HomeMy WebLinkAbout710 Knob Ln - 211105313025INDIVIDUAL 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. 1134
Please call for final inspection before covering any portion of installed system.
OWNER: Ben J. & Patricia Eddings PHONE:524-9360
MAILINGADDRESS: P.O. Box 183 Gypsum, CO 81637
AGENT: PHONE:
SYSTEM LOCATION: 710 Knob Lane, Lot 20 Bertroch Subdivision
LICENSED INSTALLER: Ben Eddings 19-92
LICENSE NO.
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
740 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Infiltrators In trenches = 20 units
10" SB2 in trenches = 240'
Install inspect/i-/oJn protals at end of each trench
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 COML/ANCE 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 �y
DISPERSAL AREA: � r'0 SQUARE,F,EEET. j ( - 0G Ln+k `k' I�'i��e
INSTALLED SEPTIC TANK: I^"(` GALLONS DEGREES ,Sys FEET ���'� t V • C�P C� �lA�� �r �1� C i���I S�"
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: gel h���"t 1.��� DATE: l C• -'- `_C:X
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
ircgmpiete Applications Will NOT Be Accepted
(Site'-Tlan MUST be attached)
ISDS Permit # 1134
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (Basalt)
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* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
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PROPERTY OWNER: N & e
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MAILING ADDRESS: �, d�,k / ���5 U �,y� PHONE
APPLICANT/CONTACT PERSON: p� Q� 1 W� < PHONE:
LICENSED SYSTEMS CONTRACTOR: f��PHONE:
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COMPANY/DBA: 1p�(� iii/ 1p�ruut�ya ADDRESS:
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PERMIT APPLICATION IS FOR: (�) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: Lo- 7-0 �2 rcvc k <�
Tax Parcel Number % /J x
�i �— �,J �� Lot Size. Loss,
�' Physical Address:
10 /<N®b /AryP
BUILDING TYPE: (Check applicable category)
( j Residential/Single Family Number of Bedrooms _S
( ) Residential/Multi-Family* Number of Bedrooms
{ ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(i,+ Public Name of supplier: 6, , �2 S C4
*These systems require d ign by a Registered Professional Engineer
SIGNATURE: Date:-
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AMOUNT PAI�RECEIPT DATE:
V CHECK ?{ : CASHIER:
TIME LOG: TRAVEL: PERC: FINAL:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 32S-8730
EAGLE COUNTY, COLORADO
March 31, 1992
Ben Eddings
P.O. Box 183
Gypsum, CO 81637
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1134
Dear Ben:
=00 BROADWAY
P.O. BOX 1'9
EAGLE. COLOR,ADO S 1631
FAX (303) 328.7207
Enclosed is your ISDS Permit No. 1134 valid for 120 days.
The enclosed copy of the permit must be posted at the
installation site. Any changes in plans or specifications
invalidates the permit unless otherwise approved. Please call
our office well in advance for the final inspection. The final
inspection is to be done before any portion of the installed
system is covered. The deadline for final inspections done by
Eagle County Environmental Health is December 1. Systems
designed by a Registered Professional Engineer must be certified
by the Engineer indicating that the system was installed as
specified. Eagle County does not perform final inspections on
engineer designed systems.
Be aware that the specifications on the permit are minimum
requirements only. Installers should bring this to the attention
of the property owner.
This permit does not indicate conformance with other Eagle
County requirements.
If you have any questions, please feel tree to contact us at
328-8755.
Sincerely. �(
Erenda Henderson
Environmental Health Administrative Assistant
Enclosure
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
June 5, 1992
Ben J. & Patricia Eddings
P.O. Boy 183
Gypsum, CO 816137
RE: Final of ISDS Permit No. 1134
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 -co 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
Env it onlllental Health
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ENCL: Information Brochure
Final --SDS Permit
c'-: File
ISDS PERMIT //3�71
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: �s� MINIMUM SEPTIC TANK SIZE:- /LODQ2.
740 P
COMMENTS*
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Tax Parcel # 2111-053-13-025, 710 Knob Lane
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