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HomeMy WebLinkAbout105 Eaton Ln - 210923402001WAGE DISPOSAL SYSTEM PERMIT INDIVIDUAL SE Ty ENVIRONMENTAL HEALTH DIVISION EAGLE COUN . Eagle, CO 81631 P.O. Box 179 - 500 Broadwa328-8755 Telephone: (970) PERMITNO. 17� BP NO.MI_10627 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PHONE: 970 328-6966 OVER; WILLIAM WHITTAKER MAILING ADDRESS: P.O. BOX 284 EAGLE CO 81631 PHONE: APPLICANT: SAME TAX PARCEL NO. 2109-234-02-001 LICENSE NO. 49-9� PHONE: 970 949-2366 SYSTEM LOCATION: EATON LANE EAGLE CONSTRUCTION ILICENSED INSTALLER: T. NOTTINGHAM PHONE NO. DESIGN ENGINEER: TED FOR THE FOLLOWING: INSTALLATION HEREBY GRAN F T 12 GALLON SEA TANK RE VESTED BY THE OWNER. SPECIAL REQUIREMENTS: IN SQUARE FEET O DATE: ENVIRONMENTAL HE TH �PROVAL: CONDITIONS: S OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, AMENDED* COUNTY ZONING AND BUILDING IN 25-10-104, 19, , AS AME ZONING AND BUILDING DEPARTMENTS 1 • ALL INSTALLATIONS MUST COMPLY WITH ALL REQIIIREMES WIIICH HAVE FULLY OT APPROVED BY THE PERMIT• ADOPTED PURSUANT TO AUTHORITY GRANTED DWELLING OR STRUCTURE 2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURE BOTH LEGAL ACTION AND REVOCATION D THE QLJIgEMENTS, CONNECTION TO OR USE WITH ANY OF I IID PERMIT PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM T SHALL AUTOMATICALLY 4 03B29 RE A VIOLATIO NY A ON WIR40 C I 3. CHAPTER IV, BE LICENSED. FINAL APPROVAL OF SYSTEM (TO BE COMPLETED BY INSPECTOR): COMPLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL NO SYSTEM SHALL BE DEEMED TO BE IN COMP 11 �� ) THE SYSTEMS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. SQUARE FEET (VIA . INSTALLED ABSORPTION OR DISPERSAL AREA: GALLONS IS LOCATED 7 5 DEGREES AND 15 FEET FROM INSTALLED septic TANK: I2� COMMENTS: _ MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ANY ITEM NOT WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL ARRANGE A RE -INSPECTION WHE' DATE: _LAY (Site Plan MUST be attached) � ISDS Permit # ` `/ O 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: MAILING ADDRESS: APPLICANT/CONTACT PERSON: MAILING ADDRESS: 'J�.0. LICENSED ISDS ,CONTRACTOR: PHONE: COMPANY/DBA: A RESS PERMIT APPLICATION IS FOR: (K) New• Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # MLLj1_(if known) Legal Description: Subdivision.: 111�� S Filing: 'Block: Lot No.3 Tax Parcel Number: ti Lot size: /0'/es Street Address: BUILDING TYPE: . (Check applicable category) (X) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface (�() Public Name of Supplier: Ts"--�,e. §-R Fi Number Number Type _ of Bedrooms 3 of Bedrooms *These systems require design by a Registered Professional Engineer SIGNATURE: Date: df'/!Xa/97 TO BE COMPLETED Y THE COUNTY AMOUNT PAID: ZP� RECEIPT #: 1� (� DATE: / CHECK #: 04 CASHIER: Community Development Department (970) 328-8730 Fax: (970) 328-7185 T DD: (970) 328-8797 EAGLE COUNTY, COLOIRADO September 24, 1997 William Whittaker P.O. Box 284 Eagle, CO 81631. RE: Final of ISDS Permit No. 1723-97, Tax Parcel #2109-234-02-001. Property location: Eaton bane, Eagle, CO. Dear Mr. Whittaker: Eagle County Building RO. Box 179 500 Broadway Eagle, Colorado 81631-0179 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 (970) 328-8755. Sincerely, Janet Kohl Environmental Health Department Eagle County Community Development ENCL Informational Brochure Final ISDS Permit cc: files Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: