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
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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.
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BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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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
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