HomeMy WebLinkAbout4529 Frying Pan Rd - 246702300024INDIVIDUAL 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. 1537
Please call for final inspection before covering any portion of installed system.
OWNER: Bert Pearce
PHONE: (97O) 927-4485
MAILINGADDRESS: 4547 Frying Pan Rd. clty:Basalt State: CO ZIp: 81621
APPLICANT: Randy Hughes PHONE: (970) 329-2309
SYSTEMLOCATION: 4529 Frying Pan Rd. TAX PARCEL NUMBER: 2467-023-00-024
LICENSED INSTALLER: Clement Hughes Excavating (970)963-2004 LICENSENO: 09-95
DESIGN ENGINEER OF SYSTEM:
0
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
750 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: This permit is for the repair of the existing septic tank only and does not
imply that the current system meets the Eagle County Regulations. This is a pre-exsiting
nen eenferming system. All east iron pipes may also be replaeed. --Call Eagle-C�
for a final inspection px-io ckfillin . /
ENVIRONMENTAL HEALTH APPROVAL: DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF T 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:exi s t ing SQUAREFEET. dry Well
INSTALLED SEPTIC TANK: 1000 GALLON 80ON DEGREES 64' 10" FEETFROM the clean -out next to the house
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY X YES —NO
COMPLIANCE WITH COUNTY/ STATE REQUIREMENTS: YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS:
9
ENVIRONMENTAL HEALTH APPROVAL: DATE: October 24,1995
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
ISM Permit
APPLTOAMN POR •xA PIVIDUAL' SEWAG.D DISPOSAL BYSTER PERM-T
A.
1VxR0�NMENTdi1a YEAi '1�T FFICE - EAGLE COUNTY
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* VMMIT APPLICATION FEE g150., 00 ;. PERCOLATION TEST FEE $200. 00
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k MARE ALL RZINITTANCE PA.XABLE TQ: "EAGLE- COUNTY TREASURER"
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i}ROPEWY OWNER: PHONE.
NAILING ADDRESS;_ . _ .'� /ff'r;7 �:7 /�c�/. _ ',�, '.stq
APPLICANT/CONTACT PERSON: PRONE:
MAILING ADDRESS;
LICENSED ISUS CONTRAC' QR.*..IC' :2 PHONE
COMPANY/bails: ADDR2 SS
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PERMIT APPLICATI019 IS FOR: ( j -'-.New Installation ( ) Alteration Repair
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LOCATION OIL PROPOSED II3L7MDUAL SEWAGE nUPOSA•L SYSTE'24:
Duia.diml Permit (if known)
Legal De ,cription: Subdiviaion: • � �R�'iIing:_..°Block:_Lot No._
Tad; Parcel Number:L Lot Size:. 112-61CW
Street Address: q !�
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BUILDING TYPE: (Check appi icab I.e... category)
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( j Residenti4l/Nulti-Famil.yt:
( y Commeizo,ial/Industrial.*
Number
Number
Type
TYPE OF WATER SUPPLY: ( Check ' app'licab.le • category)
f "t vdel ( ) ,prim 1. ::s t'; j:-'
( } Public Name of $Upp
*These systems regiiire design k>y';•tjister•ed Professional Engineer
of Bedrooms r
of Bedrooms __-- —
SIGNATURE: -' Date
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DATE:
CAMIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
Date: October 13,1995
TO: Randy Hughes
FROM: Environmental Health Division
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Issuance of Individual Sewage Disposal System
Permit No. 1537-95 Tax Parcel #2467-023-00-024.
Property Location: 4529 Frying Pan Rd. Basalt,
CO. Pearce residence.
Enclosed is your ISDS Permit No. 1537-95. 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.
Installation must be completed by December 1 for all new
construction for which.permits were issued prior to November 15.
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
Community Development Department
(970)328-8730
Fax:(970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
October 24, 1995
Eagle County Building --
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
Bert Pearce
4547 Frying Pan Rd.
Basalt, CO 81621
RE: Final of ISDS Permit No. 1537-95 Parcel #2467-023-00-024.
Property located at: 4529 Frying Pan Rd., Basalt, CO.
Dear Mr. Pearce,
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 328-8755.
Sincerely,
Janet Kohl
Environmental Health Department
ENCL: Information Brochure
Final ISDS Permit
cc: files
4.,
i
Z0 d z0154O ^L 5E 5 GrAs
ISDS Final Inspection
Completeness Form
Tank is � 1
gal. Tank Material C--OLICU
Tank is located ft. and
Tank is located ' ft.
degrees from
(permanent landmark)
and degrees from_.67"ta,�"
(permanent landmark) a
Tank 'set level. ✓ Tank lids within 8" of finished grade.
Size of field ft2 units lineal ft.
Technology
vJ Cleanout is installed in between tank
f and house(+ 1/100ft).
There is a "T".that goes down 14
outlet of the tank.
Inlet and outlet is sealed with
etc.
inches in the inlet and
tar tape, rubber gasket
Tank has two compartments with the larger compartment
closest to the house.
5 ` Measure distance and relative direction to field.
Depth of field ft. (i
Soil interface raked.
Inspection portals at the end of each trench.
L�u Proper distance to setbacks.
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN:
)
Setbacks �
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
Field
100
25
20
10
50
25
10
10
Tank
50
10
5
10
50
10
*
10
1
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1537-95 TP#2467-023-00-024
JOB NAME 4529Frying Pan Rd.
`Basalt, CO 81621
JOB NO.
106: t OCATION ,
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
r ! J�F_�I K,�'�
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... -: A
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
FOLDER
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