HomeMy WebLinkAbout1550 Castle Peak Ranch Rd - 193923301004INDIVIDUAL 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. 1472
Please call for final inspection before covering any portion of installed system.
OWNER: Dana Hurtt PHONE: 845-9365
MAILINGADDRESS: P.O. BOX 2529 city: Vail State: CO ZIP: 81658
APPLICANT: Jim Kern PHONE: 949-4827
SYSTEM LOCATION: Lot 4 Highland Meadows G 1 P PETMeARCELNUMBER: 1 9'19-233—01-004
LICENSED INSTALLER: Logan Craig LICENSE NO: 08-95
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 805 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Install 22 infiltrator units in a serially distributed trench configuration.
Install inspection portals at the end of each trench. Rake side walls and call county for
final inspection.
ENVIRONMENTAL HEALTH APPROVAL: DATE: lJ f °
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: 805 SQUARE FEET.
INSTALLED SEPTIC TANK: 1250 GALLON DEGREES FEET FROM
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: Installed 22 infiltrators as per directed.
ENVIRONMENTAL HEALTH APPROVAL: DATE: 6 / 2 2 / 95
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECT ECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
(-Site Plan MUST be attached)
ISDS Permit # l C <
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)
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* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* MAKEALL REMITTANCE PAYABLE TO:' "EAGLE COUNTY TREASURER*"
PROPERTY OWNER:
MAILING ADDRESS:
APPLICANT/CONTACT
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR: �1 djj V-)
COMPANY / DBA : L _%g-.--Cn& 4 1 � e-
.( )e i 9y9yn� 9
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PERMIT APPLICATION IS FOR: ()Q New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit #
Legal Description:
Tax Parcel Number:
(if known)
)ifs,� Iej M"., Estiles
Subdivision: (n4tie Peak eg,,A Filing: —Block: Lot
No. !
�-2� a -f) I Q- Lot Size: _
Street Address: L4 LQ A Ile -
BUILDING TYPE: (Check applicable category)
I,��` Residential/Single Family Number of Bedrooms
Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE 9FWATER SUPPLY:
( Well ( )
( ) Public Name
(Check applicable category)
Spring ( ) Surface
of Supplier:
*These sys ems require design by a Registered Professional Engineer
SIGNATURE: Dater
TO BE COMPLETED BY THE COUNTY i
AMOUNT PAID: RECEIPT # :�� DATE:
CHECK #: CASHIER: �_
i5DS PERMIT _
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTI
MAILING ADDRESS:
ON:_C���
Coo
TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
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ME
NMI
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MIMIHIM
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Time to drop last inch 4 ��
PERC RATE: MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE: G f
COMMENTS: ((l6
v
PERC TE B
DATE:
Envi mental lth Officer
rev. 6/90ks
6�%6q/6_6i�- PL)Tf(A3
€AGLEcoumy Eagle County OWTS Systems Cleaners Reporting Form
NOTE Required to be submitted to Environmental Health within 10 days of cleaning an OWTS system
Systems Cleaner Company l� � ��a(ZI2, License Number �
Email AddresOLIAr/
Service Technician } Phoned ��� AD V .`
Tax Parcel AN Address of Service
Person Requesting ServitL Phone
Property Owne Phone
Septic System Permit umber Tank Size l
Date of service %19 ) I to Tank Material Com-MiR
Sewage Disposal Siteqwraffio
i
General Condition and Functionality of the System yUeS
Recommended Repairs fWA-O t.& -
Site sketch showing location of the septic tank access lids measured from at least 2 fixed points
(Photos Encouraged)
t`0.St1e F<'u 2L1NLk.-, li'� C1
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N/P
JOB NAME , 3444- -� GS4 (aO
Lot 4 Highland Meadows JOB NO.
Castle Peak Ranch
JOB FOLDER Product 278 [Rjj�® NEW ENGLAND SUSINES$ SERVICE, INC., GROTON, MA 01471 JOB FOLDED Printed in USA
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