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Home My WebLink About4199 E Lake Creek Rd - 210507400001 - 1244-93ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1244 Please call for final inspection before covering any portion of installed system. OWNER: Richard B. Scudder MAILINGADDRESS: BOX 8 APPLICANT: Steve Walker SYSTEM LOCATION: 4199 Lake Creek Road LICENSED INSTALLER: 00V,�l, ` 1" DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 2000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 1220 SQUARE FEET OF 1 SPECIAL REQUIREMENTS: 33 infiltrator units in trE inspection portals at end of each trenc ENVIRONMENTAL HEALTH APPROVAL: CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF T TO AUTHORITY GRANTED IN 25- 10- 104. 1973. AS AMENDED. 2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURES W TO OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED I REQUIREMENT OF THE PERMIT AND CAUSE FOR BOTH LEGAL ACTH 3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSI FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE COUN PRIOR TO COVERING ANY PORTION OF THE SYSTEM. INSTALLED ABSORPTION OR DISPERSAL AREA: I� SQUARE FEET. �Ja INSTALLED SEPTIC TANK: ) GALLON DEGREES SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY '--YE; COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: f ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPRO COMMENTS: ENVIRONMENTAL HEALTH APPROVAL: •/ `� /ZLQ. ENVIRONMENTAL HEALTH APPROVAL: (RE-INSP RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # ISDS Permit #� Building Permit # 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 $200.0 PROPERTY OWNER: MAILING ADDRESS : -14, '6 b-j& ?? C� �NG?;P_ PHONE • yfj_ APPLICANT/CONTACT PERSON: 1: �a A` 2- PHONE: LICENSED SYSTEMS CONTRACTOR: DD_L a� ADDRESS: �`% 1��. L1� �,� pc, �p PHONES ************************************************************************** PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION (/r ALTERATION ( ) REPAI LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal 6;�p Parcel Description: Number •? 1 i�rl - 33 (� (' _ � Lot Physical Address:- BUILDING TYPE: (Check ( ) Residential / ( d� Residential / ( ) Commercial TYPE OF WATER SUPPLY: sizes Lo50 acev!S applicable category) Single Family Number of Bedrooms Multi -Family* Number of Bedrooms Industrial* Type Well(A" Spring ( ) Surface ( ) Public ( ) Name of Supplier: *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY -TREASURER" SIGNATURE: DATE: AMOUNT PAID :�- RECEIPT#/ V L DATE: to - Z�� !C^ CHECK # CASHIER COMMUNITY DEVELOPMENT DEPARTMENT (303) 325-8730 EAGLE COUNTY, COLORADO September 2, 1993 Richard Scudder c/o Steve Walker P.O. BOX 8 Edwards, CO 81632 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO S 1631 FAX (303) 3 28-7207 RE: Final of ISDS Permit No.1244-93 Property located at:4199 Lake Creek Rd., Edwards 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, Tan'ia M. Busch -Weak Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit cc: Files BP# DATE: August 23, 1993 TO: Edwards Excavating FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Permit No.: 1244 Parcel #: Property Located at: 4199 Lake Creek Road Enclosed is your ISDS Permit No.1244 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. cc: file Building Department, File # PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: R\C_V-%0_f-6 UGC et' LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO TIME WnmL•n r��flmv Ti7.,t�r.w 21 N M M1 I ma M1 Time to drop last inch "'— 'I T �- CICA v& h of_� u)l %n hV( PERC RATE: - �� MINIMUM SEPTIC TANK SIZE: — -MM DOD MINIMUM LEACH FIELD SIZE:-� COMMENTS: PERC TEST DONE BY: Environments He DATE: th OffiCer rev. 6/90ks Z COMMUNITY DEVELOPMENT DEP.ART%IENT t30313_3•S%30 EAGLE COUNTY, COLORADO DATE • _ l7 Dear I.S.D.S. Applicant: :00 BROADWAY P.O. BOY 179 EAGLE. COLORADO 31 i 3 1 FAX 1303j 323-7207 Your applicatio for an I di dual Sew g Disposal System ( ISDS ) Permit for ,\n ra t_ < \ (- has been received. Issuance of your permit is on hold until the following materials or fee(s) are submitted. Payment of $150.00 Application Fee Payment of $200.00 Percolation Test Fee Site Plan Licensed System Contractor (See attached list Engineer Design Other: f �; , hh If you have any questions please call, 328-8755. When calling or sub in inf rmation please reference your ISDS application-C- Please submit information to: Eagle County Environmental Health Division P.O. Box 179 500 Broadway Eagle, CO 81631 C:WP51\DOCS\ISDS\COMPLT.LET BH1192 1244-93 - Parcel # 4199 Lake Creek Road, Scudder JOB NO. JOB LOCATION BILL TO DATE STARTED TE COM J.05 FOLDER Product 278 Qe NEW F-mm Np BUSINI=SS SERVICE, INC., QROTQN, MA 01471 JOB FOLDER DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX misc. COSTS TOTAL JOB COST GROSS PROFIT L OVERHEAD SELLING G COSTS % OPRICE NET PROFIT Printed in U.S.A. I -P .ice=_:r i°