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HomeMy WebLinkAbout720 Amherst Rd - 211120105003INDIVIDUAL 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. 1338 Please call for final inspection before covering any portion of installed system. OWNER: Sharon & Jose Rodriguez PHONE: 945-9444 MAILINGADDRESS: Suite 401, 23rd st. City: Glenwood Spgs. st.I.: Co Zip: 81602 APPLICANT: Edward Walters PHONE: 945-2851 SYSTEM LOCATION: Gypsum Creek Rd., Gypsum TAX PARCEL NUMBER: 2111-204-04-003 LICENSED INSTALLER: Walters Co./ Edward Walters LICENSE NO: 13-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1 000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 563 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Use 15 infiltrator units or 200 lineal feet of SB2 Install inspectionyorta ,, at the end of each trenchSchedule a final inspection before backfilling over the system. ENVIRONMENTAL HEALTH APPROVAL: DATE: O 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: 563 SQUAREFEET. via 15 infiltrators INSTALLED SEPTIC TANK: 1250 GALLON 110 DEGREES 30 FEET FROM east facing side of house SEPTIC TANK ACCESS TO WITHIN B" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY �_ 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: fir` DATE: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: PERMIT PERCOLATION TEST FEE OWNER: RECEIPT # CHECK# `lete Applications Will NOT Be Accepted ,ce Plan MUST be attached) ISDS Permit #oo 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"'T.0: "EAGLE COUNTY TREASURER" PROPERTY OWNER: \\®) a to. (A F-: MAILING ADDRESS: S a1n io go I. `2-�JaD �� I • � � fl `-'r APPLICANT/CONTACT PERSON: LICENSED SYSTEMS CONTRACTOR: 1 L3R1 l.U• COMPANY/DBA: l:U DDRESS: PERMIT APPLICATION IS -FOR: (v} NEW INSTALLATION PHONE: 1'11(4 F" 14 1.0 lo 0—im. ( ) ALTERATION ( ) RE OC, LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: ' or Legal Description: C Tax Parcel Number: UGtP. Physic Address: tUlt BUILDING YPE:. (Check applicable ( Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: ( Well ( ) ( ) Public Name *These system SIGNATURE: ************ �- i - � Lot Size: LH ACLi a ovvo� uft category) � b© Number of Bedrooms Number of Bedrooms Type (Check applicable category) Spring ( ) Aurface� of Supplier: ALa 1 Z AMOUNT PAID: ?L() . ac) ign * by a Registe ed Professional Engineer • Date RECEIPT #: DATE: CHECK #: CASHIER: COMMUNITY DEVLOPMENT DEPARTMENT (303) 328-8730 DATE: TO: FROM: EAGLE COUNTY, COLORADO June 2, 1994 Walters Co. 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. 1338, Tax Parcel # 2111-204-04-003 Property Located at: Lot C Coyote Subdivision, Gypsum Enclosed is your ISDS Permit No. 1338 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 I ISDS PERMIT ;. /333y PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: ''YOGI tri LEGAL DESCRIPTION 1 C PoWfc' kn vAc(l -SL) t MAILING ADDRESS :k %ra4i^�� Vlltlric5 S'�Y C% TYPE OF DWELLING:51 Lin/, NUMBER OF BEDROOMS J yryr��kye�r�lr�k�r�ryc�c�c�t�r�ryrYryr�r�c,�+�t�k��c*��Ir��r�C��y1r�k�7Y�k�yr��k�lc�lr�c�lr�k TEST HOLES PRE-SOAKED: YES j NO TTMF. "-AV T ww...— ■eie�a�e�sis��i 1 mm I WWII Time to drop last inch PERC RATE: MINIMUM SEPTIC TANK SIZE: [00 0 MINIMUM LEACH FIELD SIZE: 563 f 4 COMMENTS: Q �hll�IIn04q p /. t z a n d . A .�.rrn, �a � hoc, e-P;=� d Post-ItT" brand fax transmittal memo 7671 # of pages ► To Oe From Co. Co �p 7 Dept. Phone Fax# C�// lam/ Fax# i/i'1 i n " (e2•S X •'5 =IS in 5 PE: 201) s 2 n +r^e vN CK es- rbsfoan o -wr 3 b r . Co-75 Qal l" s X CQ� 3OQ a6r arec, 5 Z ILI� � r 1.2. b- rm at - 3C�2`�2 40 4:z-7 z I ussuffivassummi ME I�i�l D -JT 12Y rip w V.. � izer4l wlt --r,910 NORT 1338-94 - Parcel #2111-204-04-003 JOB NAME . Lot c coyote sub. RODRIGUEZ Gyosum Creek Rd. JOB NO. B LOCATION BILL TO � Q J DATE STARTED DATE COMPLETED J L _ 3 DATE BILLED c le,: 2 o S 23 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 ®p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 F JOB FOLDER J Printed in U.S.A. 44c)E -P