HomeMy WebLinkAbout1140 Sunset Ln - 239128402001 - 1182-92ISINDIVIDUAL 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 8,2'-92
Please call for final inspection before covering any portion of installed system.
OWNER: Brian & Terry Olson PHONE: 923-5498
MAILING ADDRESS: Box 5264, Snowmass Village, age, CO 81615
AGENT: PHONE:
SYSTEM LOCATION: 1140 quoqunset Lane, Carbondale, CO (Missouri Heights)
LICENSED INSTALLER: Step Excavating LICENSE NO. {J^ 25L-9,2
DESIGN ENGINEER OF SYSTEM: '9/_ - J (
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS: '
SQUARE FEET OF SEEPAGE BED 0 qll- SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 37 infiltrator units in trenches or 465 ft in trenches Install
inspection portals at end of each trench.
ENVIRONMENTAL HEALTH OFFICER DATE: �/� C 2
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: --11 SQUARE FEET. 66eJ J
INSTALLED SEPTIC TANK: 14A-5- GALLONS 1 .71DEGREErx, FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY k YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: a 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:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE-INSIECTI CESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
ISDS Permit # q
Building Permit # 02
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM_ PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY RECEIVED
P.O. BOX 179
EAGLE, CO 81631
328-8755/927-3823(Basalt) AUG 3 1992
PERMIT APPLICATION FEE $150.00 PERCOLATIONtN6`LjjQ %0.00
********************************************************AWN.1MU.acmfag"ClUr
PROPERTY OWNER:
MAILING ADDRESS
APPLICANT/CONTACT PERSON: �C.��VI OI1� PHONE: ) `/^�Sql U
LICENSED SYSTEMS CONTRACTOR: J I t 7 n lA ()A 7 ?)(-, - q"2
ADDRESS: PHONE:
***************************************************************************
PERMIT APPLICATION IS FOR: (X NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Parcel Number:
Physical Address:_ tlgD
BUILDING TYPE: (Check applicable category)
( Residential / Single Family Number of
( ) Residential / Multi -Family* Number of
( ) Commercial / Industrial* Type
Bedrooms 3'r
Bedrooms
TYPE OF WATER SUPPLY: Well()q Spring ( ) Surface ( )
Public ( ) Name of Supplier:
*These systems require design a1',,-y a RegiS`%�,Ered Pro-fessional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE _PAYABLE/Tp: "EAGLE COUNTY TREASURER"
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SIGNATURE:
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AMOUNT PAID:
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DATE:
RECEIPT# � DATE:
CHECK # CASHIER:
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