HomeMy WebLinkAbout262 Cedar Dr - 211106405018INDIVIDUAL 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. 1458
Please call for final inspection before covering any portion of installed system.
OWNER: Mary Beaumont PHONE: (970)945-9131
MAILINGADDRESS: P • O •BOX 2463. OII,plenwood Sprgs Sute: Co . ZIp: 81602
APPLICANT: Gary Bertroch PHONE: 524-9586
SYSTEM LOCATION: Filing#5,Lot#3 Bertroch SubdiyislTORPARCELNUMBER:2111-064-05-018
LICENSED INSTALLER: Mary Beaumont LICENSE NO: 30-95
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 604 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 17 infiltrators per owners request in trenches 2-3 ft deep Maintain
set badks:10'to property line;4 times the distance to cutback;6' between trenches.Rake side -
walls if clay encoun ere ai ou rtin!
nspection.
ENVIRONMENTAL HEALTH APPROVAL: DATE: 6119195
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: 604 SQUARE FEET. Via 17 infiltrators
INSTALLED SEPTIC TANK: 1250 GALLON 1050 DEGREES 8' 7" FEETFROM east side of house.
SEPTIC TANK ACCESS TO WITHIN 6" 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: Inspector told contractor it was 0 K to go deeper than 3' forepart, of Ont- trpnr ,
but to try to keep it shallow..
ENVIRONMENTAL HEALTH APPROVAL: x DATE: 7112195
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT V CHECK #
(Site...Plan MUST be attached)
ISDS Permit # 16 U__ `
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH*OFFICE - EAGLE COUNTY
P. 0. 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:
MAILING ADDRESS:
PHONE: _(9%) (D1q.6-q13/
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APPLICANT/ CONTACT PERSON* eay—!n 8p rfy_6 G L PHONE: _(
MAILING ADDRESS: )may
M r L,u 1-T j "-,
LICENSED ISDS CONTRACTOR: 0 1 OLK- Yn 'tom PHONE:
COMPANY/DBA:ADDRESS:
PERMIT APPLICATION IS FOR: (),-)-New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit #
(if known)
Legal Description: Subdivision:Filing:,!iBlock: Lot No ,3
Tax Parcel Number: Lot Size: 1YQ`- AcS
Street Address:
BUILDING TYPE: (Check applicable category)
(W Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
(I,,)- Public Name of Supplier: (-� w,nSUrn
1/
Number of Bedrooms
Number of Bedrooms
Type
*These systems require design by a Registered Professional Engineer
SIGNATURE: Date:
***************************************************************************
TO BE. COMPLETED BY T E COUNTY c/y
AMOUNT PAID: RECEIPT #: I /2/ DATE: !�/�
CHECK #: 5Q,Z z CASHIER: 5'
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
July 12,1995
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328.7207
Mary Beaumont
P.O. Box 2463
Glenwood Springs, CO 81602
RE: Final of ISDS Permit No. 1458-95 Parcel #2111-064-05-018.
Property located at:262 Cedar DR., Gypsum, CO 81637.
Dear Ms. Beaumont,
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,
Shannon Garton
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
enclosures
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL
MAILING ADDRESS:
TYPE OF DWELLING: Ij
NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES X �l NO \�\,
TIME
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PERC RATE: MINIMUM SEPTIC TANK AE:
MINIMUM LEACH FIELD SIZE: O 0%)-vcVzL�
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262 Cedar Dr., Gypsum
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