HomeMy WebLinkAbout10 Hawk Ln - 247106305008INDIVIDUAL 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.
Please call for final inspection before covering any portion of installed system.
PERMIT NO. 1416
OWNER: John and Kathleen Fordon PHONE: 927-9962
MAILINGADDRESS: P• 0• BOX 84 cit, Basalt State: c0 z1p:81621
APPLICANT: Michael Wood PHONE: 927-9171 or 927-0141
SYSTEMLOCATION: 997 McLaughlin Ln. Ruedi Shores TAX PARCEL NUMBER: 2471-063-05-006
LICENSED INSTALLER: Joe Weinant LICENSE NO: 17-94
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 562_,.5._SQUARE FEET OFTRENCH BOTTOM. Rake clay in trenches to prevent smearing,
SPECIAL REQUIREMENTS: Install 5.62.5_ square feet Of absorption trench area. If you have any questions
regarding specific sizing of a technology please call our office Install inspection
portals at the end of each trench and do not back fill until final inspection is completed.
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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: 563 SQUARE FEET. via 16 infiltrators
INSTALLED SEPTIC TANK: 1000 GALLON 180 DEGREES 15 FEET FROM south corner of house
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY _RYES —NO
COMPLIANCE WITH COUNTY/STATE REQUIREMENTS: RYES _ 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 APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
APPLICANT / AGENT:
RETAIN WITH RECEIPT RECORDS
OWNER:
PERMIT FEE__ PERCOLATION TEST FEE RFCFIPT u
ISDS PERMIT 1q-1h
12
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DE CRIPTION:
MAILING ADDRESS:Q
TYPE OF DWELLING: NUMBER OF BEDROOMS ,3
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TEST HOLES PRE-SOAKED: YES_ NO
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PERC RATE: MINIMUM SEPTIC TANK SIZE:_10On
MINIMUM LEACH FIELD SIZE:
COMMENTS: iJ X Cg�S =��o• g b 7r5 6�o� t�Z
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PERC TEST DONE BY:
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1416-94 Tax Parcel # 2471-063-05-006
,JOB. NAN Lot 15, Blk 2, Filing 1 FORDON
997 McLaughlin Ln. Ruedi Shores
JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
TOTAL SELLING PRICE
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