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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 ► 40 l4 1 �o. 30 121%g 9 10'14 las1g 1l4 1/4 ` /9 `/S 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 i � o --6 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 c 6� NL OL6 0 a- 4— CL •L06 �O ��� O� �� F cc 0 # SON # �L N N N O N O N E m +�1" Np LN� �Q 4-1N 4 p 0 lTl �Jl C 0 lfl lJl LL LI.- 14- L lJl N b r 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: