The URL can be used to link to this page

Home My WebLink About1267 Beard Creek Rd - 194332200002INDIVIDUAL 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. 1 `1 6 9 ; Please call for final inspection before covering any portion of installed system. OWNER: Ron Crotzer PHONE: 926-2234 MAILING ADDRESS: P.O. Box 909, Vail, CO 81657 AGENT: PHONE: SYSTEM LOCATION: 1267 Beard Creek Road, Edwards CO 81632 LICENSED INSTALLER: Edwards Excavating, Don Johnson LICENSE NO. 39-92 DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 441 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: or 12 infiltrators in trenches - inspection portals in each trench setbacks to remember 20 ft minimum from dwelling. Keep minimum 25 ft from hillside Call before installation ENVIRONMENTAL HEALTH OFFICER: 4 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 Ill, 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. `r INSTALLED ABSORPTION OR DISPERSAL AREA: 5a� SQUARE FEET. 1J J Q N INSTALLED SEPTIC TANK: GALLONS 30 DEGREES tl tO FEET kr0y j S W C 07aj2h hctLA-j2- SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: V PROPER MATERIALS ANDASSEMBLY V YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: L11 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:/Y (��C�/alp<� DATE: ^g ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: y111.v1uN1C1+tt Hpplicazions will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # Building Permit T =•,� APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE 8125.00 MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ��+cYt�lcycyc�tc��cytk�yc�c�Yt�YtYr4r�c��Ir��ICYc1r�Y�Yt�ycYcrY�Y[�r�r�ycYc�t�YtYc��cyt��Yc�k��Yt�FYtytkk PROPERTY OWNER: �o,J CR, MAILING ADDRESS: o .. 7�, 9 09 - U�,-; l - �' � �� PHONE: njZ6-ZZ3 APPLICANT/CONTACT PERSON: PHONE: LICENSED SYSTEMS CONTRACTOR: Con n.SUY) Eewo�S EXMV PHONE: COMPANY/DE-A: ADDRESS: YCyC**YCYCYCYCW.�*�yt.cYCYcick7t�Yc��yc�y[Y[Ye7c�rYck7k�YcYCYt�Yc�YtYtYt�[YCYCY[�tk�YYtYc�c:kkxYt�Ycyt�YCYcY[��kYc�cYtYcYt4t7 PERMIT APPLICATION IS FOR: (-L-f NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description • P ,/ ,►vC% Sc� SAS y ,v;. '/ S�'� • y, y ti� �i �3 Z ?-sys, 29.2w Tax Parcel Number: 1 9 K 3--3 z3- o c � p Lot Size: S /a eie�s Physical Address: / 1 6'4- /3e A2o C,z,C- 14cs 2 ,S � /6 2 2 BUILDING TYPE: (Check applicable category) (cX Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( } Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) (-"-'Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: *These systems re tir_e design by a Registered Professional Engineer SIGNATURE: Date: i Z- �C 1k *.tY 7r * YC 1k * * 7k �k y( 'k * * * * 71 yt * Yc Yr 7[ �c YC * Yc x � �fc Yc Yr x Yc Yt y[ rr yt Yc Yt * ac Yt yc >r Yt 1k x Yc * YC Yt * 7k sc Yc Yt Yc Yc 7t /xc it � Yc 7c �1• * * * Yc Yt Yc AMOUNT PAID: RECEIPT Y : DATE: CHECK Y: —�-�'6 CASHIER: TIME LOG: TRAVEL: PERC: FINAL: COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO July 23, 1992 Ron Crotzer P.O. Box 909 Vail, CO 82657 RE: Final of ISDS Permit No. 1169-92 500 BROADWAY 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. 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. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division at 328-8755. Sincerely, Brenda Henderson Office Assistant Environmental Health /bh ENCL: Information Brochure Final ISDS Permit cc: Files BP# 5384 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO July 6, 1992 Edwards Excavating P.O. Box 402 Edwards, CO 81632 RE: Issuance of Individual Sewage Disposal System Permit No.: 1169-92 Dear Applicant: 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 Enclosed is your ISDS Permit No. 1169-92 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. The final inspection is to be done before any portion of the installed system is covered. The deadline for the final inspections done by Eagle County Environmental Health is December 1. Systems designed by a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County does not perform final inspections on engineer designed systems. Be aware that the specifications on the permit are minimum requirements only. Installers should bring this to the attention of the property owner. This permit does not indicate conformance with other Eagle county requirements. If you have any questions, please feel free to contact us at 328-8755. Sincerely, , Brenda Henderson Environmental Health, Administrative Assistant cc: file Building Department, File #5384 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING:� NUMBER OF BEDROOMS-1 TEST HOLES PRE-SOAKED: YES NO TIME WATER DEPTH INCHES OF FALL RATE SOIL PROF 1 2 3 I 2 3 1 2 3 1 2 3 0' 71 1' ►:51� � 61 �a ► `�• a5 3 • �a �i�5 �Z5 %, � �o� �, ?, 5 21 �1. Do a . D5 �..o ��a� t)�p ,9 3' 91�1 ; DO 5' �� a�ai 9:25 ' c tb Time to ' 7 i drop ►�. ao last �� .gam G?s 575 go. LQ inch b 76 iD Vd 1, 5 6,7 71 8' �\o 1 �n 75 PERC RATE: MINIMUM SEPTIC TANK SIZE: 1cT5D MINIMUM LEACH FIELD SIZE: �. COMMENTS:pS�s(w.�ICFi� PERC TEST DONE BY.* �" "�1-� r\-Ckn arSV -Cx'_u cn DATE: Environmental Health Officer rev. 6/90ks CO G ° '� cK) (� 0 I ✓' b � N � �N J ,o 0 Q Oct,e Cf A ry -p (o a s }? L coy 4,Cb1 "- �'�e�00 Q4. C" 1 1 0 po 0 f, J J - r- Gt.a �Aw99-144ZilaXwIN�' Ar 80UTH ^ 1169-92 - Parcel #1943-323-00-002, 1267 Beard Creek Road, Edwards, Ron Crotzer JOB NO. 'CJ BILL TO DATE STARTED DATE COMPLETED DATE BILLED e-Al JOB COST SUMMARY TOTAL SELLING PRICE r r. ,> TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT I --L-001 INC., GROTON, MASS. 01471 7-- //&g 6o-f-zee— JOB FOLDER Printed in U.S.A. 4.