HomeMy WebLinkAbout100 Double R Rd - 210904200004INDIVIDUAL 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. 1267
Please call for final inspection before covering any portion of installed system.
OWNER: George Roberts PHONE: 949-1446- Office
MAILING ADDRESS: P.O. BOX 2201 City: Vail State: CO zlP: 81658
APPLICANT: George Roberts PHONE: 926-2775— Home
reloo l�Yus►� - - 6 0?
SYSTEM LOCATION: yy TAX PARCEL NUMBER:
LICENSED INSTALLER: ��—;u`X�FilitiA Blade Runners
LICENSE NO: yinftX i A —A i
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1500 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 9 38 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 25 infiltrator units in trenches (as per owners request)
Install inspection portals at the end of each trench.
ENVIRONMENTAL HEALTH APPROVAL: - DATE: o�
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
INSTALLED ABSORPTION OR DISPERSAL AREA: , 39) SQUARE FEET. V ;Gf�c�
INSTALLED SEPTIC TANK: /5/GALLON �C
_ DEGREES FEET FROM ✓ ee- nJ ~'b
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY � YE�
—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: `,(z �L�`
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 #
ISDS Permit
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 $200.0
**************************************************************************
PROPERTY OWNER :
MAILING ADDRESS:�lT�C Za / , r°
��- � PHONE `J"�(� a 77S
APPLICANT/CONTACT PERSON:
LICENSED SYSTEMS CONTRACTOR:O�y %e���i��-
ADDRESS: �/j ?YJ
X/,� PHONE
PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAI]
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Descript
a VCR -Oy a -
Parcel Number:
BUILDING
Physical Addre
TYPE: (Check
P<) Residential /
( ) Residential /
( ) Commercial /
applicable category)
Single Family Number of Bedrooms
Multi -Family* Number of Bedrooms
Industrial* Type
TYPE OF WATER SUPPLY: Well( ) Spring ( ) Surface ( )
Public (j<) Name of Supplier: 7; o„
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITT�,NCE PAYABLE TO: "EAGLE COUNTY TREASURER"
SIGNATURE:` DATE:
******** ***** **************************************** *** *************
AMOUNT PAID: RECEIPT# 1 O O DATE: 11 �1 CQ
CHECK # CASHIER:
ILI\I I1 PE\ ELOP.VEVT
PFI' \R I \IEN I
EAGLE COUNTY, COLORADO
November 24, 1993
George Roberts
P.O. Box 2201
Vail, CO 81658
500 6ROADWAY
P.O. ROX I _9
EAGLE. �:OLORAPO 31 i 3 1
FAX (303) 328.7207
RE: Final of ISDS Permit No.1267-93 Parcel #1941-352-02-026
Property located at: 192 Little Dipper Rd., Eagle
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 R.E.H.S.
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
�:OMMLINIT) DEVELOPMENT
hEPART:MEVT
DATE:
TO:
FROM:
EAGLE COUNTY, COLORADO
September 21, 1993
Blade Runner
Environmental Health Division,
500BROADWAY
P.O. GOX 179
EAGLE. COLORADO 81131
FAX (303) : 23"7207
RE: Issuance of Individual Sewage Disposal System
Permit No .:12 67 Parcel # :-'' Q-=
Property Located at: ,Eagle
Enclosed is your ISDS Permit No.1267 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 mromerty 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 #6037
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION: )q4_ WQ_)
SDS
MAILING ADDRESS: � �AAAe_
TYPE OF DWELLING: NUMBER OF BEDROOMS 1
TEST HOLES PRE-SOAKED: YES � NO
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SOIL PROFILE
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PERC RATE: kZ�- ?� MINIMUM SEPTIC TANK SIZE: j n Ly
MINIMUM LEACH FIELD SIZE: ++,�g"f/
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PERC TEST DONE BY:
Environmental
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DATE: Auaust 17. 1993
George Roberts
P.O. Box 2201
Vail, CO 81658
Dear I.S.D.S. Applicant:
Your application for an Individual Sewage Disposal System
(ISDS) Permit for 4� L1
has been received.
Issuance of your permit is on hold until the following
materials or fee(s) are submitted.
Payment of $150.00 Application Fee
XX Payment of $200.00 Percolation Test Fee
XX Site Plan
Licensed System Contractor (See attached list)
Engineer Design
XX Other:_ Perc test set up with Tania
If you have any questions please call, 328-8755. When
calling or submitting information please reference your ISDS
application # 1267
Please submit information to:
Eagle County
Environmental Health Division
P.O. Box 179
500 Broadway
Eagle, CO 81631
1267-93 - Parcel A'L'
JOB NAME _ Eagle Phase II:n __ __ d -•�k
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JOB NO.,
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DATE STARTED
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DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL ,LABOR
INSURANCE
SALES TAX
M ISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 jgej7o NEW ENGIAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER
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