HomeMy WebLinkAbout1162 McLaughlin Rd - 247106307010INDIVIDUAL 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. 1356
Please call for final inspection before covering any portion of installed system.
OWNER: Lanette Smith
PHONE:
MAILING ADDRESS: P.O. Box 3860 City: Aspen State: CO Zip: 81612
APPLICANT: Gary Moore PHONE: 925-5075
SYSTEM LOCATION: McLaughlin Rd. TAX PARCEL NUMBER: 2471-063-07-010
LICENSED INSTALLER: J.W. Construction LICENSE NO: 17-94
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
750 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 1000 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Use 340 lineal feet Of SB2 Or 27 infiltrator units. Be sure to install
inspection portals at the end of each trench, and do not backfill until final inspection_
has been done.
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: 1012.5 SQUARE FEET.
INSTALLED SEPTIC TANK: 1000 GALLON 142 DEGREES 2814t1 FEETFROM SE corner of east Wall.
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 APPR VAL: 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 #
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)
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* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* *
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
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PROPERTY OWNER: e-
MAILING ADDRESS: ��'� -4 0 PHONE:
APPLICANT/CONTACT PERSON: Co ��L-e- �1 �5 5 O ? /���?H6NE 7- 7
LICENSED SYSTEMS CONTRACTOR:PHONE:
COMPANY/DBA: ADDRESS:
PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description•
Tax Parcel Number: I- -09- t�Size: /
a O n /I A
Physical Address:
0-
0
BUILDING TYPE: (Check applicable category)
N Residential/Single Family Number of Bedrooms
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
Well ( ) Spring ( ) Surfpce
( ) Public- Name of Supplier: /1 lk_p , sto_� Ate-'
*These sys em r quire es' n by a Registered Professional Engineer
SIGNATURE : i Date
*********** ************************************************** ***********
AMOUNT PAID: 35�., RECEIPT #: o�� DATE:
CHECK #: fin! CASHIER:
ISDS PERMIT 1�
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
- e, Hr�
LEGAL DESCRIPTION: � (1,0 A �Ir,r�>no A F � � ,,I �
MAILING ADDRESS:�12
TYPE OF DWELLING- V<rC� NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES iL NO
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PERC RATE: MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE:
COMMENTS: �� - ( ( ! G '✓' Oki
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PERC TES DONE BY:
DATE:
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Envirdnirrdntal Health Officer
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1356--94 - Parcel #2471-063-07-010
JOB NAME IIIQG� McLaughlin Rd. SMITH
Ruedi Shores Lot 35 Filing 1
JOB NO.
JOB LOCATION
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DATE STARTED
DATE COMPLETED
DATE BILLED
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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
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P.O. BOX 1367 4
CARBONDALE, CO 81623 f
303-963-0757