HomeMy WebLinkAbout403 Big Hat Rd - 246712101001INDIVIDUAL 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. 1094'` `
Please call for final inspection before covering any portion of installed system.
OWNER: Walter Ruch PHONE: 927-4425
MAILING ADDRESS: 250 S. Watkins Memphis, TN 38104
AGENT: PHONE:
SYSTEM LOCATION: 0403 Big Hat Road, Basalt, CO
LICENSED INSTALLER: Walters Company LICENSE NO. 41-91
DESIGN ENGINEER OF SYSTEM,
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 427 square feet trench/140 square feet 10" SB2/14 infiltrator chambers
Place inspection portals at end of each trench.
ENVIRONMENTAL HEALTH OFFICER: DATE:
CONDITIONS: 701
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, 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 111, 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. / 1 I
INSTALLED ABSORPTION OR DISPERSAL AREA: {j SQUARE �FJE,E�T. YIc m �/%/i+i/0i �lE?C�
INSTALLED SEPTIC TANK: /000 GALLONS � / n' DEGREES � FEET )CrCiM NW Cd�/IiPT44Pi/G'aSe
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY \C YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: `/ YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
COMMENTS:
ENVIRONMENTAL HEALTH OFFICER: a DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
I-
ISDS Permit # ✓ V 7zl-
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOX 179
EAGLE, CO 81631
328-8730/927-3823(Basalt)
PERMIT APPLICATION FEE 15 PERCOLATION TEST FE
it,rx�e•**x*,ryrxxxx,r**r,ir,irxx**,rr*xr,r,rttxx5tx,rxxerxxxx,rxx�rx*,r,rxx*yrae $x�ryrx00
PROPERTY OWNER: Walter Ruch
MAILING ADDRESS: 250 S. Watkins Memphis, TN 38104 PHONE: 927-4425.
APPLICANT/CONTACT PERSON;Dana Yerian
D-Alb-t—k GonRtSpec. Inc; PHONE: 945-2469
LICENSED SYSTEMS CONTRACTOR: Walters Company
-- — 41 / ,L
ADDRESS: 724 Bennett Avenue Glenwood Springs, CO PHONE: 945-2851
xxxxxxx:xxxx x�xx�rxxxxxxxxxrxxrx,r�*�xxxxx*x*xxxxrxxxvrxxrxx*xxx�xxx:xx,,rxxxx
PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTEP.ATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: Lot 4 Big Hat Subdivision_
Parcel Number: NIA Lot size:
Physical Address: 0403 Big Hat Road Basalt, UV
BUILDING TYPE: (Check applicable category)
(k) Residential / Single Family Number of Bedrooms
C) Residential / Multi -Family* Number of Bedrooms
{ ) Commercial / Industrial* Type
HOT TUB - Yes ( ). No
WATER CONSERVATION PLAN: Yes ( ) No (X)- ___
TYPE OF WATER SUPPLY: well( ') Spring ( ) Surface: (x)
Public ( ) Name of Supplier:
Give depth of all wells within 200 feet of system: none
*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: x***xxx*xxxxxxx*xxx xx xxx,r,rxxxx�rxxxx*xxWxxxx****xxxxf *x* xxxxrrxxxx*
AMOUNT PAID:_,9 7S`/ RECEIPT# C1/ � �-3 • DATE:
CHECK # fa Os-6- CASHIER :
TIME LOG ... .
Travel Perc Final
ISDS PERMIT ID94F
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: 14� ticr� J50 S. wa41,Y), % gmlo� tis 77V
LEGAL DESCRIPTION: II 0403 Bi gal Rd �+ 4
MAILING ADDRESS : ' Wa1615 C6wM a! 2t 7,74 benne# �ye, 616riulo-o,-11 .prof
TYPE OF DWELLING: 5F NUMBER OF BEDROOMS
*v�rvr
TEST HOLES PRE-SOAKED: YES \_ NO
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Time to drop last nch 5-15
PERC RATE: 14059 10 MINIMUM SEPTIC TANK SIZE:
f /
MINIMUM LEACH FIELD SIZE: q,77 f¢ 2.of f,-&,i1140 -PI op 14""5BZ11q
COMMENTS:
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PERC TEST DONE BY:
nviranment,Wl Health Officer
rev. 6/90ks
DATE: 9- Z 41-9/
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JOB NO,
JOB LOCATION
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DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
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GROSS PROFIT
ESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
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