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Home My WebLink About875 Castle Peak Rd - 193922201013INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 810 / 0 3 g y YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 5 4 1 Please call for final inspection before covering any portion of installed system. OWNER: Stephen Isom PHONE: (970) 328-2388 MAILINGADDRESS: P.O. BOX 9 Clry:Eagle s,a,a: CO ZIP: 81631 APPLICANT: Stephen Isom PHONE: (970) 328-2388 SYSTEMLOCATION: 0875 Castle Peak Ranch Rd.,Eagle TAX PARCEL NUMBER: 1939-222-01-013 LICENSED INSTALLER: 1wKrT ' teH E NO: - DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 15 00 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 1424 SQUARE FEET OF TRENCH BOTTOM. Via 40 infiltrators,as requested by owner. SPECIAL REQUIREMENTS: Install in serial distribution. Rake trench sidewalls and bottQms, install inspection portals in each trench, and a cleanout between the house and the septic tank Do not install during precipitation Call the County for a final inspection prior to ha ck— filling. ENVIRONMENTAL HEALTH APPROVAL: DATE: October 26,1995 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. 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. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED, FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR): 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: 1440 SQUAREFEET. Via 40 infiltrator units per design INSTALLED SEPTIC TANK: 1500 GALLON 1600 DEGREES 145 FEETFROM the west cleanout adjacent to the house SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY _X YES _ NO COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: _ x YES _ NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: ENVIRONMENTAL HEALTH APPROVAL: DATE: May 31 , 1 996 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # (Site Plan MUST be attached) ISDS Permit APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * *' MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: k% -X$ Q MAILING ADDRESS: ,i3o x C1. PHONE: (970 )-37y-Z3N$ APPLICANT/CONTACT PERSON: PHONE: ( ) MAILING ADDRESS: LICENSED ISDS CONTRACTOR: PHONE: (97,0 ) a17/- Z 0 q 7 COMPANY/DBA: Axgo-N .1Z--XCAv14—, ttitG ADDRESS: 130x /f 5: CA�I.�, Lo fib31 *************************************************************************** PERMIT APPLICATION IS FOR: X) New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # A3 (if known j4'E,141-440 MC-ADpw/ cs-rAre5 Legal Description: Subdivision:cZ�ePI-rLcPOAKR.wcfiFiling: I Block: Lot No.�_ 01 Tax Parcel Number: L- Z: j - Q j Lot Size: 3 �j Ac- Street Address: 0875 CA5 t_C PC-A1C I?ANco EdA o *************************************************************************** BUILDING TYPE: (Check applicable category) (X) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number of Number of Type Bedrooms J Bedrooms TYPE OF WATER SUPPLY: (Check applicable category) (X) Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: *These systems require design by a Registered Professional Engineer SIGNATURE• Date: IZ-6) TO BE.COMPLETED BY THE COUNTY AMOUNT PAID: , [Z(^Z RECEIPT DATE: I� •� �rJ _ CHECK CASHIER: '�_ Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO Date: October 26,1995 TO: Arrow Excavating & Trucking FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1541-95 Tax Parcel #1939-222-01-013. Property Location: 0875 Castle Peak Ranch Rd., Highland Meadows. Isom residence. Enclosed is your ISDS Permit No. 1541-95. It is 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. Installation must be completed by December 1 for all new construction for which permits were issued prior to November 15. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328-8755. cc: files Community Development Deparrmcm 970)328-8730 Fax: 19701 328-71R5 TDD: t:r)711' _R-871)7 EAGLE COUNTY, COLORADO May 31, 1996 Stephen Isom P.O. Box 9 Eagle, CO 81631 RE: Final of ISDS Permit No. 1541-95 Parcel #1939-222-01-013. Property location: 0875 Castle Peak Ranch Rd., Eagle, CO. Dear Mr. Isom; Eale County BuildinIg P.O. Box 179 �00 Broadway Eale, Coiorado 8 163 i -0179 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 building 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, id 4"1- /-1'- X'�Mj— Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Information Brochure Final ISDS Permit cc: files ISDS Permit # l� I�S