HomeMy WebLinkAbout103 Stackyard Ln - 246702402002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 120.3
Please call for final inspection before covering any portion of installed system.
OWNER: Tim ,f, Charl a RPl inski PHONE: 923-51 1 4
MAILING ADDRESS: 23050 Frying Pan Road City: Basalt Slate: CO Zip: 81621
APPLICANT: Jack Wheeler PHONE: 928-0668
SYSTEMLOCATION: Lot 2. Castle View TAX PARCEL NUMBER: 2467-024-02-002
LICENSED INSTALLER: Jack Wheeler LICENSENO: 20-92
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 800 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 29 Contactor units as per owners rPgiiPC1", in 1-rPnrhe3 Tnetall inspection
portals in each trench.
ENVIRONMENTAL HEALTH APPROVAL: DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS F THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT
TO AUTHORITY GRANTED IN 25- 10- 104. 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. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE 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: ! O / 0 SQUARE FEET. u
INSTALLED SEPTIC TANK:1000 GALLON DEGREES FEET FROM ���S i K p An
SEPTIC TANK ACCESS TO WITHIN B" OF FINAL GRADE AND /
PROPER MATERIAL AND ASSEMBLY YES _ NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: _ Z YES —NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS:
ENVIRONMENTAL HEALTH APPROVAL: ' DATE:
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
Llic;ump.ieze HppllcaL.ions W111 NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit # Aft /, ,
Building Permit # 5S3 Co
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM IVE®
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. b. Box 179 0 C T 16 1992
EAGLE, CO 81631
328-8755/927-3823 (Basalt) EAGLLECOOUNTY:*Yc*YcytYcyt%0MbNnYTEVM?MT
PERMIT APPLICATION FEE $150.00 PERCOLATION TE FEE $125.00
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
:c:rYtYtYcyt:tcycYCylycycYCY[kkyt�cYl�YCY!YCYtYc:Ic�yt�Yitycyc:kyc9c�vc�c��r:Ylck�kYryc�[�:tr�YC�yc:eyc'*yc:�c9tNt**YcYtYCk:�yc�yt:c9rklc
PROPERTY OWNER: m c Charla leter
MAILING ADDRESS: 3050 U,W4,CCPHCNE : q�j- 511
APPLICANT/CONTACT PERSON: J QC:� (,l��ieeley PHONE: Ra.--Q(,(w
LICENSED SYSTEMS CONTRACTOR: VA&-ler Lriders PHONE: q�-7-q.-)(q
COMPANY/DBA: dQ-ck-Wkee)e4- ADDRESS: a.3050�Vyiy�cP �.�l"'�,?-Zz<QQ4 CC.
Yl�]IYiYC`kX'YCY!�`k�l'YCXX':C:fYCX'X'7C4CYCYC4CYCYCYCYCiCX'YcyC:kYfX'YCYCYCyCYCYC7C`kYfYC7kYC`kk`k. YC`k. YCY:yCYCYCJCYfYCYCYCYC4f:ki( kyCyCyl:k
PERMIT APPLICATION IS FOR: (✓) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: 14 �- C'(x5{ieVieu: bdivi510� .
0
Tax Parcel Number: c�o Lot Size: 3,q&e)5 CcCirPs
Physical Address: 0103 61ackWd Layte-,
BUILDING TYPE: (Check applicable category)
( Residential/Single Family Number of Bedrooms _
( } Residential/Multi-Family' Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF CATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
*These syste
SIGNATURE:
xx xv�r�r�r� k�
AMOUNT
TIME LOG:
gn by a Registered Professional Engineer
r/�%�xx/y:�rYrrcxv�xycveycyrytvc�cx
TRAVEL:
Date:
RECEIPT Y : of DATE: _
CHECK 4129 � CASHIER:
PERC:
FINAL:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
May 3, 1993
Tim & Charla Belinski
23050 Frying Pan Road
Basalt, CO 81621
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328.7207
RE: Final of ISDS Permit No. 1203, Tax Parcel #2467-024-02-002,
Lot 2, Castle View Subdivision
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/ca
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP# 5530
Wheeler Builders, Inc.
23050 Frying Pan Road
Basalt, CO 81621
303-927-9218
October 13, 1992
Environmental Health Office
Eaqle Countv
P.O. Box 179
Eagle, CO 81631
Attn: Brenda Henderson
Dear Brenda,
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EAGLE COUNTY
COMMUNITY DEVELOPMENT
Please find enclosed an application for an Individual Sewage Disposal
System at the Belinski residence at Castle View. Upon approval of
this application, please schedule a Perc. Test for Thursday, October
15, 1992. If this time is not convenient, you can reach me during
the day at 928-0668.
Please accept this letter as a request to change the name on our
license to install ISDS in Eaole rn/mtv' An it =+m"rl= "=` +k-
11cense is under Stealth Construction, P.O. Box 8822, Aspen, CO
81612. It should be under Wheeler Builders, Inc., 23050 Frying Pan
Road, Basalt, CO 81621. Jack Wheeler is the licensed person and is
the President of Wheeler Builders, Inc.
Thank -you for your consideration with this matter. Please feel free
to call if you have any questions.
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: S
kA. ISDS # pv
LEGAL DESCRIPTION:- (r)4 Q 0_a A{ t'e J A_A:_)
MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
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PERC RATE: USP MINIMUM SEPTIC TANK SIZE: /y
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MINIMUM LEACH FIELD SIZE:
COMMENTS:
PERC TEST DONE BY:
DATE: \ \ l � I c( C1
Environmental Health Officer
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JOB LOCATION
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DATE STARTED
DATE COMPLETED
DATE BILLED
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MISC. COSTS
TOTAL JOB COST
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