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Home My WebLink About5855 Salt Creek Rd - 210727300041INDIVIDUAL 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. 11 1 g'_ q1 Please call for final inspection before covering any portion of installed system. OWNER: Robert .T_ Smith PHONE: (802)228- 6 6 MAILING ADDRESS: P.O. BOX 895 Eagle, CO 81631 AGENT: PHONE: SYSTEM LOCATION: 5855 Salt Creek Road, Eagle LICENSED INSTALLER: Ted Reynolds LICENSE NO. 42-92 DESIGN ENGINEER OF SYSTEM - INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: 401 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Owner requesting 10" SB2. Install 140' of 10" SB2 Install inspection in each trench. Rake sides of trenches ENVIRONMENTAL HEALTH OFFICER: 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 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: (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. ' �� c INSTALLED ABSORPTION OR DISPERSAL AREA: -1 a o SQUARE FEET. LA o-_qb INSTALLED SEPTIC TANK: GALLONSCkQn. DEGREES FEET 'ro(\,l SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: 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:\—PGoIn'A,♦� DATE: .r (yam ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: ISDS Permit # //Z' Building Permit #1 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY P.O. BOX 179 EAGLE, CO 81631 328-8730/927-3823(Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST F $125.00 PROPERTY OWNER: )ZO Lev i J�. S_t"' F0 9 as 9' - 3(� 3 MAILING ADDRESS: Ao ?2,4 �� PHONE: 5WFj 7 APPLICANT/CONTACT PERSON: SCevn -e— PHONE: -LICENSED SYSTEMS CONTRACTOR: %C ADDRESS:-j PHONE: PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVI UAL SEWAGE DISPOSAL SYSTEM: Legal Description: Parcel Number: �4?/07-. 3 73_ Lot size: 4eres Physical Address: b 5� 51-11- ,,-ee�k BUILDING T PE: - (Check applicable category) Residential / Single Family Number of Bedrooms ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial / Industrial* Type HOT TUB Yes ( No WATER CONSERVATION PLAN: Yes ) No { ) TYPE OF WATER SUPPLY: Well( ) Spring Surface ( ) Public ( ) Name of Supplier: Give depth of all wells within 200 feet of system: *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITT PAYABLE TO: "EAGLE COUNTY TREASURER" SIGNATURE: DATE: �Y�cYcYc*�c�YcYr�c �� Y��c�rYcYe �� YCYr ��c��c�k�rYcYCYeYc��e�+cvc�eYc*YrYc�kYCYt�e��c�Y��c:��rvr�� AMOUNT PAID: y RECEIPT# ( 76 W DATE: CHECK # ;J7 CASHIER: G TIME LOG Travel Perc Final COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO July 23, 1992 Robert J. Smith P.O. Box 895 Eagle, CO 81631 RE: Final of ISDS Permit No. 1118-91 500 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# 5121 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO July 8, 1992 T & T Excavating Box 152 Gypsum, CO 81637 RE: Issuance of Individual Sewage Disposal System Permit No.: 1118-92 Dear Applicant: 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 Enclosed is your ISDS Permit No. 1118-92 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. S'ncerely, Brenda Henderson Environmental Health, Administrative Assistant cc: file Building Department, File # 5121 CO;NINILINM DEGELORMENT DEPARTMENT (303) 32S-S730 EAGLE COUNTY, COLORADO Dear I.S.D.S. Applicant: Your application for an (ISDS) Permit for $S5 has been received. =00 6ROADWA1 P.O. BOX 1711 EAGLE. COLORADO S 1 l 31 FAX (103) :,ti.-,L)- v�dual Sewage Disposal System Issuance of your permit is on hold until the following materials or fee(s) are submitted. Payment of $150.00 Application Fee Payment\of $125.00 Percolation Test Fee Site Plan Licensed System Contractor (See attached list) %VIIIVI Engineer Design 4a �� Other: /Psf /ire-"' If you have any questions please call, 328-8755. When calling or submitting information please reference your ISDS application # ///6 Please submit information to: Eagle County Environmental Health Division P.O. Box 179 500 Broadway Eagle, CO 81631 ISDSHOLD.LET ISDSDSK BH392 15U5 PERMIT � t� PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: Rnt-ey-i 3 5r�,11 AY-\ LEGAL DESCRIPTION: MAILING ADDRESS:�tJ�a`�, TYPE OF DWELLING: NUMBER OF BEDROOMS C� TEST HOLES PRE-SOAKED: YES NO TTMP. wnmvn r%vnmu 1-ri bulls YKutli 1 2 3 1 2 3 1 2 3 1 2 p' a� ' 01 W107 1, G37J A^ l ✓5 V IKJ 21 4 1/3,3 133 (0 3.3 s' 0 11 :c) 4'Cj rv� tamer :2b ILZ/ ILLL �,.�� 11,E Q9 Z5 @75 -10 AD �o07 5ly_Feo�� 2 A fI n -( �y.+�`� N _ /yam) JD r 3 ,37� z� 4 a � e,z�5 D `D.� �363 8' V L�� Time to drop last inch 6 t)N%1% I-?,)UMi9 IL }s I5 PERC RATE: USe )a MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: COMMENTS: V _o '51all Ih Q xo ParlA/ /r oC� PERC TEST DONE BY: 1', I I—) Environmental Health O rev. 6/90ks cer DATE: � C" a — q 1118-92 TxPrcl#2107-273-00-041' JOB NAME. _ 5855 Salt Creek Road Robert J. Smith JOB NO. '00010JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 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 NET PROFIT JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.