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HomeMy WebLinkAbout52 Hawk Ln - 247106302019INDIVIDUAL SEWAGE DISP SAL SYSTEM P RMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, CO 81631 Telephone: (970) 328-8755 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. REPAIR PERMIT NO. 1720-97 BP NO. N/A ORIGINAL PERMIT # 990-90 OWNER: DAVID BRUCE CAMPBELL PHONE: (507) 234-6631 MAILING ADDRESS: 1938 425TH AVE., JANESVILLE, MN 56048 APPLICANT: SAME PHONE: SYSTEM LOCATION: 0052 HAWKS LANE, BASALT, CO TAX PARCEL NO. 2471-063-02-019 LICENSED INSTALLER: FRYING PAN CONSTRUCTION JIM HOLTON LICENSE NO. 51-97 DESIGN ENGINEER: PHONE NO. EXISTING SYSTEM CONSISTS OF: 1000 GALLON SEPTIC TANK 720 SQUARE FEET OF BED ABSORPTION AREA VIA INFILTRATORS. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 844 SQUARE FEET OF TRENCH ABSORPTION AREA VIA 27 STANDARD INFILTRATOR UNITS AS REQUESTED BY OWNER. SPECIAL REQUIREMENTS: INSTALL A DIVERSION VALVE AFTER THE TANK TO ALTERNATE FLOW FROM ONE FIELD TO THE OTHER, AND TO ALLOW EXISTING FIELD TO RECOVER FROM FAILURE. REPLACE ANY DAMAGED INFILTRATOR UNITS IN THE EXISTING FIELD. IN- STALL NEW FIELD IN SERIAL DISTRIBUTION. IN TRENCHES WITH INSPECTION PORTS AT THE END OF EACH TRENCH. MAINTAIN ALL AP- PLICABLE SETBACKS. CALL THE COUNTY FOR FINAL INSPECTION PRIOR TO BACK -FILLING ANY PART OF THE INSTALLATION, OR WITH ANY QUESTIONS. ENVIRONMENTAL HEALTH APPROVAL: DATE: AUGUST 8 1997 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 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 (VIA ) INSTALLED TANK: GALLONS IS LOCATED DEGREES AND FEET FROM COMMENTS: ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL DATE: (Site Plan MUST be attached) ISDS Permit APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. 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: APPLICnNT/ C^NTACT PERSON.* s�Ililc-� PHONE • (S07) 2-311- 66,31 MAILING ADDRESS: LICENSED ISDS CONTRACTOR: LLi/!7 �7(]�iZ77/)/ PHONE: (9773 ) 379-3027 COMPANY/DBA: �anld AAA Panlsr/?Wr/'aA/ADDRESS: 0725 1VC1#0C1iN Ln/ 69sw r 91621 *************************************************************************** PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration (k Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # Legal Description: ( i f known) Subdivision: /4t 0/S/WCS Filing:ZBlock: Lot No. /I/ Tax Parcel Number:, 4/ % / -Q 3 -Q Z - 0 / 9 Lot Size: _ 6' Street Address: 004�? #R(41K MIA- BA ,o9-u- 161f l'o 81,621 *************************************************************************** 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 Number Type _ of Bedrooms of Bedrooms *These systems require design by a negistered Professional Engineer-? SIGNATURE: Date: _7-d�4 9/ TO BE COMPLETED BY THE COUNTY AMOUNT PAID: RECEIPT #: CHFCK ;�: DATE: _ CASHIER: Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: November 5, 1997 TO: Zamora Excavating FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 - RE: Reissuance of Individual Sewage Disposal System Repair Permit No. 1720-97, Tax Parcel #2471-063-02-019. Property Location: 0052 Hawk Lane, Basalt, CO., Campbell residence. Enclosed -is your ISDS Repair Permit No. 1720-97. It 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. Due to weather constraints all permits issued before November 14, 1997 must be completed by December 1. 1997 for final inspection. Also enclosed is the ISDS Final Inspection` Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Your building permit CO will not be issued until final approval has been given for the ISDS Permit. 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, please feel free to contact the Environmental Health Division at 328- 8755. cc: files Enclosure: ISDS Final Inspection Completeness Form Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE:' August 8, 1997 TO: Frying Pan Construction Eagle County Building P.O. Box 179 500 Broadway Eagle. Colorado 81631-017 9 FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Repair Permit No. 1720-97, Tax Parcel #2471-063-02-019. Property Location: 0052 Hawk Lane, Basalt, CO., Campbell residence. Enclosed is your ISDS Repair Permit No. 1720-97. It 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. Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Your building permit CO will not be issued until final approval has been given for the ISDS Permit. 