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HomeMy WebLinkAbout15280 Hwy 6 Lot 1 - 210906201011EAGLE k JNTY DEPARTMENT OF ENVIRONM' TAL HEALTH ERMIT Mu°:iT BE POSTED ON LOCATION Box 811 6th & Broadway CALL FOR FINAL INSPECTION BEFORE Eagle, Colorado $(63I,_ COVERING ANY PORTION OF THE INSTALLED SYSTEM PERMIT N• � 442 (this does not constitute a building or use permit) Owner JAMES A. FITZSIMMONS (for Mobile Home Park (Fitzsimmons Subdivision) System Location 21� mi west of Eagle on the south side of Highway 6 "�_z7 P- "e'- Licensed 0ummrx Installer: * Conditional Construction approval is hereby granted for a xx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: gallon MINIMUM REQUIREMENTS: Five 1,000 gallon tanks Five 600 sq. ft. leach field! Perc rate 1 inches in i n--20 minutes tinn sq. ft. x 5 (one for each unit) absorption area per bedroom 200 sq. ft. # of bedrooms x May we suggest Date June 30, 1980 FINAL APPROVAL OF SYSTEM: sq. ft. minimum requirement Inspector Erik W. Edeen No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. 017- -/o rav Pi— ?/r,, tic Tank cleanout to within 12" of final grade or aerated access ports above grade. 2�roper materials and assembly. ZAdequate absorption (or dispersal) area. Adequate compliance with permit requirements. / tea- /j /'; 4" Adequate compliance with County and State regulations/requirements. Date — Z� `— �a Inspector c RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 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 structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.&requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or 1... al. PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FEES ' 328-7311 949-5257 927-3823 ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE _ $75 PERCOLATION TEST FEE = $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NAME OF OWNER: y_T4 ,, 1, S 4 - S las n, o r ADDRESS: e� -Tr) k—i2o a.l��/06 2'/ C s7 PHONE: NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADDRESS: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: �h,Fs /�. ��,I-zs/Y,-,.6N'V ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( i� New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County I C - - I 7Z Lot Size'ee-e_-yz!-< City or Town, LEGAL DESCRIPTION: if within City or Town Limits Sc STREET (RURAL) ADDRESS: IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( ) Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( ) Residential - Single-family dwelling ( ) Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex Commercial - State usage m o b/cam /�a n, c 10,E yK # Persons # Bedrooms WASTE TYPES: (Check all applicable) ( Commercial or Institutional ( ✓f Dwelling ( ) Garbage Grinder ( ) Non -domestic wastes ( ) Transient Use ( ) Dishwasher ( ) Other ( ) Automatic Masher SOURCE AND TYPE OF 14ATER SUPPLY: ( 4 Well ( ) Spring Give depth of all wells within 200 feet of the system: If supplied by community water, give name of supplier: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( Septic Tank ( ) Aeration Plant ( ) ( ) Vault Privy ( ) Composting Toilet ( ) ( Pit Privy ( ) Incineration Toilet ( ) ( ) Greywater ( ) Other ( ) Creek or Stream Chemical Toilet Recycling, Potable Use Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes ( No Signature 41 D a t rA * * * * * -K * * * * * * * * * * * * * * * * * * * * * * * * * INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER 2 GROUND CONDITIONS: Percent Ground Slope: SYO Depth to Bedrock (per 8' Profile Hole): _� Ap " Depth to Groundwater Table: SOIL PERCOLATION TEST RESULTS: KiMinutes per inch in Hole No. 1 Q Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 FINAL DISPOSAL BY: ( 4/Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( Underground Dispersal ( ) Wastewater Pond ( Other \v REPAIR PERMIT APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS A permit