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HomeMy WebLinkAbout431 Tree Farm Rd - 239135300016 - 1101-91ISINDIVIDUAL 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. 01: Please call for final inspection before covering any portion of installed system. OWNER: Ace and Jennifer Lane (Barn) PHONE: MAILING ADDRESS: 6559 Frying Pan Rd, Basalt AGENT: PHONE: SYSTEMLOCATION: 19351 Hwy 82, E1 Jebel LICENSED INSTALLER: Ed Dreager LICENSE NO. DESIGN ENGINEER OF SYSTEM, INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 201 sq. ft trench/80' of 10" SB2/7 infiltrator gallary ENVIRONMENTAL HEALTH OFFICER: DATE: 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, 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: Z D/ SQUARE FEET. INSTALLED SEPTIC TANK: 750 GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS ANDASSEMBLY YES NO COMPLIANCE WITH COUNTYISTATE 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: Pam»'► rrl�4,//D� �S /' vie" i 7 /P� h �� U �Ca Pal' ENVIRONMENTAL HEALTH OFFICER: aump, DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAG ENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: ISDS Permit # 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 $150.00 PERCOLATION TEST FEE $125.00 PROPERTY OWNER: Aev /Akjo— MAILING ADDRESS: `j%��!(� �J PHONE: APPLICANT/CONTACT PERSON: DAVID / Z�- PHONE: LICENSED S TEMS CONTRACTOR: - ADDRESS: Z1 &CSC /0"-) PERMIT APPLICATION IS FOR: LOCATION OF PROPOSED INDII Legal Description: Parcel Number Physical Address: NEW INSTALLATION ( ) ALTERATION SEWAGE DISPOSAL SYSTEM: size: REPAIR BUILDING T PE: (Check applicable category) ( Residential / Single Family Number of Bedrooms J(� ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial / Industrial* Type HOT TUB Yes { ). No ) WATER CONSERVATION PLAN: Yes ( ) No ()c) TYPE OF WATER SUPPLY: Welly Spring ( ) Surface ( ) Public t ) Name of Supplier: Give depth of all wells within 200 feet of system: A-1 *These systems require design by a Registered Professional Engineer 1. NOTE: SITE PLAN MUT B ATCH� TO�APP�TION MAKE ALL REMITTANCE P Y L$ITO• E G COUNTY TREASURER" SIGNATURE: ********** AMOUNT PAID: TIME LOG Travel Perc Final * RECEIPT# CHECK # DATE: DATE: "l CASHIER: ISDS PERMIT # //©/ PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER:- Ace ;, zw'fe` zane LEGAL DESCRIPTION: MAILING ADDRESS: kl,55 TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE—SOAKED: YES NO / TIME WATER DEPTH INCHES OF FALL RATE hAPT SOIL PROFILE 1 2 3 1 2 3 1 2 3 1 2 3 0Sit .45 qi y? 50 51 5Z I(o (� £� I�g az 2. 3 !.5tj 3' lci'L 11� f y I 3y 4' pp OI oz 191 36 3.3 ;.q 5' 05 oG o7 a°i )-7, i zl z 1 j .. 3• 3.3 5 6' 3,6 1� 17 1Zg 21f z� j ►g y 4 g' 23� z5�V 25 i g 5.7 ` # z56 7-7 z.� Z6� 2-57 $ D Time to drop last inch PERC RATE: .5 mF'.f - MINIMUM SEPTIC TANK SIZE: W MINIMUM LEACH FIELD SIZE: JO/ JJ-?— 10u 5B2/7,W,1t COMMENTS: 4411, s..c .41,4 4� ^4 won, 1011 n� M.; � 1.,,— 1.o, PERC TEST DONE BY: DATE: ?-;3 EnV,!rronmeaital Health Officer rev. 6/90ks 5 �:O,MMLINM DEVELONE`T DEPARTMENT (303) 3_'S-87 30 EAGLE COUNTY, COLORADO December 16, 1991 Ace and Jennifer Lane 6559 Frying Pan Rd Basalt, CO 81621 RE: Final of ISDS Permit No. 1101 and 1084 Dear Mr. and Mrs. Lane: 00 RROADWAI P.O. ROX 179 EAGLE. COLORADO S 163 1 FAX (303) 3 2S- 7_'0- 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, � f C. KelleytCarhart Office As istant ckc Encl: Information Sheets Final ISDS Permit cc: Chrono File ISDS File Building Permit File JOB NA 1101-91 (,FL ME; JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Printed in U.S.A. JOB FOLDER