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HomeMy WebLinkAbout3670 Salt Creek Rd - 210729100051INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
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. ALTERATION PERMIT NO. 2157A-01 BP NO.
OWNER: MITCH AND PEGGY BRASINGTON PHONE: 970-328-3878
MAILING ADDRESS: P.O. BOX 3130 EAGLE CO 81631
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 3670 SALT CREEK ROAD, EAGLE, CO TAX PARCEL NO. 2107-291-00-051
LICENSED INSTALLER: LOGAN CRAIG, LLC, JOHN LOGAN LICENSE NO. 24-02 PHONE: 970-926-4010
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 4 BEDROOM RESIDENCE
1250 GALLON SEPTIC TANK, 1283 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA 42 INFILTRATOR UNITS AS REQUESTED BY INSTALLER
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE AND IN-
SPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS AND DO NOT INSTALL IN WET
WEATHER. BE SURE TO MAINTAIN ALL APPLICABLE SET BACK REQUIREMENTS. CALL EAGLE COUNTY FOR THE FINAL INSPECTION PRIOR
TO BACK FILLING ANY PART OF THE INSTALLATRON. OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. THE EXISTING TANK
NEEDS TO BE PUMPED AND FILLED WITJN DAR RE
ENVIRONMENTAL HEALTH APPROVAL DATE: MAY 17 2002
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 WILL RESULT IN BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT.
3. CHAPTER N, 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: 1302 SQUARE FEET (VIA 42 INFILTRATOR UNITS )
INSTALLED CONCRETE SEPTIC TANK: 1250 GALLONS IS LOCATED 270 DEGREES AND 11 FEET INCHES
FRoM THE GARAGE.
COMMENTS: THE FINAL INSPECTION WAS DONE BY WILLIAM CARLSON OF EAGLE COUNTY ENVIRONMENTAL
HEALTH ON MAY 17, 2002. THE OLD TANK WAS PUMPED AND FILLED WITH DIRT AND THE OLD LEACH FIELD
WAS ABANDONED. THIS SYSTEM IS LARGE ENOUGH TO ACCOMMODATE A FOUR BEDROOM RESIDENCE.
ANY ITEM NOT MEETING REQUIREMENTS WIL BE E FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE: ___ MAY 21, 2002
Incomplete Applications Will NOT Be Accepted
(Site -Plan MUST be attached)
ISDS Permit # J_ U f
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
Eagle (970)328-8755, Fax (970)328-0349, El Jebel (970)927-3823
* FEE SCHEDULE
* APPLICATION FEE $350.00
* THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PERCOLATION TEST,
* SOIL PROFILE OBSERVATION) AND FINAL INSPECTION
* ADDITIONAL FEES MAY BE CHARGED IF A REINSPECTION IS NECESSARY, OR A
* PRE -CONSTRUCTION SITE VISIT OR CONSULTATION IS NEEDED
* REINSPECTION FEE $47.00, PRE -CONSTRUCTION SITE VISIT FEE $85.00
* MAKE ALL_.REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
****************************************************************************
PROPERTY. OWNER: JJe 9 4 1 -3 Y A Sir✓
MAILING ADDRESS: ©
APPLICANT/CONTACT PERSON: M/ / C), /3 Y,4S )NiJa To
-LICENSED SYSTEMS CONTRACTOR: / ) o yJ '80O
iv
PHONE : 340 -337 Y.
PHONE : 349 •-32 A
PHONE: 3 90 - r) S%
COMPANY/DBA: ��C"�/`.�-SOri1S �X ADDRESS: TOOX iO l S &V An5k rn , p % (7-1
***************************************************************************
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION V) ALTERATION-( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
il
Tax Parcel Number: ���
��_"t
DU `" U,�
Lot Size: '_r, /,_;, �c'1
Physical Address:
�0 % U
S,g
Cre c IC. /�l d L Asi Ie-
BUILDING TYPE: (Check applicable category)
(kf Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
Number
Number
Type _
of Bedrooms.
