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HomeMy WebLinkAbout30265 Colorado River Rd - 168709100022INDIVIDUAL 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. 1469 Please call for final inspection before covering any portion of installed system. OWNER: Eagle County -Building & Grounds PHONE: 328-8700 MAILING ADDRESS: City: State: Zip: APPLICANT: sable PHONE: SYSTEM LOCATION: 30 miles Colorado River Road TAX PARCEL NUMBER: 1687-091-00-0 0 LICENSED INSTALLER: John Seipel LICENSE NO: DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 11000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 854 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 854 SF of absorption field in two trenches with 24 Tnfiltrator unit 12 per trench. Install clean-out(s) between septic tank & house, and tight angles between septic tank and ah4riAion_fie_1d-. TnStall inspection :parts at the end Of ench trpnr'h- ENVIRONMENTAL HEALTH APPROVA 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: 750 SQUARE FEET. via 20 infiltrator units INSTALLED SEPTIC TANK: 1000 GALLON 260 DEGREES 27 FEETFROM south west 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 APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: .q g ENVIRONMENTAL HEALTH APPROVAL: 1. DATE: 1 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) 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: (O c%v�v PHONE: ) MAILING ADDRESS: &V_C APPLICANT/ CONTACT PERSON:PHONE • MAILING ADDRESS: LICENSED ISDS CONTRACTOR: COMPANY/DBA: ADDRESS: PHONE: ( *************************************************************************** PERMIT APPLICATION IS FOR: New Installation ( ) Alteration W Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: Filing: —Block: Lot No. Tax Parcel Number: / (0 /� 7 - 0 g - 0 Q - z_ �_ of Size:_ Street Address ✓ 0 K� � �060, /el !�:?/p BUILDIN TYPE: (Check applicable category) IN Residential/Single Family Number of Bedrooms-- ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applica gor k g � Well ( Spring ) Surface Public Vame of Supplier: *These systems re uire design by a Registered Professional Engineer SIGNATURE: � �v Date: -h7 /gs ************************************************************************** TO BE COMPLETED BY THE COUNTY AMOUNT PAID: RECEIPT #: DATE: CHECK CASHIER: �s eve,_ < 9� ISDS PERMIT 14 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION:_'3� C910 e. MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS�� TEST HOLES PRE-SOAKED: YES NO TIME Wnmsn nanmv 1 2 3 1 ---- — 2 3 ia 1 nrJa yr 2 rr►LL 3 tCAL�; 12 SOIL PROFII 1'0' 1, r �� ; � y 3 � ,� �O 3' c •� / , .iE�, U ,ZQ 4 r Ito P-7 Z2%Z �? % 1 Y (�l y 6' �s ,o 23 yy Y � ZD c f L(p 7' �f 8' y 7 y ts C) q©11,4 Time to drop last inch PERC RATE: GAY =6e� MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH F ELD SIZE: COMMENTS: 3 WA S PER TES DONE BY"" 1000 (—/4L�-j .5 - 2"4 DATE. nv" nment th officer rev. 6/90k 1469-95 EAGLE COUNTY 30 miles Colorado River Road' 1687-091-00-020 JAB NO. 'J®� L,OCATiON BILL TO DATE STARTED DATE COMPLETED DATE BILLED y 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 Printed in U.SA JOB FOLDER 9 I�ZV .t