HomeMy WebLinkAbout7087 Frying Pan Rd - 246906300003INDIVIDUAL 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. 116 3 —92
Please call for final inspection before covering any portion of installed system.
OWNER: Alfred W Gardner jr-, Mnry D Gardner, Fredriab H �Gardnej!HONE: 997-3640
MAILING ADDRESS: BOX 1102, Basalt, CO 81621
AGENT: PHONE:
SYSTEM LOCATION: 7087 Frying Pan Road, Basalt, CO
LICENSED INSTALLER: LICENSE NO.
DESIGN ENGINEER OF SYSTEM•
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS:
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.
INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET.
INSTALLED SEPTIC TANK: GALLONS DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS ANDASSEMBLY YES NO
COMPLIANCE WITH COUNTYISTATE 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: DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
.Lliuumplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit #�"�
Building Permit 7
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
IJEVE " HAIENT P . 0. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (Basalt)
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE t125.00
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" �
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PROPERTY OWNER:
ADNeIL R49y -bFGr9gve-,t eaaiche fi ia2D.v�rL'
MAILING ADDRESS: 4gS4i--r CAI S I b Z I PHONE: J2'7-34yv
APPLICANT/CONTACT PERSON: A-r-ReD V. 6�qAo.eo PHONE: 527-3)7y
LICENSED SYSTEMS CONTRACTOR: ✓li`ofi�eee�se� CT _ (�p.�� eco�v►s� PHONE:
COMPANY/DBA: ADDRESS:
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PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION ( REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: � Q y 01TO C-'ZeeaC S'cc�iDiv�S�or/, s4HL (oaK1"�1 ( eV/Lt,
Tax Parcel Number: oao g.S/g ) S Lot Size: S a o�c_,zeg
Physical Address: 7087 t-AylKa/Aw �9 Ejgs��7- Cp
BUILDING TYPE: (Check applicable category)
(3) Residential/Single Family Number of Bedrooms
( ) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well O` Spring ( ) Surface
( ) Public Name of Supplier:
*These systems re�u'F design by a Registered Professional Engineer
SIGNATURE: Date:
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AMOUNT PAID: RECEIPT DATE:
CHECK =r : CASHIER:
TIME LOG: TRAVEL: PERC: FINAL:
Memorandum
TO: ISDS File #1163
FROM: Tania M. Busch
DATE: November 28, 1992
RE: Pending septic permit
Alfred Gardner was contacted on 11/25/92 regarding his ISDS
permit #1163. He confirmed that no alteration was made to his
system. Instead B & R Septic Tank Service cleared the lines
between the building sewer, tank, and field. He is no longer
having any problems with his system. This file is therefor
closed.
Parcel #2469-063-00-003, Parcel 4
'-Otto Creek Subdivision, 7087 Frying Pan Road
"Gardner JOB NO.
BILL TO
DATE STARTED
DATE CO P ETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
-1K
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bos' r7ow,
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4313.4.1 FEET; _ 7HF-' sW 1/4 15E►/A-+ -5E 1/4;
)IbC)"E 35O.O0 WET, `
5.89�/4/2"E
326, /z' 1CUN0--ALUMINUMCAP4 RCMr,
ENMRLINF- OF L.6 7734
SAID CEMERLIINE/ r\
a
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THE FA5?RLY LINE
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7087 Frying Pan Rd
General location shot of 2000 gallon concrete tank
1
Access covers for 2000 gallon concrete tank, primary in foreground and
secondary in back ground
2
Looking down into the access cover for the primary side of the tank, with risers
and lid.
3
Primary side of tank with inlet T and riser at grade
4
Looking down into the access cover for the secondary side of the tank, with riser
and lid.
5
Secondary side of tank with outlet T and riser at grade
6
General location of leach field
7
Invoice
Date
1/22/2024
Invoice #
16897
Bill To
A Cutom Log
52 Pottery Lane
Carbondale CO 81623
Terms
Net 30
Due Date
2/21/2024
Total
Balance Due
Payments/Credits
ALL VALLEY RESOURCE
239 Arapahoe
Carbondale, CO 81623
970-300-3309 - Office
"THE FAT MAN"
WWW.ALLVALLEYRESOURCE.COM
Payment Options:
Mail a check to the address above
Pay online link with Credit Card
Venmo Payments: Brian-Flynn-50
Description Qty Rate Amount
7087 Frying Pan Rd
01-19-24
Septic System Inspection 1 175.00 175.00
written report and file development 1 75.00 75.00
$250.00
$250.00
$0.00