HomeMy WebLinkAbout903 Mayne St - 211108105002INDIVIDUAL 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. 1430
Please call for final inspection before covering any portion of installed system.
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT: OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
14
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit # I Vj0 v10 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)
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* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" *.
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PROPERTY OWNER: i_e5=sr,7,nQ(���r�c,•�
MAILING ADDRESS:
PHONE: %= ?;:
APPLICANT/ CONTACT PERSON : '—a�)� PHONE:
LICENSED SYSTEMS CONTRACTOR: r��ies 1r7�cl=e= PHONE:
COMPANY/DBA: ADDRESS:��r,)-h,,t����
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PERMIT APPLICATION IS FOR: () NEW INSTALLATION ( )'ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Tax Parcel Number: D.`\\ M\ 0S-O I Lot Size: 41`1 40-t,�
Physical Address:
BUILDING TYPE: (Check applicable category)
Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
16^6 Public Name of Supplier:
Number of Bedrooms_
Number of Bedrooms
Type
*These systems require design by a Registered Professional Engineer.
SIGNATURE: O rz / .cam Date:
AMOUNT PAID: RECEIPT #: 133 DATE:
CHECK CASHIER
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
November 14, 1994
Western Slope Contractors
P.O. Box 694
Gypsum, CO 81637
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX; (303) 328-7185
RE: Final of ISDS Permit No. 1430-94 Parcel # 2111-081-05-0021,
Property located at: 903 Mayne Street, Horse Pasture
Subdivision, Gypsum.
Dear Mr. Lister,
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,
Jeff Fedrizzi
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
enclosures
COMMUNITY DEVELOPMENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
DATE: October 27, 1994
TO: Robert Brownlee
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. 1430-94, Tax Parcel # 2111-081-05-002
Property Located at: Lot #7, Horse Pasture
Subdivision, Gypsum.
Enclosed is your ISDS Permit No. 1430 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
ISDS PERMIT ;; e
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
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TYPE OF DWELLING:. NUMBER OF BEDROOMS
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1430-94 WESTERN SLOPE CONTRACTORS
2111-081-05-002 903 Mayne St.
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