HomeMy WebLinkAbout16350 Frying Pan Rd - 247106401001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAQLE 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. 1342
Please call for final inspection before covering any portion of installed system.
OWNER: Colleen Gibbons & Robert Olson PHONE: 925-7494(he) or 9256700(she
MAILING ADDRESS: P.O. BOX 10615 city: Aspen State: CO Zlp: 81612
APPLICANT: saTRe as above PHONE: 925-7494
SYSTEM LOCATION: WE1/4SE1/4 Sec. 6, T.8s, R. 84W TAX PARCEL NUMBER: 2471-064-00-015
LICENSED INSTALLER: Rick Bertolini LICENSE NO:_—q=f
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 1500 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 4 Trenches With 10 Infiltrator units per trench or 500 feet of SB2. Install
inspection portals at the end of each trench. Call for inspection pr_or to backfilling.
n 9
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: 1 500 SQUARE FEET. via 40 infiltrator units.
INSTALLED SEPTIC TANK: 1 95(1 GALLON 180 DEGREES 45 FEET FROM south side of house
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY —K-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: 1
011-3 74
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)
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ISDS Permit # / 19-
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"
************************/*******�O**/****�*j***********************************
PROPERTY OWNER:LZIleee e /lX�6x `-14je_t-f U/ X_
MAILING ADDRESS: ! , < , &� ,
APPLICANT/CONTACT PERSON:
LICENSED SYSTEMS CONTRACTOR: �(". ,S,,,/, ,/,/"
/L
PHONE :
PHONE: f1v76Q a
PHONE: �7
COMPANY/DBA: ADDRESS:
***************************************************************************
PERMIT APPLICATION IS FOR: (96 NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Tax Parcel Number: jXY10,�401 - Lot Size:
Physical Address:
BUILDING TYPE: (Check Applicable category)
OPQ Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
(gy Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
Number of Bedrooms Ow&
Number of Bedrooms
Type
*These syste require de y a gistered Professional Eng'ne r
SIGNATURE: Date:
AMOUNT PAID : f=%�� j RECEIPT # : DATE:
CHECK #: CASHIER:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
DATE: August 11, 1994
TO: Rick Bertolini
FROM: 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. 1342-94 tax Parcel # 2471-064-00-015
Property Located at: NE1/4SE1/4 Sec. 6, T.8S,
R.84W.
Enclosed is your ISDS Permit No. 1342 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 the
Environmental Health Division at 328-8755.
cc: files
COMMUNITY DEVLOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
DATE:AP it 26, 1994
Gibbons./Olson Tax Parcel #2471-064-00-015
Frying Pan Road, Basalt
Dear I.S.D.S. Applicant:
Your application for an Individual Sewage Disposal System
(ISDS) Permit for #1342-94 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
X Other:scheduling a percolation test & Soil profile
examination.
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 #1342-94.
Please submit information to:
Eagle County
Environmental Health Division
P.O. Box 179
500 Broadway
Eagle, CO 81631
1SUS PERMIT`-t
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: Cc� I �LC�1 i ��I�/7�1 �" �1� i�►-f �SC;11
LEGAL DESCRIPTION: 4 S I: -:: I 11 ` J P (_ h itv l l
MAILING ADDRESS:
TYPE OF
DWELLING:
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TEST HOLES PRE-SOAKED: YES /I'<— NO -
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Time to drop last inch �; 5 m; h /i n
PERC RATE: MINIMUM SEPTIC TANK SIZE: � 10 00 Q �`
MINIMUM LEACH FIELD SIZE 1500. 1_2-
COMMENTS : 3 (jQ S i n h -Ho k o O-� ia75 a GI 6 . q5
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PERC TEST DONE BY:
DATE_ :
Environmental Health Officer
rev. 6/90ks
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WARRANTY DEED
THIS DEED, Made this 1&4k day of August, 1993, between FREDERIC
MICHAEL McLAUGHLIN of the County of and State of
t`lorado, grantor, and COLLEEN GIBBONS whose legal address is P.O. Box
* 1298, Aspen, Colorado 81612 of the County of PITKIN and State of
Colorado, grantee:
WITNESSETH, That the grantor for and in consideration of the sum of
EIGHTY ONE THOUSAND FIVE HUNDRED AND NO/100***($81,500.00)**, the
receipt and sufficiency of which is hereby acknowledged, has granted,
bargained, sold and conveyed, and by these.presents does grant,
bargain, sell, convey and confirm, unto the grantee, his heirs and
assigns forever, all the real property together with improvements, if
any, situate, lying and being in County of EAGLE and State of Colorado
described as
i
The NE1/4SE1/4 of Section 6, Township 8 South,
Range 84 West of the 6th P.M. -
EXCEPTING THEREFROM all that portion contained in DD/J
on Declaration of Taking United States of America recorded December 7, 1965 in Book 187 at Page 453
No. 102687.
as kno��n �1,r s-�c��,t ^nr7 »timhcr ac • t.�..^,.+ ...a
TOGETHER with all and singular the hereditaments and appurtenances
thereto belonging, or in anywise appertaining, and the reversion and
reversions, remainder and remainders, rents, issues and profits
thereof, and all the estate, right, title, interest, claim and demand
whatsoever of the -grantor, either in law or equity, of in and to the
above bargained premises, with the hereditaments and appurtenances.
TO HAVE AND TO HOLD the said premises above bargained and described,
with the appurtenances, unto the grantee, his heirs and assigns
r-{
forever. And the grantor,' for himself, his heirs, and personal
tyi
representatives, does covenant, grant, bargain, and agree to and with (7)
the grantee, his heirs and assigns, that at the time of the
ensealing and delivery of these presents, he is well seized of the
premises above conveyed, has good, sure, perfect, absolute and
indefeasible estate of inheritance, in law, in fee simple, and has
good right, full power and lawful authority to grant, bargain, sell
and convey the same in manner and form as aforesaid, and that the
same are free and clear from all former and other grants, bargains,
sales, liens, taxes, assessments, encumbrances and restrictions of.
whatever kind or nature soever, except
Those matters set forth in Exhibit A attached hereto and made a
part hereof.
The grantor shall and will WARRANT AND FOREVER DEFEND the
above -bargained premises in the quiet and peaceable possession of the
grantee, his heirs and assigns, against all and every person or
persons lawfully claiming the whole or any part thereof. The
singular number shall include the plural, the plural the singular,
and the use of any gender shall be applicable to all genders.
IN WITNESS WHEREOF, the grantor has executed this deed on the date set
forth above.
Frederic Michael. McLaugYi in
State of eol0?Ql,b )
ss
County ofp )
�:.
The foregoing instrument was
1 McLaughin.
xpires q -/ U
acknowledged before me this l6�f August, 1993 by
1997 , Witness my hand and official seal.
6
Notary Pub1i
Inc. - 93009336 011r,
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Stewart Title of Eagle County,
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95
1342-94 - Parcel #2471-064-00-015
Frying Pan Rd C r
Y g GIBBONS OLSON � � ''
JOB NAME j , 1-
- JOB NO.�._.__
10o1f)Ft LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
1 I G1_ �A,:)CkIq
'(-,:Ar VQA)v 6 to
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n8- 9-- . jq4 Due
JOB COST SUMMARY
J
TOTAL SELLING PRICE
1
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
10 OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 JW�m— pp NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER
Printed in U.S.A.
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