HomeMy WebLinkAbout881 Sunset Ln - 211105313019INDIVIDUAL 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. 1313
Please call for final inspection before covering any portion of installed system.
OWNER: Frank & Crystal Gutierrez PHONE; 949-0439
MAILING ADDRESS: P.O. BOX 206 City: Minturn State: CO ZIP; 81645
APPLICANT: SAA PHONE:
SYSTEMLOCATION: 881 Sunset Ln., Gypsum TAX PARCEL NUMBER: 2111-053-13-019
LICENSED INSTALLER: T cam:' A1" ' + �Gt 1) LICENSE NO: _ r q!l
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 5 II SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install infiltrator units as per owners request.
Install inspection portals at the end of each trench.
Call for a final ins ec n rior ai'llin .
ENVIRONMENTAL HEALTH APPROVAL: DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF E 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: 750 SQUARE FEET.
INSTALLED SEPTIC TANK: 1250 GALLON 20 DEGREES 25 FEET FROM north facing aide of hn11SP
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY X YES NO
COMPLIANCE WITH COUNTY/STATE REQUIREMENTS: �r YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS: Have tank pumped every couple of years. 20 infiltrator units were installed
ENVIRONMENTAL HEALTH APPROVAL: ` DATE: —4I ) Z I 7
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit # 13 1 S
Building Permit #0 e;7
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (Basalt)
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* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* *
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
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PROPERTY OWNER: C,d� C-r \f
MAILING ADDRESS: 1' i� (x 2d to M r n �-vrN PHONE : -0 437
APPLICANT/ CONTACT PERSON: G ct 4ye r re z. PHONE: -% DD G,-5�9-j
LICENSED SYSTEMS CONTRACTOR: PHONE:
COMPANY/DBA: Dfa4"S r XC Z\,1-A 1 ADDRESS: rPs?`"
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PERMIT APPLICATION IS FOR: (r/) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: BF-Wocis '-.KJkGyJ*ior-- Ft U ni ( aLK Lb-r It +-/rhru•L6T.
Tax Parcel Number: Z, (toS3 ( 301 A Lot Size: . 82
Physical Address:
BUILDING TYPE: (Check applicable category)
(c� Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number of Bedrooms
Number of Bedrooms
Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(� Public Name of Supplier:
*These systems require design by a Registered Professional Engineer
T ; /
SIGNATURE: Date:
AMOUNT PAID: RECEIPT #: 1 w DATE:
CHECK # : 11 -_ CASHIER: �y
COMMUNITY DEVLOP.MENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
DATE: June 22, 1994
TO: Davis Excavating
FROM: 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. 1313-94 tax Parcel # 2111-053-13-013
Property Located at: 881 Sunset Lane, Gypsum
Enclosed is your ISDS Permit No. 1313 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 Shannon
Garton or Laura Fawcett at 328-8755.
cc: files
COMMUNITY DEVLOPMENi
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
July 13, 1994
Frank & Grystal Gutierrez
P.O. Box 206
Minturn, CO 81645
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
RE: Final of ISDS Permit No. 1313-94 Parcel #2111-053-13-019
Property located at: 881 Sunset Lane, Gypsum
Dear Mr. and Mrs. Gutierrez
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 dwelling 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,
r
Laura Fawcett
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
cc: files
ISDS PERMIT
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: t-t
LEGAL DESCRIPTION: ��-(��>3--_i i� .__ I g
MAILING ADDRESS : -,q\ C
TYPE OF DWELLING:/Y NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES_ NO
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PERC RATE MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE: 5
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COMMENTS: GL�Z: L tfir 1.� �s c c3 lac'I 6rL(_'f L�
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PERC TEST DONE BY:
Environmental Health O
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DATE:
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