HomeMy WebLinkAbout901 Mayne St - 211108105003INDIVIDUAL 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. 1 3 8 1
Please call for final inspection before covering any portion of installed system.
OWNER: Robert L. Brownlee PHONE:524-9732
MAILINGADDRESS: P. 0. BOY 109 city: Gypsum State: CO Zip: 81637
APPLICANT: SAME PHONE: 524-9732
SYSTEMLOCATION:901 Mayne St., Gypsum TAX PARCEL NUMBER: 2111-081-05-003
LICENSED INSTALLER: Bob Brownlee LICENSE NO: 50-94
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 563 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Tnstall 200 lineal feet of SB2 or 16 infiltrator units. Install inspection
portals at the end of each trench. Rake the bottoms of the trenches before installing,
and call the county for a n 1 inspe do
ENVIRONMENTAL HEALTH APPROVAL: DATE: 61 L 0
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: 600 SQUARE FEET.
INSTALLED SEPTIC TANK: 1250 GALLON 17 DEGREES 52'4" FEETFROM NE corner of north side Of 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 APPRO L: 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)
,y
ISDS Permit. # _
Building Permit
3 �1/
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',"'O: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: /14�� �% �• �i� �.t�✓�
MAILING ADDRESS: C�'629 04 L57 PHONE: 5 79�-
APPLICANT/CONTACT PERSON: 54rq—er" PHONE: e�
LICENSED SYSTEMS CONTRACTOR: A,6 PHONE:
COMPANY/DBA: ADDRESS:
PERMIT APPLICATION IS FOR: ) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDU L SEWAGE DISPOSAL SYSTEM:
Legal Description:
Tax Parcel Number: 2�%/d8����t� , Lot Size: Z- 7�
Physical Address: ` rll
BUILDING TYPE:. (Check applicable category) '
( ) Residential/Single Family Number of Bedrooms
x
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(�) Public Name of Supplier: -729/wx� 9,—'
*These systems require des�'gn by a Registered Professional Engineer
SIGNATURE: �� ) .2`� Date:
AMOUNT PAID: sv�o RECEIPT DATE:
CHECK #: CASHIER:
COMMUNITY DE\ ELOPMENT
DEPART\iENT
(303) 32S 730
EAGLE COUNTY, COLORADO
August 22, 1994
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 31631
FAX (303) 325-7207
Robert L. Brownlee
P.O. Box 109
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1381-94 Parcel # 2111-081-05-003
Property located at: Lot #6 Horse Pasture, 901 Mayne St.
Gypsum
Dear Mr. Brownlee,
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 building 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,
t
Jef Fedrizzi
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
ISDS PERMIT /� I
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTION;
MAILING ADDRESS: ,J. Q dry)
TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES /�, NO
n/\
TTMF. GiT min' T1'TTTT/J
iHIM
I����ir
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Time to drop last inch Ii:
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PERC RATE: MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE:
COMMENTS: i')ia Zoo I i col 2Z or i,R-�i (1'( jor
4 CCU
E
PERC TEST 60NE BY•
DATE:
Enviro to Health Officer
rev. 6/90ks rP
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JOB NAME, T 1381-94 - #2111-081-05-003 BROWNLEE
Lot6, filing 1 Horse pasture sub.
901 Mayne St., Gypsum
,JOB NO"..
.InR I ncATInN
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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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