Date S/z 116 ISDS Final Inspection Completeness Form ✓ Tank is sd� gal. Tank Material 0 y Tank is located % �ft. and degrees from. Opp ajuw kc-u,� (permanent landmark) q O Tank is located 1 UZ -ft. and �qD degrees from 1( Q j� /LU (permanent landmark)/ Tank set level. TankLLl//ids within 8" of finished grade. Size of field lJv t2 "1`� units lineal ft. Technology Z/24za = 4z Cleanout is installed in between tank an4 house(+ 1/100ft). There is a "T" that goes down 14 inches in the inlet and outlet of the tank. Inlet and outlet is sealed with tar tape, rubber gasket etc. Tank has two compartments with the larger compartment closest to the house . -°"Measure distance and relative direction to field. Depth of field ft. Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) ✓ Other /r 6�� r Ifi Q-n6-& ets spection meireme Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: Setbacks Well Potable House Property Lake Dry Tank Drain - Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 ' SHEET N 7 5- ` -- - / V a ( n�/CGi� CALCULATED BY DATE CHECKED BY DATE _..•+ S:•.qe 54eis1215.1 iPaaaea! // EM-F Inc.. Groton. Mass. 01471 To Oroer NONE TOLL FREE 1•M225.080 O W KOI A:""ri o N s"imu c-rl o l%l 8Ul="PL.Y'. INC. 2310 SO. SYRACUSE WAY, DEN"VER, COILORADO 80231 3031696-8960 FAX.- 303/696-0620 DATE: M 79 i f 91to a �� FROM: DALE 1Nr. DUNNEL LS WE ARE SENDING PAGES WITH TEAS MESSAGE. MESSAGE: &, 0464 ;V,"mA /0 Lhr '" m-' 67WM_ J -� �L J �I .iicL'-�_►_ ,vsl:�t�L �i-r � ,i�[/'t g � • Awr OMNI", We i ww�-' M--7-01 W7-1 Ott'. im 'd OC •+,T OCCT_C7_[� a PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. .3g-Ss OWNER: (/4e Ai�°/ � s 6FZ/i LEGAL DESCRIPTION: RURAL ADDRESS: TYPE OF DWELLING: s �e_ �u_14NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: S` a 1170 TYPE OF SOIL: o -a ' 52/11 TEST HOLES PRE-SOAKED: YES NO d-s S l/j �CD�f TIME I WATER DEPTH II INCHES OF FALL RATE 1 2 3 1 2 3 II 1 2 3 1 2 3 0 . o /0 oG /o 07 I1q,, .2 7 L2 7y v ao a �► rL rv: i v: ! 9 -{ a I3e41Pl -- omp /p ao /D 0�p/ Orpl r— p: a Q: :a7 III® =' a s " '° 3 " �- -- io 3t� e t "3 sr, a 41 --I Y I n 4 1 ;k 11 S. 1 r 1 u re n rr A_l YV�et PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: I�irri.,.:at. Irs ai` elfa� RECOMMENDED MINIMUM LEACH FIELD SIZE: Lde-6r•,r` RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: f � rr� e % SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmenta cer s Date COMMENTS: /seal a wef�a �cr`r/� • suer b.� �1` m� cam.. ,s•- �i�n e Rev. 5/31/84 a. D EAGLE COUNTY 551 Broadway Al) a� �� Eagle, Colorado 81631 (303) 328 7311 June 4, 1990 Mr. Dan Seibel White River Land and Cattle Company, Ltd. P.O. Box 1857 Eagle, CO 81631 Dear Mr. Seibel: On May 24., 1990, a percolation test was performed on Lot 9, Highland Meadows Estates, near Eagle, Colorado, to determine the feasibility of utilizing a conventional septic system for sewage disposal. The result of the test indicated a percolation rate of 40 minutes per inch, which will allow the use of a conventional septic system through a series of trenches, but not a seepage bed. The sizing of the system, including the tank volume and trench lengths is dependent on the proposed building. Please provide this information on the application as it becomes available. The fee for the permit to install the individual sewage disposal system is $150.00. If you have any questions about this letter or the process for obtaining a permit, please call me at 328-7311, Extension 530. Sincerej�y; 0 Raymond. Merry, R.S. �J Environmental Health Off' er Community Development RJM/mk cc: ISDS "Perc Test Only" File 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 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 June 4, 1990 Mr. Dan Seibel White River Land and Cattle Company, Ltd. P.O. BOX 1857 Eagle, CO 81631 Dear Mr. Seibel: On May 24, 1990, a percolation test was performed an Lot 9, Highland Meadows Estates, near Eagle, Colorado, to determine t17e feasibility of utilizing a conventional disposal. septic system for sewage The result of the test indicated a percolation rate of 40 minutes per inch, which will allow the use of a conventional septic system through a series of trenches, but not a seepage bed. The sizing of the system, including the tank volume and trench lengths is dependent on the proposed. building. Please Provide this information on the application