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HomeMy WebLinkAbout307 Strohm Cir - 211106407011INDIVIDUAL 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. 1256 Please call for final inspection before covering any portion of installed.system. OWNER: Robert & Carmen Flogaus PHONE: 653-42.84 MAILINGADDRESS: 20531 Hwy 131 CIW: Bond State: CO Zip: 80423 APPLICANT: Bonnie Shaw PHONE: 524-9412 SYSTEM LOCATION: 307 Strohm Circle TAX PARCEL NUMBER: 2111-06-407-011 LICENSED INSTALLER: Shaw' s Excavating LICENSE NO: 05-93 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 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: 7 /J0 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. / ) _ , /i f INSTALLED ABSORPTION OR DISPERSAL AREA: '-t 7- SQUARE FEET. [�C�.LX 1 C� LL�ZC �� INSTALLED SEPTIC TANK: -e_8�_ GALLON DEGREES FEET FROM !! SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY YES _ 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: / L�7 (� `l {� l �I / 171 � DATE: ENVIRONMENTAL HEALTH APPROVAL: '� DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK A _ ISDS Permit # Building Permit # 9 04 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 E. & Carmen Flo aus 50 MAILING ADDRESS : ,� ^�� �IES �-��.*-tr APPLICANT/CONTACT PERSON: Bonnie PHONE: 594-A412 LICENSED SYSTEMS CONTRACTOR: Shaw's Excavating ADDRESS: P.O.Box 1209 Gypsum, Colorado 81637 PHONE: 5 4 9419 *************************************************************************** PERMIT APPLICATION IS FOR: (yj NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Lot 11 Filing 5 Parcel �/'� Number:, // // V�C�^ �//` 7 �� 1 C.�� /"C/ � � Lot size: 1 . 21Av _ Physical Address: 307 Strohm Circle GypGjim BUILDING TYPE: (Check applicable category) (X) Residential / Single Family Number of Bedrooms 3 ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial / Industrial* Type TYPE OF WATER SUPPLY: Well( ) Spring ( ) Surface ( ) Public (X) 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" • l SIGNATURE: I� ^� DATE: 7 / 21 / 93 AMOUNT PAID: �V �� RECEIPT# c�/(Oj DATE: C . 21lq-3 CHECK # CASHIER• COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO December 15, 1993 500 BROADWAY F.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 Robert & Carmen Flogaus 20531 Hwy. 131 Bond, CO 80423 RE: Final of ISDS Permit No.1256-93 Parcel #2111-06-407-011 Property located at: 307 Strohm Circle, Gypsum. Dear Mr. & Mrs. Flogaus, 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. Sincerely, Tania M. Busch -Weak, REHS Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 DATE: TO: FROM: EAGLE COUNTY, COLORADO July 30, 1993 Shaw's Excavating P.O. Box 1209 Gypsum, CO 81637 Eagle County, Environmental Health 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 RE: Issuance of Individual Sewage Disposal System Permit No.: 1256-93 Parcel #: 2111-06-407-011 Property Located at: 307 Strohm Circle, Gypsum Enclosed is your ISDS Permit No. 1256-93 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 #TOG 768 1JUJ FLRMII PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. 01 ID to, OWNER: j �i1J_5 LEGAL DESCRIPTION:_ tl 3G_4 !�+MVVV MAILING ADDRESS:��`._C�__��` TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO TIME wnmrn nVnMzr EMIMIm USEMEN M1 NEI =I ME Time to drop last inch PERC RATE: Lam_( ) MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: COMMENTS : L --- •LAC � t � �.�� � i �� � t� x 4 ,� r�� o � r0 � �--; � �u � , PERC TEST DONE BY: (cam t c.cc /Lj DATE: Environmental Health Officer rev. 6/90ks Died/N.4�6E E.Q:fEtiIE "'��' c ta- 602•47' f 9 •72 21' 149", N � b r c , in W Ov/ . r. 1256-93 - Parcel #2111-06-407-011, Lot 11, Filing 5, 307 Strohm Circle Flogaus .SOB NO. .InR 1 Or ArinN DATE STARTED DATE COMPLIETED DATE BILLED i • COST • TOTAL --SUMMARY PRICE _ �=1 COST RORT RORT JOB FOLDER Product 278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOL�a5�o ME Printed in U.S,A. l r 1 1