HomeMy WebLinkAbout3288 Cooley Mesa Rd - 211108106010INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. i 0 9 9 ,
Please call for final inspection before covering any portion of installed system.
OWNER: Scott and Cindy Green PHONE: 524-7836
MAILING ADDRESS: 5572 Hiway 6, Gypsum, CO 81632
AGENT: PHONE:
SYSTEM LOCATION: 3288 Cooley Mesa Rd
LICENSED INSTALLER: Scott Green, B&B Excavating LICENSE NO. 46-91
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 357 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 120 ft of 10" SB2/12 infiltrators/ install inspection
portals at the end of each trench.
ENVIRONMENTAL HEALTH OFFICER* DATE: 10 / 25 / 91
CONDITIONS:
1. ALL INSTALLATIO S MUST COMPLY WITH ALL REM OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS, ADOPTED PURSUANT TO AUTHORI GRANTED 1N 25-10.104, C.R.S. 1973, AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION T, 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. SECTION III, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM
TO BE LICENSED ACCORDING TO THE REGULATIONS.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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: 450 SQUARE FEET. r j�
INSTALLED S EPTIC TANK: MOO GALLONS /00 DEGREES 55 FEET f/'erYl S.E, Gprn� Oy- Abase.
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS ANDASSEMBLY YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
COMMENTS:
ENVIRONMENTAL HEALTH OFFICER: Af DATE: G l
ENVIRONMENTAL HEALTH OFFICER: DATE: /0 - Z a _ 47•
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
T�
ISDS Permit #��
Building � g Permit #
•kD t,APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOB 179
_ AGLE, CO 81631
3"28-8/927-3823(Basalt)
PERMIT APPLICATION FEE L*!,*l
50 0} PERCOLATION TEST FEB 125.0,
************yr********** *
PROPERTY OWNER:
'tee
MAILING ADDRESS:,32 a,lJc�
APPLICANT/CONTACT PERSON:
LICENSED SYSTEMS CONTRACTOR:
PHONE:
PHONE:
6 /- 7X6 -, 5/i
ADDRESS. , �-�
c tL (�a� oZ t% � si �� � � PHONE : �Z4 - 3 Y
PERMIT APPLICATION IS FOR: (A) NEW INSTALLATION { ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Parcel Number: Lot size:
Physical Address:�Y29XCn�o)eu YIAPew- !2d
BUILDIN�TResidential
E: (Check applicable category)
/ Single Family Number of Bedrooms
( ) Residential / Multi -Family* Number of Bedrooms
( ) Commercial / Industrial* Type
HOT TUB - Yes ( ). No
WATER CONSERVATION PLAN: Yes ( ) No
TYPE OF WATER SUPPLY: Well( -Spring-( ) Surf ace
)
Public ) Name of Supplier:
Give depth of all wells within 00 feet of system:
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE AL,REMITT CE PAYABLE TO: "EAGLE COUNTY TREASURER"
'1.
s
SIGNATURE •
AMOUNT PAID: \ �j O(D RECEIPT#
CHECK #
TIME LOG
Travel Perc Final
I
DATE: qr
DATE:
CASHIER:
ISDS PERMIT 7 /09j
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: S. Cok Green►
LEGAL DESCRIPTION: 3,2Sg Coo' Ah5k �omof'
MAILING ADDRESS: 5.5 72 �/;
`� ��f VUv� srivn f?P4i irn ,
TYPE OF DWELLING: SF 'IZe�. NUMBER OF BEDROOMS 3
TEST HOLES PRE-SOAKED: YES_ NO
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PERC RATE: % Mi'1 MINIMUM SEPTIC TANK SIZE: 1006
MINIMUM LEACH FIELD SIZE: 357 2 0 �ir�t�n 120 4 ; 16"5b_)
COMMENTS: 1"5411 /ylSj9ee4M DarLl.';, 0' eHe ' 6l 4",l
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COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
October 29, 1991
Scott and Cindy Green
5572 Hiway 6
Gypsum, CO 81632
RE: Final of ISDS Permit No. 1099
Dear Mr. and Mrs. Green:
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
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. Also enclosed are informational sheets
regarding the care of your septic system.
