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HomeMy WebLinkAbout853 Elsie Ave - 219723101014INDIVIDUAL 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. 1709-97 BP NO. 11255 OWNER: WILLIAM JONES PHONE: (970) 328-7186 MAILING ADDRESS: P.O. BOX 185, EAGLE, CO 81631 APPLICANT: SAME PHONE: (970) 328-7186 SYSTEM LOCATION: ELSIE AVENUE, LOTS 17,18,19,20, FULFORD, TAX PARCEL NO. 2197-231-01-005 LICENSED INSTALLER: COH, BILL CALVIN, P.O. BOX 368, EAGLE, CO 81631 LICENSE NO. 37-97 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON VAULT PRIVY TANK 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 BACKFILLING ENVIRONMENTAL HEALTH APPROVAL: ,L/%�/��s DATE: _JULY 11, 1997 CONDMONS: 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: NOT APPLICABLE SQUARE FEET (VIA ) INSTALLED holding TANK: 1000 GALLONS IS LOCATED DEGREES AND 37 FEET FROM the south west corner of the house. COMMENTS: Photos, receipts, and site Plan received from installer indicating compliance with Permit conditions. Environmental Health did not perform final inspection ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. f ENVIRONMENTAL HEALTH APPROVAL DATE: S ep temb e r 11 ,19 9 7 '(Site Plan MUST be attached) ISDS Permit # 6 V l APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P . 0. 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: X/ X� Z—' 7 0/V2f—_S PHONE: MAILING ADDRESS: 1116 z_Vff-z- /,F.i lc'y ,�7 4 ? l IVA- ?/ APPLICANT/CONTACT PERSON: PHONE: MAILING ADDRESS: _ LICENSED ISDS CONTRACTOR: PHONE: -/427 COMPANY / DBA : 0!esa 4 ADDRESS: ************************************************************************** PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # / 2 S� ( if known) l? 2d Legal Description: Subdivision: Filing: _Block:Lot No. ��-/I -_ Tax Parcel Number: �- - ?�- -� _.j' Lot Size:/640 Street Address: 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 (r) Public Name of Supplier: ,�,� Qt!4n( t/M1 *These systems require design by a Registered Professional Engineer SIGNATURE: Date: TO BE COMPLETED B THE COUNTY t; 0 0311 o DATE:T-X AMOUNT PAID: RECEIPT #: i CHECK #: CASHIER: Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO September 11, 1997 William Jones P.O. Box 185 Eagle, CO 81631 RE: Final of ISDS Permit No. 1709-97, Tax Parcel 92197-231-01-005. Property location: Elsie Ave., Fulford, CO. Dear Mr. Jones: Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 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, 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: July 11, 1997 TO: CQH, Bill Calvin Eagle County Building P.O. Box 179 500 Broadway Eagle. Colorado 81631-0179 FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Permit No. 1709-97, Tax Parcel #2197-231-01-005. Property Location: Elsie Avenue, Fulford, CO., Judge William Jones residence. Enclosed is your ISDS Permit No. 1709-97. 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 4.09.02 VAULT A vault shall have a minimum 1,000 gallon effective capacity and may be permitted under limited use occupancy for water carriage sewage systems on property which cannot accommodate a sewage treatment system. A signal device shall be installed to It. aI indicate when pumping is necessary. Vaults shall o: meet the same installation and construction standards as apply to septic tanks except that no effluent outlet shall be provided. 4.09.03 VAULT PRIVY A vault privy shall be built to include: Fly -tight construction; ial 2) A superstructure affording complete privacy; 3) An earth mound around the top of the vault and below floor level which slopes downward away ch from the superstructure base; 1 �. 4) A floor and riser of concrete or other impervious material; and 5) Seats and covers of easily cleanable, impervious material, hinged, self -closing and )t ` fly -proof. All venting shall be fly -proofed with No. 16 or tighter mesh screening. Effective capacity of the d vault shall be no less than 400 gallons. 4.09 .041 PIT PRIVY A new pit privy constructed -in soil may be.permitted o n l v*: 1) Upon approval of the Eagle County Board of Health, and 2) For temporary or emergency basis not to exceed 14 days use. It shall be built to include fly -tight construction - a. superstructure affording complete privacy; an earth ;Hound around the top of the compartment and below the -floor level, which slopes downward away from the superstructure base; a floor and riser of concrete for other impervious material; and.with seats and covers of easily cleanable, impervious material, r hinged, self -closing and fly -proof. All venting shall be fly -proofed with No. 16 or tighter mesh 52 J��eS �,4� � �� �io7s /7, /P,, /9 ^k� 1709-9/ '1'axif ZlytS-Gil-V1-uV� Lots# 17,18,19,20 Fulford JONES! JOB NAME. Elsie Ave, Fulford JOB NO. P / Zl!&:� .If]R 1 ACATIAN BILL TO DATE STA ED DATE COMPLETED DATE BILLED _ 7.1q q _/1 6(. #j (�1LAz&�, qz�L 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 JOB FOLDER Printed In U.S.A. rVI '. I 1, ._ .I h; t�- t< RE%.;t'—lVEC EAGLE COUNTY :OMMUNITY DEVELOPMENT GEho i=D EAG ► Ultd,� r°70-'t -q`7 4q6,-t,k If Atl�t�- EIVED EAGLE COUNTY Y DEVE►.. °.'%EI VE coanMun �-� F° �"� 4PMEN7