—
of Bedrooms
*These systems require design by a Registered Professional Engineer
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well X) Spring ( ) Surface
( ) Public Name of Supplier:
APPLICANT SIGNATURE : Man�ti B o- Date:
35b RECEIPT # : CvJ
AMOUNT PAID: DATE: I f 41/ 0
CHECK #: 3M CASHIER:
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970) 328-8755
FAX (970) 328-8788
TDD: (970) 328-8797
TOLL FREE: 800-225-8136
www.eagle-county.com
EAGLE COUNTY, COLORADO
May 21, 2002
Mitch and Peggy Brasington
P.O. Box 3130
Eagle, CO 81631
Raymond P. Merry, REHS
Director
RE: Final of ISDS Permit #2157A-01, Tax Parcel #2107-291-00-051. Property
location: 3670 Salt Creek Rd., Eagle, CO.
Dear Mr. & Mrs. Brasington:
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 (970) 328-8755.
Sincerely,
r
Ak ..
j
Janet Kohl
Eagle County Environmental Health Department
ENCL: Informational Brochure
Final ISDS Permit
cc: files
OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970) 328-8755
FAX (970) 328-8788
TDD: (970) 328-8797
TOLL FREE: 800-225-8136
www.eagle-county.com
EAGLE COUNTY, COLORADO
DATE: May 17, 2002
TO: Logan Craig, LLC
Raymond P. Merry, REHS
Director
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System #2157-01, Tax Parcel #2107-291-
00-051. Property Location: 3670 Salt Creek Rd., Eagle, CO., Brasington
residence
Enclosed is your ISDS Repair #2157-01. 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. If you have not been contracted to install this system
please contact Eagle County Environmental Health.
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. Do not back fill any part of the
installation until it has been inspected. If all items are not completed, a reinspection fee of
$47.00 must be paid before a reinspection is made.
Please call our office well in advance to allow for scheduling of final inspection. Your building
permit TCO will not be issued until final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755.
cc: files
Enclosures: ISDS Permit # 2157-01; ISDS Final Inspection Completeness Form
OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179
1 -i) ® 16
�� , 1 . ISDS PERMIT #
6--��
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATLH
OWNER G3�siN�ToN _ lLi, L Qr l'�Q��
-PHSYSICAL ADDRESS:
LEGAL DESCRIPTION:
MAILING ADDRESS:
TYPE OF DWELLING:
NUMBER OF BEDROOMS:.
... .
TEST HOLES PRE-SOAKED: YES._ NO
SOIL
TIME WATER DEPTH INCHES OF FALL RATE PROFILE
1 - ', ) 7 -Z, -7 nV
_c0 --c
/ e�
50
t 4'�$
-4 3l4
3i4
iZ
1/4
�/0 2 So4.55
1U31�
��4
'/Q
T2_0
?SJ
1�} �U'.00
[ O �g
8' �2
8' S
' /4
'12
l0
[ U 4 1 ,
0-05
►off%
g �j�
Ala
' � s
46
� � . $ � %�� �
10:10
1l 1/2
a3�4,
Cl`/4
114
g
1/4V2-01)
�o
zo 6
1 o " (S
< < 3�8
� !4
112
' /*
' /Z
`/4
10
zo ►
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l4 1
�o. 30
121%g
9
10'14
las1g
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` /9
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31 Z
31
Z(3
20
40
40
14 �® f��©
A 1 O�
TIME TO DROP LAST INCH: ZO PERC RATE: i4c�,14s ,
MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE:
COMMENTS: —� ? Z s
ENVIRONMENTAL HEALTH SPECIALIST DATE
Absorbtlon field meets or exceeds 10 foot
setback requirement From property line.
i � 1
3404, 1
SW12-55r
t
N
Approximate North
TFIa AvrMn 4 iir tiirrrv� Al1V� Iiv% h
Logan, Craig, Inc.
