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HomeMy WebLinkAbout15396 Eby Creek Rd - 193919400048INDIVIDUAL 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. 1295 Please call for final inspection before covering any portion of installed system. OWNER: A11an & Mary MacRoss: a PHONE- 845-7725 MAILING ADDRESS: P.O. Box 2017 C;ry: Avon Stoma: CO ZIP: 81620 APPLICANT: Larry McKinZie PHONE: 328-6506 SYSTEM LOCATION: 1539 Eby Creek Rd., Eagle TAX PARCEL NUMBER: 1939-194-00-048 LICENSED INSTALLER: �u a u�lC �kosL'Y�eKNL�INX, XX��k John Seipel LICENSE NO: 23-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 570 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 16 infiltrator units as per owners request. Install inspection portals at the end of each trench Call for a final inspection prior to backfill_ing. `9 ENVIRONMENTAL HEALTH APPROVAL: i� `� DATE: / C CONDITIONS: v 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: / /� SQUARE FEET. v; A INSTALLED SEPTIC TANK: /000 0 GALLON 6 0 DEGREES 7 I /3`..K-ET FROM d ids i4je &44- 6, l •2{1 1 0^41 40l SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY /Y YES —NO COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: X1- 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: 3 7 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 # - P) 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.t PROPERTY OWNER : LL 74-' MAR-4 . L b u I S e, M a r L C C I P. MAILING ADDRESS: p K AZA I A �� � g 116 2-0 PHONE APPLICANT/CONTACT PERSON: LA12p%l Mr Ic1Al 7 hP_ punwr• � -3 ri— LICENSED SYSTEMS CONTRACTOR: 1-- W • Y, L �S C+ ,.1' T!U {y ADDRESS: I� B D]� SOz f AG IP, CAD PHONE PERMIT APPLICATION IS FOR: r� NEW INSTALLATION ( ) ALTERATION ( ) REPAI LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Parcel Number:_ Lot size: J� ncL Physical Address: BUILDING TYPE: (Check applicable category) (kj Residential / Single Family Number ( ) Residential / Multi -Family* Number ( ) Commercial / Industrial* Type_ TYPE OF WATER SUPPLY: of Bedrooms of Bedrooms M Well K. 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 01PAYABLE TO: "EAGLE COUNTY TREASURER" SIGNATURE: / DATE: AMOUNT PAID: RECEIPT# DATE:_ CHECK #g CASHIER: COMMUNITY DEVLOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO March 18, 1994 Allen and Mary MacRossie P. O. Box 2017 Avon, CO 81620 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Final of ISDS Permit No.1295-94 Parcel #1939-194-00-048 Property located at: 1539 Eby Creek Rd., Eagle Dear Mr. & Mrs. MacRossie, 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. Sincerel Raym P. �e ry, REHS Env ronmen{�aL1_Hea ger ENCL: Information Brochure Final ISDS Permit COMMUNITY DEVLOPMENT DEPARTMENT (303)328-8730 DATE: TO: FROM: RE: 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX: (303) 328-7185 EAGLE COUNTY, COLORADO March 17, 1994 John Seipel Construction Environmental Health Division Issuance of Individual Sewage Disposal System Permit No.1295, Tax Parcel # 1939-194-00-048 Property Located at: 1539 Eby Creek Rd., Eagle Enclosed is your ISDS Permit No. 1295 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. 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 Tania M. Busch -Weak at 328-8755. cc: files ISDS PERMIT PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. IT OWNER: LEGAL DESCRIPTION: 4a,� 6e � / '� a MAILING ADDRESS: TYPE OF DWELLING: �� NUMBER OF BEDROOMS (;- �r�r�r�r�r*�r�r�r*�.�r�r�r�r�r�r TEST HOLES PRE-SOAKED: YES NO -1-.Lr z WATER DEPTH INCHES OF FALL RATE SOIL P OFILI 1 2 3 1 2 3 1 2 3 1 2 3 1'0' "' Lyo y l y y1 . 5b aD 3' Qv "o �f � �� Jar �� . a5 . ► � ,' " b o / / Time to drop last inch PERC RATE: 11440 MINIMUM SEPTIC TANK SIZE: _75n 9�L_C MINIMUM LEACH FIEL,D� ; SIZE: vs-lu �A COMMENTS�j r1►'__-_._.. by�,QQ_rj i- - rev. o/7ulcs 5 10 o. u_r%, Z CaAk_ 0-k I Acv 1(.Q w THE MCKINZIE GROUP T7�,k I A. JE5u�i-� P:O. Box 929'• Eagle, Colorado 81631 (::'�r�- 303 328 6506 I�� 5 �, � �-� G� . U. NT �C�. �� P� 1�l �-"j'-" (t�t� � ,�W ►;J I�l out.-� TgAw I--e `(ouotz 1295-93 - Parcel. #1939-194-00-048 JOB NAME _ 1539 Eby Creek Rd. MACROSSIE JOB NO. JOB LOCATION BILL TO e DATE STARTED DATE COMPLETED DATE BILLED i o a 5 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 277 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. 3/�Q�/yy l !s3 q Fhy�,E ,P� 69�i i-c /�Ois12, X,9&