fee of $75. shall be charged for alteration, enlargement, or any repair involving alteration of an existing sewage disposal system. This fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $50 shall be charged for all new leach fields on repair permits. Percolation testing may be waived at the discretion of the Environmental Health Officer on certain repair cases where prompt action must be taken to prevent al ealth hazard. IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, A NEW SYSTEM SHALL BE INSTALLED, COMPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEM/MALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM WAS INSTALLED PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT: SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: OWNER OF SYSTEM: ADDRESS: APPLICANT: ADDRESS: DATE: EAGLE � JNTY DEPARTMENT OF ENVIRONM' TAL HEALTH RMIT MUST BE POSTED ON LOCATI.ON Box 811 6th & Broadway CALL FOR FINAL INSPECTION BEFORE Eagle, Colorado 81631 COVERING ANY PORTION OF THE INSTALLED SYSTEM PERMIT N0 442 (this does not constitute • a building or use permit) Owner JAMES A. FITZSIMMONS (for Mobile Home Park (Fitzsimmons Subdivision) System Location 23,� mi west of Eagle on the south side of Highway 6��— �®2/ Licensed CaMWf Ins * Conditional Construction approval is hereby granted for a xx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: gallon MINIMUM REQUIREMENTS: Five 1,000 gallon tanks Five 600 sq. ft. leach field, Perc rate 1 inches in i n--2D minutes ron sq. ft. x 5 (one for each unit) absorption area per bedroom 200 scq. ft. # of bedrooms x sq. ft. minimum requirement May we suggest Date June 30, 1980 Inspector Erik W. Edeen FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. O!T 7c) rov„� tic Tank cleanout to within 12" of final grade or aerated access ports above grade. roper materials and assembly. Adequate absorption (or dispersal) area. equate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Dated `— r�aC G� Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE * CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 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 structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.&requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or both. PERCOLATION TEST FEE: $50 OWNER: If LEGAL DESCRIPTION: RURAL ADDRESS: C s��/7 }j TYPE OF DWELLING: �� f� /`--' DATE OF TEST: 6; — 2 T — 6-0 TEST HOLES PRESOAKED: YES NO APPLICATION NO. c✓ L'�c r jar # OF BEDROOMS: TYPE OF SOIL: ��--- TIME � WATER DEPTH INCHES OF FALL RATE. 2 3 1 2 3 1 2 3 j l 2 3 _1 /0!/Z /v/'ts - I to d r j4 I ,344 1y ! Zp 26 PERCOLATION RATE: �� Z(r% ��� TANK SIZE: � ('>Q� G/!t 4", SQUARE FOOTAGE PER BEDROOM: LEACH FIELD SIZE: Site has been reviewed and tested for percolation rate. We recommend: APPROVAL x DISAPPROVAL DATE: ZLf O� 7, !? % EAGLE COUNTY ENVIRON:!ENTAL HEALTH OFFICER PERCOLATION TEST FEE: $50 'y APPLICATION NO. .1 zee - OWNER: LEGAL DESCRIPTION: RURAL ADDRESS: / J` C f/ , �%/'c� �� 1 ✓, �� GLI TYPE OF DUELLING: / , /4 # OF BEDROOMS: ~ �� DATE OF TEST: (p T �(/ TYPE OF SOIL: TEST HOLES PRESOAKED: YES NO TIME WATER DEPTH I i INCHES OF FALL RATE- 1 2 3 1 2 3 d ' r3 f 3,,� / � ' /z 3Z l ib ; �� �� / < <F 16 -5 - R PERCOLATION RATE: �Q �Z[� n�� TANK SIZE: SQUARE FOOTAGE PER BEDROOM: LEACH FIELD SIZE: Site has been reviewed and tested for percolation rate. G?e recommend: APPROVAL x DISAPPROVAL DATE: --Z Lt 7-60 4s4i,/ EAGLE COUNTY ENV IRO` fENTAL HEALTH OFFICER �,cp - ai oq- 06,�D/003 B'& R Septic Service, Inc. Rooter & Jetting Service Video Inspection Service 0603 Handy Drive Carbondale, CO 81623 Bill To Travor Dunsdon Box 4994 Eagle, CO 81631 Invoice Date Invoice # 2/12/2009 10256 P.O. No. Terms Project Due on receipt Quantity Description Rate Amount 1,000 Pump septic tank Dump Fee Sales Tax 0.00 0.15 4.90% 0.00 150.00 0.00 Thank you for your business. Carbondale 970 963-3814 