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HomeMy WebLinkAbout495 Green Meadow Dr - 239122307009 - 1208-92ISINDIVIDUAL 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. 1208 Please call for final inspection before covering any portion of installed system. OWNER: William Birk. PHONE: 963-9770 MAILING ADDRESS: 1344 Barber Drive city: Carbondale Slate: Co Zip: 81623 APPLICANT: William Birk. PHONE: 963-9770 SYSTEMLOCATION: 0495 Green Meadow Drive TAX PARCEL NUMBER: 2341-223-07-009 LICENSED INSTALLER: LICENSE NO: DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: ENVIRONMENTAL HEALTH APPROVAL: 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. 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:) % SQUARE FEET. �7 INSTALLED SEPTIC TANK:-F6l5oo GALLON DEGREES FEET FROM SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY YES _ NO COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: ----,'YES NO T`EM CHECKED NO REAUIRES CORREC' TION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A REANSPECTION WHEN WORK IS CORRECT' COMM 6 LAC K� LtY ENVIRONMENTAL ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK# iii� uitt�let e tkpp.Liccai..lUns W111 NUT Be ACcepLea (Site Plan MUST be attached) ISDS Permit # Building Permit APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-87,55/927-3823 (Basalt) :::r:t:r:��YCYCYe�c;rvekycYc:rYcvcvc:'eyc��tvevc�xvc�rXY�:k:rYtvr�kve*vc:cvevc:r:r�kvekveyc*Yrveve:rYr;re�Y�[�cvc:�Yc:�x�c:k;ir;evrvc:cvc PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00 MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" � *Ycit:rYCYt9e;lYC:1r�iC�YCyCYCkyC�CYlyf)ICYC�ICYt�c:IC�ytY[9[y[yfk:'tYCytitYC�:[YC**YCYCY[�[�-YCytYCyf�C4CyfyCyfAf�CJeY[:rYfyCYfYt:t�CyfYl**** PROPERTY OWNER: i/iii ZZ%co j/ d i L MAILING ADDRESS: /fly da `e'<fL �Z2d , e--,z PHONE APPLICANT/CONTACT PERSON: ��/�/j�/� %j i✓n// PHONE: LICENSED SYSTEMS CONTRACTOR: PHONE. COMPANY/DBA: ,D�g ADDRESS: I'd 13 O � ycYcyc*vcyeycycx:*****�civYc�4cYcycYCYc7cycYrYcvcYcvc9c�cycYcYcycYt�ycyc:kYtYCYCYcyc*xyc�*:Y�Yc:r*y:9cYtvc��k*4rYr4cyc*�cYtycyrvcYc:e PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: lno ulvraily Legal Description: 7-Z3 pQl(r" /)%ylel , acre, 3 Tax Parcel Number: _ t3 �/1/ 3 D -7 p D / Lot Size: � Physical Address: Address: 041,9'5- G-red/v medz2ml /M Ga°rhotidQ/e Ge) BUILDIN TYPE: (Check applicable category) Residential/Single Family Number of Bedrooms 3 ( ) Residential/Multi-Family", Number of Bedrooms ( ) Commercial/Industrial", Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( I Surface %'' Public Name of Supplier: y-ComM.uxli- *These systems require design by a Registered Professional Engineer SIGNATURE: � //'��//1 Date: %�k �* �r yc Y[ Yc * ", * * * * * * * * * * x Yc Yc Yc Yt �k YC Yc * Yc Yc * �k yt �c yr Yc yc YC YC YC YC YC * �k �t YC yc ", * * YC * * * 7C Yc �c Yc Yc Y[ Yc yt �C Yr YC yc Yt Yr * Yc * Yc MO NT PAI �( �'�RECEIPT 95 l & DATE: 1� 11�o I CHECK #: CASHIER. TIME LOG: TRAVEL: PERC: � ; � ���; �= ✓� C nil---. FINAL: COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO July 27, 1993 William Birk 1344 Barber Drive Carbondale, CO 81623 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 RE: Final of ISDS Permit No. 1208-936 Parcel # 2341-223-07-009 Property located at: 0495 Green Meadow Drive, Carbondale Mr. Birk, 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 Administrative Technician Environmental Health /bh/ca ENCL: Information Brochure Final ISDS Permit cc: Files BP# 5582 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO DATE: Dear I.S.D.S. Applicant: Your application for an Indiv (ISDS) Permit for tom) I' I I ; c, ,y-\ has been received. 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328.7207 Sewage Disposal System 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: If you have any questions please call, 328-8755. When calling or submitting information please reference your ISDS application # /Q n- Please submit information to: Eagle County Environmental Health Division P.O. Box 179 500 Broadway Eagle, CO 81631 C:WP51\DOCS\ISDS\COMPLT.LET BH1192 ENGINEERS S SURVEYORS (303) 945 1004 SCHMUESER GM FAX (303) 945-5948 GORDON MEYER July 16, 1993 Mr. Ray Merry, Environmental Health Director Eagle County P.O. Box 850 Eagle, CO 86631 RE: Bill Birk ISDS Eagle County, Colorado Dear Ray: 1001 Grand Avenue, Suite 2E Glenwood Springs, CO 81601 RECEIVED J 1) C 1 9 1993 EAGLE COUNTY COMMUNITY DEVELOPMENT Per Eagle County's request, Schmueser Gordon Meyer has provided an interim inspection of the installation of the septic system for the Birk residence on Aspen Mesa View. We performed such an inspection on July 15, 1993. Obviously, this being an interim inspection, the system installation was incomplete. However, the components of the system as installed to date were installed according to SGM requirements. These requirements are outlined according to the previous individual sewage disposal system design provided by SGM, Job #93062. At this point in time, the system has yet to have the 4" diameter PVC lines from the septic tank to the ETA beds installed. In addition, final grading of the sand layer on the ET bed is yet to be performed along with final backfill of the bed. Again, as previously stated, the components of the system that have been installed, have been installed according to our plans and specifications. If you have any questions or comments, please do not hesitate to call. Sincerely, SCHMUESER J Simonson, P.E. JSS:lec/93062 MEYER, INC. f RECEIVED �►�! �,Z NOV 2 5 1992 N COUNTY 5 Co Mil1NAlT 1iY�.Cpi� t 7-k I 1tj , r. o n NJr 410IL ' Q t 71> co .0. V' co - OD -, Z a� '� a -;a -'--- ~~' _ EAGLE COMM. - 2391-223-07-009, Lot 23, Oakridge en Mnt View, F3, 0495 Green Meadow, JOB NO.' curs ruLUhH NrOCUCt 278 Up NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 ®B FOLDER Printed in USA