01-70) a26-4010
as -Built Drawing
15D5 alteration
L
Permit #2157a-01
a
May 17, 2002
m
Brasinggton Residence
Mt
36-70 Greek Road
c
Eagle, GO
Page I 2
of
I
All equipment, vehicles and livestock should
be kept off of the septrc tank kind absorbtlon
1
area. Fallure to do so could result in failure of
the system.
Never leave the tank lids exposed. potentid
lids represent a safety hazard and al
odor problem. RBpk the lids and tray them
when access to the tank I5 no longer needed.
(45 Bye,
Never enter the tank. Dangerous
gases may exist In the W.
Tank Lid #2
�'o31z�
aea�
BearYx� and distance from
NW Garage Corner to:
223 Tank Lid *I: Nil OW 58'YV IOAO ft.
Tani, Lid *2: N45 50' 44*A 15.03 f
C�Qrage
n
Tie on to existkp 4' Une
with 225 bond air edge of
stone Wall
5tono Well Corner
Porch Corner
Residence
ogan
raig
nc.
Post Office Box 376
Edwards, Colorado 81632
(970) 926-4010
(Pax) 926-4012
May 20, 2002
Mr. William T. Carlson
Eagle County
Department of Community Development
P. O. Box 179
Eagle, Colorado 81631-0179
Re: ISDS Alteration Permit #2157A-01 - Brasington
Good Morning Bill,
Please find enclosed the drawings and paper work you requested
for the above referenced ISDS Permit.
We will provide Brasingtons with copies of these drawings. We
would like to include a copy of the permit showing final approval
in our drawings and request that you forward a copy either via fax
or US Mail.
It was a pleasure working with you and we look forward to
installing another system with you soon.
I h 1S KL e
Name of Systems
Name of Service I
z'-vJ-j b� GUI
�t of my s`pStems Cleaners Reporting Form
(Please Print)
Date of Service
Date of Installation :`5 Luca.
Property Owner M TC"CAA t t S t Q 61 DNJ Telephone # �S 1 t - 011 '
Physical Address3(n10 Seri— ((_ &icL,
Lot Subdivision
Estimated Tank Size J �i5 D Material of Tank _ �e, __CA
# of Manholes 2' Depth to Manhole Covers Q
Estimated Volume Pumped % G��' # of Compartments
Sludge Thickness _ _inches / Scumm Thickness inches
Baffle or Sanitary Tee in Place? i-Met Outlet UNIT
Effluent Filtedn Place? Y N (Required, after 6/2000)
Dosing Mechanism Pump Siphon None
Dosing Mechanism / Alarm Functioning Properly / Y N
Previous Pumping Date, if known
Location of Septage Disposal iA, Nam. 48
General Comments (include any signs of failure and all work in addition to pumping)
Sketch (Location of Tank)
'L J
Loci
J.
Linder section 16303.02 (D) of the Summit County ISDS Regulations, holders of a Systems Cleaner License must report to the Environmental Health Department each ISDS which
is cleaned, serviced or inspected not more than thirty (30) days after such service is performed
I certify that to �thebest of my knowledge the ve information is true and correct,.
6..
Signed t Date _ `�(
Ab5orbtion field meets or exceeds 10 foot
setback requirement from property line.
39.aq'
5bb-
N
L
0
6
L
A
Approximate, North
P
45 Ben
h
yA
.o m"
Tank Lid #1
e
t
in o
1250 Gallon Tank
with baffle `
m
8
Stone Wall Gorner
s
Loan Graig, Inc.
(cf-0) q26-4010
Ass -Built Drawing
ISDS Alteration
i
Permit #2157A-01
o
May 17, 2002
6
Brasington Residence
5670 Salt Greek road
s
Eagle, GO
m
Page I of 2
warning:
All equipment, vehicles and live5tock should
be kept off of the Septic tank and ob5orbtion
area. Failure to do 5o could result In failure of
the system.
Never leave the tank Iid5 exposed. Exposed
Iid5 represent a Safety hazard and potential
odor problem. Replace the Iid5 and bury them
when access to the tank 15 no longer needed.
