HomeMy WebLinkAbout491 McLaughlin Rd - 247106306010INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 i'�
Telephone: 328-8755 Bp n . / /YELLOW COPY OF PERMIT MUST BE POSTED ATINSTALLATION SITE. 1437
Please call for final inspection before covering any portion of installed system. PERMIT NO.
OWNER: Robert & Karen Haves
MAILINGADDRESS: P•0. Box 2765 PHONE: y 2 7-i) i R /1
City: Ashen State: CO Zp:
APPLICANT: Same
PHONE:
SYSTEM LOCATION: Lot 5.9 Ruedi Shores
TAX PARCEL NUMBER: 24 71-06.3-06-010
LICENSED INSTALLER:_ Ed Dra er
LICENSE NO: 29-94
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 5 6 2 . 5 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 562.5 square feet of absorption trench. Install inspection ports at
the end of each trench and do not backfill until final inspection is completed.
ENVIRONMENTAL HEALTH
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: 1332 SQUAREFEET. Via 37 infiltrator units
INSTALLED SEPTIC TANK: 1000 GALLON 250 DEGREES 671 FEETFROM the cleanout next to house.
SEPTIC TANK ACCESS TO WITHIN S" 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
ENVIRONMENTAL HEALTH APPROVAL:
(RE -INSPECTION IF NECESSARY) DATE:
RETAIN WITH RECEIPT RECORDS
a
PLICANT / AGENT:
OWNER:
RMIT FEE PERCOLATION TEST FEE RECEIPT #
CHECK#
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
I
ISDS Permit # 3
Building Permit # 17001
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
* N *
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
************************************************************************
i
PROPERTY OWNER:
MAILING ADDRESS: Vo
PHONE: go� I �" 0o-4R�
APPLICANT/CONTACT PERSON: PHONE:
LICENSED SYSTEMS CONTRACTOR: PHONE: 72 % �3
COMPANY/DBA: ADDRESS: U Z/ y )LL-OJCS LI'L9,
17
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PERMIT APPLICATION IS FOR:
LOCATION OF PROPOSED INDIVIDUAL
Legal Description:
Tax Parcel Number:
Physical Address:
NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
SEWAGE DISPOSAL SYSTEM:
—0(0 -0/0 Lot Size: I.
BUILDING TYPE: (Check applicable category)
dj& Residential/Single Family
Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well (,2,;4- Spring ( ) Surfa e
( ) Public Name of Supplier:
. j a-t ?p
Number of Bedrooms ,
Number of Be rooms
Type
*These systems require design by a Registered Professional Engineer
SIGNATURE:
********************************
A6,.- Date: % w y
*****************************************
AMOUNT PAID:s RECEIPT
CHECK #:
#: O5D.4- -DATE:
ri 2� CASHIER: PC-
Community Development Department
(970)328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
September 25, 1995
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
Robert and Karen Hayes
P.O. Box 2765
Aspen, CO 81612
RE: Final.of ISDS Permit No. 1437-94 Parcel #2471-063-06-010.
Property located at: 0491 McLaughlin Lane, Basalt, CO.
Dear Mr. and Mrs. Hayes,
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,
Janet Kohl
Environmental Health Department
ENCL: Information Brochure
Final ISDS Permit
enclosures
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
Date:
TO:
FROM:
EAGLE COUNTY, COLORADO
August 8, 1995
Frying Pan Construction Corp.
Environmental Health Division
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 8 W 1
FAX (303) 328.7207
RE: Issuance of Individual Sewage Disposal System
Permit No. 1437-94 Tax Parcel #2471-063-06-010
Property Location: Lot #5, Ruedi Shores
Subdivision, Basalt, CO.
Enclosed is your ISDS Permit No. 1508-95. It 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. Engineer as builts must
be submitted for permit to be finalized and C.O. issued.
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
November 14, 1994
Dreager 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. 1437-94, Tax Parcel # 2471-063-06-010
Property Located at: Lot #5, Ruedi Shores.
Enclosed is your ISDS Permit No. 1437 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
Robert & Karen Hayes
P.O. Box 2765
Aspen, 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 #1437-94 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 #1437-94 File
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:-
LEGAL DESCRIPTION:�.�7
MAILING ADDRESS:
TYPE OF DWELLING:t=�/� NUMBER OF BEDROOMS _7
TEST HOLES PRE-SOAKED: YES- NO
TTMF. L1T mL+n TT nTT�
EM
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EMIM
WMEP311
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Time to drop last inch
PERC RATE: r _ MINIMUM SEPTIC TANK SIZE:��}
MINIMUM LEACH FIELD SIZE:_
COMMENTS:
RC TEST PONE BY:
aitn Officer
rev. 6/90ks
DATE: J j /r 0
I
ISDS Final Inspection
Completeness Form
Tank is LL00 0 gal. Tank Materials
� Tank is located �1� r f t . and degrees from � iIrFai%a: 7 f,
(permnent landmark)
'Tank is located ft. and degrees from
(permanent landmark)
Tank set level. Tank lids within 8" of finished grade.
Size of field a ft2 33A 3� units lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
/ There is a "T".that goes down 14 inches in the inlet and
outlet of the tank.
Inlet and outlet is sealed with tar tape, rubber gasket
etc.
Tank has two compartments with the larger compartment
closest to the house.
Measure distance and relati,ae direction to field.
Depth of field z' Z ft.
LSoil interface raked.
i.Inspection portals at the end of each trench.
Proper distance to setbacks.
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for
improvement were suggested.
ACTION TAKEN:
Setbacks
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
,Field 100 25 20 10 50 25 10 10
Tank 50 10 5 10 50 10 * 10
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1437-94 HAYES
2471-063-06-010 491 McLaughlin Rd..
JOB N` . E //O L
BILL TO
DATE STARTED
DATE
COMPLETED
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