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Home My WebLink About810 Cordillera Wy - 210712203013 - 1007-90ISINDIVIDUAL 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. Please call for final inspection before covering any portion of installed system. OWNER: Chris & Helen Edwards PHONE: 314-982-1000 MAILING ADDRESS: P.O. Box 988, Edwards, CO 81632 AGENT: PHONE: SYSTEM LOCATION: 0810 Cordillera Way, Edwards,CO 81632 LICENSED INSTALLER: LICENSE NO. 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 739 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 260 l ft of S132 per installer's request. Put inspection portal at end of each 1 i rye ENVIRONMENTAL HEALTH OFFICER:° DATE:3 CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GRANTED 1N 25-10-104, C.R.S. 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. SECTION 111, 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: SQUARE FEET. alee Aj INSTALLED SEPTIC TANK: GALLONS DEGREES FEET i �r SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: V PROPER MATERIALS AND ASSEMBLY 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: DATE: - ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: __ _ RECEIPT #: CHECK #: CASHIER: SENT BY:EAULE COUNTY UOVT, ; 0-17-90 ; 4:03PM ; COUNTY MANAGER-+ 2 APPLICATI-ONFOR INDIVIDUAL SE14AGE DISPOSAL SYSTEM PERM 11 ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: -34) P. 0. BOX 179 EAGLE, COLORADO '91631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150,00 n7RCnj.PTTr1N TEST FEE tinr.no NAME OF OWNER: MAILING ADDRESS: PHONE: NAME OF APPLICANT (If different from owner).: ADDRESS.: P,o, 00 g PHONE:. —3,500 DESIGN ENGINEER OF SYSTEM (If applicable): jfo,4,,e?,s Ca.�,-7 ADDRESS PERSON RESPONSIBLE FOR INSTALATION OF SYSTEM: LICENSED INSTALLER: YES NO ADDRESS: PHONE : E ? -- PHONE PLICATION IS FOR: ( NEW INSTALLATION ALTERATION REPAIR OF PkPO'SEff- INDIVIDUAL T' SEWAGE DISPOSAL SYSTEM: vnysical Acaress: "-a Parcel Number: Lot Size: 1 4 Igcr- ex� Legal Description: -9"-h LDING OR SERVICE TYPE (Check applicable category).. >4 Residential- Single Family Residential - Fourplex Residential - Duplex commercial (Type) -Residential Triplex BER OF PERSONS: NUMBER _7 TE- TYPEs (c eck aDDlicable cateuories Commercial or Institu-1-io--na-IF Dwel I i ng Non -Domestic Wastes Transient Use Garbage Disposal Dishwasher Automatic Washer 'Spa Tob Other (Specify): TYPE OF iNuivluuAL SEWAGE DISPOSAL SYSTEM PROPOSED: ('>4 Septic Tank ) Compostip9 Toilet Incineration Toilet Vault Privy ) Greywater Chemical Toilet Pit Privy Aeration Plant Recycling, Portable Use Other Recycling* Other Use WILL EFFLUENT BE DISCKARED DIE"CTLY INTO WATERS OF THE STATE: ( ) YES NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO WATER CONSERVATION PLAN: YES NO NOTE! The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: (,4 We I I ( ) Spring Creek/Stream GivF-Te-pth bf all wells within 200 feet of system: X11114 -_ If supplied by community water, give name of supplier: <', ,77 7 7 777- a, SIGNATURE: =,,Z�DATE: - !?A/2Z4?_0 bi i INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: 8R01JND'c0mnT'rTnNS! Pprnpnf. nmind 0nnP I EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: August 22, 1990 RE: Issuance of Individual Sewage Disposal System Permit No. 1007 Enclosed is your ISDS Permit No. 1007 This copy of the permit must be posted on the installation site. You must call our office for final inspection before covering any portion of the installed system. If you have and questions, please feel free to contact us at the following numbers for your calling area: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle area 328-8730. Sincerely, �� oft Roger Hosea Asst. Environmental Health Officer Community Development cc: ISDS file RH/alm Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 CONIMLINM EIEVELORMENT DEPARTMENT 3)3) EAGLE COUNTY, COLORADO April 20. 1992 Chris & Helen Edwards P.O. Box 988 Edwards, CO 81632 RE: Final Of ISDS Permit No. 1007 500 BROAMVAl P.O. BOX I _9 EAGLE. COLORADO S 1631 FAX (3031 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 dwelling may require appropriate alterations of your septic system. Tf: you have any questions regarding tins permit, please con, ---act the Eagle County Environmental Health Division at 328-3755. Sincerely, 'Brenda Henderson Office Assistant Environmental Health /bh ENCL: information Brochure Final ISDS Permit CC: Fibs Summit County Systems Cleaners Reporting Form (Please Print) Name of Systems Cleaner Name of Service Person Date of Service Qt4'-,1-a 4 Date of Installation Property Owner - h-° ii �%,t ��1 - Telephone # Physical Address Subdivision Estimated Tank Size # of Manholes Material of Tank / '.y -, , Y t-1 `f Depth to Manhole Covers r ' !` , Estimated Volume Pumped 1'/ c- # of Compartments Sludge Thickness ? �' inches Scum Thickness i C: ' inches Baffle or Sanitary Tee in Place? Inlet ✓ Outlet UNK -Effluent--F lt�r ti ac`e?""""--�--r_Y N (rB�eq a t f�000) Dosing Mechanism k/ Pump Siphon None Dosing Mec .an / Alarm Functioning Properly ✓ Y N Previous Pumping Date, if known ,s Location of Septage Disposal General Comments (include any signs of failure and all work in addition to pumping) Sketch (Location of Tank) Under section 16303.02 (D) of the Summit County ISDS Regulations, holders of a Systems Cleaner License must report to the Environmental Health Department each ISDS which is cleaned, serviced or inspected not more than thirty (30) days after such service is performed. I certify that to the best of my knowledge the above information is true and correct,. Signed z. - Date ✓<, /.,_ 20 , 7 790 ---�— — — — — B6— 7790 \ �o / -- _ -- — 77go