HomeMy WebLinkAbout300 Ruedi Creek Rd - 247106300004INDIVIDUAL 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. 1549
Please call for final inspection before covering any portion of installed system.
OWNER: Bob FreqAaa PHONE: (708) 447-0114
MAILING ADDRESS: 304 Fairbank Rd. City: Riverside State: IL Zip. 60546
APPLICANT: Mike Crowley PHONE: (970) 927-1132
SYSTEM LOCATION: 15155 Frying Pan Rd. TAX PARCEL NUMBER: 2471-063-00-004
LICENSED INSTALLER: J•W• Construction/Joe Weinant LICENSE NO: 34-95
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQ UARE FEET OF SEEPAGE 13ED 604 SQUARE FEET OF TRENCHBOTTOMvia 17 infiltrators as per Mike Crowley.
SPECIAL REQUIREMENTS: Install in serial distribution in trenches. Be sure to maintain all set -backs.
Install inspection portals in each trench, rake all trench surfaces, except for the end pip
Do not install more than 2 1/2— 3 feet deep. Call the County before back -filling for the
final inspeion before December 1, 1995-
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: SQUARE FEET.
INSTALLED SEPTIC TANK: GALLON DEGREES FEET FROM
SEPTIC TANK ACCESS TO WITHIN a,, OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY YES _ NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: 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:
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
(bite Plan MUST be attached)
ISDS Permit
APPLICATION POR INDIVIDUAL SEWAAS DiISPOSAL SYSTEM PERXIT
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:
MAILING ADDRESS:
APPLICANT/CONTACT PERSON;
MAILING ADDRESS: J5,)4-4-
LICENSED ISDS
COMPANY/DBA.
,rxAc�;o1z: _ PHONE: M171 91-0).4-wA
ADDRESS:
PERMIT APPLICATION IS FOR: (1New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit 0
( if known)
Legal Description: Subdivision: WAf#4MVPipt ling:_Bloek:_Lot No.�
Tax Parcel Number: L. ► - _ - Lot Size:,_,,,, E I� c
Street Address:
r r�
BUILDSA,OK, (Check applicable category)
Residential/Single Family Number.of Bedrooms
( ) Residential/Multi-Family* Number of Bedrooms
( } Commercial/Industrial* Type ---W
TYPE OF ATER SUPPLY: ;Check applicable category)
(v) well (.) Spring ( ) Surface
( } Public Name of Supplier:
*These systems lqdresi�g by a Registered Professional Engineer
SIGNATURE: Date:
TO BE COMPLETED BY THE COUNTY
AMOUNT PAID: _ .RECEIPT .#: DATE:
CHECK #: CASHIER:
LOYOLA
d ¢ UNIVERSITY
o MEDICAL CENTER
a
Office of the President
and Chief Executive Officer
209- 2-/6 32i 4
2160 South First Avenue
Maywood, Illinois 60153
Telephone: (708) 216-3215
Fax: (708) 216-6227
Loyola University Chicago
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DEC-30-1993 07; W H I GH CQUNI WY L14W l4tv.N 1 NU ; . *.' �aa � ��= ' • '�
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A PARCEL OF LAND SITUATED IN THE SWI/451 I /4 OF SEC, 6.
T.8 S., R.84 W. OF M 6TH F.M. COUNTY OF EAGLE, STATE OF COLORADO
9-35'16^E '� 678_21' '
1
IF Ii NE,/I/ W/4
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SCALE 17 — —209a Ito
1345.08 •:
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NOTES:
1. THIS MAP HAS BEEN PREPARED BASED ON TF E 190 OLM SURVEY FOR SECTION 6
AND DOES NOT REPRESENT AN ACTUAL BOUWANY SURVEY BY HIGH COUNTRY
ENCINE.ERINC, INC. NOR SHOULD THE DATA 5HC1MM HEREON BE RELIED UPON IrOR
ANY PURPOME. �
2. RED CREEK AND RED CREEK ROAD HAVE BEEN DFCITIICED FROM THE USCS ACD CREEK
QUADI MOLE MAP.
3. THIS PROPERTY IS SUBJECT TO PRESERVATIONS, RESTRICTIONS, COVENANTS AND
E+ASEWNTS OF REGARD OR IN PLACE.
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
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OWNER: kx J ula , n l
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LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING:,.���,� �. ER OF BEDROOMS
5t � k sir k k � � yr k Yr k Alt � k yr 9r yr yr yt'�j* �4
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TEST HOLES PRE-SOAKED: YES_ NO
TIME Wamt n nanmtr
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2
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RATE
SOIL PROFI.
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Time to drop last
inch
PERC RATE: p�� j MINIMUM SEPTIC TANK SIZE:
MINIMUM LEACH FIELD SIZE: b04*
COMMENTS:
A4,,194,�-1
P CB TEtT DQI_E BY
DATE: % c
nvironment,l ealth Officer
rev. 6/90ks
1549-95 Tax#2471-063-00-004 ;
,
A JOB NAME 15155 Frying Pan Rd.
JOB NO.
SW1/4SW1/4 of SEC 6T.8 S.,
R.84 W. of the 6th P.M.
JOB LOCATION I r7 AiIN t2 `-7
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BILL TO z 1 0
DATE STARTED QD7
COMPLETED
DATE BILLED
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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 ®0 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A.