45 Ben
Never enter the tank. Dangerous
gases may exist In the tank.
Tank Lid #2
585°03'12"E
3H.12'
Hearing and distance from
NW Garage Gorner to:
lern:g Tank Lid #I: N- 1 Ocl' 55"W IO.cio ft.
Tank Lid #2: N45 30' 44"W 15.05 ft.
C�Qfage
Stone Wall
Porch Gorner
Tie on to existlncc�� 4" Line
with 22.5 bend at edge of
sidewalk.
Approximate depth: I.-7 ft.
This drawing Is for reference only and Is
not Intended to be an accurate survey.
J
01,o
-10 zT �
O
O
2
L
N
O
Q
N_0
O
v O
i L L�0 N Nv
v4-1
=<#r o
Lr
m
Goncrete Stairway
i�
.�J
W
C)
W
L4—
OWN
4-
O
N
cvc e-'v- ?"I -
ISDS Permit # Installer Date 6 zo joz
ISDS Final Inspection
Completeness Form
Tank is t250 gal. Tank Material Cooc2ETE , (COPtf46JQ)
Tank is located I i ft. and 2lCU degrees from G4aaGt
NA Tank is. located ft and degrees from
Tank set level. Z Tank lids within S" of finished grade.
v/Size of field ft2 4 Z units' 252 lineal ft., Technology TN piLTar%T,3
Setback Table on Back
n
r
a
4
eL
n
S �
f 4
V
r Ub -
- stems Cleaners Reporting Form
4. (Please Print)
Name of Systems
Name of Service F
Date of Service
Date of Installation
Property A 1't`G
P rty Ownerfl S Q 6 i DiQ Telephone # q51-- d I
Physical Address 3 610 �l� k t�f'� k-�'s� l:�'� t
Lot Subdivision
Estimated Tank Size �i fD Material of Tank
# of Manholes 2-, Depth to Manhole Covers
Estimated Volume Pumped l 5657 # of Compartments
Sludge Thickness _ inches Scum Tluckness ` inches
Baffle or. Sanitary Tee in Place?. Outlet UNIT
Effluent Filter in Place? Y N ' (Required after 6/2000)
Dosing Mechanism Pump Siphon E,�None
Dosing Mechanism / Alarm Functioning Properly
Previous Pumping Date, if known 0
Y N
Location. of Septage Disposal
General Comments (include any signs of failure and all work in addition to pumping)
Sketch. (Location of Tank)
a�
S
Under section 16303.02 (D) of the Summit County 1SDS Regulations, holders of a Systems Cleaner License must report to the Environmental health Department each 1SDS which
is cleaned, serviced or inspected not more than thirty (30) days after such service is performed.
1 certify that to the best of my knowledge the ve information is true and correct,.
Signed t Date _ LY A 11
Tx
07-291-00-051
-01
JOB NAME_ 3670ASaltCreek2Rd. BRASIINGTON L/ Sc�, Ct� 'C'l�i:� �C L\,'.'' , ,�
JOB NO.
Eagle
B
BILL TO
DATE S ARTED
U
f
DATE COMPLETED
DATE BILLED
cc�x 6E
. z - p j
S S �� Cu r �'/1 N S r s�
c=o 1 / C' f-C
ZS �- o /v
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JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
e
TOTAL LABOR
l`� S' > . 2 r
I4",2
NSURANCE
SALES TAX
/leis"� i i� �o ai car % 'L 5 0c�4
M ISC. COSTS
/ /^(z?.
o
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278
JOB FOLDER
Printed in USA
Absorbtlon field meets or exceeds 10 foot
setback requirement from property line.
to
L
a
L
IZ
c
I
b
h�i
Approximate North
39 0'i'
586'42'S5"✓'�
Ri
45 Ben
A/
d
C
Tank Lid #1
e
r
m
1250 Gallon Tank
with baffle
Stone Wall Corner
Lo on Groig, Inc.
