Loading...
HomeMy WebLinkAbout259 Cedar Dr - 211106405010INDIVIDUAL 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. 1449 Please call for final inspection before covering any portion of installed system. OWNER:ROn Harris PHONE: 328-7132 MAILINGADDRESS: P. 0. BOX 1055 city: Eagle State: CO Zip: 81631 APPLICANT: Same PHONE: 328-7132 SYSTEMLOCATION: 259 Cedar Dr., Gypsum TAX PARCEL NUMBER: 2111-064-05-010 LICENSED INSTALLER: Harris Plumbing; & Heating -Ron Harris LICENSE NO: 20-95 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 750 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 750 SF of absorption trenches with 20 High Capacity Infiltrator Units in 2 trenches that are serial distributed. Install inspection ports at the end of each trench and do not baE" f' until s ection is 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. 750 INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET. INSTALLED SEPTIC TANK: 1250 GALLON 70 DEGREES 10 FEET FROM front side of house SEPTIC TANK ACCESS TO WITHIN W 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: G% ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # (Site_Pjan MUST be attached) f ISDS Permit APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) ************************************************************************** * •PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". PROPERTY OWNER: I�CO�, r��(/� PHONE: ( �b3 ) 3 28 MAILING ADDRESS:i_1oS APPLICANT/ CONTACT PERSON-. 5 [A-W X %} 5 a 66 uC PHONE • ( ) MAILING ADDRESS: LICENSED ISDS C NTRACTOR: �U Yt�q,r(i PHONE: (3c�Z1Z� COMPANY/DBA: baii s ADDRESS: z��aalC. ro. ************************************************************************ PERMIT APPLICATION IS FOR: (vj New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: Filing:Block: Lot No. ,)n Tax Parcel Number: L-4 6 1 --n n Lot Size: /, l ( AC�rC Street Address: _. Sq o e o a r n r G Y P5 U M (40, BUILDING TYPE: (Check applicable category) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface (� Public Name of Supplier: *These systems Number Number Type _ 1 Z_a-, of Bedrooms of Bedrooms sign by a Registered Professional Engineer SIGNATURE: Date: i"'-�— *************************************************************************** TO BE COMPLETED BY THE COUNTY AMOUNT PAID: A3?S, as ..RECEIPT ZS f XI A-J �ECK # )MA Zoo Ptc­ # : I q )-7Z DATE: ` 1q,5-_ CASHIER: COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 DATE: TO: EAGLE COUNTY, COLORADO April lo, 1995 Ron Harris 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Permit No. 1449-95, Tax Parcel #2111-064-05-010 Property Located at: 259 Cedar Drive, Bertroch Subdivision, Gypsum. Enclosed is your ISDS Permit No. 1449 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 , 1ygF_91-- PERCOLATION 'PEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: 1�©A/ �ic►p,,� r5 LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO TTME tdnmcn ncnmv 1 2 3 1 2 3 1 2 3 1 2 SUIL FROFIL 0' z z 0,0"0,00,� 1' 1;Y1 eyq It %y Or 7 13 11.72. 2 lqyAq' %- 3 % yq PIZ�i 3' o dL o Y2 13 j 1% 4' .511 S-- 6' >o 2,d1v 13 �2. /7 3 3/ 3 49 �. a' 6 �T 1 �( l � ?2= 1 AL-IL62 71 /o, Time to drop last inch PERC RATE: MINIMUM SEPTIC TANK ST7r - /1� �S ► MINIMUM LEACH FIELD SIZE: 75-0 LIE COMMENTS: ( EST DONE BY: ~� DATE: Health Officer .` 6/90 75 C) Sri Ron Harris 259 Cedar Dr. Gypsum, CO 81631 (303) 328-7132 I � Jedle . Lot 20 - 1:11 acre Bertroch Subdivision Filing No. 5 N 300' 00' 48° * W 1449-95 - #2111-064-05-010 JOB N Lot 20, Filing 5, Bertroch HARRIS 259 Cedar'Dr., 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 JOB FOLDER a Printed in U.S.A. Al- 4�,