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HomeMy WebLinkAbout1082 Bruce Creek Rd - 210925400012INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.Q, 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. OWNER: Edward & Lola Gillil MAILING ADDRESS: P • 0 • BOX 1229 APPLICANT: Ted Gilliland PERMIT NO. 1 4 1 8 PHONE: 949-96 5 2 city: Avon state: CO Zip: 81,690 PHONE: _949-96 5 9 SYSTEMLOCATION: 1082 Bruce Creek Rd., Eagle TAX PARCEL NUMBER: _2109-954-00 012 LICENSED INSTALLER: Wy Construction -Bill Yeik LICENSE NO: 41 — 9 4 DESIGN ENGINEER OF SYSTEM: _ INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: XXXXX SQUARE FEET OF SEEPAGE BED 562.5 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 562.5 square feet of absorption trench area. If you have any questiu regarding specific sizing for a leach field technology, please call our office at 328 8755 Install inspection Portals at the end of each trench, and do not backfill before final ins ENVIRONMENTAL HEALTH APPROVAL: DATE: ( a 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 PERM IT 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: -582 SQUARE FEET. INSTALLED SEPTIC TANK: 1000 GALLON 230 DEGREES 95 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: ENVIRONMENTAL HEALTH APP APPLICANT! AGENT: PERMIT FEE PERCOLATION TEST FEE (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS OWNER: RECEIPT # CHECK# DATE: LO I 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 gjZl �i PQv tc�� j- 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 TO: "EAGLE COUNTY TREASURER" ************************************************************************** PROPERTY OWNER: Gilliland Trust FBO Edward W. and Lola D. Gilliland MAILING ADDRESS: P.O. Box 1229 Avon, CO 81620 PHONE:303 949-9652 APPLICANT/CONTACT PERSON: Ted Gilliland PHONE:303 949-9652 LICENSED SYSTEMS CONTRACTOR: Bill Yeik�-G�° PHONE:303 328-6641 COMPANY/DBA: WY Construction ADDRESS: P.O. Box 502 Eagle, CO 81631 *************************************************************************** PERMIT APPLICATION IS FOR: (X4 NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Parcel 2, Bruce Creek Ranch. Plat recorded in book 254 at page 976, County of Eagle, State of Colorado. Tax Parcel Number: 2109-254--00-012 Lot Size: 36.67 Acres Physical Address: 1082 Bruce Creek Road, Eagle, CO 81631 BUILDING TYPE: Check appY-OU&cable lcategory)�ti 7(, 5 U�'S� �° r 6 ( PP .(X) Residential/Single Family Number of Bedrooms 3 ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) (X) Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: *These systems require design by a Registered Professional Engineer, X - ,:r- // SIGNATURE: Date: 9-19-94 oc,. AMOUNT PAID: 3� RECEIPT # : ( 3O (o .3 DATE: �ilglq CHECK #: Kra CASHIER: -- COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO April 28, 1995 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX: (303) 328-7185 Edward & Lola Gilliland P.O. Box 1229 Avon, CO 81620 RE: Final of ISDS Permit No. 1418-94 Parcel #2109-254-00-012 Property located at: 1082 Bruce Creek Road, Eagle. Dear Mr. & Mrs. Gilliland, 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, /Jef Fe zi Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit enclosures COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO DATE: September 21, 1994 TO: WY Construction FROM: 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. 1418-94, Tax Parcel # 2109-254-00-012 Property Located at: 1082 Bruce Creek Rd., Eagle. Enclosed is your ISDS Permit No. 1418 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 the Environmental Health Division at 328-8755. cc: files COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 DATE: TO: FROM: EAGLE COUNTY, COLORADO April 7, 1995 WY Construction 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. 1418-45, Tax Parcel #2109-254-00-012 Property Located at: 1082 Bruce Creek Road. Enclosed is your ISDS Permit No..1418 is valid for 120 days. 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 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. The Permit specifications are minimum requirements only, and should be brought to the property owner's attention. in This permit does not indicate conformance with other Eagle County requirements. _ If you have any questions, please feel free to contact the Environmental Health Division at 328-8755. cc: files COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO December 2, 1994 Edward & Lola Gilliland P. O. Box 1229 Avon, CO 81620 Dear Applicant, 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 The Environmental Health Division would like to notify you to make a formal request to extend your Individual Sewage Disposal System(ISDS) Permit #1418-94 into the 1995 construction year. The Environmental Health Division discontinued percolation tests on November 15, 1994 and final inspections on December 2, 1994 due to climatic conditions. ISDS permits are active for 120 days after the date of issue if no Building Permit has been issued for the same property. If a Building Permit has been issued for the same property the ISDS will expire at the same time as the building permit. If you still plan to apply for a Building Permit this year or in the early months of 1995 you will need to have a percolation test conducted before your Building Permit will be released. You will have to contact a Registered Professional Engineering(RPE) firm to conduct your percolation test. If you have had your permit issued and have not had your final inspection completed, but plan on constructing the system in the next few weeks, please give our office a call and we will evaluate your permit on a case by case situation. Please give the Environmental Health office a call at 328-8755, if you have any questions regarding your permit extension process. cc: ISDS Permit #1418-94 File Environmental Health Division P.O. Box 179 Eagle, Colorado 81631 December 20, 1994 Re: Extention of Individual Sewage disposal System Permit * 1418-94 Dear Person, Please accept this formal request to extend my individual sewage disposal permit *1418-94 into the 1995 building season. We plan to have our house finished on or before June 1, 1995. We already have our building permit. If I need to do anything else about this, please let me know. Sincerely, Edward W. Gilliland P.O. Box 1229 Avon, Co. 81620 ISDS PERMIT 'VIR I PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: (-y /' / / i 10), J -7, j � LEGAL DESCRIPTION: i ice Ckr. �6nek MAILING ADDRESS : A TYPE OF DWELLING: NUMBER OF BEDROOMS, TEST HOLES PRE-SOAKED: YEs_ NO TTMF wamvn __ ­­ &%r%.L Q ou.Lu rnur I.L 1 2 3 1 2 3 1 2— 3 11 2 01 q,o 01 3'. 2 'iW 2, 0 ZTT 4' 7�3 5 6 J, 171 S, j q 61 6.23 6.33 0 �.o Time to drop last inch— 5 r)i ' , n u,_4 -f-5 PERC RATE: MINIMUM SEPTIC TANK SIZE: 1000 CA Zi - 0- MINIMUM LEACH FIELD SIZE: COMMENTS: Pere- Fe5tiji'ves had 4 die-, t-pu_ I-e, q__ z U9 I AA,01, d , 'd 14 , A r-7� A 41 J ---A' 11 - DATE: "/,-/ Aj E,hVirohmental Health officer rev. 6/90ks C6 K (, T5 �4z_ Q41 00 J P 10 ot I TP 11 z 1418-94 Tax Parcel #2109-254-00-012 JOB. NAME Parcel 2, Bruce Creek Ranch GILLILAND 1082 Bruce Cr., Rd., Eagle JOB NO. DATE STARTED DATE COMPLETED DATE BILLED i r IIP 14 WA . - • • m I V, I v W.1m — MIN JAI I�0 -w 1 JOB FOLDER Product 278 Q® NEW ENGLAND