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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 ************************************************************************** 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. " _ i I i