HomeMy WebLinkAbout1100 Spring Creek Rd - 211110303002INDIVIDUAL 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.
Please call for final inspection before covering any portion of installed system.
PERMIT NO. 1220
OWNER: Margaret D . Eachus PHONE: 242-9473
MAILING ADDRESS: 652 27 112 Road City:C,ranrl _Tiinrti an State: CO Zip:
APPLICANT: Roy Fa h11s PHONE: �524-96658
SYSTEM LOCATION: 1100 Spring Crk. Rd TAX PARCEL NUMBER: 2111-103-02-003
LICENSED INSTALLER: Rnrt Shaw LICENSE NO: 005-93
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 430 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: As per owners request ... 160 lineal feet SB2. Install inspection portals
at end of each trench. 2 trenches 80 feet long -
ENVIRONMENTAL HEALTH APPROVAL: 6" DATE: A 15) ZEE
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 ORDISPERSAL AREA: -:4VC✓(("''� SQUARE FEET. V��^^yyiC�
INSTALLED SEPTIC TANK: 1 D00 GALLON �-� 0 DEGREES ` -] V FEET FROM
SEPTIC TANK ACCESS TO WITHIN W OF FINAL GRADE AND 7�
PROPER MATERIAL AND ASSEMBLY rIYES _NO
COMPLIANCE WITH COUNTY/ STATE REQUIREMENTS: 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: � G�-�-�'� � • "-� L'C�`P DATE:
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
`RMIT FEE PERCOLATION TEST FEE
OWNER:
RECEIPT #
CHECK #
• ISDS Permit`-C
Building Permit #
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: A-'� 09,-C v,"
MAILING ADDRESS : �� �% %(�� d e� PHONE: �t— q 4117 5
APPLICANT/CONTACT PERSON:
LICENSED SYSTEMS CONTRACTO
ADDRESS • PHONE
PERMIT APPLICATION IS FOR:J�NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDU L SEWAGE DISPOSAL SYSTEM:
Legal Description: OM0. - � Lp+ --9 -jy-0 -t 3 C(
Parcel Number:T� %��Lot size: aGG
Physical Address:
BUILDING TYPE: (Check
•�Residential /
( ) Residential /
( ) Commercial /
TYPE OF WATER SUPPLY:
applicable category)
Single Family Number
Multi -Family* Number
Industrial* Type_
of Bedroomsy
of Bedrooms
Well:�< Spring ( ) Surface ( )
Public ( ) Name of Supplier:
*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: 1 DATE:
AMOUNT PAID:v�RECEIPT# VQ .1�3 DATE: '�-�
CHECK # %% CASHIER:
A P n O 1 1993
EA(;i.E COUNTY
COM!vAUNI, i'Y OLD ELOPMENT
k:O%111L1NM DE\ ELOP:YIENT
DEPART`.IENT
"031 323 . -30
EAGLE COUNTY, COLORADO
April 13, 1993
Margaret D. Eachus
652 27 1/2 Road
Grand Junction, CO 81501
RE: Final of ISDS Permit No. 1220-93
Ms. Eachus,
500 BROADWAY
P.O. PDX 179
EAGLE. COLORADO 11 1631
FAX (303) 328-7207
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,
'�� f U'n iA`
Brenda Henderson
Office Assistant
Environmental Health
/bh/ca
ENCL: Information Brochure
Final ISDS Permit
cc: Files
�:O:MMLINITY DE\ ELOP:MENT
DEP,ART`JEV
EAGLE COUNTY, COLORADO
00 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 8 1631
FAX.(303) 328-7207
DATE: April 5, 1993
TO: Burt Shaw
FROM: Eagle County Environmental Health Division,
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1220-93, Parcel #: 2111-103-02-003
Property Located at: 1100 Spring Creek Road
Enclosed is your ISDS Permit No. 1220-93 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
I � Lj 1j I L-INVU I
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
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OWNER:
LEGAL DESCRIPTION:
MAILING ADDRESS:_j..�Z,
z e- Rd G ill -C� I enr ��rs1,7, % _
TYPE OF DWELLING:
NUMBER OF BEDROOM'%
TEST HOLES PRE-SOAKED: YES
TIME WAMrIn TT TTT•
2
3
1
2
3
1 2
RATE
3
119,1
75
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11,76
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4
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16
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Time to drop last inch - / (,) -- /u "- /6)
PERC RATE: i'Lly—L l MINIMUM SEPTIC TANK SIZE: /a 00
MINIMUM LEACH FIELD SIZE: _ql3c)" 2- , 'Z )
y eo��Tvc "
COMMENTS: aj
PERC TEST DONE BY:
vironment-al Health 5
rev. 6/90ks
cer
DATE:'-
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1220-93 - Parcel #2111-103-02-003,
Lot 3, Oreo Acres, 1100 Spring Creek Road JOB NO.
Eachus
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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