HomeMy WebLinkAboutCottonwood Pass Rd - 784 Daggett Ln - 211119100005INDIVIDUAL 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 1 77 —92
Please call for final inspection before covering any portion of installed system.
OWNER. Ned Goldsmith PHONE: 524-9400
MAILING ADDRESS: P . 0. Box 1010
AGENT: PHONE:
SYSTEM LOCATION: Parcel #23242526-36, Tract 92, Cottonwood Pass
LICENSED INSTALLER: Shaw' s Excavating, Birton Shaw 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:
510 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 14 Infiltrator Units in trenches or 180' of SB2 in trenches. Install
inspection portals 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 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: �_ SQUARE FEET. ,J I0.��/��
INSTALLED SEPTIC TANK: _/ aJ 6 GALLONS - DEGREES �_ FEET �F F + h'� • ` Ov- (1 U L�-�
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: _S� 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: /� l.L_n A'C �.h O� DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
ISDS Permit #
Building Permit #t�
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOX 179
EAGLE, CO 81631
328-8755/927-3823(Basalt)
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
PROPERTY OWNER: I 1 l� /� f �f S �y► �f"/�
MAILING ADDRESS: PHONE • 61�y •- ,%y o
APPLICANT/CONTACT PERSON: n n iF' f�6cr �NtEr— PHONE: ���/✓
LICENSED SYSTEMS CONTRACTOR: -
ADDRESS: / / 1c_, < C }% PHONE •
*************** *** ****************************************************
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:: rg C
Parcel Number: 3 01 Lot size:
Physical Address:
BUILDING TYPE: (Check applicable category)
(� Residential / Single Family Number of Bedrooms -171
( ) Residential / Multi -Family* Number of Bedrooms
(,) Commercial / Industrial* Type
TYPE OF WATER SUPPLY:
Well( - Spring ( ) Surface
( ( )
Public ) Name of Supplier:
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKWALL ITTANCE PAYABLE TO "EAGLE COUNTY TREASURER"
SIGDATE•*** **********************************************************
AMOUNT PAID:. �J��i q-b RECEIPT# 1 J DATE: -7-00' dZ)_
CHECK # agG CASHIER:��
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-S730
EAGLE COUNTY, COLORADO
July 29, 1992
Ned Goldsmith
P.O. Box 1010
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1177-92
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
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
July 22, 1992
Shaw's Excavating
1959 Daggett Lane
Gypsum, CO 81637
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1177-92
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328.7207
Dear Applicant:
Enclosed is your ISDS Permit No. 1177-92 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 the 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
328-8755.
Sincerely,
}n
Brenda Henderson
Environmental Health, Administrative Assistant
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
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LEGAL DESCRIPTION: 7�"��-
MAILING
ADDRESS:
TYPE OF
DWELLING:
NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED:
YES
VI", NO
TIME
WATER DEPTH
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RATE
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PERC RATE:
/,( V MINIMUM SEPTIC TANK SIZE:
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MINIMUM
LEACH FIELD
SIZE:
COMMENTS: 9
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Officer
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1177-92 - Parcel #23242526-36, Tract 92,
Cottonwood Pass, Ned Goldsmith 1 �( � �� •
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