HomeMy WebLinkAbout325 Hardscrabble Rd - 211120405001INDIVIDUAL 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. 1365
Please call for final inspection before covering any portion of installed system.
OWNER: Ezra Harris PHONE: 524-9869
MAILING ADDRESS: P.O BOX 1051 city: Gypsum state: co ZIP: 81637
APPLICANT: Terry Harris PHONE: 524-7862
SYSTEMLOCATION: 0325 Hardscrabble Rd. TAX PARCEL NUMBER: 2111-204-00-018
LICENSED INSTALLER: Gerry Bemis LICENSE NO: 09-94
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 604 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 17 infiltrators or 220 feet of SB2. Install inspection portals at the
end of each trench. Call the county for a final inspection before backfilling.
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ENVIRONMENTAL HEALTH APPROVAL: 4,q DATE: L' r
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: 6 /-J SQUARE FEET. 19
INSTALLED SEPTIC TANK: IfOb GALLON f® DEGREES FEET FROM -S-4,9 A W CV-t er 34 Crete 094 lie-4—e -jL 7` z_
SEPTIC TANK ACCESS TO WITHIN W' OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY YES _ NO
COMPLIANCE WITH COUNTY/ STATE REQUIREMENTS: 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 APPROVA DATE:
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE•INSPECTI N IF NECESSARY)
APPLICANT / AGENT:
RETAIN WITH RECEIPT RECORDS
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)
**************************************************************************
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* *
* MAKE ALL REMITTANCE PAYABLE"IPO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER:
MAILING ADDRESS: _PQ �O�C \oS1 . G`-CPSitrn CO. 916-SPHONE: Say - 9$l��'
APPLICANT /CONTACT PERSON: E l2fZY S PHONE: S Lk -fie %2
LICENSED SYSTEMS CONTRACTOR: GA9-Y BP rms- PHONE: 8a8''1Q301
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COMPANY/DBA: �emis PLtum-ajrj&-t4eAT1ADDrrRESS: LEC2L2 . C ) i
PERMIT APPLICATION IS FOR: ()() NEW INSTALLATION ( ) ALTERATION () REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
A POiz-T�pN O-' 'Tg-AC i IO i ifQ Se-CTJOPJS aO R1N0 ,)z9 OF
Legal Description: __ t S. 2 SS Uj . (o-�'G1 P. M .
Tax Parcel Number: ;Z\k\ a0 00 Okg Lot Size: S.0 ACE'S
Physical Address: 032S QSCq-P e e ia> ?-,P C)`tPSLkrrN
BUILDING TYPE:. (Check applicable category)
(aO Residential/Single Family Number of Bedrooms
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
(X) Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
*These systems re uire design by a Registered Professional Engineer
SIGNATURE : Date:
AMOUNT PAID: 5Z> ��� RECEIPT #; I �o� DATE: Ci ICIq
CHECK # : CASHIER
P •
1
COMMUNITY DEVLOPMENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
July 5, 1994
Ezra Harris
P.O. Box 1051
Gypsum, CO 81637
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
RE: Final of ISDS Permit No. 1365-94 Parcel #2111-204-00-018
Property located at: 0325 Hardscrabble Rd. Gypsum
Dear Ms. Harris,
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, ,
/ 7T
Shannon Garton
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
cc: files
COMMUNITY DEVLOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
DATE: June 23, 1994
TO: Gerry Bemis
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. 1365-94 tax Parcel # 2111-204-00-018
Property Located at: 0325 Hardscrabble Rd. Gypsum
Enclosed is your ISDS Permit No. 1365 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
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION:
MAILING ADDRESS: '-7V�
TYPE OF DWELLING: v NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
TTME WATER nrptrw r)r raT.T. DnTr V��tQ VrT nn^'VTT
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PERC RATE: MINIMUM SEPTIC TANK SIZE': Gw
MINIMUM LEACH FIELD SIZE: .&CA,
COMMENTS:
PERC, ,TEST-"DQiNE BY:
DATE: (41 �'(
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TOTAL MATERIAL
TOTAL LABOR
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MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
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