HomeMy WebLinkAbout15437 Hwy 6 - 210906205001INDIVIDUAL 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. 11 Z 4 92
Please call for final inspection before covering any portion of installed system.
OWNER: Sharla Nelson PHONE: 328-6625
MAILING ADDRESS: P.O. Box 1228, Eagle, CO 81631
AGENT:
PHONE:
SYSTEM LOCATION: 15437 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:
623 SQUARE FEET OF SEEPAGE BED - SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: or 16 Infiltrators in trenches. Place inspection portalin the end.
of each trench.
ENVIRONMENTAL HEALTH OFFICER: / 15 ~ /y
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: at SQUARE FEET.
INSTALLED SEPTIC TANK: 15M GALLONS 7� Q DEGREES ' "F%FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY Y YES NO \VJ
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:
ISDS Permit # //,74
Building Permit # 5)7 5 .y
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITc<"
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:
i
MAILING ADDRESS:p.O. BOX 1228 PHONE: 328 6625
APPLICANT/CONTACT
PERSON: SHARLA NELSON
PHONE:328
6625
LICENSED SYSTEMS
CONTRACTOR: -- ^ N E --J H A R L "
",�-TKO-."; Berl
,���� &- LIL
ADDRESS:SAME AS ABOVE PHONE:
PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL
Legal Description:_qee attachpd dnrumant
Parcel Number: 027 ?/07 -o62 - oo - oz7
Physical Address:15437 hwy 6
BUILDING TYPE: - (Check
( X) Residential /
( ) Residential /
( ) Commercial /
HOT TUB
WATER CONSERVATION PLAN:
TYPE OF WATER SUPPLY:
Give depth of all
( ) ALTERATION
SYSTEM:
size:
( ) REPAIR
applicable category)
Single Family Number of Bedrooms
Multi -Family* Number of Bedrooms
Industrial* Type
Ye No
e ) No ( X)
Well (X ) ng ( ) Sur ( )
P c ( ) me of ie
wells within 2 0 feet of system•
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY
SIGNATURE:
AMOUNT PAID: jP ORECEIPT#
CHECK #
TIME LOG
Travel Perc Final
R"
` O /
DATE:
CASHIER:
0\k
COMMUNITY DEVELOPMENT
DEPARTMENT
i303i 323-8730
tAVLE COUNTY, COLORADO
Dear I.S.D.S. Applicant:
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 31G31
FAX (303) 3_',.'_07
Your application for an Individual Sewage Disposal, System
( ISDS ) Permit for ,S LJ j
has been received.
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
icensed System Contractor (See attached list)101-/
Engineer Design
ID
Other:
/' //(g-
If you have any questions please call, 328-8755. When
calling or submitting information please reference your ISDS
application #
Please submit information to:
Eagle County
Environmental Health Division
P.O. Box 179
500 Broadway
Eagle, CO 81631
ISDSHOLD.LET
ISDSDSK BH392
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. 1124-92
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,
�"tJlir
Brenda Henderson
Office Assistant
Environmental Health
/bh
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP# 5178
r
CO:MILINITI DEVELORMENT
DEPARTMENT
(303i 32S-81 30
EAGLE COUNTY, COLORADO
Ms. Sharla Nelson
P.O. Box 1228
Eagle, CO 81631
500 BROADWAI
P.O. BOX 1 '?
EAGLE. t:OLORADO S 1 �3 3 1
FAX (303)
April 10, 1992
RE: Mobile Home preparation
Tax Parcel No. 2109-062-00-027, east and west lots
Dear Ms. Nelson,
The following is a list of items needed to satisfy all of the
requirements for a building permit on your parcels. Please refer
back to a letter to you dated February 12, 1992 ( copy enclosed)
concerning items allowed under certain conditions for your east
lot.
1. The west lot has not been properly valued. This will
affect your permit fees;
2. Normally, footing and foundation details are required
for permit approval. This will be waived for the east
lot as long as a detailed inspection can be made.
Footing and foundation details will be required for the
west;
3. An electrical permit is needed for the west lot;
4. Profile holes and percolations tests pursuant to
Environmental Health requirements (enclosures);
5. Highway access permit pursuant to Engineering
requirements;
6. Exemption materials pursuant to Planning Division
requirements (enclosure);
'A-
Ms. Sharla Nelson
April 10, 1992
Page 2
Sharla, if you have any difficulties understanding any of the
above requirements, please don't hesitate to contact me.
Sincerely,
Paul E. Clarkson
Planner
Community Development
cc: Gerry Best, Building Official
Keith Montag,, Director Community Development
Roger Boyd, Asst. Environmental Health Officer
Phil Scott, Engineering
File
ISDS PERMIT 112
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 RAT MINIMUM SEPTIC I.2SdANK SIZE:
.� 423 2-orMINIMUM LEACH FIELD SIZE: — ,� �� or �,r�%�����5 ,a TREwI{F__5 or a
COMMENTS : * lase ins e��►� r a
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PERC TEST DOVE BY:
EnvirdYnment Hea
rev. 6/90ks
Officer
DATE:
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-�124-92, Parcel # 2109-062-00-027, 15437
Iiwy 6, Eagle, Nelson
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RECEIVED
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EAGLE COUNTY
COMMUNITYDEVELOPMENT