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HomeMy WebLinkAbout305 Strohm Cir - 211106407010INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-6755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1255 Please call for final inspection before covering any portion of installed system. OWNER: Robert E. & Carmen Flogaus PHONE: 653-4284 MAILINGADDRESS: 20531 Hwy 131 city Bond Sale: CO Zip: 8042 APPLICANT: Bonnie Shaw PHONE: 524-9412 SYSTEMLOCATION: 305 Strohm Circle TAX PARCEL NUMBER: _2111-064-07-010 LICENSED INSTALLER: Shaw's Excavating LICENSE NO: 05-93 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1_0_ GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 427 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 12 infiltrator units in trenches or 160 lineal feet SB2 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 SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM.. 11 INSTALLED ABSORPTION OR DISPERSAL AREA: 7 SQUARE FEET. V (C( t 2 C,fLj�.(�/ � G INSTALLED SEPTIC TANK: GALLON DEGREES FEET FROM SEPTIC TANK ACCESS TO WITHIN W OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY 1—,IYYES _ NO COMPLIANCE WITH COUNTY/STATE REQUIREMENTS: C 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 -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # ,r ISDS Permit1-4 Building Permit # / c 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:_ Robert F. & Carmen Flogaus MAILING ADDRESS: 1 :... Colorado :1 T APPLICANT/CONTACT PERSON: _Ronnie PHONE: 594-4419 LICENSED SYSTEMS CONTRACTOR: Shaw's Excavating ADDRESS: _p _ 0 - Rnx 1 7n9 C)z G3 a I arada PHONE: 594 941 9 PERMIT APPLICATION IS FOR: (g) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: T.nt In Filing 5 _ Parcel Number: L91 / / -NV 09 '0/L Lot size: 1 �� Physical Address: 305 Strohm Circle Gypsum BUILDING TYPE: (Check (g) Residential / ( ) Residential / ( ) Commercial / TYPE OF WATER SUPPLY: applicable category) Single Family Number of Bedrooms 3 Multi -Family* Number of Bedrooms Industrial* Type Well( ) Public (X ) Spring ( ) Surface ( ) 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" /ti\ SIGNATURE• DATE: 7/91/AA AMOUNT PAID: ? 0100 RECEIPT# /4� /� DATE: CHECK # CASHIER: COMMUNITY DEVELOPMENT DEPARTMENT (303) 32:-8730 EAGLE COUNTY, COLORADO January 7, 1994 Robert & Carmen Flogaus 20531 Hwy. 131 Bond, CO 80423 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO S 1631 FAX (303) 325-7207 RE: Final of ISDS Permit No.1255-93 Parcel #2111-06-407-010 Property located at: 305 Strohm Circle, Gypsum. Dear Mr. & Mrs. Flogaus, This letter is to inform you that the above referenced I-SDS Permit has been inspected and finalized. Enclosed is a copy to retain for your records. This permit does riot 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. Sincerely, Tan' is M. Busch -Weak, REHS Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO DATE: July 27,- 1993 TO: Shaw.'s Excavating P.O. Box 1209 Gypsum, CO 81637 FROM: Eagle County, Environmental Healt 500 BROADWAY P.O. BOX 179 EAGLE, i OLORADO S 1631 FAX (303) 32S.7207 RE: Issuance of Individual Sewage Disposal System Permit No.: 1255-93 Parcel #: 2111-064-07-010 Property Located at: 305 Strohm Circle, Gypsum Enclosed is your ISDS Permit No. 1255-93 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 1JU3 rtKru I PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: MAILING ADDRESS: 3�j cashbDA LAT i V e TYPE OF DWELLING:, NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES_ NO TTMV 6trm�n roc nmv ===Mara � a EM MMMIM 1� mamimmml mmim I WMIEMMIMMilI eM"MIMM-V EMIN MIMMM WINEM 1 Time to drop last inch PERC RATE: t /, /() MINIMUM SEPTIC TANK SIZE: ton� MINIMUM LEACH FIELD-- SIZE: COMMENTS: s — ri/ic /`c4711 0 6 i .-, A n n A � n. .� _l` — n n- PERC TEST DONE BY: 1/ - DATE: Environmental Health Officer rev. 6/90ks Soren • y`y Nin / 3G" ` - - C6�cc� / D�P4/N.�E CAV",F,vT -� 5o2°47= f _ CIA � � b cob o�h Im i a 9 q - 1255-93 - Parcel #2111-064-07-010, Lot 10, Filing 5, 305 Strohm Circle Flogaus JOB NO. . le'JOR LOCATION) BILL TO DATE STARTED DATE COMPLETED DATE BILLED C �Ii �, I�m 14�11s�C,ss S S (�,� �- flS' C/ r YY4o IR ; Cpco' c (6,0 c '" 3 -c� J • ! E Z" lJ� J ram` I �. , �7'N �L /—J�' I �/� 1 s> / �— ^L� r �1 Q JOB COST SUMMARY TOTAL SELLING PRICE TOTAI MATF421A1 COST 'ROFIT COSTS G PRICE 'ROFIT JOB FOLDER Product 278 C�— © NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOL .r i q1/L1.BL) Printed in U.S.A i n