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, please feel free to contact the Environmental Health Division at 328- 8755. cc: files Enclosure: ISDS Final Inspection Completeness Form ISDS Permit # 111?e) / Tank is �, M gal Date-2 l3 s ISDS Final Inspection_ Completeness Form Tank Material Tank is located ft. and degrees from .J \ (permanent landmark) Tank is located ft. and degrees from (permenentlandmark) 0� Tank set level. Tank lids within 8" of finished grade. Size of field ft2 units lineal ft. Technology 4 / iti S C - 3Ic Cleanout is installed in between tank and house (+ 1/100ft) . ;ri54de wa.XL_ There is a "T" that goes down 14 inches in the inlet and outlet of the tank. Inlet and outlet is sealed with tar tape, rubber gasket etc. Tank has two compartments with the larger compartment closest to the house. Measure distance and relative direction to field. J5 f- . [n-gj _L Depth of field J? ft. Soil interface raked. Inspection portals at the end of each trench. tvaa G6c& /-0 Proper distance to setbacks. vl Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) kelki l i +,2 �reuG1 h l-ff-A I1 Type of pipe used for building s&Wer line 5P43-S , leach field LP - IV Other Inspection meets requirements. Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: 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 CALCULATED ev DATE CHECKED BY DATE imm Agais 074,71 !- Cx!'PAME TOU r.EE!4*22:-!M 990-90 TxPrcl# i/GU—y/ laxif Z4/1—U0J—UZ—U1V Lot#14, Filing 2 CAMPBELL JOB `NAME. — Lot 14,Blk 2,Reudi Shores II Ruedi Shores Subdivision Floyd Hoogeboom/Bruce Campbell 0052 Hawk Lane aoe No, AV OB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 0aympipew cq►led - detu +ar i '• ai - ti o t ade- (*AwAft) ai' 17o QciJi-hona! 'sUit In,jtS4i a-6n tar-- �iiyxz Know f -tyle— priatylak �- Anatexi owt OWA do 41nah under -Wit, to -11-9 tcof algh q JOB CO 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 FOLDER Product.278 j�® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER u ` y A7• t•''': 1 ' `I n" Printed in U.S.A. oc�/ 0/? �s OPec /Vce� Aw I've,; le7zlvc 1'1.wal So '50" W o �a s e-.,- V1 12 e - s,., 9,10 ie 419c7by -Z-c)L (WW4,v��Iro/Y Rc-tvcvji1V6, 1,711Y &fucr 0qmdc--11 9� J11VC-7-i f9N mil' - 4 vs &v O/V IVI/56Wi7-1 1720- 97, G(/ifhoVf �rtiNG oU 76 �cic`i cvi,I IA- 6- y`` -/ C/,�w anlIAcAesj fi/l/a /lOvvc ocu vc,?5 a/rc W/// �y �y Cooe-le 711E O'.9i�f��ES �� occ�rrf n'o s�/a�f"iivcJ y 1-trN D11,�a/; 46 S1,9��F /F�sT bn-WC OU�O S� c� it/1�G�' C/�OQS/i✓G ��F G!/iCG7/G �L`/?Sait/ �o F�Ci�r�l ?Y7� �t�for7�f � OR 16A,(1V6 -/a/? IVOOVs 0 �' carr�rNs,�ia�V -z s cvvortk� cc// The 1Nsc/rrf/ivcr cofn- 00Avy 69OVIS o? d,� �Nd Svc O, r;</IW cj�vr �',��✓o�/- oa Joy y�o Cl 0-)c 01!V�ge-7-1sN (1<17 w;7� 4t- rCWZ"I(�allt a� C�Vq o � �p���� ? ow da Voc/ �e M- 4 21ww cklees-oecotl- ,Qfvia &crE Aww-6L /422 Oscco/ AC s� AV/, r�.ku/v ssios (612-) 281- 0698 INDIVIDUAL 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. 9 9O Please call for final inspection before covering any portion of installed system. OWNER.Floyd Hoogeboom & Bruce Campbell PHONE: 927-4564 MAILING ADDRESS: P.O. Box 17 Merideth, CO 81642 719-495-3966 AGENT: Floyd Hoogeboom & Bruce Campbell PHONE: SYSTEM LOCATION: LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OFSYSTEM, INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: 680 SQUARE FEET OF SEEPAGE BED 523 SQUARE FEET OF TRENCH BOTTOM. 180 f t. of SB2 per owners reques SPECIAL REQUIREMENTS: Inspection portals In system. ENVIRONMENTAL HEALTH OFFICER: DATE: CONDITIONS: 1. ALL INSTALLATION UST COMPLY WITH ALL REOU PEEME THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORIT TED IN 25-10.104, C.R.S. 197$ AS AMENDED. 2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRU TURES 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 /it, 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. INSTALLED SEPTIC TANK: GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS ANDASSEMBLY YES NO COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS: YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: ENVIRONMENTAL HEALTH OFFICER: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: A PLICATION FOR INDIVIDUAL SEWAGE DISPOSAL_ SYSTEM PERMIT 949-5257 Vail ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, COLORADO 81631 328-7311 Eagle Number: 15�? / 927-3823 Basalt PERMIT