as it becomes available. The fee for the permit to install the individual sewage disposal system is $150.00. If you have any questions about this letter ar the process for obtaining a permit, please call me at 328-7311, Extension 530. Sincerer; Raylnonc . Merry, R . S . Environmental Health Offi, er Community Development RJM/mk CC: 1SDS "Pere Test Only" File Board of County Commissioners Amssor Cl P.Q. Box 850Clerk and Recorder P.O.paSox 449 P_O. Box 53'7 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagte, Colorado 81631 OCT 2 01995 w, l_ J J \ . Sheriff P-0. Box 359 L,Oe, Colorado 81631 Treasurer P.O. Box 4 i 3 Eagle, Colorado 81631 gISOM & ASSOCIATES Architecture Land Planning Project Management OCT 2 01995 isF 20 October 1995 Eagle County Environmental Health Office Raymond P. Merry, R. S. P.O. Box 179 Eagle, CO 81631 RE: Application for ISDS Permit for Lot 9, Highland Meadow Estates at Castle Peak Ranch Dear Ray: Please find enclosed the following items: 1. A check for $150.00 for the permit application fee. 2. An application form for an ISDS permit. 3. A copy of the letter to the previous lot owner from you and dated June 4, 1990, concerning the percolation tests that were performed by your office. 4. A Site Plan of Lot 9. Please review and process this application for Lot 9 and do not hesitate to contact me or Ken Long at 328-2388 if you have any questions. Sincerely, Stephen Isom 9536hds P.O. Box 9 Eagle, Colorado 81631 (303) 328-2388 FAX 328-6266 P.01 6v ISOM & ASSOCIATES Architecture Land Planning Project Management P.O. Box 9 Eagle, Colorado 81631 (303) UB-2388 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: O S P. 0. BOX 179 4nlr__2�EAGLE, COLORADO 81631 r._--- 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 l PERCOLATION TEST FEE $125.00 NAME OF OWNER: (,J,ct,-TE �i ,/c�j2, ,� Aw-A 5 6f rre-e eA MAILING ADDRESS: NAME OF APPLICANT (If different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION LICENSED INSTALLER: ( ) YES ADDRESS: F(� S>/63i PHONE: 3a3 CoSY< OF SYSTEM: ( ) NO PHONE: PHONE: PHONE: PERMIT APPLICATION IS FOR: (y/) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM - Physical Address: (e 40 Physical Parcel Number: o Lot Size: 3S.q e/LF5 Legal Description: 171--otrLys BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories): Commercial or Institutional Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher ( ) Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use ( ) Other ( ) 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 WATER CONSERVATION PLAN: ( ) YES ( ) NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supp ed by city water, give name of supplier: SIGNATURE: ��ld �� .� DATE: INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope Depth to Bedrock (Per 8' profile hole Depth to Groundwater table SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1 Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: ( Absorption Trench, Bed or Pit ( ) Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other PAID: S �' RECEIPT NUM ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) REPAIR PERMIT APPLICTAION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS A permit fee of $150.00 shall be charged for alteration, enlargement or any repair involving alteration of an existing sewage disposal system. This fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100.00 for maintenance of the individual sewage disposal system, no fee -shall be required. A percolation test fee of $125 shall be.c'harged for all new leach fields on repair permits. Percolation testing may be waived at the discretion of the Environmental Health Officer on certain repair cases where prompt action must be taken to prevent a health hazard. IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, A NEW SYSTEM SHALL BE INSTALLED COMPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEM/MALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM 14AS INSTALLED: PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT # SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: OWNER OF SYSTEM: ADDRESS: APPLICANT: ADDRESS: DATE: PHONE: PHONE: Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO December 12, 1995 Dear Applicant, Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 The Environmental Health Division would like to notify you to make a formal request