August 22, 1997 TO: T. Nottingham Construction FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1723-97, Tax Parcel #2109-234-02-001. Property Location: Lot #3, Moser Subdivision, Eaton Lane, Eagle, CO., Whittaker residence. Enclosed is your ISDS Permit No. 1723-97. It is valid for 120 days. The enclosed copy of the permit must be posted at the installation site. Any changes in plans or specifications invalidates the permit unless otherwise approved. Please call our office well in advance for the final inspection. Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Your building permit CO will not be issued until final approval has been given for the ISDS Permit. Permit specifications are minimum requirements only, and should be brought to the property cwner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328- 8755. cc: files Enclosure: ISDS Final Inspection Completeness Form ISDS PERMIT /7a3-9-/ 0 ), '. I _q OWNER: i it, rC, PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. df LEGAL DESCRIPTION: La n)o.3 MAILING ADDRESS: TYPE OF DWELLING: i kvh f'A M 1) u 0 e S, NUMBER OF BEDROOMS 77\ w w w w w w w w w w w w-f-77-777-* -�or �4 TEST HOLES PRE-SOAKED: YES X NO TTMF wAmvn au.Lij rhut 1.L1 2 3 1 2 3 1 2 3 1 2 3 "1 � 0' '40 P 11 % Ito 1213 -3-7� 21 1:3 7,5 14. �n-4 1, oP 7-�' 2.312 2 -7 3', )< 3, 33 4 0 Ito &74 Z1,21 -7/ 5 6 7' 8 4D Time to drop last inch PERC RATE: 0 MINIMUM SEPTIC TANK SIZE: NR 505L4tn u U MINIMUM LEACH FIELD SIZE: COMMENTS: 0 �G- 'QPP&<_,a-hoA AA& 86 01004�, z�`e� PER TEST DONE BY: vironmental Health.0 cer DATE : g 1 2-116 rev. 6/90ks 06 5)b� - 01 , , . - q)00 � ,,I ISDS Permit # L323- d �- Date�- ISDS Final. Inspection Completeness Form _/ Tank is gal. Tank Material � t1r0f *f— Tank is located 'S' t . and 2. degrees from (permanent landmark) Tank is located ft. and degrees from (permanent landmark) _ ✓ Tank set level. ✓ Tank lids within 81I.of finished grade. Size of field. ft2 units lineal ft. Technology vs 7-a 3(4 tl Cleanout is installed in between tank and house (+ 1/100ft) . U<, q.11-710- �\ There is a "T" that goes down 14 inches in the inl t and put—fe—E)of the tank.v, Inlet and outlet is sealed with tar tape, rubber gasket etc. I/ Tank has two compartments with the larger compartment closest to the house. 1/ Measure distance and relative direction to field. S3� Depth of field ft. V_ Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. _ Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) - Type of - pipe used for. building sewer linesW 3S leach field SPe-3 S 3,r) J#Vd Gr PV k l,� S -sx ; it17 Other L✓ -U- Inspection meets reduirem ents . Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 31V(3 31Va Jo —As (33)403HO 'As a31vino-ivo ON 133HS — sor M.Szz-oosi MH "101 ".3-d :_ SSEA UOICJ9 ul �� Ta-D Ed; L SUZ !Wi3 0 5L 5, I -%' ­1006d TZ9TS OD 'aqDVH 6LT X09 *0*J HlqVaH 'ANS IIU00--H'IDVa 1/23-97 Tax# 2109-234-02-001 Lot #3, Moser Sub. WHITTAKER JOB NAME Eaton Lane Eagle JOB No. MT, I � JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED NlZ /CMG z ' ti� �C.�"L�l� �� . U glzz�4 � v l ✓JJ '�t7�—v� w � 3 ! vh� �0 1�i2o7t LC:+ v + r1 �i % i/yt L� G� i✓�/,v/ % ��. JOB COST SUMMARY TOTAL SELLING PRICE / �-f� TOTAL MATERIAL 1 `� L TOTAL LABOR I INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT —i.000/ JOB FOLDER Product 277 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. • tid r: .r' �9 K ~�`'�.•`. 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