HomeMy WebLinkAbout405 Mosher Ln - 210923401005INDIVIDUAL 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. 1299
Please call for final inspection before covering any portion of installed system.
OWNER:
Ron Heinen PHONE: 328-1632
MAILING ADDRESS: P.O. BOX 58 cit, Eagle slate: CO Zip: 81631
APPLICANT: S^^ACCA PHONE:
SYSTEMLOCATION0qW Mosher Lane TAX PARCEL NUMBER: 2109-234-01-005
LICENSED INSTALLER: Ron Heinen LICENSE NO: 46-93
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 750 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Place inspection portals at the end of each trench.
Owner requested the calculation for infiltrator chambers - 20 chambers needed.
ENVIRONMENTAL HEALTH APPROV DATE: la
CONDITIONS:
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: 7� SQUARE FEET.
INSTALLED SEPTIC TANK: GALLON _ DEGREES S.3 i6 u P rFROM d44,,`I/
SEPTIC TANK ACCESS TO WITHIN W OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY YES _ NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: ,L YES _ NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS: This system is sized to accommodate an eventual four bedroom home.
ENVIRONMENTAL HEALTH APPROVAL: 4 DATE: 02
ENVIRONMENTAL HEALTH APPROVAL: DATE:
'---(: - SPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
ISDS Permit # / 35
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 $200.01
**************************************************************************
PROPERTY OWNER:
MAILING ADDRESS: /JCS. jc�-j;1� ' ! �'�Ji� C�qb HONE:
APPLICANT/CONTACT PERSON: SM_Ce PHONE:
LICENSED SYSTEMS CONTRACTOR: S,4r'v719— (* g
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: (->0 NEW INSTALLATION ( ) ALTERATION ( ) REPAIF
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: Zo LGF ,g
/ Parcel Number: '� af" ` �`3(f_-0� O�
Lot size:
Physical Address: 1v16-!5A<9,P,iC/�.
BUILDING TYPE: (Check
Residential /
( ) Residential /
( ) Commercial /
TYPE OF WATER SUPPLY:
r '-
applicable category) $I
Single Family Number of Bedrooms
Multi -Family* Number of Bedrooms
Industrial* Type
Well( ) . Spring ( ) Surface
Public P' 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: �``-!fie^ DATE
AMOUNT PAID: `` 2 � RECEIPT# rJ/ DATE:
CHECK # CASHIER:
k:OMMLINITY DEVELOPMENT
DEPARTMENT
(303) 32S.3730
EAGLE COUNTY, COLORADO
December 7, 1993
Ron Heinen
P.O. Box 58
Eagle, CO 81631
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO S 1631
FAX (303) 328-72.07
RE: Final of ISDS Permit No.1299-93, Parcel #2109-234-01-005
Property located at: 405 Mosher Lane, Ladybelle View
Subdivision.
Dear Ron,
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,
Raym d P. Merry, HS
Environmental Heal h Manager
ENCL: Information Brochure
Final ISDS Permit
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 32S-S',30
EAGLE COUNTY, COLORADO
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO S 1 b3 1
FAX (303) 325-7207
DATE: December 2, 1993
TO: Ron Heinen
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System
Permit No.1299, Tax Parcel #.2109-234-01-005
Property Located at: 405 Mosher Ln., Ladybelle
View Subdivision
Enclosed is your ISDS Permit No. 1299 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 ;; �2/ q!y
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: He I
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING: S'�,, CC. NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
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