HomeMy WebLinkAbout124 Hawk Ln - 247106302018INDIVIDUAL 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. 1400
Please call for final inspection before covering any portion of installed system.
OWNER: Erik & Jenifer Reilly PHONE: 963-1318
MAILINGADDRESS: General Delivery, Basalt City: Basalt State: c0 Zip: 81621
APPLICANT: Jack Wheeler PHONE: 927-2644
SYSTEMLOCATION: Lot 13, Ruedi Shores TAX PARCEL NUMBER: 2471-063-02-018
LICENSED INSTALLER: JAN*KMh9d)M Rose Lane Excavating LICENSENO: 48-94
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 604 square feet of absorption area via 17 Infiltrator units or 220
feet of SB2. Install 27 contactor units. Install inspection portals at the end of
each trench. Call e county for a final inspection before backfilling.
ENVIRONMENTAL HEALTH APPROVAL- DATE:
ol
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: 675 SQUARE FEET.
INSTALLED SEPTIC TANK: 1000 GALLON 229 DEGREES 15 FEET FROM SW corner Of West 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 APPROV 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 #
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 0.00 PERCOLATION TEST FEE �OO
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
**************************************************************************
PROPERTY OWNER:
MAILING ADDRESS:
APPLICANT/ CONTACT PERSON: —f Ack..- t.'-, W L!� PHONE: rf z-7 -Z 4L%4/
LICENSED SYSTEMS CONTRACTOR:-1AC=t= 044 n=:�� PHONE: cie-``7 -'-Z4y7
COMPANY/DBA: ADDRESS:
***************************************************************************
PERMIT APPLICATION IS FOR: ()) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: f'r�y,2z,)
Legal Description:
Tax Parcel Number: aW?i 0 6 3" O a— 018
Physical Address: �� KJ 1'� Lax"o bv
I Y"--� 6v-t-
BUILDING TYPE: (Check applicable category)
Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY:
Well ( )
( ) Public Nyaz
*These sys
SIGNA'
*****
(Check applicable category)
Spring ( ) Surface
of Supplier:
Lot Size:
Number of Bedrooms
Number of Bedrooms
Type
e /Aesign by a Registered Professional Engineer
Date: G
*************2*********************************
RECEIPT # : O J� b DATE: 13
CHECK 1 lg CASHIER:
o
ISDS PERMIT llqAL
PERCOLATION TEST 6�9 - CC
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: Me r}-- EL/. Rai L .L
LEGAL DESCRIPTION: L,0
7-13 Aueoz SA4-Lw,=-;,
MAILING ADDRESS:
TYPE O1' DWELLING: j?r-5 NUMBER OF BEDROOMS 3
TEST, -HOLES PRE-SOAKED: YES NO
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PERC RATE: �2{ MINIMUM SEPTIC TANK SIZE: /®(po
MINIMUM LEACH FIELD SIZE:
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NOTES
i,- indicates found rebar and cap
Legal DescriRtion: Lot 13, Ruedi Shores Subdivision, Filing No. 2,
Eagle County, Colorado.
-�_ -
I hereby certify that on April 13, 1994 a survey was performed by me on the
parcel of land described hereon. All easements, encroachments and rights -of -way
in evidence or known to me are shown. This survey is true and correct to the best
of my knowledge and belief.
i
By: L
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