totend your Individual Sewage Disposal System(ISDS) Permit #��'�-�iinto the 1996 construction year. The Environmental Health Division discontinued percolation tests on November 15, 1995 and final inspections on December 2, 1995 due to climatic conditions. ISDS permits are active for 120 days after the date of issue if no Building Permit has been issued for the same property. If a Building Permit has been issued for the same property the ISDS will expire at the same time as the building permit. If you still plan to apply for a Building Permit this year or in the early months of 1996 you will need to have a percolation test conducted before your Building Permit will be released. You will have to contact a Registered Professional Engineering(RPE) firm to conduct your percolation test. If you have had your permit issued and have not had your final inspection completed, but plan on constructing the system in the next few weeks, please give our office a call and we will evaluate your permit on a case by case situation. Please give the Environmental Health office a call at 328-8755, if you have any questions regarding your permit extension process. cc: ISDS Permit #/W/--!,(File Pos -it® Fax Note 7671 Date '� pages To OV ► ' From E , O Co./Dept. Co. Phone # Phone # �J Fax # Fax # >ISPOSAL SYSTEM PERMIT NMENTAL HEALTH DIVISION way - Eagle, Colorado 81631 ne: 328-8755 W SITE. PERMIT NO. 1 5 4 1 rlcasra-can-ro-nnannspecnon-oL-fam-covenng-any-p"ortior on-r stalled system. OWNER: Stephen Isom PHONE: (970) 328-2388 MAILINGADDRESS: P.O. BOX 9 City:Eagle stela: CO ap; 81631 APPLICANT: Stephen Isom PHONE: (970) 328-2388 SYSTEMLOCATION: 0875 Castle Peak Ranch Rd. jagle TAX PARCEL NUMBER: 1939-222-01-013 LICENSED INSTALLER: Arrow Excavating and Trucking, Woody Lottman LICENSENO: 25-95 DESIGN ENGINEER OF SYSTEM. - INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1500 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 1424 SQUARE FEET OF TRENCH BOTTOM. via 40 infiltrators,as requested by owner. SPECIAL REQUIREMENTS: Install in serial distribution Rake trench sidewalls and bot 0 S_. ina all inspection portals in each trench, and a cleanout between the house and the septic tank Do not install during precipitation Call the County for a final inn ction -prior to back filling. ENVIRONMENTAL HEALTH APPROVAL: DATE: _October 26,1995 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. 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. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED. FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR): 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: SQUARE FEET. INSTALLED SEPTIC TANK: GALLON DEGREES FEET FROM SEPTIC TANK ACCESS TO WITHIN W OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY —YES —NO COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: _ YES —NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: ENVIRONMENTAL HEALTH APPROVAL: DATE: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: PERMIT FEE PERCOLATION TEST FEE OWNER: RECEIPT # CHECK# ROUTE FORM EAGLE COUNTY ENVIRONMENTAL, HEALTH OFFICE )i!LLa/vw Lid C-S kw Name � �g5 �JteR ted 7`- Q/�� Application No. Lo ion Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form the the Environmental Health Office. PLANNING: Complies with - YES NO REVIEWED BY DATE Subdivision Regulations: Zoning Regulations: Recommend Approval: COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainaae: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with - YES Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: AVe, 4eS7 Keli a.,9 "'ra4 4x, ;,-0 4i5 `rime- �10,4-u.r+hf-r r NO REVIEWED BY 1541-95 Tax#1939-222-01-013 0875 Castle Peak Ranch Rd. <' JOB NAME -Lot--9, Filing 1 Isom JOB NO. JOB LOCATION BILL TO DATE STATED / DATE COMPLETED DATE BILLED 2 417� Iq /A- "W - - 4% G i — J v G� JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE -F7 NET PROFIT JOB FOLDER Product 278 ®, NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER 9. Printed in U.S.A. Vo:. - :fie• �'- .' kl-- r. �*ti.. a.�tf!' _ b.,.r ..�;,�t.` •1+:./•: '- � '.ice L 14 0& C) - O-r -QC"Q 4 Mt fi f i754/ -`15- Uf `-1 4 I,,, l c�t57 S �-�2 /c �a rtc4t �� Qa J'C - - -------------- Z 5 - � 1 t ............... Y �J N�iT1V� TREE S - Tv KEl" AIN T i G- �:� PAST u RE S� 35.01 AC. t ` f TANK ._ f• O � � r l _•'_ ' `` Y pS EL - -- .