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HomeMy WebLinkAbout2758 Salt Creek Rd - 210730101002INDIVIDUAL 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 9 4 —92 Please call for final inspection before covering any portion of installed system. OWNER: J Hvkn 1'APVPndPrkPr PHONE: (202) 473-2643 MAILING ADDRESS: 4107 Tnrke)z Creek Court, Annondale, VA 22003 AGENT: Pamela. Horan -Kates PHONE: 476-2421 SYSTEMLOCATION: 2758 Salt Creek Road LICENSED INSTALLER: Gopher Excavating LICENSE NO. 33-93 �$�gi�gc�r��g,�l� Pa_r_�Pl 9��107-�01-00-005 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: Installer must verify (in writing) the size & condition of the septic tank, & if there is any backsiphonage into the tank. Must call for a final inspection. ENVIRONMENTAL HEALTH OFFICER: DATE:��/� �J�G 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 Ill, 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 3 1IFEET ``NS J ` _ DEGREES INSTALLED SEPTIC TANK: GALLO T(ny�,k (A fo ISc SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY YES NO .1�4^� 1 COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS:y/ YES NO t.l� t� f�(wsfl be-1.�rejplacA A ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMEN 1r \ at <� 1 �Ci r (ie, ENVIRONMENTAL HEALTH OFFICER:(_�t_-iI L4.�/ `'�i�� F DATE: —� ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT A PPLICA NTIAG ENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: ISDS Permit #C 4— Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY P.O. BOX 179 EAGLE, CO 81631 328-8755/927-3823(Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 *************************-n***''*II*********************************** PROPERTY OWNER: �- �� 0 L Qz�2-� &e Clk ter- ; MAILING ADDRESS: y_IC�-A�,"&v%jc.lev� APPLICANT/CONTACT PERSON: MVAP_ Norp�v—I��rtcS 202. 47'3- 703 ) tt2S- 2 S 3 3o3 47� — 9- LICENSED SYSTEMS CONTRACTOR. k�,,� ADDRESS: 7• b.BoiC 9.8gL+ Von" \ CD g / G S s PHON • L3©31 ti -Ll2q� PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description:lreltA 7-, Sat 5��:.�c S"_�► µ�S.���� Ealke Co (77 Parcel Number:_ 0nd - (D0'-Y Lot size: 8.7 fP_cv-cs Physical Address: `Z7s8 Sa« C,-Zek Roan, t&. c CD $1 �3 1 BUILDING TYpE: (Check applicable category) ( Residential / Single Family Number of Bedrooms 3 ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial / Industrial* Type TYPE OF WATER SUPPLY: Well( ) Spring (V) Surface ( ) Public ( ) Name of Supplier: *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" SIGNATURE: ************* **** DATE: AMOUNT PAID: _llCJ • ( Ci RECEIPT# DATE: CHECK # CASHIER• To: ISDS application # (to be applied for) From: Roger Boyd �_b_ Date: August 11, 1992 Re: Septic system located at 2758 Salt Creek The existing septic system consist of a 1000 gallon tank and 330 sq. feet of absorption area. Based on the perc rate and the existing 1000 gallon tank, the system is adequately size for the proposed changes (see attached letter). I have informed Pam at Slifer, Smith and Frampton an ISDS permit will be necessary to alter the septic system. Copy Pam HorKan-Kates at Slifer, Smith and Frampton, 230 Bridge Street, Vail 81567; include "ISDS How -To". COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-3730 EAGLE COUNTY, COLORADO 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 325.7207 DATE: August 4, 1993 TO: Gophir Excavating P.O. Box 1528 Edwards, CO 81632 FROM: Eagle County, Environmental Health RE: Issuance of Individual Sewage Disposal System Permit No.: 1194-92 Parcel #: 2107-301-00-005 Property Located at: 2758 Salt Creek Road Enclosed is your ISDS Permit No. 1194-92 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. cc: file Building Department, File # 5648 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-S130 EAGLE COUNTY, COLORADO September 27, 1993 J. Hyko Laeyendecker 4107 Turkey Creek Ct. Annondale, Va 22003 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 RE: Final of ISDS Permit No.1194-92 Parcel #2107-301-00-005 Property located at:2758 Salt Creek Rd.,Eagle 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, Tania M. Busch -Weak Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit IT L.�► / :. I I 270.98 gays � Ili4551 ��� I i �•'. cA 2o.( SALT CREEK ROAD ��� I ExbS�+� Garage N 89°53 - 0V W 257.23 -tom 1 �. / y i —�� c 9 a `_ c3 21.7* o I ' Deck,.• �S•/ � Q I� BIB,,, \v/ `_ \rr /'r�-lou-(- Pork}n� g Are Y1 �� •r����- � Deck 774 Shed Sectio 30 .S. t aCreck •V -.. I\ ,Flo oIItoin �to N S 300 Par c e l Tolul Area 95717acres W Pcrcel 2 To I n l Areai res 8.17 U O SEP 2 7 M3 EAGLE COUNTY COMMUNITY QEVEI.OPMENT /�/o Y— y7r) (-DA-e e-- 0 C. 0 41 Cb I 119 Parcel 42107-301-00-00-9-, 7758 Salt JO Creek Road, Eagle, Laeyendecker JOB NO. inn � ncerrnni BILL TO DATE STARTED DATE COMPLETED DATE BILLED 21�9 7 �S JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL FEE/ TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT L-0/ JOB FOLDER Product 278 ®& NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in USA f �U,�, ., , � IGDo :,rt,r �'�K VICIP140 ls,l-)i Xo� e ��aa�93 r �/SDs 1/ yy T�� �,.1'' � � 1,2 SO� A,/- je-