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HomeMy WebLinkAbout1842 Upper Cattle Creek Rd - 239127401001 - 1275-93ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE 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. 1275 Please call for final inspection before covering any portion of installed system. OWNER: Gary Fender PHONE: 963-3468 MAILINGADDRESS: 1842 Upper Cattle Creek Road O;ry: Carbondale Slate: Co Zip- 81623 APPLICANT: Gary Fender L�PHjONE:^�` 79163-34 j68 ��/� j SYSTEMLOCATION: 1842 Upper Cattle Ck. Rd. TAX PARCEL NUMBER: &3 1 1 ^CJ / j1 -01 - )I LICENSED INSTALLER: Grant Brothers LICENSE NO: 3-93 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1 2 5JOL GALLON SEPTIC TANK **Replacement Of Old tank ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM, SPECIAL REQUIREMENTS: **Repair Of Old tank only. Fill Or remove Old tank. 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. INSTALLED ABSORPTION OR DISPERSAL AREA: _ SQUARE FEET. INSTALLED SEPTIC TANK: ` - GALLON DEGREES FEET FROM S'C'P� �lL LCJ� iy SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY it YES NO COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: RYES 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: 1/ // Jl ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE _ RECEIPT # CHECK # ISDS Permit # J 7-5 Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY , BOX 179 � EAGLE, CO 81631 328 8755/927-3823(Basalt) 1 PERMIT APPLICATION FEE $X ��'�- PER CO N TEST FEE $20.0.00 PROPERTY OWNER: MAILING ADDRESS: j ycelm �1�, l� PHONE: I APPLICANT/CONTACT PERSON: / Cti,� ��, .� PHONE: 1�ia - LICENSED SYSTEMS CONTRACTOR:,��vi Le ADDRESS : (�, IO �%� ��� �i� �- % PHONE • 9.2 7 — 3 a41 ************************************************************************** PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: a 3q /- 0 % % - 61 - 001 Physical Address: 22 uAU, G of size:2YJ69a,cAs.4- Co-, 3, BUILDING TYPE: (Check applicable category) ( ) Residential / Single Family N111 ERE'W- 0f�BedrooITS ( ) Residential / Multi -Family* Number of Bedrooms ( ) Commercial / Industrial* Type TYPE OF WATER SUPPLY: Well (Y,) t* Spring ZX) Surface ( ) P LibilC ( ) Name of �uppllCl *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: d` DAT • 7 y • E.� ************************************************************************** AMOUNT PAID: RECEIPT# DATE: CHECK # CASHhF� ` EAGLE COUNTY COMMUNITY DEVELOPMENT CONINILINIT) DEVELOPMENT DEPART\LENT (303) 3_18-8730 EAGLE COUNTY, COLORADO November 1, 1993 Gary Fender 1842 Upper Cattle Creek Rd. Carbondale, CO 81623 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-720' RE: Final of ISDS Permit No.1275-93 Parcel #2391-274-01-001 Property located.at: 1842 Upper Cattle Creek Rd.,Carbondale. 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 COMMUNITY DEVELOPMENT DEPART,XIENT (303) 32S.13730 DATE: TO: FROM: RE: 300 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 EAGLE COUNTY, COLORADO September 13, 1993 Grant Brothers Environmental Health Division Issuance of Individual Sewage Disposal System Permit No.:1275 Property Located at:1842 Upper Cattle Crk. Rd. Enclosed is your ISDS Permit No.1275 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 1275--93 - Parcel # c123 / 1 C)IY-a'ml JOB NAME 1842 Upper Cattle Ck. FENDER JOB NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED C T L3 Jq ZL I�l JOB COST SUMMARY TOTAL SELLING PRICE 3 . _ Y - E, INC., GI .r