HomeMy WebLinkAboutBlk 6, Lot 3,4,5 - 219724305004INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1702-97 BP NO. 11294
OWNER: RICHARD AND FRANCES TURGEON PHONE: (970) 524-9743
MAILING ADDRESS: P.O. BOX 93, GYPSUM, CO 81637
APPLICANT: SAME PHONE: (970) 524-9743
SYSTEM LOCATION: LOTS # 3A.5. FULFORD, CO TAX PARCEL NO. 2197-243-05-003
LICENSED INSTALLER: DOUBLE M EXCAVATING, LARRY MORGAN LICENSE NO. 33-97
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON HOLDING TANK N/A SQUARE FEET OF
SPECIAL REQUIREMENTS: INSTALL AS PER EAGLE COUNTY LAND USE REGULATIONS. CHAPTER IV. SECTION 4.09.03, A COPY OF
WHICH HAS BEEN INCLUDED WITH THIS PERMIT. CALL EAGLE COUNTY FOR FINAL INSPECTION PRIOR TO BACK FILLING
ENVIRONMENTAL HEALTH APPROVAL: AInk7ltiy ��i'1i -liW DATE: JUNE 26, 1997
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 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: SQUARE FEET (VIA )
INSTALLED TANK: GALLONS IS LOCATED DEGREES AND FEET FROM
COMMENTS:
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE:
(Site Plan MUST be attached)
ISDS Permit # 1'76 c� —q
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"
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PROPERTY OWNER: G� �� fP� G - / �P,y y� c� / ppcp ��,yf PHONE:
MAILING ADDRESS: [��, �y_ /' nn G c)
APPLICANT/CONTACT PERSON: 4j-Fac-eez PHONE:
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR: 0A/L47O — - 3�5-q7 PHONE: 742 j
COMPANY/DBA: ° z'- AD ESS: P6
Of
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PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair
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LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # ' 1 ,2 L1 ( if known)
Legal Description: Subdivision: 1 i�L�`=��� Filing:_Block:�<" Lot No.=>->`-:5-
r;
Tax Parcel Number: Lot Size:
Street Address:
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BUILDING TYPE: (Check applicable category)
(;+�) Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number
Number
Type _
of Bedrooms
of Bedrooms
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:�L-
*These systems require design by a Registered Professional Engineer
SIGNATURE: Tf ����' ,i %/��z �i Date:
TO BE COMPLETED BY THE COUNTY
AMOUNT PAID: ! 7 e�yy RECEIPT #: V DATE: !
CHECK #: U CASHIER: ,
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: June 26, 1997
TO: Double M Excavating
FROM: Environmental Health Division
C�1-111
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Issuance of Individual Sewage Disposal System Permit No. 1702-97, Tax Parcel
#2197-243-02-003. Property Location: Lots #3,4,5, Fulford , CO., Turgeon
residence.
Enclosed is your ISDS Permit No. 1702-97. 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
Enclosure: ISDS Final Inspection Completeness Form
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