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HomeMy WebLinkAbout15090 Hwy 6 - 210906201008INDIVIDUAL 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. 1 140-92 Please call for final inspection before covering any portion of installed system. OWNER: Myrtle & Charles L. Price PHONE: 328-1082 MAILING ADDRESS: BOX 19 Gypsum, CO 81637 AGENT: PHONE: SYSTEM LOCATION: 15090 Highway 6 LICENSED INSTALLER: Redhill Construction, Ben Eddings LICENSE NO. 19-92 DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 301 SQUARE FEET OF TRENCH BOTTOM. or SPECIAL REQUIREMENTS: 8 Infiltrators in trenches or 100' of 10" SB2 in trenches. All trenches must have inspection portals. Call for final inspection. ENVIRONMENTAL HEALTH OFFICER: DATE: q-l;? �7' 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 /S APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEEQ. FEET. VI -1 INSTALLED SEPTIC TANK: 101K) GALLONS (9 1 l DEGREESJ . FEET Tr" L)'(\QC- CA- SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS ANDASSEMBLY \X' YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: 7 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: ASI�DATE: ///,7z- 101, IF ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT * CHECK M: CASHIER: Incomplete Applications Will NOT Be Accepted (Site•Plan MUST be attached) ISDS Permit # INC J q11) Building Permit APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) kkYC�`kkYCk�AyCYC:tJIX'I���iYC`k'XYf�YC�CYCxJh�'XkAA�hkl'X�Y�C`X;�kyfYfkiC'X'k�:KYIyCYCiC:k:lkYf�kYC�Yi(yCYCyCX�1��*:iCi: PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE 8125.00 � MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" � �t��:�Ycltyc�Y�r�k���Y�k�1[gYt��kYtY�tYtY��YC�����k�YtY[YtYcytYt�yc�[YtkYf�*��YcyCyc��e��Yc��Yt��Yc�����C��YtYrYrk PROPERTY OWNER: �'�lz//- 1� tfz,L� C S �_ /4 -' 0- MAILING ADDRESS: PHONE: APPLICANT/CONTACT PERSON: PHONE: LICENSED SYSTEMS CONTRACTOR: PHONE: 53�� COMPANY/DBA: ADDRESS: ` kYtYcXYc�YCYCY;�kYc:�YcxYcycycyc*YcYtycyc�kYcx�k�kyc�yc�ycYcYcYc�YCYc��Yr�c�:kYcytycYcYC�YtYr�Y�Yc YcYcYt�ycYc��kYtYc�ytYc���kYt�c PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATIO14 REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: 7#-,,9c% , & t� Zt}" t Tax Parcel Number: 2 � 09- ©6 2 _ OO -(-9 l0 Lot Size: Physical Address: / SZ-1 3UILDING TYPE: (Check applicable category) Residential/Single Family Number of Bedrooms .Z� ( ) Residential/Multi-Family Number of.Bedrooms ( ) Commercial/Industrial* Type //—gj�, TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring � ) surface 5o0'+ ( ) Public Name of Supplier: *These systems require design by a Registered Professional Engineer SIGNATURE: r (,CJ 6^ Date: �'cYcYc�r�Yt�YCYCYt�YYtYc•kxYr�kYtXYcyrYtYrYCYc�kvcYCXYcYc�cY�iryt>t�KvcYcvcYt�r�c��cYtYc�YCYcvrk�YrYcitycYCYt�cycx: �kYCNc�kYCYc�:k4rv��k�k AMOUNT PAID: p� /�, C �-, L7�JG ,-- cs J C Y`^�� C�: \i, TIME LOG: TRAVEL: RECEIPT #: o� _ DATE: CHECK #: �c�� CASHIER: PERC: FINAL: COMMUNITY DEVELOPMENT DEPARTMENT (303) 32S S 730 EAGLE COUNTY, COLORADO April 27, 1992 Redhill Construction Ben Eddinas P.O. Box 183 Gypsum, CO 81637 RE: Issuance of Individual Sewage Disposal System Permit No.: 1140-92 Dear Applicant: 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO S1631 FAX (303) 328-7207 Enclosed is your ISDS Permit No. 1143-92 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. COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO June 5, 1992 Myrtle & Charles Price P.O. Box 19 Gypsum, CO 81637 RE: Final of ISDS Permit No. 1140-92 500 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, 1j-'4� Brenda Henderson Office Assistant Environmental Health /bh ENCL: Information Brochure Final ISDS Permit cc: Files BPS` ISDS PERMIT 1140 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: If,41--1 LEGAL DESCRIPTION: 151!� fd MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES TTMF WhM"n T'%"nMTT NO i41 KATE L901L PROFII 2 3T1 2 3 F1 2 3 1 2 0 91 1 7.z5 7X5 6,0 95 14(1 14F 14.5 13, 7 .7 1 3 375 14 6 71 8 5.7 tT Time to drop last inch --r- PERC RATE: _5 MINIMUM SEPTIC TANK SIZE: 100d fAl MINIMUM LEACH FIELD SIZE: 301 irj - V COMMENTS: wad PERC /TtST EnviXonmen—t rev. 6/90ks F5 x 675 B Health officer DATE: 7-sDLIS --/;2L- 1�`o -F62 r 5� a�- 1 1140 - Parcel # 2109-062-00-010, 15090 Hwy 6, Charles Price JOB NO. 10 LL TO DATE STAR ED ATE COMPLETED Q DATE BILLED **`l-17- 92- - - qz lb Ir �'e"C�s o✓' )00 �' D S82- JOB COST SUMMARY All Are — -es ► od Aoie TOTAL SELLING PRICE C 11 rr vIN11/ In S l� l� /° TOTAL MATFRIAL 3OR - NCE TAX STS )TAL JOB COST GROSS PROFIT ESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT Taj< 000 of era JOB FOLDER Product 278 ®j NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 ill f— ' Printed in U.S.A. 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