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HomeMy WebLinkAbout7087 Frying Pan Rd - 246906300003INDIVIDUAL 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. 116 3 —92 Please call for final inspection before covering any portion of installed system. OWNER: Alfred W Gardner jr-, Mnry D Gardner, Fredriab H �Gardnej!HONE: 997-3640 MAILING ADDRESS: BOX 1102, Basalt, CO 81621 AGENT: PHONE: SYSTEM LOCATION: 7087 Frying Pan Road, Basalt, CO LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM• INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: ENVIRONMENTAL HEALTH OFFICER: 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, 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 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: SQUARE FEET. INSTALLED SEPTIC TANK: GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS ANDASSEMBLY YES NO COMPLIANCE WITH COUNTYISTATE 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: .Lliuumplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit #�"� Building Permit 7 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY IJEVE " HAIENT P . 0. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE t125.00 MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" � �t*Y�Ye�rYcyt�t��Yc�Ytk�kyc��yc7t�lryc��t��Yt�yc��Ir�Ic4e��rW�Y�rYt�C��CY[yc��7rYcYeyryc�cyrYrYr�7CYCYr�ye��Y��Ir�Yt*�e�1CYlJe PROPERTY OWNER: ADNeIL R49y -bFGr9gve-,t eaaiche fi ia2D.v�rL' MAILING ADDRESS: 4gS4i--r CAI S I b Z I PHONE: J2'7-34yv APPLICANT/CONTACT PERSON: A-r-ReD V. 6�qAo.eo PHONE: 527-3)7y LICENSED SYSTEMS CONTRACTOR: ✓li`ofi�eee�se� CT _ (�p.�� eco�v►s� PHONE: COMPANY/DBA: ADDRESS: -� vc�rxvcvcvc�cvc�r�c�r�c,rvc�cvcvrvc�r�crcrrvrvcvcvc>'c�vcvcrvcvcvcwvc�rvc�r�rrc�r�rrcvcwx�cr�rcvr�:�r�rrc�r��rrxr�c�r�c�r��r�r�rr��r�r PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION ( REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: � Q y 01TO C-'ZeeaC S'cc�iDiv�S�or/, s4HL (oaK1"�1 ( eV/Lt, Tax Parcel Number: oao g.S/g ) S Lot Size: S a o�c_,zeg Physical Address: 7087 t-AylKa/Aw �9 Ejgs��7- Cp BUILDING TYPE: (Check applicable category) (3) Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well O` Spring ( ) Surface ( ) Public Name of Supplier: *These systems re�u'F design by a Registered Professional Engineer SIGNATURE: Date: yC k Yt Yc )1 Yt X X �f `IC I 17. Yt k YC X YC YC Y[ NC X Yf YC Y: X t1C yC K X YC YC X YC Y! Y! Y[ X 7k Yf >[ X X X YC X !r If k ]If X YC X YA X Y; Nc W Yc YC Yt YC Yc X YI Y Y! �C YC AMOUNT PAID: RECEIPT DATE: CHECK =r : CASHIER: TIME LOG: TRAVEL: PERC: FINAL: Memorandum TO: ISDS File #1163 FROM: Tania M. Busch DATE: November 28, 1992 RE: Pending septic permit Alfred Gardner was contacted on 11/25/92 regarding his ISDS permit #1163. He confirmed that no alteration was made to his system. Instead B & R Septic Tank Service cleared the lines between the building sewer, tank, and field. He is no longer having any problems with his system. This file is therefor closed. Parcel #2469-063-00-003, Parcel 4 '-Otto Creek Subdivision, 7087 Frying Pan Road "Gardner JOB NO. BILL TO DATE STARTED DATE CO P ETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS -1K lqe acvky bos' r7ow, hC 16 /el U." C"a MtO C, GRC -r It�l.�t� I-ttl; _ UC' �f�clV 5W l/4 51✓ I/4 l��t-iC .11K7KJHW�1 C.�KNC�. 4313.4.1 FEET; _ 7HF-' sW 1/4 15E►/A-+ -5E 1/4; )IbC)"E 35O.O0 WET, ` 5.89�/4/2"E 326, /z' 1CUN0--ALUMINUMCAP4 RCMr, ENMRLINF- OF L.6 7734 SAID CEMERLIINE/ r\ a A5?EP,LY LINE OF j THE FA5?RLY LINE RNF.R-i1--11�F�T✓ OF THE 5E I/Ll W -IE NOR1HER..Y.LINE o . SA5T CORNER E57 CORNER OF fHE YWE5TERLY LINE HE NORTH W E5T 0 16 - -- Z4 ` .57772 W 23 j A �0 21�1 ,_.. \`T12 201 29 2o�57PARCEL 3 i9 r i N°' W i . 121.01 18 f i NI 7�2�,0�1„w I 1�4.72 ACRES ± �. 17� 10 00 �W /4 N/3° '29 Gab,nJc.W '/4 JcE �4 Q 47 �68 E i E Nl2°0S,'21"W 73.59 N 1 0 Iykv O �-584'45'11"W40.72 5 80 23 JS � 1a0.43 � .---- W MOT WIDE �y r 11 0 981 YF, ACCE'55 E.AASEMENT ill 21.43 .7 I M v W Z. DoO�O �.e.tcli 4, 140 �9 ' NMO 8/13"f- 7 i� 10 0 PARCEL 4►��� _ , o _.3529 ACRES L = 32�• /4 � IC/-/ = SZ.3 2 J\ l� W.C.�14COR. 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D' 32° T` p.A 0 s �' I / s s' D' q34 7087 Frying Pan Rd General location shot of 2000 gallon concrete tank 1 Access covers for 2000 gallon concrete tank, primary in foreground and secondary in back ground 2 Looking down into the access cover for the primary side of the tank, with risers and lid. 3 Primary side of tank with inlet T and riser at grade 4 Looking down into the access cover for the secondary side of the tank, with riser and lid. 5 Secondary side of tank with outlet T and riser at grade 6 General location of leach field 7 Invoice Date 1/22/2024 Invoice # 16897 Bill To A Cutom Log 52 Pottery Lane Carbondale CO 81623 Terms Net 30 Due Date 2/21/2024 Total Balance Due Payments/Credits ALL VALLEY RESOURCE 239 Arapahoe Carbondale, CO 81623 970-300-3309 - Office "THE FAT MAN" WWW.ALLVALLEYRESOURCE.COM Payment Options: Mail a check to the address above Pay online link with Credit Card Venmo Payments: Brian-Flynn-50 Description Qty Rate Amount 7087 Frying Pan Rd 01-19-24 Septic System Inspection 1 175.00 175.00 written report and file development 1 75.00 75.00 $250.00 $250.00 $0.00