HomeMy WebLinkAbout114 Aspen Bluff Ln - 194122302003Work Classification: NewPermit
CO
031677 PONDEROSA WY
EVERGREEN CO 80439-
Address Owner Information
Permit Status: Active
Project Address
194122302003
Permit Type: OWTS Permit
Permit NO. OWTS-12-12-8501
Expires: 4/30/2013 Issue Date: 12/31/2012
Parcel No.
000114 ASPEN BLUFF LN WOLCOTT AREA, CO
Private Wastewater
System
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
Phone: (303)679-1411
Cell:
Inspection
For Inspections call: (970) 328-8755
Inspections:
IVR
PhoneEngineer(s)
406-388-7504ELIMINITE, INC
Contractor(s)Phone Primary ContractorLicense Number
Alpine Snow Removal Yes01/12
JAMES MILSAP
Permitted Construction / Details:
The dwelling is 5 bedrooms.
Permission to connect the building sewer to the infrastructure conveying wastewater to the existing Fazio
wastewater treatment system (IS-2107-01).
Install per the specifications provided by Tom Kallenbach on behalf of the Holland Creek Metropolitan
District dated August 26, 2012.
Provide Eagle County Environmental Health with certification that the connection was done as per the
specifications when the project is completed. Occupancy of the dwelling will be permitted, once the
connection has been certified.
Issued by: Environmental Health Department, Eagle County, CO
December 31, 2012
Date
Customer Copy
Terri Vroman
CONDITIONS:
1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT
COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT
2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED
3. 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 WILL RESULT IN
BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT
4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL
SYSTEM TO BE LICENSED
Work Classification: NewPermit
CO
031677 PONDEROSA WY
EVERGREEN CO 80439-
Address Owner Information
Permit Status: Active
Project Address
194122302003
Permit Type: OWTS Permit
Permit NO. OWTS-12-12-8501
Expires: 4/30/2013 Issue Date: 12/31/2012
Parcel No.
000114 ASPEN BLUFF LN WOLCOTT AREA, CO
Private Wastewater
System
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
Phone: (303)679-1411
Cell:
Inspection
For Inspections call: (970) 328-8755
Inspections:
IVR
PhoneEngineer(s)
406-388-7504ELIMINITE, INC
Contractor(s)Phone Primary ContractorLicense Number
Alpine Snow Removal Yes01/12
JAMES MILSAP
Permitted Construction / Details:
The dwelling is 5 bedrooms.
Permission to connect the building sewer to the infrastructure conveying wastewater to the existing Fazio
wastewater treatment system (IS-2107-01).
Install per the specifications provided by Tom Kallenbach on behalf of the Holland Creek Metropolitan
District dated August 26, 2012.
Provide Eagle County Environmental Health with certification that the connection was done as per the
specifications when the project is completed. Occupancy of the dwelling will be permitted, once the
connection has been certified.
Office Copy
December 31, 2012
Issued by: Environmental Health Department, Eagle County, CO Date
Terri Vroman
CONDITIONS:
1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT
COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT
2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED
3. 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 WILL RESULT IN
BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT
4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL
SYSTEM TO BE LICENSED
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(970)
FAX (9
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Property Owner: 3Armu
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Phone:
Mailing Address: 3/477
email
Registered Professional
or Contact
Licensed Systems
103-671-/4011
eer: rltml-3 IW/4-Ec.0 Phone:
Phone:
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Permit Application is for: 12L New installation Alteration Repair
Location of Proposed Ons-W Wastewater Treatment System:
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Tax Parcel Number:
Assessor's Link: ww
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Physical Address: r t
Building Type: V- Re
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/ Multi Family
Lot Size:
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Number of Bedrooms:
Number of Bedrooms:
Con l ercial / Industrial* Type of Use -
*These sy" require design my a Registered Professional Engineer
Type of Water Supply: Private Weil Spring Surface k Public
D Public Name of Supplier:,.-- f e,e4C� G694
Applicant Signature:
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Office Use Only
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DEPARTMENT OF
P.O. BOX 179
ENVIRONMENTAL HEALTH
500 Bey
(970) 329-8765
Eagle, CO 81631
FAX: (970) 328-8780
www-eaglecounty.us
TOLL FREE: 800-225.6136
www.=IW&Wnty.us
4655
HOLLAND CREEK METROPOLITAN DISTRICT TBAW—m"i
28 SECOND ST., STE. 213 8/8/2012
EDWARDS, CO 81632 82-504-1070
PH: (970) 926-6060
PAY Eagle County Treasurer $ **800.00
TOTHE
ORDER OF
Eight Hundred and
DOLLARS
Eagle County Treasurer
PO Box 179
Eagle, CO 81631
MEMO
HOLLAND CREEK METROPOLITAN DISTRICT
Eagle County Treasurer
Date Type Reference Original Amt. Balance Due
8/8/2012 Bill Lot 4 ISDS 800.00 800.00
First Bank - Ckg
8/8/2012
Discount
Check Amount
Type of Water Supply: _ Private Well Spring Surface _,6 Public
if Public Name of Supplier: ,A�! ('!e�e-4 _ _/ham
ri
0
4655
Payment
800.00
800.00
Applicant Signature:y _...............,...__ -..
Office Use Only _
Amount Paid: ` Receipt #: Check #: 5 Date:. z� lZ