Aspen Fax Tote! $150.00 970 920-2059 970 963-6070 To Whom it May Concern: December 4, 2013 This letter is to confirm that Travor Dunsdon will be placing a double wide modular at 15280 Highway 6 #3 in Corky's West MHP. Travor Dunsdon will be connecting from the modular DWV to the existing septic stub. There is no further work that is planned or intended. �;�e�vV2013 Travor Dunsdon 5 ,'I e- AAA C-0 We G + IV\ y C-rrQ�-*- 1->r, i" DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX: (970) 328-8788 TOLL FREE: 800-225-6136 www.eaglecounty.us P.O. Box 179 500 Broadway Eagle, CO 81631 www.eaglecounty.us EAGLE COUNTY PERMIT APPLICATION FOR ONSITE WASTEWATER TREATMENT SYSTEM OWTS PERMIT # BUILDING PERMIT # INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED) FEESCHEDULE APPLICATION FEE $800.00 MAJOR REPAIR FEE $800.00 MINOR REPAIR FEE $400.00 This fee includes the OWTS Permit, Site Evaluation (Percolation Test, or Soil Profile Observation) and Final Inspection. Additional fees may be charged if a re -inspection is necessary, or a pre -construction site visit or consultation is needed. The re -inspection fee is $135.00 Makes all remittance payable to: Eagle County Treasurer. Property Owner: t `�i Mln C rucS Phone: 7C� �2 L f , Mailing Address: _" AW bydi (Ut lid �6)&3% email / Registered Professional Engineer: Phone: D q�7o Applicant or Contact Person: L y ''a U f C t t1 C9 fl Phone: Licensed Systems Contractor: I _ cxy e r I t tV�&19 A License # �T-6 " /3 Company / DBA: �l��S f i?d i cv f✓,ic,P 5 Phone: �F70 — V 71 — 62 . Mailing Address: r` Cat N-30 X `7 qq email /V/4 Permit Application is for: New Installation _)�_ Alteration Repair Location of Proposed Onsite Wastewater Treatment System: Legal Description: Tax Parcel Number: 210 61a 6 20 i oo Lot Size: Assessor's Link: www.eaglecounty.us/patiie/ Physical Address: 1�5� j�C7 Build in Type: -X Residential / Single Family Number of Bedrooms: ^,r Residential / Multi Family Number of Bedrooms: 1j, Commercial / Industrial* Type of Use: 4 �" *These systems require design my a Registered Professional Engineer b � Type of Water Supply: _X Private Well Spring Surface Public If Public Name of Supplier: Applicant Signature: ************************************************************************************* Office Use Only Amount Paid: Receipt #: Check #: Date: gg - 0o - of - oil F EAaEcouNTY Eagle County OWTS Systems Cleaners Reporting Form NOTE: Required to be suba tedto ETMromnental Health within 10 days of cleaning an OWTS>system Systems Cleaner Company �/T 7 �� License Number Email Address /r/�T `U(°� ��� <'/�Zli�� C�l�! Phone 7/ Service Technician 7;:41t►r Aws C4- Phone OF70'yw-,�Z?z Tax Parcel# 2)0'7'-O&Z-mil-CaZAddressof5ervice 16ZZO A�-. Person Requesting Service 1i/y4� VEf�Z Phone Propertyowner (�F, V`T� �:M��tiS Phone i_cl dZ 7 - 333 Septic System Permit Number. l / y Tank 5ize 0090 Date of service 2 3 - Z ©{ $ Tank Material _ �� G/s✓y, Sewage Disposal Site General Condition and Functionality of the System lit/S �1 4Ae,4n.L,4 'g� Recommended Repairs Site sketch showing i (Photos Encouraged) the septic tank 24 `;) /9' ZIs J -j-e---w ` c-- :;� - measured froin at least 2 fixed points r Signed Date - Z -2/� • I � qj O o h 3 Q Q1 • w OJ h i c N ti Ln h j Cf) O tur ob W _.ii •� ZZ CP Q ' J .0 w p ' r coo �. 1 S .v 0 4 m 1 L� 7-09-.4-, .3 m 29 ;�7 7 2 0 a v� C6 All) Qs� �, Qt, zz. I/ JOB NAME,.(=, JOB 'NO. . JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED L ����-r w� Os� �a �' s 5 N1,/ LO w -1 L4a, , -��c o \ - I l -- �\-v z S 1-m �m t P,4� �cS 0.C�e- t coc C-+4 W L l� S-e�v e I a<<�-©m-cc�-©k JOB COST SUMMARY j C) l _ flQ _ Q ' TOTAL SELLING PRICE 01i _ Q' _ �Q�r" TOTAL MATERIAL a-I09 - C1- ©c - �� - iL l L%K�. Gy vL L LLi liL�G (_. PERMIT #442 OWNER: James A. Fitzsimmons LOCATION: 22 miles west of Eagle on south side of Highway (mobile home park) INSTALLER: SIZE OF TANK: five - 1,000 gallons tanks DWELLING: For Commercial use - mobile home spaces (5) PERC RATE: one inch/10-20 minutes (600 sq.ft.) 600 sq.ft. x 5 = 3000 sq.ft. JOB FOLDER Product 278 NEW ENGLAND BUSINESS SERVICE, INC., CROTON, MA 01471 JOB Final i zed: 8-25-80 ©rpa 01 oil 11 By: Erik Edeen INDIVIDUAL 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. 