HomeMy WebLinkAbout1 Highlands Rd - 211106405031INDIVIDUAL 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. 1188-42
Please call for final inspection before covering any portion of installed system.
OWNER: Jim MacKinfosb PHONE: 524-6225
MAILING ADDRESS: P - 0 - Drawer 500 , Gypsum. Co 81617
AGENT: J` PHONE:
SYSTEM LOCATION: #1 Highlands Road, MacKintosh Minor Sub Bertroch Filing; 6
LICENSED INSTALLER: M & M Construction LICENSE NO. 27-92
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1 000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 604 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 17 Infiltrator Chambers. (Requested by contractor) Install inspection
portals in each trench.
ENVIRONMENTAL HEALTH OFFICER: DATE:
CONDITIONS:
1. ALL INSTALLATI NS MUST COMPLY WIT 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.
it
INSTALLED ABSORPTION OR DISPERSAL AREA: �LI 3 - �
/� SQUARE FEET.
INSTALLED SEPTIC TANK: 1000 GALLONS & S
0 Ste` +cl 1 �Wt �t
DEGRFEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS ANDASSEMBLY 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: /C7? /C--?-
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION N SARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANTIAG ENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
�k To_
ISDS Permit #
Building Permit # 7 DG #�
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: G2/'*? / 4e_,A/d► r--0511
MAILING ADDRESS: 1'0 Der ��jfl._ fs- � �y%tl), PHONE: ?Y-V 6-Z-,2_5
APPLICANT/CONTACT PERSON: A5
1117
LICENSED SYSTEMS CONTRACTOR:
/� �,✓� %`%dam ate. _A,
ADDRESS: (� /` S [,,,..,_ 9l�; 37 % PHONE • C, "'� 2 u
PERMIT APPLICATION IS FOR: Q<) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Parcel Number: glllo(o4o5b5 I Lot size:
Physical Address:
BUILDING TYPE: (Check
(rj Residential /
( ) Residential /
( ) Commercial /
TYPE OF WATER SUPPLY:
applicable category)
Single Family Number of Bedrooms 3 _
Multi -Family* Number of Bedrooms _
Industrial* Type J
Well( ) Spring ( ) Surface ( )
Public (,,I -Name of Supplier: 7-0�;r'
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
SIGNATURE • G G+ DATE:..
AMOUNT PAID: RECEIPT# DATE: 7
CHECK # CASHIER:
Z'h! fir- �, {� 6Gv/v� a.h t f�-`rrl n 7 roc 3 o S; o 's r -r �9 �'^S,.ff�... /s^�� �t t cly-✓� z�/
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 323-8730
.EAGLE COUNTY, COLORADO
October 9, 1992
Jim MacKintosh
P.O. Drawer 500
Gypsum, CO 81637
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 325-7207
RE: Final of ISDS Permit No. 1188-92, #1 Highlands Road,
MacKintosh Minor Sub., Bertoch Filing 6
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,
'��-rn "�'L4� e ,nc( V- c�
Brenda Henderson
Office Assistant
Environmental Health
/bh
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP# TOG 709
�:ONIMLINITY DEVELOPMENT
DEPART.MENT
(303) 328-8730
DATE:
TO:
FROM:
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328.7207
EAGLE COUNTY, COLORADO
September 16, 1992
M & M Construction
Eagle County, Environmental Healtilg�
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1188-92, Property located at
#1 Highland Road, Gypsum, Colorado
Enclosed is your ISDS Permit No. 1188-92 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.
cc: file
Building Department, File # TOG-709
• • ••�. � , m� i ry � UShi ' S
AUG. 25.1992 7:33AM P 1
PHONE NO. : 303 949 6225
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PERSON CALLED: S
DATE: 4 5
TIME: � ' 03 a.m.
ACTION:
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
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OWNER.
LEGAL DESrRIPTION • L d j J
MAILING ADDRESS:— PO -5-0 1
TYPE OF DWELLING: /-(41
� / NUMBER OF BEDROOMS 3
TEST HOLES PRE—SOAKED: YES_ NO
TIME rtr me n Tr. f1T1.
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PERC RATE: MINIMUM SEPTIC TANK SIZE: ,Q Q�
MINIMUM LEACH FIELD SIZE: 0 0 C,
COMMENTS:
PERC D E BY:
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rev. 6/9 ks d
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DATE: R //Ir--
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COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
Dear I.S.D.S. Applicant:
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
Your application for an Individual Sewage Disposal System
( ISDS ) Permit for Vy-\ r k; V\i 0 Sr
has been received. \'V
Issuance of your permit is on hold until the following
materials or fee(s) are submitted.
Payment of $150.00 Application Fee
Payment of $200.00 Percolation Test Fee
Site Plan
Licensed System Contractor (See attached list)
Engineer Design
Other :—L�� �/ Y�"� ( C �Ci( ,a �c� �� el .
If you have any questions please call, 328-8755. When
calling or submi tin i formation please reference your ISDS
application #
Please submit information to:
Eagle County
Environmental Health Division
P.O. Box 179
500 Broadway
Eagle, CO 81631
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