HomeMy WebLinkAbout36 Kirk Ln - 210904201005INDIVIDUAL 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. 1221
Please call for final inspection before covering any portion of installed system.
RETAIN WITH RECEIPT RECORDS
'OLICANT / AGENT:
OWNER:
f FEE PERCOLATION TEST FEE RECEIPT# CHECK#
ISDS Permit # / /" 1? 3
Building Permit #-t�
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: i &w,, ` -6 tar/ w
MAILING ADDRESS:UO70 to CDSu '� ��%3� PHONE •
.iP yT:Ir'A=dam /:' Y.PERSON: 5 hari PHONE:
LICENSED SYSTEMS CONTRACTOR:
VV / 6 p�
ADDRESS: ? b N C-ilA
PERMIT APPLICATION IS FOR:
LOCATION OF PROPOSED INDIVIDUAL
hi�l t%1 PHONE •
********************************************
NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
SEWAGE DISPOSAL SYSTEM:
Legal Description: (prey- t IabQb rfa- 0_k_q1 c �
Parcel Number: LD � a 7 C91 D-Nc9-n1 J 0�
Lot size: _, % 1
Physical Address: -36 1-�I%��{ I—ahel
BUILDING TYPE: (Check applicable category)
pQ Residential / Single Family Number of Bedrooms
( ) Residential / Multi -Family* Number of Bedrooms_
( ) Commercial / Industrial* Type
TYPE OF WATER SUPPLY: Well( ) Spring ( ) Surface ( )
Public (x) Name of Supplier: J of �.CllGlPr
01
*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: DATE: -_5
AMOUNT PAID: t RECEIPT# l DATE: "
CHECK # L CASHIER•
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
April 22, 1993
Tom & Shari Wood
P.O. Box 484
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1221
Mr & Mrs. Wood,
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328-7267
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# 5719
COMMUNITY DEVELOPMENT
DEPART\LENT
(303) 32: � 30
DATE:
TO:
FROM:
EAGLE COUNTY, COLORADO
April 13, 1993
Rex Bossow
Eagle County, Environmental Health
500 GROADWAY
P.O. [SOX 179
EAGLE, COLORADO 81a31
FAX (303) 325-7!20
Divisio
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1221, Parcel #:2109-042-01-005
Property Located at: 36 Kirk Lane, Upper Kiabab
Enclosed is your ISDS Permit No. 1221 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
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
L DESCRIPTIOr';_������
LNG ADDRESS:
OF DWELLING: V NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
TIME
WATF.1? ?1FATTI
Time to drop last inch — J
PERC RATE: 15, MINIMUM SEPTIC TANK SIZE: /;_ '0 (ro�z
MINIMUM LEACH FIELD SIZE: - A�
COMMENTS:
PERC TEST DONE BY:
aX DATE •
Environmental Health Officer
rev. 6/90ks
4�_; 75
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
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LEGAL DESCRIPTION:_J a bah (-/&7/
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TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
TIME WAmvn r%""MT•
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3
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Time to drop last inch —,- /n
PERC RATE: (.L � 1 0 MINIMUM SEPTIC TANK SIZE : _ / 5D
MINIMUM LEACH FIELD SIZE:
COMMENTS:
PERC TEST DONE BY:
fill
Environmental Health Of:
rev. 6/90ks
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DATE: '1
1221-93, Tax Parcel #2109-042-01-005,
,JOB 36 Kirk Lane, Upper Kiabab, Tract 41, Lot 24,
Tom & Shari Wood
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DATE STARTED
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