HomeMy WebLinkAbout1495 Eby Creek Rd - 193929200001INDIVIDUAL 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. 1135,
Please call for final inspection before covering any portion of installed system.
OWNER: Christine & Scott Gordon 328-6904
PHONE:
MAILING ADDRESS: P • 0 • Box 2016, Eagle CO 81631
AGENT: PHONE:
SYSTEM LOCATION: 1495 Eby Creek Road, Eagle CO 81631
LICENSED INSTALLER: W.Y. Construction, Bill Yeik LICENSE NO. 18-92
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
468 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Owner requesting 10" SB2. Minimum linear feet of 10" SB2 = 160' in
trenches. Install inspection portal at end of each trench. Maximum trench length
100' trench.
ENVIRONMENTAL HEALTH OFFICER: DATE: 4 ��
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 /N 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: (�,O SQUARE FEET. v 1�
INSTALLED SEPTIC TANK: 1000 GALLONS D DEGREES FEET CS, -me, �J �` � ��►/`^ ���
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: �✓ ' ` 1 C7+
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT M: CHECK M: CASHIER:
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit # //� c
Building Permit 4 r,
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (Basalt)
�:k�:�Yc****�**�*�y�t**YcYCYtYt*yc�c4rx*��t*Yc*:kycYr*yryc�r:k*Yt*yc*kit*:t�::��cyc:k*kkycycYt*:��c�c>c*ytvc*;�**�
* PERMIT APPLICATION FEE )$150.00 PERCOLATION TEST FEE $125.00
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: 2 d- �� e_�,t�-
MAILING ADDRESS: �O� Z� / Ley y G'c� S�/6.3( PHONE: 3 2
APPLICANT/CONTACT PERSON: PHONE:
LICENSED SYSTEMS CONTRACTOR: ,��%/��� �- PHONE
COMPANY/DBA: ADDRESS:
PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: %/lc>t y�-412Sict�aKQ_ :t9
Tax Parcel Number: Za % QD Off% Lot Size: S
Physical Address:
BUILDING TYPE: (Check applicable catec,c....-y)
(L-�Residential/Single Family Number of Bedrooms 3
( ) Residential/Multi-Family* Number of Bedrooms
( } Commercial/Industrial* Type
TYPE OF TER SUPPLY: (Check applicable category)
(ell spring ( ) Surface
( ) Public Name of Supplier:
*These systems require design by a Registered Professional Engineer
SIGNATURE: Date: 3%ems L
ycYc*Ycyc*YCYc**�Y*Yr**YcYc�YVY:*Ytyc:kYcYcyl*YCY:*ycYtYtit4c'icr'c*YrYcYc�c�cYtYc>'r:kY:ic�cYc*Yt:kYcic*Yc�Y��Ytyc�t icycYCYcycYc4cycYc**
AMOUNT PAID : J f f <� j��
�`%`� RECEIPT _ DATE
CHECK ##: CASHIER:
TIME LOG: TRAVEL: PERC: FINAL:
COMMUNITY DEVELOPMENT
DEPARTMENT
i303) 328-8730
EAGLE COUNTY, COLORADO
April 7, 1992
W. Y. Construction
P.O. Box 502
Eagle, Co 81631
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1135, Christine & Scott Gordon
Dear applicant:
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO S 1631
FAX (303) 3?8--207
Enclosed is your ISDS Permit No. 1135 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 free to contact us at
328-87,55.
Sincerely,, /
Brenda Henderson
Environmental Health Administrative Assistant
Enclosure
CC: ISDS rile
Building Department =1135
COMMLINITY DEVELOPMENT
DEPARTMENT
(303) 32S-8730
EAGLE COUNTY, COLORADO
Julie 16, 19 9 2
Christine & Scott Gordon
P.O. Box 2016
Eagle, Co 81631
RE: Final of ISDS Permit No. 1135
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 8 1631
FAX (303) 325-7207
This letter is to inform you that the above referenced ISDS
Permit has peen 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 ma,,r require
appropriate alterations of your septic sy.,tem.
If you have any questions regarding this permit, please
co(n��tac7t the Eagle County Environmental Health Division a-L
Sincerely, (�
Brenda Henderson
Office assistant
Envircnn,ental Health
/bh
ENCL : Information Brochure
Filial ISDS Permit
Files BP,5217
'
a o
v
I
c
3
�
31?•
y
7
I
162S' f 6
D
O ►
CL
r
(D
n
o
m
Iz
O
7
0)
a
o
-
I
!
.
Iu�
vnl-j
-
�OAy
A
I
ppi
Soo•Os' 23•E
�183.5
TV -ACT L—iNELn_oo'
53E
o
394.60
O -�
0
r
m
O
J
r
�
N
ri
n
N
Am
J (D
>
m
•ll
m,
NN
!4rq
- F—
�o�G
r
wr,
pN
i
IO
•.:
Mr
E
m
co
m
m /
-
o '
_TI__�
23;
\R0
-Eagle — C
ISDS PERMIT
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: Vdr��
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING:
NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
TIME wnmsn n�nmv
1
2
3
1
----
2
3
11`1 \..111JJ
1
VL
2
rtiLL
3
xH•1•r;
1
2
SOIL PROFI
3
0,
a
z7
�a.6as
11,0
�.o
x
x
X
X
x
Al
1
113,5
11,15
' o 5
775
.76
11,45
57
2'
75
75
_67�
�:,�"J
57
3
4'
105
j.0
/'0
1.75
/0
lD
51
15.7
14 G
5
r
75
is
o
��
617
6' 1
57
16.1Z5
1� 375
1a 5
3�75
:12.5
-
13-S
fq0
i;'
7'
o a
of
oz
I�75
15, 0
13.0
C
625
.5
/Ga
g'
0�
0.;
'%
17J9
15.3�5
13, E7)
.5
3'%5
S
v
Time to drop last inch
PERC RATE: USA' lj M/91 MINIMUM SEPTIC TANK SIZE: a-v s
a
MINIMUM LEACH FIELD SIZE:
COMMENTS:
/IC�dP?/ J/7�G l�fd
PERC ST DONE BY:
A
Env' onment Health O
rev. 6/90ks
lnl'171��a�71 Xwe, 7��/e-r
�p /�i!/ l /iI
aF
DATE:
:icer
s
1135 - 1495 Eby Creek Road, Eagle CO,
Parcel # 192329200001, Gordon Res
JOB NO.
JOB LOCATION
LL?4,q-
BIL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
J11 '
7
i
JOB COST SUMMARY
r
.•�,
t- -
\ .. �.
1
II �
I
I -
-
4
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 ®g NEW ENGLAND BUSINESS SERVICE, INC., GROTON, K Printed in U.S.A.
v