HomeMy WebLinkAbout152 Fulford Dr - 210904105007INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. REPAIR PERMIT NO. 1905-99 BP NO.
OWNER: CARL & MARY MERKLING PHONE: 970-328-6881
MAILING ADDRESS: P.O. BOX 462, EAGLE, CO 81631
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 152 FULFORD DRIVE, EAGLE, CO TAX PARCEL NO. 2109-041-05-007
LICENSED INSTALLER:_AAAA SEPTIC PUMPING & DRAIN SERVICE, JIM WILSON LICENSE NO. 40-99 PHONE: 970-524-4524
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1006 GALLON SEPTIC TANK SQUARE FEET OF
SPECIAL REQUIREMENTS: REPLACE EXISTING SEPTIC TANK, AND INSTALL THE NEW TANK WITHIN 8 INCHES OF FINAL GRADE. IF ANY CAST IRON
PIPE IS FOUND, REPLACE IT WITH PVC PIPE. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACKFILLING THE
INSTALLATION OR WITH ANY QUESTIONS REGARDING THE, INSTAL AT ON.
ENVIRONMENTAL HEALTH APPROVAL: JANET KOHL DATE: AUGUST 2, 1999
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 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: NA SQUARE FEET (VIA )
INSTALLED CONCRETE SEPTIC TANK: 1000 GALLONS IS LOCATED 140 DEGREES AND 14 FEET 2 INCHES FROM THE CLEANOUT
COMMENTS: FINAL INSPECTION OF INSTALLATION OF SEPTIC TANK COMPLETED 8/4/99.
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL AP ROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL JANET KOHL DATE: AUGUST 5, 1999
Incomplete Applications Will.NOT Be Accepted
'i (Site Plan MUST be attached)
ISDS Permit # ' U�✓ /
Building Permit #
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: is, G f 1 c-
MAILING ADDRESS:
APPLICANT/CONTACT PERSON:
LICENSED SYSTEMS CONTRACTOR
COMPANY/DBA: � S ',t v1 1
******************* *****
PERMIT APPLICATION IS FOR:
f -r
PHONE :3-2R' (o8? 1
�gi GI PHONE:32�?'
AMA
A R� i /)►� i 1 PHONE: S a
sa
� J ,�� n p
.I bt4N%ADDRESS : A88 GMAJr� CIE4 l -6a GgajA-' 019(
( ) NEW INSTALLATION ( ) ALTERATION REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Co'r% W, j . �y
Legal Description: LOk �,�lw�.S1IA�:11�►u�--li n.ca
Tax Parcel Number: o2101 -L9 Size:
Physical Address: ),5;2 -J 06f rb Pt
BUILDING TYPE: (Check applicable.category)
(� Residential/Single Family
( ) Residential/Multi-Family*
Commercial/Industrial*
Number of Bedrooms_
Number of Bedrooms
Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
X Public. Name of Supplier: 70,>hLQV 6!�VIp
*These systems requir design by a Registered Professional Engineers
SIGNATURE : Cl, Date:.
AMOUNT PAID: IUD r RECEIPT # : < < DATE: a' t
CHECK #: a-3 CASHIER:
ISDS Permit # e7V
Date f �/�,
T__SnR_ Final l TASReGti On
Completeness Form
Tank is _11L_ gal. Tank Material WU'e,
L/ Tank is located %4'' Z ft. and IYQ-'L—degrees from de&A C-k4— .
(permanent landmark)
Tank is located ft. and degrees from
(permanent landmark)
YiS ev S
I_ Tank set level. ✓ Tank lids within 8" of finished grade.
6 Size of field ft2 units lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
There is a "T" that goes down 14 inches in the inlet and
outlet of the tank.
✓ Inlet and outlet is sealed with tar tape, rubber gas etc.
—I Tank has two compartments with the larger compartment closest to the
house. buggy �J
�nP s
Measure
stance and relative direction to field.
Depth of field ft.
Soil interface raked.
Inspection portals at the end of
Proper distance to setbacks.
Chambers properly installed as per
(Chambers latched, end plates proF
trenches, etc.)
Type of pipe used for building sew
Other
Inspection meets requirements.
Copy form to installer's file if
suggested.
ACTION TAKEN:
trench..
Rc'ir4rs—specif ications .
nstalled, rocks removed from
line , leach field
tions for improvement were
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
Co
G
H2O c�e, ► c
3
1905-99R Tax #2109-041-05-007
Lot #67, Upper Kaibab MERKLING
JOB NAME 152 Fulford Drive JOB NO.
Eagle
JOB LOCATION
BILL TO
DATE START D
C
DATE COMPLETED
DATE BILLED
e7
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 277
P-
JOB FOLDER
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