HomeMy WebLinkAbout12 Blue Creek Trl - 239127106004 - 1377-94ISINDIVIDUAL 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. 1377
Please call for final inspection before covering any portion of installed system.
OWNER: Jan Johannessen and Wendy Lucas PHONE: 925-1185
MAILINGADDRESS: 1280 Ute Ave. City: Aspen State: CO zlp. 81623
APPLICANT: Wendy C. Lucas PHONE: 925-1185
SYSTEM LOCATION: Lot 9, Mnt . Meadow Ranch TAX PARCEL NUMBER: 239127 106004
LICENSED INSTALLER: Zamora Excavating LICENSE NO: 05-94
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1 000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 604 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 17 infiltrator units Or 220 feet of SB2. Make sure trench bottoms are
level and even. Install inspection portals at the end of each trench. Call the county for a
final inspection before ackfill' -ry
ENVIRONMENTAL HEALTH APPROVAL: DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMEN�EEAGLEUNTY 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: 604 SQUARE FEET.
INSTALLED SEPTIC TANK: 1250 GALLON 160 DEGREES 30 FEET FROM south facing side of house
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY _ y 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:
40
ENVIRONMENTAL HEALTH APPROVAL: DATE:
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
tL;omplete 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:SO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER:
MAILING ADDRESS: (7 80 u4-e- A-y- o Aisjped'i Ie- c9 `-t I PHONE: 3a3-- �3
APPLICANT/ CONTACT PERSON: c C.. L- 0 PHONE: 3e}3- V2 ` I 1 S $'-
LICENSED SYSTEMS CONTRACTOR: PHONE: (qq
COMPANY/DBA: '�G ��� ADDRESS:
PERMIT APPLICATION IS FOR: (1/NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: +v pick- recIc0
C> 3c) i w.
Legal Description ko� G' �k& �Jiaw {- �1` ZT* ` ' f 4 10
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Tax Parcel Number: 2-3 1$Z-�-1 b600q Lot Size:
Physical Address: (BIZ QA-..�r - ^-
BUILDIN TYPE:. (Check applicable category)
( Residential/Single Family
( ) Residential/Multi-Family*
( ) Cofrartercial/ Industrial*
TYPE OF ATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
0
Number of Bedrooms
Number of Bedrooms
Type
*These systems require design by a Registered Professional Engineer
SIGNATURE:
**********************
�
Date: �ri►..-�- �. / l d�
AMOUNT PAID: lJi RECEIPT DATE: -6 9)ON
CHECK: I CS CASHIER: Co
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COMMUNITY DEVELOPMENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
July 25, 1994
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
Jan Johannessen & Wendy Lucas
1280 Ute Ave.
Aspen, Co 81623
RE: Final of ISDS Permit No, 1377-94 Parcel #2391-127-06-004
Property located at: Lot 9 Meadow Mtn. Ranch
Dear Mr. Johannessen & Ms. Lucas,
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,
Shannon Garton
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
cc files
COMMUNITY DEVLOPMENT
DEPARTMENT
(303)328-8730
DATE:
TO:
FROM:
EAGLE COUNTY, COLORADO
June 23, 1994
Zamora Excavating
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. 1377-94 tax Parcel # 2391-127-106-004
Property Located at: Lot 9 Mountain Meadow Ranch,
El Jebel (012 Blue Creek Trail) .
Enclosed is your ISDS Permit No. 1377 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
ISDS PERMIT
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
Oi4NER :
LEGAL DESCRIPTION:
.MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS
G�
TEST HOLES PRE-SOAKED: YES _ NO �co
TTMF.
EMIMis■EN
;EM
mmim-
w
Time to drop last inch
PERC RATE: 0MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD
COMMENTS:
PERC 794T DONE~ tTi
SIZE:
DATE:
Environmental Health Officer
rev. 6/90ks�
COMMUNITY DEVLOPMENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (363) 328-7185
DATE:June 10, 1994
Wendy Lucas, Jan Johannesen
Lot 9, Mountain Meadow Ranches; First Filing
Dear I.S.D.S. Applicant:
Your application for an Individual Sewage Disposal System
(ISDS) Permit for #1377-94 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
X Payment of $200.00 Percolation Test Fee
Site Plan
Licensed System Contractor (See attached list)
Engineer Design
X Other:The Percolation test results
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 us at 328-8755.
When calling or submitting information please reference your ISDS
.application #1377-94.
Please submit information to:
Eagle County
Environmental Health Division
P.O. Box 179
500 Broadway
Eagle, CO 81631
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JOB NAME 1377-94- Parcel #2391-2710-6004
Lot 9, Mnt. Meadow Ranch,filing 1
nn1,) Ri,ie Creek Trail, El Jebel
JOB NO. -
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
J " �
�y
9 a
r
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 Prpduct 278 Q® NEW ENGLANQ BUSINESS SERVICE, INC.. GROTON, MA 01471 JOB FOLDER
Printed in U.S,A.
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