HomeMy WebLinkAbout104 Kirk Ln - 210904201004INDIVIDUAL 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 5 7-92
Please call for final inspection before covering any portion of installed system.
OWNER: Charles Smallwood PHONE: 328-6675
MAILING ADDRESS: P.O. BOX 407, Eagle, CO 81631
AGENT: PHONE:
SYSTEMLOCATION: 0104�Ki'1rk Lane, Eagle / K/aibab Subdivision Lot 25 Filing 2
LICENSED INSTALLER: 1 l� ( (A/P/ LICENSE NO.
DESIGN ENGINEER OF SYSTEM:
INSTALLATION
) IS HEREBY GRANTED FOR THE FOLLOWING:
GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS:
ENVIRONMENTAL HEALTH OFFICER: AOLJUNRIAk&p� DATE: Tq C7C
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 DIS,,,PERSAL AREA: 6 190 SQUARE FEET. ✓ lL�l
INSTALLED SEPTIC TANK: sssGALLONS // ( DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: / U
PROPER MATERIALS AND ASSEMBLY V 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:
en
ENVIRONMENTAL HEALTH OFFICER: 1 L/Z/,l�(Xt�DATE:
ENVIRONMENTAL. HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
-- nrr-LLk-aL-lviis Will NOT Be Accepted
(Site Plan MUST be attached)
.- >
ISDS Permit # ��
Building Permit
11AY 1 9 1992 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
EAGLE COUNTY P. O. BOX 179
tOMMUNITY DEVELOPMENT EAGLE, CO 81631
328-81755/927-3823 (Basalt)
PERMIT APPLICATION FEE $150.00
PERCOLATION TEST FEE $125.00
MAKE ALL REMITTANCE PAYABLE TO: "
A��rNREASIIP.ERr���rr��r��rx
PROPERTY OWNER:
MAILING ADDRESS:
APPLICANT/CONTACT
LICENSED SYSTEMS
PHONE:
PHONE:
PHONE:
COMPANY/DBA: ADDRESS:
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x ' 077- G • t GO,
PERSON:
CONTRACTOR:
PERMIT APPLICATION IS FOR: (/Cj NEW INSTALLATION ( ) ALTERATION p
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: ( ) RE. AIR
Legal Description: /,07' c;�T
r lr
Tax Parcel Number: 001�0015- a109-8c/a-0j Odt) Lot
Physical Address: Q/051 ,C tAk �,40
r.
size: 07. IJ;3
BUILDING TYPE: (Check applicable category) S�
�
j'Q
(Residential/Single Family
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Number of Bedrooms
Type ---
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(�) Public Name of Supplier: _
w N 0
*These systems tl' design a
J gistered Professional Engineer
SIGNATURE:
AMOUNT PAID: i �SC-�
Date: �j 9
Yc yt Yc YrxYC Yc*Yt Yr 7[iC*yC �C *71'X Yr*%[ k)k 4f i[YC Yf Yf yC Y: tk Yf W W4C
RECEIPT %�� DATE:
CHECK T : 13� 5 CASHIER:
TIME LOG: TRAVEL:
PERC: FINAL:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 32S-8730
EAGLE COUNTY, COLORADO
July 24, 19922
Charles Smallwood
P.O. Box 407
Eagle, CO 81631
RE: Final of ISDS Permit No. 1157-92
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
A PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION:
MAILING ADDRESS:
nl S
TYPE OF DWELLING:
NUMBER OF BEDROOMS 5
re9�`
TEST HOLES PRE-SOAKED: YES NO
TIME G7Tmn+n nt+nmts
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PERC RATE: �lMINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE: )--o u,
,COMMENTS:
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PERC TEST DONE BY:
A +- _
Environmental Health O
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DATE: O'_ I D " q a
FIGURE 7-5
TRENCH SYSTEM INSTALLED TO OVERCOME A SHALLOW WATER
TABLE OR RESTRICTIVE LAYER [AFTER (11)]
Diversion for
Surface Water
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1157-92 - Parcel # 2109-042-01-001,
Kaibab Sub, Lot 25, Filing 2, 0401 Kirk Lane
Eagle, Co Smallwood
JOB NO.
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DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
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JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER
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