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Home My WebLink About267 Chapparal Ranch Rd - 1000 Spring Creek Rd - 211109402004INDIVIDUAL 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. 1 3 1 2 Please call for final inspection before covering any portion of installed system. OWNER: N.A. Ranch - Adams PHONE: 926-3665 MAILINGADDRESS: P.O. BOY 839 City: Edwards State: CO Zip: 81632 APPLICANT: Robert Adams PHONE: 926-3665 SYSTEMLOCATION: 1000 Spring Crk. Rd. TAX PARCEL NUMBER: 2111-094-00-003 LICENSED INSTALLER: Robert Adams LICENSE NO: 12-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 569 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install inspection portals at the end Of each trench. ENVIRONMENTAL HEALTH APPROVAL: In 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: 580 SQUARE FEET. INSTALLED SEPTIC TANK: 1250 GALLON 132 DEGREES 1714" FEET FROM SE corner of east side of house SEPTIC TANK ACCESS TO WITHIN B" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X YES NO COMPLIANCE WITH COUNTY/STATE REQUIREMENTS: X 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: ENVIRONMENTAL HEALTH APPR AL: DATE:--� (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK n ISDS Permit Building Permit #Q2221 ' APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Co 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 $200.0( ************************************************************************** PROPERTY OWNER: N.A J2p.r4 G �4 MAILING ADDRESS: P.C7 . 'po>c$39 f=- DWART)S . PHONF'. - 47 G APPLICANT/CONTACT PERSON: IZOSE.Q'T AA' .6.M S PHONE • 5?_6 - 36 LICENSED SYSTEMS CONTRACTOR: {n� Tp ADDRESS: �b ' "'�S Z�1y PHONE: 9 Zfo 5 PERMIT APPLICATION IS FOR: (#Ir NEW INSTALLATION ( ) ALTERATION ( ) REPAIF LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: 1Rt-r jEL��t�SG-,E. 6L.— Parcel Number:_ Lot size: $ E� 72 Physical Address: WOO `simm.G:. PSOM. Co. BUILDING TY E. (Check (+Residential / ( ) Residential / ( ) Commercial / TYPE OF WATER SUPPLY: applicable category) Single Family Number of Bedrooms Multi -Family* Number of Bedrooms Industrial* Type Well (r►'� 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: �. �VLIM AA DATE: Z?- F'�g r **************************************************************** AMOUNT PAID: I .� RECEIPT# 1� CHECK # Dl 117-T1b \b\1:A, DATE: Z )Z3 G CASHIER: �VbL COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO September 12, 1994 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 Robert Adams 1000 Spring Creek Road Gypsum, CO 81637 RE: Final of ISDS Permit No. 1312-94 Parcel # 2111-094-00-003, Property located at: 1000 Spring Creek Rd., Gypsum Dear Mr. Adams, 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 building 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, Jeff Fedrizzi Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit enclosures COMMUNM DEVELOMENT DEPART %IEN F 303) 32S 8730 EAGLE COUNTY, COLORADO DATE: March 8, 1994 TO: Robert Adams FROM: Environmental Health Division 300 BROADWAY P.O. BOX 179 EAGLE. COLORADO S 1631 FAX (303) 328-7207 RE: Issuance of Individual Sewage Disposal System Permit No.1312, Tax Parcel # 2111-094-00-003 Property Located at: 1000 Spring Ck. Rd., Gypsum Enclosed is your ISDS Permit No. 1312 is 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. 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. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, plea feel free to contact Tania M. Busch -Weak at 328-8755. cc: files , ISDS PERMIT IS PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: � C' -- 1,),1 LEGAL DESCRIPTION: hn MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS --q— TEST HOLES PRE-SOAKED: YES NO frTMIF wAmvn "rinm" - - 2 3 1 2 E3 2 3 -_ 1 F� 2 ou.Lij ehul!"I. 0' 4 7 -2 Z1. z' 0 - S � �� Z.: Jt 3' i3.nhqa5 iUJA(-� 3 -3 3s 4 6' _5 71 A 'C)L 8 1 T rD 0 0 L k2l C? Time to drop last inc iq dL PERC RATE: f MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: Z_ L COMMENTS: n I V,)-n P N '4__]* r1i 7o C A PE7EST DONE BY: Environmental Heal rev. 6/90ks if f icer I C) DATE: �:O%IMLINITI PEVELOPMENT CEPART:MENT 1303) 32S S730 EAGLE COUNTY, COLORADO ,00 RROAPWAv P.O. GO\ 1 79 EAGLE. �:OLORADO S I l3 1 FAX (303) :_1;-'207 DATE:February 25, 1994 N.A. Ranch - Adams - tax parcel #2111-094-00-003 Dear I.S.D.S. Applicant: Your application for an Individual Sewage Disposal System (ISDS) Permit for #1312-94 has been received. Issuance of your permit is on hold until the following materials or fee(s) are submitted. Payment of $150.00 Application Fee Payment of $200.00 Percolation Test Fee X Site Plan X _ Licensed System Contractor (See attached list) Engineer Design X Other:Percolation & Soil test information If you have any questions please contact Tania Busch -Weak at, 328-8755. When calling or submitting information please reference your ISDS application #1312-94. Please submit information to: Eagle County Environmental Health Division P.O. Box 179 500 Broadway Eagle, CO 81631 ---- 124 122 120 110'-6" Fin, R, 116- ........... - 111'-0' �----_ In, Ft. 0 110'-6" Fin, R. N <0 Bch JOB NAME _ #1312-94 - Parcel #2111-094-00-003 1000 Spring Creek Rd. N.A. RANCH ADAMS JOB NO.___�_�_ JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED Lq� Ft JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLAER Product 27$ ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, . A 01471 JOB FOLDER Printed in U.S.A. $05 - l3r, -ciry 1,50!0 $off ADAMS � -.. Y�q�gY ��-0 *L 7'�NrE .�-Sf�S •13J,?--�1'Y ! sPia.�,r,:G-�F..�1cad. 1304