HomeMy WebLinkAbout9845 Gypsum Creek Rd - 219322100006INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT. NO. 1079
Please call for final inspection before covering any portion of installed system.
OWNER: Dr. Halley / c/o Mike & Deb Maurello
PHONE:
MAILING ADDRESS: BOX 173, Gypsum
AGENT: PHONE:
SYSTEM LOCATION: 11543 Gypsum Creek Rd. Parcel #2193-221-00-006
LICENSED INSTALLER: Mike Maurello LICENSE NO. 33-91
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
GALLON SEPTIC TANK OR 1000 GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 382 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 1140' of 10" SB2, requested by installer /
r ! I
ENVIRONMENTAL HEALTH OFFICER: DATE: `
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENT OF THE AGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GRANTED IN-10-104, C.R.S. 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. SECTION Ill, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM
TO BE LICENSED ACCORDING TO THE REGULATIONS.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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: /#0 SQl4ARE FEET. ✓B2 /O��
INSTALLED SEPTIC TANK: 1006 GALLONS DEGREES _ EEFEET - ran, p051 1&/ rp 54e.,, c1141r4,7Z
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: J
PROPER MATERIALS AND ASSEMBLY \� YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: 4 YES NO
ANY ITEM CHECKED {t NO REOUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
COMMENTS: AD cAl -p6o -16j Wj'.' d� myi'le �J
ENVIRONMENTAL HEALTH OFFICER: DATE: .2e- 7/
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
ISDS Permit # 7
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOX 179
EAGLE, CO 81631
328- 27-3823(Basalt)
PERMIT APPLICATION FE $150.00 PERCOLATION TEST FEE $125.00
******************** ******* ******* ********** ***********
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PROPERTY OWNER: eOK 173
B6917
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MAILING ADDRESS: 1121a Q ,P2PHONE: (7 LZ(�_
APPLICANT/CONTACT PERSON:
LICENSED SYSTEMS CONTRACT(
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: (V� NEW INSTALLATION ( ) ALTERATION { ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE ISPOSAL SYSTEM:
Legal Description: 16 1 � O�
Parcel Number: 3 _ /- _ pp L size:
Physical Address: I A<& 7 Xf A,-0.?,A-7 „• " _
BUILDING TYPE: - -- (Check applicable category)
( ) Residential / Single Family Number of .Bedrooms
( ) Residential ./ Multi -Family* Number of Bedrooms
( ) Commercial / Industrial* Type
HOT TUB Yes ( ). No
WATER CONSERVATION PLAN: Yes ( ) No (�)
TYPE OF WATER SUPPLY: Well( ) -spring Surface ( -)
Public ( ) Name of Supplier:
Give depth of all wells within 200 feet of system:
*These systems require design by a Registered Professional Engineer,
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
SIGNATURE; DATE: 'Z-7,
�
AMOUNT PAID: RECEIPT# 6.-3/DATE:
CHECK # f CASHIER
TIME LOG
Travel Perc Final --
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
August 1, 1991
Dr. Halley
c/o Mike and Deb Maurello
Box 173
Gypsum, CO 81637
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328.7207
RE: Issuance of Individual Sewage Disposal System Permit
No. 1079
Dear Dr. Halley:
Enclosed is your ISDS Permit No. 1079. The enclosed copy of the
permit must be posted at the installation site. You must call
our office for final inspection before covering any portion of
the installed system; the deadline for final inspections is
December 1.
If you have any questions, please feel free to contact us at the,
following numbers depending on your calling area: Eagle Valley
328-8730; Basalt/El Jebel 927-3823, ext. 730.
sincerely,
Raymond Mer.y, R.E.H. .
Envir.o ental Health Of cer
Community Development
RPM:ckc
Enclosure
cc: ISDS File
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
August 22, 1991
Mr. and Mrs. Maurello
Box 173
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1079
Dear Mr. and Mrs. Maurello:
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
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. Also enclosed are informational sheets
regarding the care of your septic system.
If you have any questions regarding this permit, please contact
the Eagle County Environmental Health Division, P.O. Box 179,
Eagle, Colorado 81631. We can also be reached, depending on your
calling area, at the following numbers: Eagle Valley 328-8730;
Basalt/El Jebel 927-3823.
Sincerely,
Roger Boyd
Environmental Health Assistant
RB:ckc
Encl: Informational Sheets
Final ISDS Permit
cc: Chrono File
ISDS File
Building Permit File
Application # /0? q
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: # A?I l�GC.r� � awe if o oel �`��'
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LEGAL DESCRIPTION: '2 /a c
MAILING ADDRESS:
TYPE OF DWELLING:.S,! Le- P�� NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES_ NO
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MINIMUM LEACH FIELD SIZE: 38� �1�� ��Q 'ram �� f S�� ,,,erg
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