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
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PERC RATE: 11440 MINIMUM SEPTIC TANK SIZE:
_75n 9�L_C
MINIMUM LEACH FIEL,D� ; SIZE: vs-lu �A
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THE MCKINZIE GROUP
T7�,k I A. JE5u�i-�
P:O. Box 929'•
Eagle, Colorado 81631
(::'�r�-
303 328 6506
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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.
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