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HomeMy WebLinkAbout15441 Hwy 6 - 210906203001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 1C� _ I �19� q3 Telephone: 328-8755 J YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1292 Please call for final inspection before covering any portion of installed system. OWNER: Arlan Moore PHONE: 328-6412 MAILINGADDRESS: To be determined City: Eagle State: CO Zip: 81631 APPLICANT: Bert Shaw PHONE: 524-9412 15443 Hwy 6, Eagle, Co 2109-061-00-018 SYSTEM LOCATION: TAX PARCEL NUMBER: LICENSED INSTALLER: Shaw Excavating LICENSE NO: 5-93 DESIGN ENGINEER OF SYSTEM: n/a INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 523 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS:_ Place inspection portals at the end of each trench Install 14 Infiltrator units - Calculation requested by installer ENVIRONMENTAL HEALTH APPROVAL• - DATE: CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIR ENTS 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: 523 SQUARE FEET. via 14 infiltrator units INSTALLED SEPTIC TANK: 1250 GALLON 352' DEGREES FEET FROM see as -built within file. SEPTIC TANK ACCESS TO WITHIN 8" 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: ! G ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # ISDS Permit # qt - 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: %7i'�hpp MAILING ADDRESS: _ .1-4 "J R1 �/42 APPLICANT/CONTACT PERSON:-� SiuPHONE: LICENSED SYSTEMS CONTRACTOR: s�a�lc �S- CJ3 4a© ADDRESS: D �� hi 8 ( PHONE: PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPA LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Parcel Number:_ Lot size:? Physical Address: /Sy BUILDING TYPE: (Check (X) Residential / ( ) Residential / ( ) Commercial / TYPE OF WATER SUPPLY: applicable category) Single Family Number of Bedrooms -3 Multi -Family* Number of Bedrooms Industrial* Type Well (M 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: �, DATE: �J AMOUNT PAID: (J� RECEIPT# / / )/ I DATE: l CHECK # / ��=o�L_ CASHIER COMMUNIT) DEVELOPMENT DEPARTMENT (303) '128.8730 EAGLE COUNTY, COLORADO November 4, 1993 Arlan Moore c/o Burt Shaw P.O. Box 1209 Gypsum, CO 81637 :00 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328.7207 RE: Final of ISDS Permit No.1292-93 Parcel #2109-061-00-018 Property located at: 15443 Hwy'6, 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, JUL .�l�j �k;'�a Tania M. Busch -Weak Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit COMMUNITY DEVELOPMENT DEPARTMENT (303) 325.8730 EAGLE COUNTY, COLORADO DATE: November 1, 1993 TO:s Shaw's Excavating/Burt Shaw FROM: Environmental Health Division 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO S 1631 FAX (303) 31S-7207 RE: Issuance of Individual Sewage Disposal System Permit No.1292-93, Tax Parcel # 2109-061-00-018 Property Located at: 15443 Hwy 6, Eagle. Enclosed is your ISDS Permit No. 1292-93 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 N6071 A14' WacC C(05-51v� COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 November 2, 1992 y1�rc' � C_V +LN c>-e-d-- o yl '9 j e-1 � _2®t q 61 -t Ddct `t 0 - 06 - EAGLE COUNTY, COLORADO Bob New P.O. Box 242 Eagle, CO., 81631 Dear Mr. New, 500 BROADWAY P.O. BOX 179 EAGLE, -OLORADO 81631 FAX (303) 328-7207 ii As per your request, Eagle County Environmental Health Division conducted percolation tests on the lots owned by you located approximately one mile west of Eagle, CO., along U.S. Highway 6. Our records show these lots to be Parcels # 2109-061-00-018 & a2_10q-6W # 2109-061-00-002, (Martin Tracts 1 & 2). 18 The purpose of our visit was to determine the suitability of these lots to support on -site sewage disposal as is being contemplated for your exemption plat submittal. The percolation rates and soil profile data obtained on October 24, 1992, were within acceptable parameters to support on -site sewage disposal. However, further consideration must be given to the size and location of dwelling units on these lots in relation to the septic systems in order to maintain minimum setbacks, especially on the smaller lot. A more detailed assessment will occur when application is made to obtain the Individual Sewage Disposal.System (ISDS) permits. The ISDS permits need to precede any building permits as required by State law. If you have further questions regarding this correspondence, don't hesitate calling. Sincere_ _ y- -r yLL T_ Ra nd P . Merry , ,RE S En ironmental Heal Officer CC. ISDS Parcel #2109-061-00-018 ISDS Parcel #2109-061-00-002 OWNER: LEGAL DESCRIPTION: MAILING ADDRESS: PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. D SDS # C�2 TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO T'TMF. GAMPD nvnmv T*T/+WDO nv+ 'MTTT r %M_ 1 2 3 1 2 3 1 2 3 1 2 3 0 ' Y .-D b� 131104 2 �. i �.� ` l I �� �� a✓ I �0 �� - I ,, } i ! I lT� l / o�� o� 1 �.C� ��- ll! t 3 ;�, (` Z7, 3 ,5 ff,� ,ray i .� a , 3�5 5 � D! �s,3 i l 6 i v�a3,s ru �a3 ,, �� % % Sr 61 1 i I ' t�ai v �;7Sems) a Time to drop last inch PERC RATE: V� MINIMUM SEPTIC TANK MINIMUM LEACH FIELD SIZE:_ COMMENTS: 4 a_s 'd J,-e. S��- -t tom.}` w� l t rK SIZE• /Db(� � y IAM. 14 At I VA- \ PERC TEST DONE BY: If")_'_1 -a Environmental Health Officer r 1��, i 9� co s� l 3j s 77,44:77- l ` , 'Q , -17 f� 7 ff i a; r�c� �11 flh' II" �y u 6s, r�)b\ b CN M i" i 129.2-93 - Parcel #2109-06� .1-00-018 �� � � � � —, l 5 Lf Lf I - W �j t ��c�-LIE- OB NAME 15443 Hwy 6, eagle Oba MOORSM_ ���_ Q L JOB NO. ,000 JOB LOCATION S L4 q 1 -�A(-kJ 4:::- � I ILL TO " DATE STARTED DATE COMPLETED DATE BILLED S a ,M t t&Ac� r<:)D' �Oof P(Lor p6wC4 o ©q - Oro - Go -- O 18 JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLINQ PRICE NET PROFIT 000/ JOB FOLDER Product 277 QQ® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471, JOB FOLDER Printed in U.S.A. -7:z �f