If you have any questions regarding this permit, please contact
the Eagle County Environmental Health Division, P.O. Box 179,
Eagle, Colorado 81631. We can also be reached, depending on your
calling area, at the following numbers: Eagle valley 328-8730;
Basalt/El Jebel 927-3823.
Sincerely,
(+ ?
Ke14.ey Carhart
office Assistant
ckc
Encl: Information Sheets
Final ISDS Permit
cc: Chrono File
Building Permit File
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
October 28, 1991
Scott and Cindy Green
5572 Hiway 6
Gypsum, CO 81632
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
RE: Issuance of Individual Sewage Disposal System Permit
No. 1099
Dear Mr. Green:
Enclosed is your ISDS Permit No. 1099. The enclosed copy of the
permit must be posted at the installation site. You must call
our office for final inspection before covering any portion of
the installed system; the deadline for final inspections is
December 1.
If you have any questions, please feel free to contact us at the
following numbers depending on your calling area: Eagle Valley
328-8730; Basalt/El Jebel 927-3823, ext. 730.
Sincerely,
Roger Boyd
Environmenta Health Assistant
Community velopment
RB:ckc
Enclosure
cc: ISDS File
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BEARING BASE:
STREET ADDF
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone:328-8755 REPAIR PERMIT
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1644
Please call for final inspection before covering any portion of installed system.
ULD i6D6
OWNER: Bill and T.nui sa King., Ri rharrl Mai-fbPws, PHONE: (970) 524-7994
MAILINGADDRESS: P-O- Box 794 City: G3z= Gnm State: co Zip: 191637
APPLICANT: Bill King PHONE: 524-7894
SYSTEMLOCATION: 3288 A Cooley Mesa Rd. , Gypsum TAX PARCEL NUMBER: 2111-081-06-003
LICENSED INSTALLER: Bighorn Excavating, Ron Grout LICENSENO: 1-96
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS:
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 8" 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#
(Site Plan MUST be attached)
ISDS Permit # j0 7 `l
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:
APPLICANT/CONTACT PERSON: &),/—
MAILING ADDRESS: P-6. Rex -iqV
�! ''KPH NO E ��yo ) S.0y
PHONE: Mo
LICENSED ISDS CONTRACTOR: d., .qo,eAt rc ye.4 milAI& PHONE: (9;10) 9A6-4z0y
COMPANY/DBA: j8,f&doZU eA✓A7.v6,ADDRESS: Po.&)e /64/ tAG,—r en .4jv30
***************************************************************************
PERMIT APPLICATION IS FOR: ( ) New Installation ( Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit # NJA (if known)
Legal Description: Subdivision:
16"I'le 4-YAM4AS Filing: _Block: Lot No.14
Tax Parcel Number: L I -1 �- �_� Lot Size:
Street Address: 9288 A C'od,.,-X 60 8i`3-1
BUILDING TYPE: (Check applicable category)
(t-'Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number
Number
Type _
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
( "-Public Name of Supplier: 7-o-W eF 6ya,5caM
of Bedrooms
of Bedrooms
*These systems require design by a Registered Professional Engineer
SIGNATURE: Date:
***************************************************************************
TO BE COMPLETED BY THE COUNTY c�
AMOUNT PAID: V-P .00 RECEIPT #: DATE: 6 5
CHECK #: CASHIER:
JOB NAME,
1644-96 Tax# 2111-081-06-003
1099-91 Lot#3A Felix Reynolds KING
3288 A Cooley Mesa
Gypsum, CO
JOB NO.
Il1Q 1 Al+A T1llAl
BILL TO
DATE ST RTED
DATE COMPLETED
DATE BILLED
/lja
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 Produgt 278 �® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER
Printed in U.S.A.
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