HomeMy WebLinkAbout21400 Hwy 6 - 193925201002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone:328-8755 J j p
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 2 O 1
Please call for final inspection before covering any portion of installed system.
RETAIN WITH RECEIPT RECORDS
6--1932
Co zip: 81658
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SYSTEM REGULATIONS, ADOPTED PURSUANT
AND BUILDING REQUIREMENTS. CONNECTION
. AUTOMATICALLY BE A VIOLATION OF A
3E DISPOSAL SYSTEM TO BE LICENSED.
UL/ATIONS UNTIL THE SYSTEM IS APPROVED
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ier of west side of house
:CTION WHEN WORK IS CORRECTED.
ance.
DATE: O l
DATE:
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT A CHECK u
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.
PROPERTY OWNER: IDg1 Ru'-,5em
MAILING ADDRESS: IRV - 6 O)G G -76 3 PHONE • 1476,"
APPLICANT/CONTACT PERSON: Sege--- PHONE: -
LICENSED SYSTEMS CONTRACTOR:
ADDRESS: 'PHONE:
PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPA
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: �� �Z/ mpa'i'Alen I�wGN F/1, Zi
Parcel Number: % /�� # J�/3 % a al7i' Lot size: q A CAS
Physical Address:
BUILDING TYPE: (Check
c 1Q) Residential /
( ) Residential /
( ) Commercial./
TYPE OF WATER SUPPLY:
applicable category)
Single Family Number of Bedrooms
Multi -Family* Number of Bedrooms
Industrial* Type
Well (X) Spring ( ) Surface ( )
Public ( ) 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"
SIGNATURE:'! dt��� DATE: I ?i(� �1,3
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AMOUNT PAID • ,ESL , OCR RECEIPT# �l U v DATE •
CHECK # add CASHIER: �J(
COMMUNITY DEVELOPMENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY; COLORADO
August 8, 1994
Lori Russell
P.O. Box 1763
Vail, CO 81658
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
RE: Final of ISDS Permit No. 1281-94 Parcel #1939-252-01-002
Property located at: Hwy. 6, 3.8 miles east of Eagle.
Dear Ms. Russell,
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,
Jeff Fedrizzi
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit .
cc: files
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