HomeMy WebLinkAbout14551 Hwy 6 - 211101100010INDIVIDUAL 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. 1248
Please call for final inspection before covering any portion of installed system.
OWNER: R & A Joint Venture PHONE: 926-2691
MAILING ADDRESS: P.O. BOX 575 City: Eagle State: CO Zip: 81631
APPLICANT: Richard Gilbert PHONE: 926-2691
SYSTEMLOCATION: 14551 Hwy 6, Eagle TAX PARCEL NUMBER: 211101-00-010
LICENSED INSTALLER: Speigal Construction LICENSE NO: 15-93
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
100O GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 427 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 12 infiltrator units in trenches or 160 lineal feet SB2 in trenches.
Install inspection portals at end of each trench.
ENVIRONMENTAL HEALTH APPROVAL: w+ 4i.Gt J 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 SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED
PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
�
INSTALLED ABSORPTION OR DISPERSAL AREA: 7 c� i7 )j SQUARE FEET. vJQ %J �f�'�-%
INSTALLED SEPTIC TANK: -�— GALLON DEGREES !S L FEET FROM
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY ✓` YES NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: v/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: 6-�LA OA- DATE:/
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
ISDS Permit # / )-Is
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
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PROPERTY OWNER:
MAILING ADDRESS:_P G_ Rc>k 6-7!!;- PHONE: gZ-4 Z-&'i
APPLICANT/CONTACT PERSON: I'Z1,C GiPHONE: f Z4
LICENSED SYSTEMS CONTRACTOR: Ste, ,r
ADDRESS: t��c��t Z 3 ;14+te OJ ry C�r, �Z; f c 2-6 PHONE • 4-7 I Cp Z 4
PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: i!�! L4 1wf-st 0.0
cel Number: S A 0-t 00 -- C2 / ®-Lot size:�5
Physical Address:- i �1 SS 1 ti
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: DATE:
AMOUNT PAID:_s ( -C_��' RECEIPT# O L-R SDATE:
-
CHECK # / 9 :; CASHIER: 1
COMMUNITY DEVLOPMENT
DEPARTMENT
(303)328-8730
. EAGLE COUNTY, COLORADO
March 30, 1994
R&A Joint Venture
P. O. Box 575
Eagle, Co 81631
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
RE: Final of ISDS Permit No.1248-93 Parcel #2111-001-00-010
Property located at: 14551 Hwy 6, Eagle
R & A Joint Venture,
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
328-8155.
Sincerely,
(AL G L t'a
Tania M. Busch -Weak REHS
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
cc: f iles
PERCOLATION TEST
EAGLE COUNTY EWJIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING: I
"R'� • NUMBER OF BEDROOMS
�r
TEST HOLES PRE-SOAKED: YES V---- NO
TIME Whmcln TNanm,•
■�i
�
jai
'�aim
.
NIMEA
M I
N. lAr-
0 -6 "Offlp
I
I
-
MINFA
Time to drop last inch
PERC RATE: L � MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE:
COMMENTS:
J
PERC TEST DONE BY:
DATE
nvironmental Hedlth Of icer
rev. 6/90ks
1248-93 - Parcel
14551 Hwy 6, Eagle,JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
_ C
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 j�® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.
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