HomeMy WebLinkAbout15439 Hwy 6 - 210906205002INDIVIDUAL 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. 1123 -92
DI —on null fnr final in —Minn hcfnrc Pnvcrinn nnv nnrtinn of installori systom
OWNER: Sharla Nelson PHONE: 328-6625
MAILING ADDRESS: P.O. BOX 1228, Eagle, CO 81631
AGENT: PHONE:
SYSTEM LOCATION: 15439 Hwy 6, Eagle
LICENSED INSTALLER: Bert Shaw, Shaw' s Excavating LICENSE NO. 16-92
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
597 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: or 16 Infiltrators or 200' of SB2. Place inspection portal in each
trench.
40
ENVIRONMENTAL HEALTH OFFICER:47 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: 6;to SQUARE FEET.
INSTALLED SEPTIC TANK: 12-W GALLONS / / 0 DEGREES 30 FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY � 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: DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
RECEIVED
J AN 2 9 1992
ISDS Permit # /1,?3
EAGLE COUNTY Building Permit # 5/ 7 7
COMMUNITYhE*1ffi&ftbN 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:
/�le".
MAILING ADDRESS: p o. Roy 122k PHONE: 322 6625
APPLICANT/CONTACT PERSON: SNARIA NFI_Snnl PHONE: 328 6625
LICENSED SYSTEMS CONTRACTOR:__4W_W,D_
ADDRESS: SAMF AS AR(1VF PHONE:
******
PERMIT APPLICATION IS FOR: UX) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: 15439 HWY_ 6 W_ ,FAGIF r.n_ see attached dacl-iment
Parcel Number: 027 2109 -062 - 00 - 027 Lot size: 2 _ h5a
Physical Address: 15439 HWY 6 W-, FAGIFF CO_
BUILDING TYPE: - (Check
(XX) Residential /
( )--Residential /
{ ) Commercial /
HOT TUB
WATER CONSERVATION PLAN:
TYPE OF WATER SUPPLY:
Give depth of all
applicable category)
Single Family Number of Bedrooms ;4'
Multi -Family* Number of Bedrooms
Industrial* Type
Y No X
Yes ( ) No (X )
ll(X) pring ( ) Su ( )
Public Na of Supplier•
wells wit of system: nn wPlt�
*These systems require design by a Registered Professional Eng
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE CQUNTY
SIGNATURE:
AMOUNT PAID:�j RECEIPT#
CHECK #
TIME LOG
Travel Perc Final
gJ'BSZ�
DATE:
CASHI
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY,. COLORADO
May 1, 1992
Sharla Nelson
P.O. Box 1228
Eagle, CO 81631
RE: Final of ISDS Permit No. 1123-92
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. 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 dwelling 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,
Brenda Henderson
Office Assistant
Environmental Health
/bh
ENCL: Information Brochure
Final ISDS Permit
CC: Files BP## 5177
�:OM1 UNM PEVEL0RkjEV1
LIEP.\RT.\1EVT
0.,. ., ":.S'30
E^%Xt: WUN I Y, COLORADO
Dear I.S.D.S. Applicant:
Your application_ for an Individual S
(ISDS) Permit for
has been received.-ut V
P.O. BOX I '?
EAGLE. COLORADO S fG3 I
FAX !303, :
Disposal System
Issuance of your permit is on hold until the following
materials or fee(s) are submitted.
Payment of $150.00 Application Fee
Payment of $125.00 Percolation Test Fee
Site Plan
J/Licensed System Contractor (See attached list)��'(
Engineer Design
Other: '
If you have any questions please call, 328-8755. When
calling or submitting information please reference your ISDS
application # 14
Please submit information to:
Eagle County
Environmental Health Division
P.O. Box 179
500 Broadway
Eagle, CO 81631
ISDSHOLD.LET
ISDSDSK BH392
ISDS PERMIT # //2-3
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES\ NO
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PERC RATE: V56 /l MINIMUM SEPTIC TANK SIZE:
2
MINIMUM LEACH FIELD SIZE: .597 or 16 �►►��r�r/ms 2r _?00114 10//5B2-
COMMENTS :
PERC TESTiAONE BY) /l
DATE
EnvironMtal Health Officer
rev. 6/90ks
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1123-92, Parcel # 2109-062-00-027, 15439
Hwy 6, Eagle, Nelson
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