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Home My WebLink About2112 Ten Peaks Mesa Rd - 239103402006 - 2050-00IS VOIDINDIVIDUAL 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. 2050-00 BP NO. OWNER: MARK KWIECIENSKI PHONE: 970-927-0530 MAILING ADDRESS: P.O. BOX 2032, BASALT, CO 81621 APPLICANT: SAME PHONE: SYSTEM LOCATION: LOT #6, TEN PEAKS MESA, CARBONDALE, CO TAX PARCEL NO. 2391-034-02-006 & 008 LICENSED INSTALLER: BOGUE CONSTRUCTION, SCOTT BOGUE LICENSE NO. 6-00 PHONE: 970-858-3108 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 4 BEDROOM RESIDENCE 1250 GALLON SEPTIC TANK, 1500 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 49 CHAMBERS, IF CHAMBERED UNITS ARE USED. SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE, AND IN- SPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT SMEARING OF SOILS, AND DO NOT INSTALL IN WET WEATHER. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PORTION OF THE INSTALLATION OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. THE BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS BEEN INSPECTED AND APPROVED. ENVIRONMENTAL HEALTH APPROVAL: DATE: NOVEMBER 3, 2000 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, AND WILL RESULT IN 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 INCHES 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: Awl8-00 07:14am From -Eagle County Clerk El Jebel 9709632396 7-0051�� 51 PP.05/10 F-696 ;-L ISDS Permit # 5V v V Building Permit # s 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) * FEE S MMDULE * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * SIZING AND SITE VISIT FEE $S5..00 (WHEN ENVIRONb1ENTAL IMALTH SIZES THE * * SYSTEM USING YOUR SOILS REPORT) # MARE ALL REMITTANCE PAYABLE TOr "EAGLE COUNTY TREASURER" xxxx#Y#YY#x*xx##***#*****###xx#*Y#YY****#####**#*w#*#*********w******x*#Y PROPERTY OWNER: a & & tad L E`hS MAILING ADDRESS: �jQtfsjQ+ C,Q PHONE: gY0-_7_0J APPLICANT/CONTACT PERSON: (�,lIL I�Ld LEGIBASk PHONE. - LICENSED SYSTEMS CONTRACTOR: PHONE: COMPANY/DBA:1�A �GrGSS: PERMIT APPLICATION IS FOR: (W NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL Legal Description: Tax Parcel Number: Physical Address: DISPOSAL SYSTEM: Lot Size: & A- r, BUILDING TYPE: (Check applicable category) (Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type I*These systems require design by a Registered Professional Engineer TYPE OF WATER SUPPLY: (Chec applicable category) { ) Well ( ) S ring { ) Surface ( ) Public Name S - APPLICANT SIGNATURE: g Date:46 AMOUNT PAID: RECEIPT #: 11 DATE: �41) CHECK #: ( �CASHIER: X 4?-. I Community Development Department (970) 328-8730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com EAGLE COUNTY, COLORADO DATE: November 3, 2000 TO: Bogue Construction 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 #2050-00, Tax Parcel #2391-034-02-006 & 008. Property Location: Lot #6, Ten Peaks Mesa, Carbondale, CO, Kwiecienski residence. Enclosed is your ISDS Permit #2050-00. 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. If you have not been contracted to install this system please contact Eagle County Environmental Health. 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. Do not back fill any part of the installation until it has been inspected. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Due to the onset of inclement weather, all installations must be completed prior to Friday, December 1, 2000 in order for Eagle County Environmental Health to perform a final inspection. In the event that inclement weather interrupts your installation, please cover the installed components with plastic sheeting so that they are not covered with snow and are visible for the inspector. All field work will resume, weather permitting, on March 15, 2001. Please call our office well in advance to allow for scheduling of final inspection. Your building permit TCO 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 Enclosures: ISDS permit # 2050-00; ISDS Final Inspection Completeness Form ISDS PERMIT # PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH rl -PHSYSICAL ADDRESS: 0 r b6--h,j -k- LEGAL DESCRIPTION: IT)f-(o -12n (to LYLM&, MAILING ADDRESS: V6 66 X 2 6 TYPE OF DWELLING: NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES- NO- X vF SOIL TIME WATER DEPTH INCHES OF FALL RATE PROFILE 12�1"75 21 0 16 lq 311 _vo 6E 41 o(o L4 c� 51 s .5' 1 0 I A)nt 15W 6 15, .3 IS,7S 15, x � '�;� I I 'o bll 74 1 10 TIME TO DROP LAST INCH: PERC RATE: 2L)12_4�tl MINIMUM LEACH FIELD SIZE:- MINIMUM SEPTIC TANK SIZE: q COMMENTS: -2 &dA IT7-ni n h b-),)U is -Oro "uu, •CJ "rkQ4ka�L 44�01!2-/JaJA qo()e�jja,,;� I -�- ..I- /I ) ov 1,4 _ - :=- -7< to L1,17-- - ('0 u - ) < () h Rimy Oct (') & . __1,rt.- ) _7 J ENVIRONMENTAL HEALTH SPECIALIST DATE Mark Kwiecienski Box 2032 Basalt, CO 81621 Phone & Fax: 970.927.0530 Cellular phone 970.618.1145 Email: Superdog@Sopris.net WWW.Bi sculpture.com October 25, 2000 Environmental Health Laura Fawcett Box 179 Eagle, CO 81631 Dear Laura, Thanks for your time today — our conversation gave me lots to think about. Thank you. Enclosed is my check for $350 and my completed application for the sewage disposal system. I look forward to inspecting the site with you. Sincerely, 1 Mark Kwiecienski 2050-00 Tax #2391-034-02-006-8 JOB NAME Lot #6, Ten Peaks KWIECIENSKI Ten Peaks Rd., Carbondale JOB NO. DATE STARTED I 11 DATE COMPLETED DATE 131 LED Oil 1. Ni'm ill W " Now, WARm m Mjplii�ii� i m r !wdmo�� NO WA 0 • _ • SUMMARY TOTAL SELLING PRICE 0■ TOTAL- ME101 MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD .•% OF SELLING AMR _■ PROFITNET JOB FOLDER Product 278 JOB FOLDER p`"'`edin us.a