(cfU q26-4010
As -Built Drawing
ISDS Alterotion
L
Permit #215-7A-01
°
May 1-7, 2002
a
L
Brosington Re5idenc-e
56-70 Salt Greek Road
IZ
Eagle, GO
N� p
m
Pagelof2
Warning:
All equipment, vehlcles and livestock should
be kept off of the septic tank and absorbtlon
area. Failure to do so could result In failure of
the system.
Never leave the tank lids exposed. Exposed
lids represent a safety hazard and potential
odor problem. Replace the lids and bury them
when access to the tank Is no longer needed.
45 Ben
Never enter the tank. Dangerous
gases may exist in the tank.
Tank Lid #2
SB5°03'12"E
38,12'
Bearing and distance from
NW OaraQe Corner to:
en Tank Lid #I: N71 OcI' 5&"W IO.G[O ft.
Tank Lid #2: N45 50' 44" W 15.03 ft.
Stone Wall
Porch Gorner
le on to existingc� 4" Line
Ith 22.5 bend at edge of
Idewalk.
coroxlmate depth: 1.1 ft.
This drawing Is for reference only and is \ Residence
not kitended to be an accurate survey.
N�
_ v 0
� 0
a�
o�
�o MQ'E 6 w 0
�m
�o
-10
O �
Goncrete Stairway
V � 6 p,0 O
( 6� L O
�2
�fl VJ O p E 6 O -
N
N� `�Q E�
4
VJ 0 pis # -�z
Qk !# O� nCL ��� �6 0� v
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4— CL
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Work Classification:Repair
P O BOX 3130
EAGLE CO 81631-
Address Owner Information
Permit Status:Active
Project Address
210729100051
Permit Type:OWTS Permit
Permit NO.OWTS-4-14-10540
Expires: 8/21/2014Issue Date:4/23/2014
Parcel No.
3670 SALT CREEK RD
Private Wastewater
System
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
Phone: (970)328-3878
Cell:
Inspection
For Inspections call:(970) 328-8755
Inspections:
IVR
PhoneEngineer(s)
Contractor(s)Phone Primary ContractorLicense Number
HONEY DIPPER SEPTIC SERVICE (970)390-0050 Yes24-14
HONEY DIPPER SEPTIC SERVICE (970)390-0050 Yes24-14
MITCH BRASINGTON
Permitted Construction / Details:
Permit is granted for the exploration of the OWTS effluent lines both before and after the 1250 gallon two
compartment, concrete septic tank to find out why the tank isn’t draining properly. Repair of these lines
is permitted using a minimum of SDR 35 pipe. If any areas over the effluent lines are to be driven over,
either sleeve the pipe with schedule 40 pipe or use a stronger walled pipe such as schedule 40. If there is
no cleanout between the house and the tank and work is being done on this line, add a cleanout. This
permit does not allow for any work to be done on the existing soil treatment area. Contact Eagle County
Environmental Health if the system problem is not with one the effluent lines. Photos of the effluent line
replacement illustrating proper pipe bedding are required in order to finalize this permit.
Issued by: Environmental Health Department, Eagle County, CO
April 23, 2014
Date
Customer Copy
Laura Fawcett
CONDITIONS:
1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT
COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT
2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED
3. 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 WILL RESULT IN BOTH
LEGAL ACTION AND REVOCATION OF THE PERMIT
4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL
SYSTEM TO BE LICENSED
Work Classification:Repair
P O BOX 3130
EAGLE CO 81631-
Address Owner Information
Permit Status:Active
Project Address
210729100051
Permit Type:OWTS Permit
Permit NO.OWTS-4-14-10540
Expires: 8/21/2014Issue Date:4/23/2014
Parcel No.
