HomeMy WebLinkAbout19 Blue Creek Trl - 239127105002 - 1223-93ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAQLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1223
Please call for final inspection before covering any portion of installed system.
OWNER: HLEM Investment (Mort Heller) PHONE:_ 925-6700
MAILING ADDRESS:_ 534 E. Hyman Ave Ciry:_ Aspen State: CO Zip: 81612
APPLICANT: Roberta Fender PHONE: 963-3277
SYSTEM LOCATION: 2158 Upper Cattle Creek Road TAX PARCEL NUMBER: 2391-104-00-008
LICENSED INSTALLER: LICENSE NO:
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET O,F�TRENCH BOTTOM.
SPECIAL REQUIREMENTS:
OOD�zlJ�_Ci
ENVIRONMENTAL HEALTH APPROVAL: 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. 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. Q / (�
INSTALLED ABSORPTION ORDISPERSALAREA: SQUARE FEET. eJX� \A ^)
INSTALLED SEPTIC TANK: 1 Z 50 GALLON DEGREES FEET FROM
SEPTIC TANK ACCESS TO WITHIN 8" 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: /a/ fqj
ENVIRONMENTAL HEALTH APPROVAL: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT 4 CHECK A
ISDS Permit # /
Building Permit #�r
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APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM l'-d VU
ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY
P.O. BOX 179 �h
EAGLE, CO 81631
328-8755/927-3823 (Basalt) EAGLE COUNTY
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PERMIT APPLICATION FEE $150. 00 PERCOLATION' `T"i 0€ PJV,`S`2'0'l 4E
**************************************************************************
PROPERTY OWNER:
MAILING ADDRESS:
APPLICANT/CONTAC
LICENSED SYSTEMS CONTRACTOR:
ADDRESS: PHONE:
*************************************************X*A**L*T*E*R*AT*I*O*N*************
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: ME
Parcel Number: Lot size:
Physical Address: �`f ®�� [ j�7`j���. [f�. �l� ( P,S ✓��� ( o /
BUILDING WResidential
E: (Check applicable category)��
/ Single Family Number of Bedrooms 1_9
( ) Residential / Multi -Family* Number of Bedrooms
( ) Commercial / Industrial* Type
TYPE OF WATER SUPPLY: Well( Spring ( ) 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: ✓/s�Zlr�,Eo�%c� p
**************************
DATE: 2Z__rz _3
AMOUNT PAID: %SD,� RECEIPT# a�« DATE:
CHECK # /G/y CASHIER:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
April 22, 1993
Roberta Fender
2158 Upper Cattle Creek Road
Carbondale, CO 81623
RE: Final of ISDS Permit No. 1223
Dear Ms. Fender,
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. This is a pre existing system that
appears to be functioning properly. 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/ca
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP# 5676
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 32S-S 730
EAGLE COUNTY, COLORADO
DATE:
Dear I.S.D.S. Applicant:
Your applicatio
(ISDS) Permit for --�
has been received.
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO S 1631
FAX (303) 325.7207
orfan�gee
Individual Sewa,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 $200.00 Percolation Test Fee
Site Plan
Licensed System Contractor (See attached list)-GC-zl
Engineer Design
Other �- i ) i� 1 i Or\
If you have any questions please call, 328-8755. When
calling or submitting information please reference your ISDS
application
Please submit information to: '
Eagle County
Environmental Health Division
P.O. Box 179
500 Broadway
Eagle, CO 81631
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