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HomeMy WebLinkAbout3540 Hardscrabble Rd - 211120400024INDIVIDUAL 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. 1329 Please call for final inspection before covering any portion of installed system. OWNER: Felix Reynolds PHONE: 524-9525 MAILING ADDRESS: P.O. Box 291 city: Gypsum, State: CO Zip: 81637 APPLICANT: (same as above) PHONE: SYSTEM LOCATION: 3540 Hardscrabble Rd. TAX PARCEL NUMBER: 2111-204-00-024 LICENSED INSTALLER: T & T Excavating, Ted Reynolds LICENSE NO: 2 1 - 9 4 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED i 7 5 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 140 lineal feet of SB2 Or 10 infiltrator units. Install inGnPCHOT) nortA1S at the Pnd of Pgrh trench, and call and have a final insnertio ENVIRONMENTAL HEALTH APPROVAL: DATE: 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: 375 SQUARE FEET. INSTALLED SEPTIC TANK: 1000 GALLON 280 DEGREES 45 FEETFROM tale clean out 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: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT# CHECK# Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit #'�l-I 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 $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ************************************************************************** PROPERTY OWNER: MAILING ADDRESS: IJ 6 y )_ 7 / - PHONE: S d'l " ? 6-d J' APPLICANT/ CONTACT PERSON: / e / ( ( - eyy b as s PHONE: LICENSED SYSTEMS CONTRACTOR: CA V t �' � PHONE: 5 °) 4./� p 3 �s COMPANY/DBA: TO ADDRESS: PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION () REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: 0loiveS/LJc�ct'zt��,�rs,`��,%,��c4fe�j„��jr��rtlot $ecl"tbsJ L,)fioW4Sh,� Spu d_ RA,,9e, !fS es-T-dF-roe— �,y��o�i�T orr�j�-� 74te�v1 �. Tax Parcel Number: a /(( - 010 V- o a ,- o� Lot Size! 3 Acjr -e- Physical Address: L�t� /r�1Y�sc.1',+ e- Po I BUILDING TYPE: (Check applicable category) (� Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface ( Public Name of Supplier: tow-v es f G%/PSu of Bedrooms a of Bedrooms *These systems require design by a Registered Professional Engineer SIGNATURE: Date: AMOUNT PAID: l 0, yy RECEIPT # : 115 Z DATE: 4 e CHECK CASHIER: COMMUNITY DEVLOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO June 16, 1994 Felix Reynolds P.O. Box 291 Gypsum, CO 81637 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Final of ISDS Permit No. 1329-94 Parcel #2111-204-00-024 Property located at: 3540 Hardscrabble Rd. Dear Mr. Reynolds, 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, Shannon Garton Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit cc: files COMMUNITY DEVLOPMENT DEPARTMENT (303)328-8730 DATE: TO: FROM: EAGLE COUNTY, COLORADO May 12, 1994 T & T Excavating Environmental Health Division 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Issuance of Individual Sewage Disposal System Permit No.1329, Tax Parcel # 2111-204-00-024 Property Located at: 3540 Hardscrabble Rd. Gypsum Enlosed is your ISDS Permit No. 1329 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 Shannon Garton or Laura Fawcett at 328-8755. cc: files ISDS PERMIT ;;'___��` PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: 1,&A i LEGAL DESCRIPTION:aU(P,i MAILING ADDRESS: TYPE OF DWELLING:C� �Cf NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: // �c/�� NO ;//JA_ An ■ei�ii�a�e�si =1590MI-Me VIER-= NMI MMI MM-7 Time to drop last inch PERC RATE: % m (p „Y,, MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: v COMMENTS: n • v PERC TEST DONE BY: DATE: vi onmental Health Officer rev. 6/90ks �`�2�'�.�Z AN90000,00W 219.68� AL Pope Y' ke e, 4W �?h �'r r N4e- W o OAC A 5 k h'q � ,vim 3 Box a� JOB NAME _ 1329-94 - Parcel #2111-204-00-024 3540 Har(#rabble Rd., Gypsum REYNOLDS JOB NO., JOB LOCATION _ BILL TO DATE STARTED DATE COMPLETED DATE BILLED ' 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 278 Q(D NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. -7 75 SI S -f 'po Cb