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