APPLICATION FEE $150.00 � PERCOLATION TEST FEE S125.00 NAME OF OWNER: r1 1y N ©0 boa ®o" &X&W e_L MAILING ADDRESS: � 0, 30Y 17 1? jf10lTh� C�©• PHONE: !22-7 d �f 2 NAME OF APPLICANT (If different from owner): e17S' - 3!j!6 ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES ( ;�'NO ADDRESS: Cd W tj r—K PHONE: PHONE: PERMIT APPLICATION IS FOR: (NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: l,0 14 Lot Size Legal Description: 4o7- .n ee,a NT�I BUILDING OR_ -SERVICE TYPE (Check applicable Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: category): ( ) Residential - Fourplex ( ) Commercial (Type) NUMBER OF BEDROOMS. WASTE TYPES Check applicable categories): Commercial or Institutional ( Li Dwelling Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal (—I Dishwasher (� Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES ( ) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( ) NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If suppfed by co nit y water, give name of supplier: Ruc-pi :!g SIGNATURE: DATE: INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope 10 Depth to Bedrock (Per 8` profile hole) _,7 �' ' Depth to Groundwater table 7 g ! S 01PERw LA T 10N TEST RE UL 1 S : to Minutes per i nch i n Ho i e #1 yLa� to Minutes per inch in Hole #2 c 0 Minutes per inch in Hole #3 FINAL DISPOSAL BY: Bed or ( ) Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other AMOUNT PAID: RECEIPT Pit ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond NUMBER NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) DATE: Date:rj-1C) --jU EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Re: Issuance of Individual Sewage Disposal System Permit No.1.90 -- Enclosed is your ISDS Permit No. ' 90 This copy of the permit must be posted on the installation site. You must call our office for final inspection before covering any portion of the installed system. If you have any questions, please feel free to contact us at the following numbers for your calling area: Vail/Avon 9.49-5257; Basalt/El Jebel 927-3823; Eagle area 328-8730. Sincerely, Raym2W P. Mer Envi onmental xc: ISDS file cer Board of -County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 _ Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 MEMORANDUM Date: \ October 11, 1990 To: VBruce Campbell, ISDS Permit #990 From: Roger Hosea, Asst. Environmental Health Officer Re: Installed System The ISDS installed at 0052 McLaughlin in Reudi Shores is adequate for a three bedroom residence only. The septic tank has a 1000 gallon capacity which is acceptable for a three bedroom residence, the amount of leach field is however, adequate for a four -bedroom residence. The septic tank required for a four bedroom residence is 1250 gallons. In the present condition, the system is approved as a three bedroom residence. !re lir✓✓ � d ds Pi/l,'% 7 jiia� /fG / GfG a 60'rrec41' ai141� '0'j "Ov �`IP iil�lclGr �f%1 /iay i ? zr ffiG,� 40 /Z�s D 2 ISDS a # 339Y 1� /G PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: 6j l-yee e'4--w26,0,I LEGAL DESCRIPTION: God--jV �f1/l' Z i?1s��%e' MAILING ADDRESS: Pa eon` 17 My,4 C) TYPE OF DWELLING: 2�1, /Gt, r NUMBER OF BEDROOMS_ TEST HOLES PRE-SOAKED: YES NO TTMR waTRD nRPTH TMe T.TFc nr rZIT.T_ Dnrnr MDT OnTT DD(1s-TT V 1 2 3 1 2 3 1 2 3 1 2 0, yy 'sv j :sL ► �� i 'I I 31Vf �l ,f'� � ZJr� Z Z17 2,2. 31 ne 17' Cie Vq Time to drop last inch PERC RATE: (i5,e Aug er MINIMUM SEPTIC TANK SIZE: 00- 0 MINIMUM LEACH FIELD SIZE: COMMENTS: �ym'` r`dl 571/Sy'�»'!. 1g!% d S 1 Z j_2e ✓ PERC TEST DONE BY: Envifonmental Health Officer rev. 6/90ks DATE: 7`10' rd ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE ot &tI ( It -14�0001'c g �15 OName D to Pouted � Application No. Locati n Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form the the Environmental Health Office. PLANNING: Complies with - YES NO REVIEWED BY DATE Subdivision Regulations: Zoning Regulations: Recommend Approval: COMMENTS: BUILDING: Complies with - Building Permit Applied For: Buildina Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE q0 Recommend Approval: COMMENTS: Le i z/',14 , ` EAGLE:COUNTY° BUILDING DIVISION P: O: Box 179 Phone: 328-731 GATE: TIME APPROVED ❑ DISAPPROVED REINSPECT Upon the Following Corrections: DATE: TIME: ez- INSPECTOR �5L U 'ON •vs•n NI 3abw N m ta \1 rN N I- > (> YV _zt z Zr), W m ID I I on