HomeMy WebLinkAbout437 Green Meadow Dr - 239122304004 - 1110-91ISINDIVIDUAL 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. 1110
Please call for final inspection before covering any portion of installed system.
OWNER: John Hocker and Barbara Clark PHONE: 963-2232
MAILINGADDRESS: BOX 562, Basalt, CO q
AGENT: PHONE:
SYSTEMLOCATION: Oak Ridge II, Lot 11, Aspen Mtn View
LICENSED INSTALLER: Ed Dreager LICENSE NO. 10-91
DESIGN ENGINEER OF SYSTEM: High Country Engineering
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
785 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install as designed by High Country Engineering, provide
as built to Eagle Co.
ENVIRONMENTAL HEALTH OFFICER: DATE: 11/21/91
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL EQUIREMENTS 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 W, 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. u V 0 SQUARE FEET.
INSTALLED SEPTIC TANK: Q� GALLONS DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY 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-1 SPECTION WHEN WORK IS COMPLETED.
COMMENTS: /� � !/l/I/! !�S /ICL(� //IY1 �GGIC /// /� CO C/1 OY1 �L 9�
ENVIRONMENTAL HEALTH OFFICER: XDATE: �'Z �S Lv
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANTIAG ENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK N: CASHIER:
ISDS Permit #
CBuilding Permit # J;Sv '0
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTE
ENVIRONMENTAL HEALTH OFFICE- EAGLE COU;�1
P.O. BOX 179 �jb(C3
EAGLE, CO 81631
328-8730/927-3823(Basalt)
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00
PROPERTY OWNER: (} C, e t- aL c�k Ch a r0-- `Ar
MAILING ADDRESS: �, �� �, Ind« �� PHONE: R (03
APPLICANT/CONTACT PERSON: PHONE:
LICENSED SYSTEMS CONTRACTOR:
-9/
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: (x) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Descript
Parcel Number:
Physical Addre
BUILDING TYPE: - (Check
(X) Residential /
( ) Residential /
{ ) Commercial /
HOT TUB
WATER CONSERVATION PLAN:
TYPE OF WATER SUPPLY:
Give depth of all
applicable category)
Single Family Number of Bedrooms 3
Multi -Family* Number of Bedrooms
Industrial* Type
Yes ( ). No
Yes ( ) No (X()
Well( ) Spring ( ) Surface ( )
Public (/X) Name of Supplier:
wells within 200 feet of system:
*These systems require design by a Registered Professional Engineer
NOTE: SITE
MAKE ALL R
BE ATTACHED TO APPL�FATION
PAYABLE TO: "EAGLE UNTY TREASURER"
SIGNATURE: ?
AMOUNT PAID: RECEIPT#
CHECK
TIME LOG
Travel Perc Final
DATE:
DATE : / li / 7/ r
CASHIER •
13r
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
November 21, 1991
John Hocker
Barbara Clark
Box 562
Basalt, CO 81623
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328.7207
RE: Issuance of Individual Sewage Disposal System Permit
No. 1110
Dear John and Barbara:
Enclosed is your ISDS Permit No. 1110. 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,
�C
Roger Boyd
Environmental Health Assistant
Community Development
RB:ckc
Enclosure
cc: ISDS File
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 32S-8730
EAGLE COUNTY, COLORADO
December 16, 1991
John Hocker and Barbara Clark
Box 562
Basalt, CO 81621
RE: Final of ISDS Permit No. 1110
Dear John and Barbara:
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 32S-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,
1
C. Kelley y Carhart
Office Assistant
ckc
Encl: Information Sheets
Final ISDS Permit
cc: Chrono File
Building Permit File
December 12, 1991
Eagle County Community Development
P.O. Box 179
Eagle, CO 81631
Attn: Roger Boyd
DEC 13 19
EAGLE COUNTY
COMMUNITY DEVELOPMENT
RE: Lot.11, Oak Ridge II, Aspen Mountain view Subdivision
Hocker/Clark Residence I S.D.S.I1Ib
HCE Job No 91010 020
Dear Roger:
On December 6<, 1991, High Country Engineering, Inc. personnel
observed the visible construction of the individual sewage disposal
system at the Hocker/Clark residence The construction, appeared to
be in conformance with the intent of`the design. We noted that a
house cleanout was not installed near the house wall, but we were
told there was one inside.
If you have any questions or need additional information;, plez�ga
give us a call.
S mcer,ely,
HIGH COUNTRY ENGINEERING, INC.
Timo by P. Be9k, P.E.
Principal En+g!)�eer
TPB:rjm
cc: Stasmore., Vic.
923 Cooper Avenue • Glenwood Springs, CO 81601
Telephone:303-945-8676 • FAX:303-945-2555
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JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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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
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JOB FOLDER Product 278 ®0 NEW-ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER
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