1336 Please call for final inspection before covering any portion of installed system. 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) Zo �:V-yL� ISDS Permit # is Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. 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: �� � �,PHONE: 3� St 7! a? APPLICANT/CONTACT PERSON: d cwn ezcs sx?o S 0-7l> PHONE: 3,8, &,;� a LICENSED SYSTEMS CONTRACTOR: PHONE: COMPANY/DBA: ADDRESS: PERMIT APPLICATION IS FOR: ( NEW INSTALLATION (� ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Cori Legal Description: I� i fZS ( Al VXNk 5`` c�t,U i�s2 zlln1. Tax Parcel Number: ^b c) 001 Lot Size: Physical Address: ./2-25D fftwy , (P f / BUILDING TYPE: (Check applicable category) 4 (Residential/Single Family Number of BE ms ( ) Residential/Multi-Family* Number of Bms ( ) Commercial/Industrial* Type /e TYPE OFWATER SUPPLY: (Check applicable category) (ell ( ) Spring ( ) Surface ( ) Public Name of Supplier: *These systems require design by a Registered Professional Engineer SIGNATURE: &AC.AIL=2�� Date: - � - ************************************************************************* AMOUNT PAID: RECEIPT DATE: `7,Iy �q� CHECK CASHIER: 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 April 26, 1994 T & T Excavating Environmental Health Division Issuance of Individual Sewage Disposal System Permit No.1336, Tax Parcel # 2109-062-01-001 Property Located at: 15280 Hwy. 6, Eagle Enclosed is your ISDS Permit No. 1336 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 COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO December 2, 1994 Thomas Desposato P.O. Box 914 Eagle, CO 81631 Dear Applicant, 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 The Environmental Health Division would like to notify you to make a formal request to extend your Individual Sewage Disposal System(ISDS) Permit #1336-94 into the 1995 construction year. The Environmental Health Division discontinued percolation tests on November 15, 1994 and final inspections on December 2, 1994 due to climatic conditions. ISDS permits are active for 120 days after the date of issue if no Building Permit has been issued for the same property. If a Building Permit has been issued for the same property the ISDS will expire at the same time as the building permit. If you still plan to apply for a Building Permit this year or in the early months of 1995 you will need to have a percolation test conducted before your Building Permit will be released. You will have to contact a Registered Professional Engineering(RPE) firm to conduct your percolation test. If you have had your permit issued and have not had your final inspection completed, but plan on constructing the system in the next few weeks, please give our office a call and we will evaluate your permit on a case by case situation. Please give the Environmental Health office a call at 328-8755, if you have any questions regarding your permit extension process. cc: ISDS Permit #1336-94 File Community Development Department (970) 328.8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: December 3, 1997 TO: ISDS Permit Holders FROM: Eagle County Environmental Health Division RE: Incomplete ISDS System Files Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 The Eagle County Environmental Health Division is in the process of updating our Individual Sewage Disposal System (ISDS) files in order to identify systems that may, or may not have been completed. The status of your septic system may affect the sale, refinancing, or Certificate