Size: !'V -t-
Street Address:
BUILDING TYPE: (Check applicable category) i
(�C) Residential/Single Family Number of Bedroom'
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well (1C) Spring ( ) Surface
( .) Public Name of Supplier:
*These systems re re des'gn by a Registered Professional Engineer
SIGNATURE • - Date:
************** ******* ***************************************************
TO BE COMPLETE THE COUNTY
AMOUNT PAID: l RECEIPT #: I DATE:
CHECK #: CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
September 29, 1997
Steve Dean
Rt.l, Box 54
Horton, MO 64751
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit No. 1612-96, Tax Parcel #2197-234-15-005. Property location:
Lots# 4&5, Block 31, Fulford, CO.
Dear Mr. Dean:
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 (970) 328-8755.
Sincerely,
jAt�--4u-'
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL:Informational Brochure
Final ISDS Permit
cc: files
Community Development Department
(970)328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: June 20, 1996
TO: Elliott Plumbing & Heating
FROM: Environmental Health Division
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
CO[P%7
RE: Issuance of Individual Sewage Disposal System Permit No. 1612-96, Tax Parcel
#2197-234-15-005. Property Location: Lots 4 & 5, Fulford, CO, Dean cabin.
Enclosed is your ISDS Permit No. 1612-96. It 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.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special conditions
which may have been placed on the permit. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made. Your building permit CO will not be
issued until final approval has been given for the ISDS Permit.
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
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