3670 SALT CREEK RD
Private Wastewater
System
Environmental Health
Department
P.O. Box 179
500 Broadway
Eagle, CO 81631-0179
Phone: (970)328-8755
Fax: (970)328-8788
Phone: (970)328-3878
Cell:
Inspection
For Inspections call:(970) 328-8755
Inspections:
IVR
PhoneEngineer(s)
Contractor(s)Phone Primary ContractorLicense Number
HONEY DIPPER SEPTIC SERVICE (970)390-0050 Yes24-14
HONEY DIPPER SEPTIC SERVICE (970)390-0050 Yes24-14
MITCH BRASINGTON
Permitted Construction / Details:
Permit is granted for the exploration of the OWTS effluent lines both before and after the 1250 gallon two
compartment, concrete septic tank to find out why the tank isn’t draining properly. Repair of these lines
is permitted using a minimum of SDR 35 pipe. If any areas over the effluent lines are to be driven over,
either sleeve the pipe with schedule 40 pipe or use a stronger walled pipe such as schedule 40. If there is
no cleanout between the house and the tank and work is being done on this line, add a cleanout. This
permit does not allow for any work to be done on the existing soil treatment area. Contact Eagle County
Environmental Health if the system problem is not with one the effluent lines. Photos of the effluent line
replacement illustrating proper pipe bedding are required in order to finalize this permit.
Office Copy
April 23, 2014
Issued by: Environmental Health Department, Eagle County, CO Date
Laura Fawcett
CONDITIONS:
1. THIS PERMIT EXPIRES BY TIME LIMITATION AND BECOMES NULL AND VOID IF THE WORK AUTHORIZED BY THE PERMIT IS NOT
COMMENCED WITHIN 120 DAYS OF ISSUANCE, OR BEFORE THE EXPIRATION OF AN ASSOCIATED BUILDING PERMIT
2. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS ADOPTED PURSUANT TO AUTHORITY GRANTED IN C.R.S. 25-10-101, et seq., AS AMENDED
3. 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 WILL RESULT IN BOTH
LEGAL ACTION AND REVOCATION OF THE PERMIT
4. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL
SYSTEM TO BE LICENSED
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970) 328-8755
FAX: (970) 328-8788
TOLL FREE: 800-225-6136
www.eaalecounty.us
EAGLE COUN-Y
P.O. Box 179
500 Broadway
Eagle, CO 81631
www.eaglecounty.us
PERMIT APPLICATION FOR ONSITE WASTEWATER TREATMENT SYSTEM
OWTS PERMIT # -i- 1C:5_e1V BUILDING PERMIT #
INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED)
FEE SCHEDULE
APPLICATION FEE $800.00 MAJOR REPAIR FEE $800.00 MINOR REPAIR FEE 400.00
This fee includes the OWTS Permit, Site Evaluation (Percolation Test, or Soil Profile Observation) and Final
Inspection. Additional fees may be charged if a re -inspection is necessary, or a pre -construction site visit or
consultation is needed. The re -inspection fee is $135.00
Make all remittance payable to: Eagle Cou ty Treasurer.
Property Owner• _. Phone•
Mailing Address: CO00- 30 email
Registered Professional Engineer: one:
G(
Applicant or Contact Person:���t� _sue Phon • L �v ~ U l�
et� License #
Licensed Systems Contractor:
Company I DBA: L G�Pho :
Mailing Address: �� email
Permit Application is for: New Installation Alteration Repair
Location of Proposed Onsite Wastewater Treatment System:
Legal Description:
Tax Parcel Number: �l� ©� Lot Size:
Assessor's Link: www.eadecouniy.us/patie/
Physical Address: c _ 0 3 7-C, S-J`- �Luct L
Building Type: Residential / Single Family i Number of Bedrooms:
Residential / Multi Family . Number of Bedrooms:
Commercial / Industrial* Type of Use:
*These systems require design m'yr a Registered Professional Engineer
Type of Water Supply: Private Well x Spring _ Surface Public
If Public Name of Supplier:
Applicant SignaturO' 6'!ry (/'Y /F
Office Use Only �y
Amount Paid: Receipt #: 5 3 heck #:3 a Date: