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Home My WebLink About721 Knob Ln - 211105313022INDIVIDUAL 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. 1 4 3 6 Please call for final inspection before covering any portion of installed system. OWNER: Kenneth G. Zimmer PHONE: 761-9074 MAILING ADDRESS: 3109 S. Lincoln city. Englewood slada: CO zip: 80110 APPLICANT: same PHONE: SYSTEMLOCATION:_ 721 Knob Lane Lot 17 prtrorh TAX PARCEL NUMBER: 2111-053-13-022 LICENSED INSTALLER: T & T Excavating LICENSE NO: 21-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 375 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 375 Square Feet of absorption trench. Install inspection ports at the end of each trench and do not backfill until final inspection is completed. t { ENVIRONMENTAL HEALTH APPROVAL: DATE: CONDITIONS: i. 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: 401.5 SQUARE FEET. INSTALLEDSEPTICTANK: 1250 GALLON 150 DEGREES 18'10" FEET FROM SF rornpr of pact side nfhousp 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: 1 ENVIRONMENTAL HEALTH APPROVAL: 7. DATE: ENVIRONMENTAL HEALTH APPRO L: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: PERMIT PERCOLATION TEST FEE OWNER: RECEIPT # _ CHECK # Incomplete Applic; :s Will NOT Be Accepted (Site Plan MUST bt,,._. -.tached) ISDS Permit Building Permit # 66- 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 $150.00 VPERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: e, MAILING ADDRESS: / O C/ 5 � � m co In. � n� %. ��Tc� � G e'd //d PHONE: ZV - ZO %y APPLICANT / CONTACT PERSON: PHONE: LICENSED SYSTEMS CONTRACTOR: .�PnQ1�S _ PHONE: , COMPANY/DBA: l (,r� _fL fLl'ih (': ADDRESS: 't-306C PERMIT APPLICATION IS FOR: �>< NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: ,r27` 17 Pertl-ock -54 dioisioal Tax Parcel Number: Lot Size: Physical Address: a A L,Lln6/ 1 BUILDING TYPE: (Check applicable category) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type of Bedrooms of Bedrooms TYPE OF WATER SUPPLY: (Check applicable category) . ( ) Well ( ) Spring ( ) Surface 04 Public Name of Supplier: laivlu D 5-arA- *These systems require design by a Registered Professional Engineer SIGNATURE: C� Date: //- 3;7`I� AMOUNT PAID: RECEIPT #: _ DATE: i/ tf �`f CHECK #: 11/047 CASHIER: COMMUNITY DEVLOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO December 14, 1994 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 Kenneth G. Zimmer 3109 S. Lincoln Englewood, CO 80110 RE: Final of ISDS Permit No. 1436-94 Parcel # 2111-053-13-022 Property located at: 721 Knob Lane, Bertroch Subdivision, Gypsum. Dear Mr. Zimmer, 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, d Jeff Fedrizzi Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit enclosures COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 DATE: TO: FROM: EAGLE COUNTY, COLORADO November 14, 1994 T & T Excavating 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. 1436-94, Tax Parcel # 2111-053-13-022 Property Located at: 721 Knob Lane, Lot 17, Bertroch Subdivision, Gypsum. Enclosed is your ISDS Permit No. 1436 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 EAGLE COUNTY, COLORADO December 2, 1994 Kenneth A. Zimmer 3109 S. Lincoln Englewood, CO 80110 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 #1436-94 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 #1436-94 File PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER:44 1 �`'/1�) i LEGAL DESCRIPTION:_ MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES_ NO TIME Wxmvn r%nnm*• 1 2 3 1 2 3 1 2 3 HATE 1 SOIL PROFII 01 7 ��1SC41 E2, L � Ll 3-2- 3715a5 idZ IG% 3, 't Iq l4 3i � r/ 1 ��'� % �� 5 5' 1Z �2L j %y t G 7' tL7/ 2 1-7 1117 Time to drop last inch- PERC RATE: MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: COMMENTS: ST DQNE BY: 1"', DATE. - Health Officer rev.' 6/90ks o O O U H 4- o a Q � C L5 C l CO �W 0 CD Z, U v o CD 0 6o 0 J c r y (r, I U Z 0 m N N J 0 J 7 R WE LO N 00 J. fV O_ cN U J ooO CV � o J t .H,L2fON °� a &jAj-n�-- i Z.SO 3 = L7�0 3��kv S 1436-94 ZIMMER �21xKnob Lane, Bertroch 2111-053-13-022' JOB LOCATION SILL TO DATE STARTED DAT'- ''O"I'LE-rED DATE, BILLED JOB FOLDER Product 278 I i ?B FOLDE J .r JOB NO, . JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL T T rs :E ,IT Printed in U.S.A, 1436-94 ZIMMER 721 Knob Lane, Bertroch 2111-053-13--022 JOB NO .IOR LOCATION ' BILL TO DATE STARTED DAT" t.::"FD DATE BILLED 12 1`V JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL --__- - qk,�` - T rs .�` ;E — 'IT JOB FOLDER Product 278 ♦B FOLDL Printed in U.S.A.