HomeMy WebLinkAbout751 Castle Peak Ranch Rd - 193922201014INDIVIDUAL 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. 1457
Please call for final inspection before covering any portion of installed system.
OWNER: Dave McKearny PHONE: 471-1579
MAILING ADDRESS: P.O. Box 207 City: Vail State: CO ZIP: 81657
APPLICANT: salve PHONE:
SYSTEMLOCATION: Lot 10 Highland Meadows Castle 1}kxpARCELNUMBER: 1939-222-01-014
LICENSED INSTALLER: John Lagan, Logan Craig INC LICENSE NO: 08-95
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
750 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 202 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 11 infiltrator units. Rake trench side walls, and install inspection
portals at the end of each trench. Call county for final inspection
-.-,
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: 202 SQUARE FEET. via 11 infiltration units
INSTALLED SEPTIC TANK: 750 GALLON 1400 DEGREES 40 FEET FROM SE side of house
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 AP OVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS:
f ENVIRONMENTAL HEALTH APPROVAL: DATE: 4
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
(site,Plan MUST be attached) (5D S,
ISDS Permit # 14 l ��
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: �Dr
("t, MGk cu, 1"Y) C PHONE:
MAILING ADDRESS: J%X 'Zb7 I]Ai'L /'d <1/4470
APPLICANT/CONTACT PERSON*
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR:
COMPANY./DBA:
ADDRESS:
PHONE: ( .)
PHONE: ( 1
**************************************************************************
PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair
***************************************************************************
LOCATION OF PROPOSED INNDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # v (if known)
H (60A4jb {e(kWs tj -C4 -f- -P-eU-
Legal Description: Subdivision: Filing: Block: Lot No.10
Tax Parcel Number: �jcl
- 2 Z Z -� �- 0 / Lot Size:
Street Address: 30 to iz P m , Ea0 i�4
BUILDING,.,nPE: (Check applicable category)
( Residential/Single Family Number of Bedrooms
( ) Residential/Multi-Family* Number of B4,8rooms 2,/z
( ) Commercial/Industrial* Type
TYPE OFWATER SUPPLY: (Check applicable category)
(✓) Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
*These systems require design by a Registered Professional: Engineer
A _ I
SIGNATURE: / V��,/ Date: I3-2
********************* **************************************************
TO BE COMPLETED BY THE COUNTY J
AMOUNT PAID: '�-1�? RECEIPT #: DATE: _L�)
CHECK #: CASHIER: ��
ISDS PERMIT 7
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
`:1 E,
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES L x� NO
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PERC RATE: 1 MINIMUM SEPTICTAANK SIZE: )Zg0
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MINIMUM LEACH FIELD SIZE: ids = iedt iSfJ� v
COMMENTS:
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OWNER: 6erAJ M&II/
PERMIT STATUS
PROPERTY LOCATION:
1) COMPETENESS LETTER
SENT TO:
INFORMATION CONTAINED YES NO
1) Percolation test fees.........
2) ISDS permit fees............
3) Site Plan ..........................
4) Tax Parcel number...........
5) Physical Address .............
6) Legal address ..................
7) Percolation test ..............
8) Licensed installer .............
9) Other: o r ;, D . G
ISDS PERMIT #
BUILDING PERMIT #
PARCEL #
Concerns
DATE SENT E.H. INITIAL
2) ISSUE LETTER ADDRESS DATE SENT E.H.INITIAL
SENT TO
INSTALLER #
Concerns:
3) FINAL LETTER ADDRESS DATE SENT E.H. INITIAL
SENT TO:
4)
SPOKE WITH
NOTEWORTHY TELEPONE CORRESPONDENCES
ABOUT DATE
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1457-95 MCKEARNY Dave JOB NAME Lot 10 Highland Meadows, Castle Peak Rch JOB NO.
3010 Rule Rd Eagle �\
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BILL TO
DATE STARTED DATE COMPLETED n DATE BILLED Ao
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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 6�70 NEW ENGL.AND BUSINESS SERVICE, INC., GROTON, MA 01471 JO.IBFOLDER Printed in U.S.A.
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