of Occupancy (CO) of your property. For these reason we are attempting to update all incomplete files. Our records indicate that your Individual Sewage Disposal System (ISDS) Permit 1�r property located at IQ-0 (W V L 1 6� , has been issued, but has not received final approval. For buildings currently under construction, your CO will not be issued without the Environmental Health Division's approval of your septic system. For systems already in operation, our records indicate that we need additional information submitted to our office for us to recognize and approve your system: Engineer final certification if your system was designed by a Registered Professional Engineer. Engineer final certification if your system is in operation, but was never inspected by the Environmental Health Division for proper installation and compliance. Environmental Health final inspection if your system did not require an engineer design, and has not yet been covered. These systems must be installed by Dec. 1, 1997, or you may need engineer certification for your CO if you plan on moving into your home this winter. Follow-up photographs of the installation from the property owner or installer for the following items: septic tank inlet/outlet "T" septic tank placement and/or .location relative to permanent landmarks installation of riser rings on septic tank to bring tank within 8" of finished grade clean outs/inspection ports in sewer lines, effluent lines or absorption areas sewer line connection to dwelling showing the clean out sewer line connection to leach field - Minor changes required to the leach field, such as replaced chambers, raked soils, . etc... Detailed, scaled as -built site plan of system component location's and dimensions showing set backs. X_ Receipts verifying materials installed. Please be assured that Eagle County Environmental Health has your best interests in mind with regards to this matter. It is our intent to verify that septic systems in Eagle County are in compliance, for the sake of protecting your property, and our groundwater resources that may be affected by Individual Sewage Disposal Systems. We intend to use this survey as a means of updating our files and assuring compliance. If you have any questions regarding the status of your ISDS permit file please call 970-328-8755. Please address all correspondence to: Eagle County Environmental Health P.O. Box 179 Eagle, CO 81631. 2 COMMUNITY DEVLOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO April 15, 1994 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 Thomas Desposato Parcel #2109-062-01-001 15280,Hwy 6, Eagle Dear I.S.D.S. Applicant: Your application for an Individual Sewage Disposal System (ISDS) Permit for #1336-94 has been received. Issuance of your permit is on hold until the following materials or fee(s) are submitted. Payment of $150.00 Application Fee Payment of $200.00 Percolation Test Fee Site Plan X Licensed System Contractor (See attached list) Engineer Design Other: Please keep in mind that an incomplete ISDS permit application will result in delaying issuance of any corresponding building permits. If you have any questions please contact Tania Busch -Weak at, 328-8755. When calling or submitting information please reference your ISDS application #1336-94. Please submit information to: Eagle County Environmental.Health Division P.O. Box 179 500 Broadway Eagle, CO 81631 .WN■W mmm■ff ■EX■■ JENNE MENEM -iil■m 1336-94 - Parcel #2109-062-01-001 JOB NAME 15280 Hwy 6, Eagle DESPOSATO ��77 3 9 JOB NO. - JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED _ /2-3 A 7 JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIi TOTAL .LABOR — J INSURANC 5 SALES TA? M ISC. COSTS 1�Y, TOTAL G RC LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT .JOB FOLDER PrQduct 278 Qp NEW ENGL ANP BUSINESS SERVICE, ]NO., GROTON, MA 01471 mi Printed in U.S.A