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
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MMI
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Time to drop last inch
PERC RATE: % m (p „Y,, MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE: v
COMMENTS: n
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v
PERC TEST DONE BY:
DATE:
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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.
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