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HomeMy WebLinkAbout95 Fender Ln - 239127202006 - 1263-93ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone. 326-6755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1263 Please call for final inspection before covering any portion of installed system. OWNER: Kert & Kaila Dee Koski PHONE: 963-3321 MAILINGADDRESS: 95 Fender Lane city. Carbondale slate: CO zip: 81623 APPLICANT. Kert Koski PHONE: 963-3321 SYSTEM LOCATION: 95 Fender Lane TAX PARCEL NUMBER: 2391-272-02-006 LICENSED INSTALLER: Ron Martin Construction LICENSE NO: 26-93 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 17 50 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 1046 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 28 infiltrator units in trenches as per owners request 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. INSTALLED ABSORPTION OR DISPERSAL AREA: 1360 SQUAREFEET. (Bed configuration Via 44 infiltrator units) INSTALLED SEPTIC TANK: 1750 GALLON DEGREES FEET FROM See as -built SEPTIC TANK ACCESS TO WITHIN B" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X YES NO COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: X 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 # -L• omplere Applications Will NOT Be Accepted S11,te Plan MUST be attached) ISDS Permit ## f� Building Permit 4 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 �'y ' --&0 MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" � PROPERTY OWNER: 'F_ AtO& DBE L 1 MAILING ADDRESS: ,5 % �} �(� �,�-�JE C r9�'ba� A/e �© �3PHONE : 14-1-33,2 APPLICANT/CONTACT PERSON: k�5p% �oS !� PHONE: LICENSED SYSTEMS CONTRACTOR: PpnJ PHONE:%G�-6 COMPANY/DBA:a� i[A/e:[—tA-) LoR%S ADDRESS: �c4� �pcJr, /Cci *vr�xvcvc�rwK:ycycvcvc,rvcYcvck�kvcycycyr��cxYcvcYcrvc�Yc�vcyc�kycYc�Ytycvr�c�k�CxYcv��Yyc�xYrxYcvcvc�C9rxYcyr��r�*ycveycycyc�k PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION (V ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Tax Parcel Number: 71 —®()� Lot Size: ��i 4cfe_ Physical Address: Fe..,J�ep_ ZA-ior-1 OW14A Cc 0'/G_Z-3 BUILDING TYPE: (Check applicable category) (✓Residential/Single Family Number of Bedrooms_ ( ) Residential/Multi-Family* Number Of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface 1 (✓j Public Name of Supplier: %ec ��-�/� &r eE *These systems require_ de ' gy by a,,Aeg�/tered Professional Engineer SIGNATURE: �YtYrY[��kYCYt�sfy[YcY[kxYc�Yc�Yc?C Yt?[� AMOUNT PAID: TIME LOG: TRAVEL: Date: Yc NC yf YC X YC YC YC 7C � Y[ Y[ yt Yr YC Y[ Yt �k �k vc Yc Yt :k YC :k W 7C YC YC � yr �It yc YC y[ it Yr Yc Yc Yr Yc Yt � Yc Yt Yc RECEIPT DATE: CHECK #: CASHIER: jay rdt PERC : � ��'�' FINAL: COMMUNITY DEVELORMENT DEPXRT:MENT (303) 3_'8.8730 EAGLE COUNTY, COLORADO November 1, 1993 Kert & Kaila Dee Koski 95 Fender Lane Carbondale, CO 81623 500 BROADWAY P.O. BOX 1 79 EAGLE, COLORADO 81631 FAX (303) 328-7207 RE: Final of ISDS Permit No.1263-93 Parcel #2391-272-02-006 Property located at: 95 Fender Lane, Carbondale. 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, 7 Tania M. Busch -Weak R.E.H.S. Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit DATE: August 17, 1993 TO: Kert & Kaila Dee Koski FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Permit No.: 1263 Parcel #: 2391-272-02-006 Property Located at: 95 Fender Lane Enclosed is your ISDS Permit Novalid 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 # 1263 r� PERCOLATION TEST 0 EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. ,f OWNER: �`"i' �'� ISDS LEGAL DESCRIPTION: MAILING ADDRESS: �I � � Q�V 'a_} L Q(u TYPE OF DWELLING: NUMBER OF BEDROOMS L TEST HOLES PRE-SOAKED: YES i/r NO TTMF TATAM D iL nM= T7T/ •VLF[+ AL7 TT T T TT TT1 1 2 3 1 2 3 1 2 3 1 2 3 -I , C) •,5 / / _z i� lr Iz o20 G i _Zz ! Z ��. i 1, a r 05 1a 05 2AO Z, L 26. a5 l l • id lz r 75 o 35 -19-1 Io* W ► 3Z , .__'6 cqu.a m.,z 5 SL 91 I XX ab5D11.T llD 50 25 5 z)c) jo • -el,i f1 11X0 - 7 o i915 --s 15D 0-5 ID SOIL PROFILE 0 1 2 3 4 5 C 6 8 5 F'lW Time to drop last inch 0 �-� c- PERC RATE: �,�,q I�j MINIMUM SEPTIC TANK SIZE: a) a MINIMUM LEACH FIELD SIZE:_1 COMMENTS: o!P) I2 j 'a 1 r,,4�i I 1 r't i a 1 n A i,x 0 A PERC,TEST DONE BY: (U-4 V UPl t )lit >< cLT/r Environmental Health Officer : ?IP n ,n V"N: i V+ �R yA' J it ti a R'- C — � ?�c f T L4j a C Do bc� i t I �e 'r At 0 u U N C,'' C5 Ar ..�. : .. LL Q j !r) ci. tr Id o f � i( I I tt i 1263-93 - Parcel # 2391-272-02-006 JOB NAME i Lot :6. Res Table Acres #2. , Amended` 95 Fender Lane XONKI JOB NO. ,oOlnR t nenTtnm _.......... _ ... BILL TO PATE STARTED DATE COMPLETED DATE BILLED CX ° 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 ffij_p NEW ENGLAND BUSINESS SERVICE. INC.. GROTQN, MA 01471 JOB FOLDER 4- Printed in U.S.A. 4� .-� lqv) E- 74* # '-N .u'j ., r... �-�-. M .� � � I ._---. I