HomeMy WebLinkAbout270 Beacon Rd - 211106407007INDIVIDUAL 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. 1363
Please call for final inspection before covering any portion of installed system.
OWNER:_ TerrV Te & Tani rle Faulkner PHONE: 524-7171
MAILING ADDRESS: P.O. ROX 1393 city: Eagle State: CO ` Zip: 81631
APPLICANT: sane as aboiTe PHONE: 328-5211
SYSTEMLOCATION: 270 Beacon RD. TAX PARCEL NUMBER: 2111-064-07-007
LICENSED INSTALLER: Merle Hobbs LICENSE NO: 20-94
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 854 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 23 infiltrator units. Be sure to install inspection portals at the end Of
each trench and don't backfill until the final inspection has been. done.
ENVIRONMENTAL HEALTH APPROVAL: DATE: ✓ G
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: 854 SQUARE FEET.
INSTALLED SEPTIC TANK: 1000 GALLON 20 DEGREES 12 FEETFROM N.E. facing corner of the house.
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
1PPLICANT / AGENT:
OWNER:
'ERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
Int;omplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit. #
Building Permit #
l`3Lv5
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 PAYABLEI:'�O: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: c 2 L aO
MAILING ADDRESS: U PHONE: y
APPLICANT/ CONTACT PERSON: Ue (t \ w V_ PHONE:
LICENSED SYSTEMS CONTRACTOR: y"` 2k-\ 0 �� PHONE: o
COMPANY/DBA: ADDRESS:
PERMIT APPLICATION IS FOR: K NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Tax Parcel Number:
Physical Address:
BUILDING TYPE:. .(Check applicable category)
Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) S reface
Public Name of Supplier: ,Owy\_ n_�
Number of Bedrooms
Number of Bedrooms
Type
*These systems a 're des'by a Registered Professional E gi eer
SIGNATURE: Date: B �{
*************************************************************** ***********
AMOUNT PAID: C RECEIPT DATE: �/ I
CHECK CASHIER:
COMMUNITY DEVLOPMENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
June 16, 1994
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
Tex and LaVerle Faulkner
P.O. Box 1383
Eagle, CO 81631
RE: Final of ISDS Permit No. 1363-94 Parcel #2111-064-07-007
Property located at: 270 Beacon Rd, Gypsum
Dear Mr. and Mrs. Faulkner
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,
5:nnon arton
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
cc: files
COMMUNITY DEVLOPMENi
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
DATE: May 19, 1994
TO: Hobbs Excavation
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System
Permit No.1363, Tax Parcel # 2111-064-07-007
Property Located at: Lot 13 Bertroch Sub.
Enclosed is your ISDS Permit No. 1363 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 Shannua
Garton or Laura Fawcett at 328-8755.
cc: files
ISDS PERMIT
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: Gry-L
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TYPE OF DWELLING: i r1 I PC( t'j j .1 " NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO nd
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PERC RATE:.rn;n /,,MINIMUM SEPTIC TANK SIZE: 1000
MI IMUM LEACH F3ELD SIZE: 954
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DATE STARTED
DATE COMPLETED
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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
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NET PROFIT
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