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HomeMy WebLinkAbout10 Fender Ln - 239128102001 - 1232-93ISINDIVIDUAL 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. 1232 Please call for final inspection before covering any portion of installed system. OWNER: Kip Koski PHONE: 963-2098 MAILING ADDRESS: 0010 Fender Lane city: Carbondale stele: CO zip: 81623 APPLICANT: Kip Koski PHONE: 963-2098 SYSTEM LOCATION: TAX PARCEL NUMBER: 23 91-281-0 2 -0 0 1 LICENSED INSTALLER: �� C1lCy� 0VI'C—A7 C— ----LICENSE NO: 'C 10 V DESIGN ENGINEER OF SYSTEM: INSTALLATIONHEREBY GRANTED FOR THE FOLLOWING: **Sized for 4 bedrooms, additional bedroom sizing included in attached letter** 1250 GALLON SEPTIC TANK **CONTACT THIS OFFICE BEFORE ABSORPTION AREA REQUIREMENTS: (additional INSTALLATION BEGINS** SQUARE FEET OF SEEPAGE BED 345 SQUARE FE T OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Additional - 120 lineal feet Of SB2 in trenches or 10 infiltrator units in trenches Install inspection portals at end of each trench. 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 TSYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. �j Q / j (�] INSTALLED ABSORPTION OR jDISP%E'R�SAL AREA:�� l SQUARE FEET. )CI��CM� G� �Q� � /��1 /,� n `� �.'f /7 INSTALLED SEPTIC TANK: / ��/ GALLON DEGREES l I �� � T FROM 0�/iI �a' ( �f, hid(l SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY L/YES _NO COMPLIANCE WITH COUNTY/ STATE REQUIREMENTS: t// YES _NO ANY ITEM CHECKED NO REQUIRES �CORRECTION /1BEFORE FINAL �APPROVAL �OF�SYSTEM IS MADE. ARRANGE A RE -INSPECTION /WHEN WORK IS CORRECTED. COMMENTS:: -717�� � "1 l VI �� KJ ENVIRONMENTAL HEALTH APPROVAL: / � 2/� / / DATE: 0MO /r\ ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT A CHECK # incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # f 'a � a, - c� Building Permit # c�--77a APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) �:�yC;�k�YCYti[�C1[*ycYtYc�[�:cYt�ycYt�y[YtYek�tytk�c�:CYcycyckyc�rytk7icY[�c:rkkJc�:[Yc��Y[yekYtyCxY[�cYcytYcyCYcytYtYt�lc�t:k:e PERMIT APPLICATION FEE $150.00 PERCOLATION TEST.FEE $125.00 MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" � :c:rYt:�t:ryt�cycYt�Ir��tcytyt:tk�t�cMc�4c�tr�tc�+t�cYc:Ic�Yt�t�ytk4c:�cYc�eYc�yrYcYckYCYtyc�.t:�r-Ytyrytyc�+t:'t�:kYe�Yc:c��YcytYck�Yt�ytytyt4ck PROPERTY OWNER: K I P ko C K MAILING ADDRESS: GQ EEO FE" ti Iz tZ L c.-h< ef,., A'4Q� �� PHONE : "7©� APPLICANT/CONTACT PERSON: �t��%J �C-� 5 (C I PHONE : LICENSED SYSTEMS CONTRACTOR: 1`�/`� YYt�+iY (,� PHONE: C 3 Z2-C COMPANY/DBA:w yUgr?�� �.v �,vy7 ��, ADDRESS : lS `64 �o f�0 fb 3 PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION N ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL S STEM: Legal Description: NAvGv&-Jy Vic— S��v,�tc,�, L� i t4 f Tax Parcel Number: 2 30( Z6f o z Qo f Lot Size: hc2Nff Physical Address: 0 U ! 0 re?v0,;- ,e- i .Q BUILDING TYPE: (Check applicable category) (X) Residential/Single Family Number of Bedrooms q__ ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) (X) Well���uw.'� ) Spring ( ) Surface (-,) Public Name of Supplier: *These systems require design by a Registered Professional Engineer SIGNATURE: Date: o � AMOUNT PAID: �d RECEIPT DATE: CHECK CASHIER: TIME LOG: TRAVEL: PERC: FINAL: COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO August 24, 1993 Kip Koski 0010 Fender Lane Carbondale, CO 81623 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-72.07 RE: Final of I'SDS Permit No. 1232 Parcel # 2391-281-02-001 Property located at: 0010 Fender Lane 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. J Sincerely, Tania M. Busch -Weak Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit cc: Files BP# 5772 COMMUNITY DEVELOPMENT DEPARTMENT (303) 321-5730 EAGLE COUNTY, COLORADO 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO S 1631 FAX (303) 3 28.7207 DATE: July 26, 1993 TO: Ron Martin Construction Co. 1584 City Road 103 Carbondale, CO 81623 FROM: Eagle County, Environmental Health Divisi 24 RE: Issuance 'of Individual Sewage Disposal System Permit No.: 1232-93 Parcel #:2391-281-02-001 Property Located at: 0010 Fender Lane Enclosed is your ISDS Permit No. 1232-93 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 #5772 COMMUNITY DEVELOPMENT DEPARTMENT (303) 323.5730 EAGLE COUNTY, COLORADO 300 BROADWAY P.O. BOX 179 EAGLE. COLORADO S 163 1 FAX (303) 32S.7207 TO: Ron Martin FROM: Eagle Count Environmental Health Divisio Y n RE: ISDS Permit 1232-83, 0010 Fender Lane, Carbondale Koski Residence DATE: July 26, 1993 Sizing for 5 bedrooms: 1500 gallon tank Additional 546 square feet trench area via 200 lineal feet SB2, or 15 infiltrator units in trenches. Install inspection at end of each trench. Contact this office before installation begins. CC: Kip Koski COMMUNITY" � E1'ELOFh1EN1 DEPARTMENT i303i 32S•S7,30 EAGLE COUNTY, COLORADO DATE: Dear I.S.D.S. Applicant: 500 BROADWAY F.O. BOX 179 EAGLE. COLORADO S I G3 I FAX 1303) 328.7207 Your application for an Individual Sewage Disposal System (ISDS) Permit for jK;�� has been received. ' Issuance of your permit is on hold until the following materials or fee(s) are submitted. Payment of $150.00 Application Fee Payment of $200.00 Percolation Test Fee Site Plan Licensed System Contractor (See attached list Engineer Design Other: If you have any questions please call, 328-8755. When calling or submitti g_,iVformation please reference your ISDS application # - Please submit information to: Eagle County Environmental Health Division P.O. Box 179 500 Broadway Eagle, CO 81631 C:WP51\DOCS\ISDS\COMPLT.LET BH1192 �LO )gooiflolw- �, - 3Ua 4h� _ `i1 cy-- e J-N q2c) Cy pwro., PAM 5,���_r��, ���_ � Nam. � •� i 011 >.. �IPY G�` TAN• 03 gb G zA�E� 1232-93 - Parcel #2391-281-02-001, Lot 1, Harmony View Sub. 0010 Fender Lane JOB NO. Koski IAO A/�ATIPf1U BILL TO DATE STARTED DATE COMPLETED DATE BILLED 5 JOB COST SUMMARY c1Ai ( TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX ( I MISC. COSTS IT TS CE _ = IT Printed In USA \ �w AV CQI'�' t0 LYL�%ZU �f�4 079, 3a__Q h 5 1-0 F 1.3 If qk of Tr) tj 4c ei Vy dt$ 61 Tw 57-1