HomeMy WebLinkAbout240 Cedar Dr - 211106407012INDIVIDUAL 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. 1278
Please call for final inspection before covering any portion of installed system.
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # _____ CHECK #
ISDS Permit #
Building Permit # $oZ
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 $200.01
PROPERTY OWNER: (6 a r &j 44-i n d. a j11 est o Y'
MAILING ADDRESS: Fj d -)( 5 1 , (rj U,ea�U rn , Ln . W1 37PHONE! 41-
APPLICANT/CONTACT PERSON: i n� (�� NeC or PHONE •
LICENSED SYSTEMS CONTRACTOR:
ADDRESS: DD �it 6� Su PHONE: Sd y
PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAII
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Parcel Number: (:9 ) --ol Q Lot size: /, 50 I{C.
Physical Address:& y0
BUILDING TYPE: (Check applicable category)
()e,) Residential / Single Family Number of Bedrooms
( ) Residential / Multi -Family* Number of Bedrooms
( ) Commercial / Industrial* Type
TYPE OF WATER SUPPLY: Well( ). Spring ( ) Surface ( )
Public (4 Name of Supplier:Tou„r �f GY,vSu�n
*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: PI-c DATE:__-�-
AMOUNT PAID: 0 RECEIPT# C U ` 1 DATE
CHECK #� "r3�%�U' CASHIER: _
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
November 4, 1993
Gary & Linda Nestor
P.O. Box 51
Gypsum, CO 81637
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO S 1631
FAX (303) 32S-7207
RE: Final of ISDS Permit No.1278-93 Parcel #2111-064-07-012
Property located at: 240 Ceder Drive, Gypsum.
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
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 32S-8730
EAGLE COUNTY, COLORADO
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328-72,07
DATE: October 26, 1993
TO: Mike Elliott/Elliott Plumbing & Heating
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System
Permit No.1278, Tax Parcel # 2111-064-07-012
Property Located at: 240 Cedar Dr., Gypsum..
Enclosed is your ISDS Permit No. 1278'is 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 deadline for 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.'
Permit specifications are minimum requirements only, and should
be brought to the property owner's attention.
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: files
ISDS PERMIT ; )p9i
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: ��Tcje
LEGAL DESCRIPTION:
MAILING ADDRESS: Q CAQ
TYPE OF DWELLING:c NUMBER OF BEDROOMS
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1278-93 — Parcel —G 7—Clj_
JOB NAME _ 240 Cedar Dr., Gypsum NESTOR
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JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
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INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
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