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HomeMy WebLinkAbout227 Hwy 131 - 194115200005INDIVIDUAL 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. 1224 Please call for final inspection before covering any portion of installed system. OWNER: Kenneth W_ Wi 11 iaing PHONE:_ Q2-6-54-9-2 MAILING ADDRESS: P.O. Box 1437 city: Edwards State: CO Zip: 81632 APPLICANT: Kenneth W. William PHONE: 390-0211 SYSTEM LOCATION: TAX PARCEL NUMBER: 1 941 -1 -00-00 LICENSED INSTALLER: K. W. t S Pipe Fixation ion LICENSE NO: 1 4-93 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 906 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 25 infiltrator units in trenches or 320 lineal ft of SB2 in trenches. Install inspection portals at end of each trench. ENVIRONMENTAL HEALTH APPROVAL: ATE: 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: _Iq, / . J SQUARE FEET. Vi !4f 4 INSTALLED SEPTIC TANK: GALLON DEGREES_ FEET FROM SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY _XYES -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: DATE: / ? ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECT SARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # ISDS Permit # 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: K 417,-f71% MAILING ADDRESS: Y.CJ _ R oX /1-13 :7 6",4JS Co PHONE • 9,- APPLICANT/CONTACT PERSON: PHONE. --2190 - 0a l / LICENSED SYSTEMS CONTRACTOR: ADDRESS: ®, /y2 Co A'Z 9 PHONE: a,1// PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: feAG 7" �if� ,,_ ��� il�.� Parcel Number: —66-s- Lot size: Physical Address: BUILDING TYPE: (Check �() Residential / ( ) Residential / ( ) Commercial / TYPE OF WATER SUPPLY: applicable category) Single Family Number Multi -Family* Number Industrial* Type_ of Bedrooms 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: ZDATE: ***************`*�*(*'�*******************(*�************************************* AMOUNT PAID: (?)-_J�.J�� RECEIPT#�J DATE:��� CHECK #_ 2-9. - CASHIER: COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.5730 EAGLE COUNTY, COLORADO July 27, 1993 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 31631 FAX (303) 323-7207 Kenneth W. Williams P.O. Box 1437 Edwards, CO 81632 RE: Final of ISDS Permit No. 1224-93 Parcel # 1941-152-00-005 Mr. Williams, 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 3.28-8755. Sincerely, Brenda Henderson Administrative Technician Environmental Health. /bh/ca ENCL: Information Brochure Final ISDS Permit cc: Files BP# 5716 COMMUNITY DEVELOPMENT DEPART\LENT (303) 32S-S730 EAGLE COUNTY, COLORADO 300 BROADS\'A) P.O. BOX 179 EAGLE. COLORADO S 1631 FAX (303) 328- 7107 DATE: June 18, 1993 TO: K.W.'s Pipe Fixation P.O. Box 1437 Edwards, CO 81632 FROM: Eagle County, Environmental Health Division`, RE: Issuance of Individual Sewage Disposal System Permit No.:1224-93 Parcel #:1941-152-00-005 Enclosed is your ISDS Permit No.1224-93 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 Building Department, File #5716 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: I u u LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO TIME Wnrnvn rnM-nmTT 1 2 3 1 2 3 yr 1 2 rj4,j L I RATE 3 1 2 SOIL PROF , 0 �, �n _ tD �� 4 5::::" -� 2 =(ba b (2),(025 vo5 ` ELL r 1) .10 C k7 V 8 O 05 o (C) a 5 fib. Time to drop last inch �-- � �� `��J C�.��2 ) PERC RATE: MINIMUM SEPTIC TANK SIZE: JC�Z MINIMUM LEACH FIELD SIZE: Dl_Q COMMENTS: PERC TEST DONE BY: IT 11 Ad- / iPf GVW1 DATE • vironmental Health Officer rev. 6/90ks 1224-93, Tax Parcel #1941-152-00-005,. Williams JOB NO. tnct t ncertnnt BILL TO DATE STARTED DATE COMPLETED DATE BILLED 3 7, s _8 /6-e JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS 0,ROFIT z; LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 ®p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed In USA f1 Wrl e7 �71ol 3 - -..r- �. .. .. J e: - r _ i -