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Home My WebLink About1658 Salt Creek Rd - 210925100002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0725 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner: James H. Driver Telephone: 524-9676 Address: P.O. Box 36 - Eagle, CO 81631 System Location: 0151 Horseshoe Hill Dr. - Salt Creek - Eagle Colorado Licensed Installer: Schultz Construction License Number: _ 85-14-I Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or i 8 X 8 DRYWELL Absorption area of dispersal area computed as follows: Percolation rate: N/A Inch in Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms - X Sq. Ft. minimum requirement per bedroom - equals Total Sq. Ft. minimum requirement Special Requirements: 1000 gallon septic tank and 8 X 8 Drvwell Date: October 18, 1985 Environmental Health Officer: 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: No system shall be deemed to be in compliance 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: SQ. FT. = 8 x 8 Dry Well INSTALLED SEPTIC TANK: 1000 GALLONS; 270 DEGREES; 19 FEET DESIGN ENGINEER OF SYSTEM: Copeland INSTALLER OF SYSTEM: Schultz Construction PHONE:. 524-9472 SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: PROPER MATERIALS AND ASSEMBLY: COMPLIANCE WITH PERMIT REQUIREMENTS: YES x NO YES x NO YES x NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES X COMMENTS: NO (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval)1.1/618�ENVIRONMENTAL HEALTH OFFICER: Erik Erleam, t DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: James H. Driver Name of Owner: SAME Amount Paid: $150.00 Receipt Number. C0385 Date: 10/18/85 Cashier: Gail Parker White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT l PERNfIT APPLICATION ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 Eagle, Colorado 81631 No, FEE: $150.00 PERCOLATION TEST FEE: S50.00 NAME OF OWNER: 1) R ( (�h"7`i ADDRESS: Pj G�X �i !'} C3 YZ G .J % PHONE: 1- �/ •- �� `7 6 NAME OF APPLICANT (if different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (if applicable): r %%L ADDRESS: 7j9 C, 44PHONE: L PERSON RESPONSIBLE FOR INSTALLATION OF- SYSTEM• Licensed Installer (see attached list): YES NO ADDRESS: 4 8c)y/- PHONE: PER -MIT APPLICATION IS FOR: ( -)'-'New Installation -( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: � �" Street/Rural Address: Sj ae--r • ee � /2 till-g ( 0Z I -norSasha-&-4111 Z...� Lot Size: Zy Acam_s Legal Description: sc.O�,4 (0 r 5 c2/j i --Alter 77 5i=C 2-1'-T-u,/) S :5 BUILDING OR SERVICE TYPE (check applicable category): ( LX Residential - Single Family ( ) Residential - Quadplex ( ) Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOrTS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional (t.- Dwelling ( ) Non -Domestic Wastes ( ( ) Transient Use ) Garbage Disposal C--W � ( +� Automatic Washer ( ) Dishwasher +� ( ) ( ) Spa Tub Other �cg nr�•�f!-�I TYPE OF -INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (16 Yeas, Lee attached tvctstavateA 6Zoty neducti.on metfwds ) NOTE: The Envi tonmentat Heatth 016iee)t. may teduee the tequ,ined absotptt:on area upon - apptovao6 an adequate tva/stelvatetc 6.�ow teduct%.on p'tan. SOURCE AND TYPE OF WATER SUPPLY: ( 1-y' Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: ;JCtC} C l3Rc)fWs C n L If supplied by community water, give name of supplier: n/'A SIGNATURE: DATE: 61ig� INFORMATION ;BELOW BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Peneent Ground Slope Depth to Bedtto ck (pest 8' Pro bit e Hote ) Depth to Gtoundwaten Tab.te SOIL PERCOLATION TEST RESULTS:. ao Ainuta pen inch in Ho.e ai s' Ati"nu tees pets inch to HoZe 02 Minuta pen inch. to Hote #3 FINAL DISPOSAL BY: (' ) Ab/sonpti"on Tteneh, Bed oti(JP,�t', ( ) EvapottavrwspiAation ( ) Above Gttound Dizpettsat `'' ( ) Sand FiZtett ( ) UndeAgtound D,i�speuaZ ( ) Wa�stewatelt Pond ( ) O,thet 0rV/6 'S `( 1.v Amount Paid Receipt Number G� Date: - - - - - - - - - - - - - - - - - - - - - - - — - — — - - - - - - - - NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 November 14, 1985 James H. Driver P.O. Box 36 Eagle, CO 81631 RE: ISDS Permit # 725 Dear Mr. Driver: This is to inform you that your ISDS Permit #725 for property located at 0151 Horseshoe Hill Dr. — Salt Creek — Eagle, Colorado, has been inspected and finalized by Erik Edeen on November 6, 1985. I am enclosing a finalized copy of this permit for your records. Sincerely yours, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY /gp Enc. 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 v g 1 T Ef Oyu R 8�/ GUL-VE2 T- A/ I L fi Z�f��H F/fJ—D c Dpy 'wELF t - rl: 72av� S c `SALT GReE/� 0725 Drives 01510 Horse Shoe .JOB NAME, , Hill Dr JOB NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL //' q. "AV /1 � 'a� O James H. Driver Box 36 - Eagle, co 81631 Ph. - Bus. 328-6575 Home 524-9676 tT PERMIT #725 OWNER: James H. Driver LOCATION: 0151 Horseshoe Hill Dr. - Salt Creek INSTALLER: Schultz Construction SIZE OF TANK: 1000 gal. - 8x8 Drywell DWELLING: Mobile home - 3 bedroom PERC RATE: N/A ABSORPTION AREA: N/A OL JOB FOLDER Product.27 V(/ U FAA ATCS - EAGLE FSS - EGE iA.