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Home My WebLink About9273 Brush Creek Rd - 219501200008INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION �Pip qv 1A P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE: PERMIT NO. 1473 Please call for final inspection before covering any portion of installed system. OWNER: Sandy Martinez /Ed Oyler PHONE: 328-5409 MAILINGADDRESS: P.O. Box 144 city: Eagle State: CO zip: 81631 APPLICANT: same PHONE: SYSTEMLOCATION: 9273 Brush Creek Road TAX PARCEL NUMBER: 2195-012-00-008 LICENSED INSTALLER: Scott Green Excavating LICENSENO: 40-95 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 986 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 27 Standard Infiltrator units in 4Te trenches through serial - distribution, as per your request Install inspection ports at the end of each trench and do not backfill untki final inSDectiQn is completed. ENVIRONMENTAL HEALTH APPROVAL: DATE: or AC 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: 972 SQUARE FEET. INSTALLED SEPTIC TANK:1250 GALLON 1400 NDEGREES 49 FEETFROM the clean -out next to the house SEPTIC TANK ACCESS TO WITHIN 8" 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: Leach field is located 10 ft south of the septic tank. ENVIRONMENTAL HEALTH APPROVAL: DATE: October 3, 1995 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # (Site Plan MUST be attached) ISDS Permit # N73:-�:qS" APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * .MAKE' ALL REMITTANCE PAYABLE TO:' "EAGLE COUNTY TREASURER" PROPERTY OWNER: MAILING ADDRESS: APPLICANT/CONTACT PERSON MAILING ADDRESS: LICENSED ISDS CONTRACTOR: COMPANY/DBA: L�Jvrri� �. ADDRESS: PHONE: ( ) PHONE: ( ) a 34, *************************************************************************** PERMIT APPLICATION IS FOR: (S New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: Filing:_Block: Lot No.1_ Tax Parcel Number: 21, G _Lot Size: 7 .. Street Address: c?L7 3 %%1� KI c�-..E�,� �°—� BUILDING TYPE: (Check applicable category) ( Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: Well ( ) ( ) Public Name (Check applicable category) Spring ( ) Surface of Supplier: Number Number Type _ of Bedrooms of Bedrooms *These systems require design by a Registered Professional Engineer SIGNATURE: Date: *************************************************************************** TO BE COMPLET D B THE COUNTY AMOUNT PAID: yo RECEIPT DATE: y� CHECK #: CASHIER. - Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO October 3, 1995 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 Sandy Martinez & Ed Oyler P.O. Box 144 Eagle, CO 81631 RE: Final of ISDS Permit No. 1473-95 Parcel #2195-012-00-008. Property located at: 9273 Brush Creek Rd., Eagle, CO. Dear Ms. Martinez and Mr. Oyler, 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, Janet Kohl Environmental Health Department ENCL: Information Brochure Final ISDS Permit cc: files ISDS PERMIT m 10 10 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER 6Lwa ✓ %'d1�1 a y- rti�z LEGAL DESCRIPTION:_)--7 3 MAILING ADDRESS:- 'x C), /3ope l qul TYPE OF DWELLING:�1 NUMBER OF BEDROOMS_ TEST HOLES PRE-SOAKED: YES� NO TTMF. WAMV" r%nnm:• T--_ L��II1�1�1 I�I�RAIA p�p� in11Dl�Ii�7&�I��NIM �I� IAM M, Time to drop last inch PERC RATE: 30 MINIMUM SEPTIC TANK S - IZE:�� MINIMUM LEACH FIELD SIZE: COMMENTS: rev. 6/90ks 32r- l6 /I ISDS Final Inspection Completeness Form t' Tank is<0 gal. Tank Material Tank is located J64' ft. and 11V6 degrees from OQflA4,�.A14 RLV.-- (permapent la ank is located / (permanent landmark) /Tank set leve V +1 i. Tank lids within 8 of finished grade. Size of field ft2 r� units lineal ft. echnology " Cleanout is installed in between tank and house(+ 1/100ft). ? There is a "T".that goes down 14 inches in the inlet and outlet of the tank. nlet and outlet is sealed with tar tape, rubber gasket. etc. Tank has two compartments with the larger compartment closest to the house. Measure diAt:q jice and relative direction to field. 5 .. v tA:^ o f f �,e} `~ f t . -� of nterfaceaked. ' :Lnspection portals at the i'e f each trench. A� ✓j Frog distance:tasbacksc. Other. Inspection meets requirement4 ,:ff Ra- �L c Copy form to installer's -f`,L2^ recommend improvement were suggested.':"``:;, ACTION TAKEN: S tions for Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 100. 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 1 J�jAoN4- 6&�,, � ■ ■�y/t��l■■■■■�■MEMO ■kM)k1'IN■■■ MUMMERS ■■■■■ ■MIME■■■ ■■■■■■■ OYLER 1473-95 JOB NAME 9273 Brush Creek Road 2195-012-00-008 JOB NO. . 4 JOB LOCATION r _ r J —� - � -�_ � ! -i� C� l j (1 177Y BILL TO DATE STARTED DATE COMPLETED DATE BILLED I S -2 z a Z,;-) � 1 JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS V. JOB FOWER Product 278 Q® NEW ENGLANO BUSINESS SERVICE, INC., GROTON, MA 01 G z� 6yuisk Cr- Q qZ?3 '��""-Y ` 4. J t E-17 G VE k /IJ15PEC' 7D4-) ISz)S # iq�3 -%s