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Home My WebLink About176 GH Daniels Blvd - 211103101001INDIVIDUAL 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. 1447 Please call for final inspection before covering any portion of installed system. OWNER:George H. Daniels III PHONE: 471-0920 MAILINGADDRESS: P. 0. BOX 1915 city: Eagle State: CO zip: 81631 APPLICANT: SAME PHONE: 468-8341 SYSTEMLOCATION: 12775 Hwy 6, Gypsum CO TAX PARCEL NUMBER: 2111-031-00-001 LICENSED INSTALLER: LICENSE NO: DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 2-1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 1312.5 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 1312.5 SF Of absorption trenches and two(2) 1000 gallon septic tanks in series, with the first tank's baffle knorked o„t and also at @_higher elevation t:haft the second to Do not back fill until final inspection has been completed. 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: 1332.8 SQUARE FEET. INSTALLED SEPTIC TANK: 2/1000 GALLON 275 DEGREES 9 FEET FROM center of house on West side. SEPTIC TANK ACCESS TO WITHIN B" 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: DATE: J ENVIRONMENTAL HEALTH APPRO DATE: (RE -INSPECTION IF NECESSARY) APPLICANT/ AGENT: RETAIN WITH RECEIPT RECORDS OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # _incomplete Applications Will NOT Be Accepted (Sits Plan MUST be attached) ISDS Permit # 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) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: oar, r-- MAILING ADDRESS: 0a I �J/S" C�3 PHONE: % -O APPLICANT/ CONTACT PERSON : LjN; PHONE: LICENSED SYSTEMS CONTRACTOR: QWYL2.2 PHONE: _ COMPANY/DBA: ADDRESS: *************************************************************************** PERMIT APPLICATION IS FOR: (\,< NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE -DISPOSAL SYSTEM: Legal Description: -s- P M Tax Parcel Number: _2-111--,0.3 / 00610 ( Lot Size: Physical Address: 17 77..E //n-, e, C,. . BUILDING TYPE: (Check applicable category) (� Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: *These sys SIGNATURE:_ ************** ***************** istered Professional Engineer Date: ************************************ AMOUNT PAID: RECEIPT # : 1�f016 DATE: --//,3/ 61 6 1S6 CHECK #: d / CASHIER:-- 3 1 ` av 7 COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO March 31, 1995 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 George H. Daniels III P.O. Box 1915 Eagle, CO 81631 RE: Final of ISDS Permit No. 1447-95 Parcel 2111-031-00-001, Property located at: 12775 Hwy 6, Gypsum. Dear Mr. Daniels, 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, Ziefrizzi Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit enclosures COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 DATE: TO: FROM: EAGLE COUNTY, COLORADO March 16, 1995 George Daniels 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. 1447-95, Tax Parcel # 2111-031-00-001 Property Located at: 12775 Hwy 6, Gypsum. Enclosed is your ISDS Permit No. 1447 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 ;; !"7-g+l- PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: _6fazl 9'e hit. T,—CL�i LEGAL DESCRIPTION: t! c�>c j cat n i MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YESNO TIME Wnmvn ncnmv eie��a�e�is■��' MMIN EMIR EMIR �.�IC��1�711■ID�7�I�i'1�11 =�IPD1iC!��p� 142'lll�[S'L7 MI. i�l'�i11�6Y1�IVJ��l1!'J�01 Ii�l��7 GRIM C�I��1R�11F1��E271�lJ�[� . Time to drop last inch PERC RATE: MI TIC TANK SIZE: �Q MINIMUM LEACH FIELD SIZE COMMENTS: �d L47 P C EST DONE BY: n nmen / r,7z,,- th 0 rev. 6/90ks DATE: cer 1447-95 Parcel #2111-031-00-001 JOB. NAME Sec 3, Twn 5, R. 85, Parcel N-DANIELS 12775 Hwy 6, Gypsum JOB 'NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT ,JOB FOLDER product 278 ®& NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 !Op FOLDER Printed in U-S•A. t-- I /gL,j7-75' ,y'77s— it e, G-;�s�r/ 7l31p, I