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600 Hwy 131 - 194115300011
INDIVIDUAL 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. 1390 Please call for final inspection before covering any portion of installed system. OWNER: Gary BOssoW PHONE: 926-2824 MAILINGADDRESS: P. 0. BOX 5055 City: Vail State: CO Zip: 81658 APPLICANT: Gary BossOW PHONE: 926-2824 SYSTEM LOCATION: --Hwy 131 TAX PARCEL NUMBER: 1941-153-00-011 LICENSED INSTALLER: Rex -Bo ssow Excavation LICENSE NO: 24-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK AS PER OWNERS REQUEST: ABSORPTION AREA REQUIREMENTS: XXXXX SQUARE FEET OF SEEPAGE BED 1 � 125 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 30 infiltrator units of 3.75 linear feet of SB2 in trenches. Rake the bottom of the trenches before installing. Place inspection portals at the end of each trench and call for a final inspection before backfillin . 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: 1,125 SQUARE FEET. INSTALLED SEPTIC TANK: 1250 GALLON 150 DEGREES 250 FEET FROM house SEPTIC TANK ACCESS TO WITHIN 8" 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 APPROVAL: DATE: L f ENVIRONMENTAL HEALTH APPROVAL: 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 # I Building Permit # 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 $150.00i PERCOLATION TEST FEE $200.0* *. MAKE -ALL REMITTANCE PAYABLE':TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: i}R Sa �J L( MAILING ADDRESS :O /©�C S S PHONE: 6 _C;Irut g APPLICANT/CONTACT PERSON: PHONE: LICENSED SYSTEMS CONTRACTOR: �C7C��'V ,Qgt9A�� PHONE: COMPANY / DBA :7 ADDRESS: PERMIT APPLICATION IS FOR: (\A NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: - / C 7`_ U Tax Parcel Number: V-1-"-_ _ ._ Lot Size • g A R S .Physical Address: i 1 `-/ /- DO o l j /�W i j !y j BUILDIN TYPE:. (Check applicable category) Residential/Single Family. Number of Bedrooms Residential/Multi-Family* Number of Bedrooms. ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) Well ( ) Spring ( ) Surface Public Name., of Suppl er: *These systems SIGNATURE:. / ************* ** ******** AMOUNT PAID: ' Registered Professional Engineer Date: RECEIPT #: (� DATE:G CHECK # : _1 C) 1 G rl CASHIER: ISDS PERMIT Cl IE PERC0"-CATION TEST EAGLE COUN7''Y ENVIRONMENTAL HEALTH DEPT. OWNER: ��SO (A) LEGAL DESCRIPTION -e MAILING ADDRESS:PIS. R", TYPE OF DWELLING:�f n ��. �25. NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES x NO TTMF: ( RM"r% 1 2 3 1 2 3 1 um 2 r1iLL 3 KATE 1 SOIL PROFII 2 D p56, 45 :05 01 I . 25 . � � c 5 Q 5 I , g?S I O.0 C(�.o � • (, 7 2' ,tr 1® L2,5'►.S �3.3�� 5 ,25 ,3�� i • 125 �$�5 ia.0©�'}.yhu(-e �� �3.3 3 s.� 4'�x4� 20 a3,12s a) . o S D5.3-75 .375 1�,� , (� 25 113,3 40.0 9,01 s 1 A35 a2.,zs Qj�. 1 1, 3-15 S .15 13,3 40.0 �b a31' �,315 /ie"s ,I©pil, �5 5 aU.(a ZO.D 10.0 7':35 �3�r3a'j. l25 5 ,12S S oo:0 4o.o IO.D g' `I° zs 27,3i< I vr'5 a5 1(,,o y0.c� �o.0 �S q.3-h T�� 8`►5 �'►. �5 , I �� b OCo 316 4aD q4, I 13.3 Time to drop last inch, PERC RATE: MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: 10 (0 J COMMENTS: 11(P t 1C' 1 rL jr - 35 I 5C) `�c'a� l I i vc -� t-l4�_ V�n; V S� x Cl 6 J � DC, PERC TEST DONE BY: vironmental Health O rev. 6/90ks cer DATE: 711 S, M I� d�wV,tl Q all Z (� I-M-94 - Parcel # 1941-153-00-011 Hwy 131, Wolcott BOSSOW JOB NAME _ JOB NO. ,t ATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED .I5 l 31 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 Prgduct 278 Qp NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. l6�2 U L __ _ - ___ _,__-_ _4_.�__-__ _� - __ - - - � _. _. -. -A__ '- _ _ - k . _ - - - - t ` - f -_ - - - - f -