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1495 Cedar Dr - 246705400007
INDIVIDUAL 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. REPAIR PERMIT NO. 2182R-02 OWNER: JOHN MEYER PHONE: 970-927-9943 MAILING ADDRESS: P.O. BOX 1133, BASALT, CO 81621 APPLICANT: SAME PHONE: SYSTEM LOCATION: 1495 CEDAR DRIVE, BASALT, CO TAX PARCEL NO. 2467-054-00-007 LICENSED INSTALLER: SHAG'S EXCAVATING, MICHAEL STEHLING LICENSE NO.30-02 PHONE: 970-927-4110 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 3 BEDROOM RESIDENCE 1000 GALLON 2 COMPARTMENT SEPTIC TANK SPECIAL INSTRUCTIONS: INSTALL THE NEW TANK WITH A CLEANOUT BETWEEN IT AND THE HOUSE. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING THE TANK, OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. UPON FINAL INSPECTION THE LEACH FIELD SHALL BE EVALUATED FOR IT'S FUNCTIONALITY. ENVIRONMENTAL HEALTH APPROVAL: DATE: April 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 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 CONCRETE SEPTIC TANK: 1000 GALLONS IS LOCATED 90 DEGREES AND 14 FEET INCHES FROM THE SOUTH WEST SIDE OF THE HOUSE FOUNDATION. COMMENTS: THE FINAL INSPECTION WAS DONE BY WILLIAM CARLSON OF EAGLE COUNTY ENVIRONMENTAL' -HEALTH ON APRIL 23, 2002. THE NEW TANK WAS CONNECTED TO THE EXISTING LEACH FIELD, WHICH WILL BE EVALUATED ON A PERFORMANCE BASIS. ANY ITEM NOT MEETING REQUIREMENTS WILL,/,BE Se C D CIiRE F AL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. \. ENVIRONMENTAL HEALTH APPROVAL ' DATE: APRIL 26, 2002 Incomplete Applications Will NOT Be Accepted (•Sits: Plan MUST be attached) ISDS Permit # OLI Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, CO 81631 Eagle (970)328-8755, Fax (970)328-0349, E1 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: �j ff r jj II`` �� MAILING ADDRESS: , D 9�0 k I 133 P --S Cd C 60 �)Q! PHONE: j a % 13 APPLICANT/CONTACT PERSON: C) .✓ f" ` CJ-- PHONE: LICENSED SYSTEMS CONTRACTOR: S h Grp w �� ` PHONE:Ga - Lit((j COMPANY/DBA: ADDRESS: l w ( PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION A REPAIR LOCATION OF PROPOSED INDIVIDUAL -SEWAGE DISPOSAL SYSTEM: Legal Description: Tax Parcel Number: =Ss-i�6 5r- fly/ eo Z 111 PA 0 33f -0,5-tl `00 -60r/Lot Size: Physical Address: ( q I S— (�P_jc,,,_ _R�,_ SIJ �- (!!�o BUILDING TYPE: (Check applicable category) e Residential/Single Family Number of Bedrooms ..�- ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type *These systems require design by a Registered Professional Engineer TYPE OF WATER SUPPLY: (Check applicable category) Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: APPLICANT SIGNATURE: Date: ( O Z_ AMOUNT PAID: _— RECEIPT #: DATE: I O �- CHECK #: 3 [) 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 April 26, 2002 John Meyer P.O. Box1133 Basalt, CO 81621 Raymond P. Merry, REHS Director RE: Final of ISDS Permit #2182R-02 Tax Parcel #2467-054-00-007. Property location: 1495 Cedar Drive, Basalt, CO. Dear Mr. Meyer: 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, 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: April 17, 2002 TO: Shag's Excavating Raymond P. Merry, REHS Director FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Repair Permit #2182R-02, Tax Parcel #2467-054-00-007. Property Location: 1495 Cedar Drive, Basalt, CO., Meyer residence. Enclosed is your ISDS Repair Permit #2182R-02. 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 # 2182R-02; ISDS Final Inspection Completeness Form OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 i 0 M E M O R A N D U M TO: Gerry Best RECEIVE® Andy Montoya Paul Clarkson Roger Boyd FEB 0 6 1992 FROM: Mara Klein c i EAGLE COUNTY COMMUNITY DEVELOPMENT DATE: February 6, 1 RE: Cedar Road, asalt For your information, attached hereto please find a copy of my notes taken during the meeting of January 16, 1992, in reference to the above matter. Please feel free to call with any questions or concerns. Pease pnn*L-. srG N IN S ,q-b7 Namo- P ftbrv- Ptr&u UGC �r) 3 r�W- lk, L-zSt � Gu-�, 13�� � � �� a C-L Ja- s a VVI /&x 351 CO. Sl(oaj abikek, /IV Y- ya, 2, 9 0 0 glla� Vi - 1,, v t4,, -,> -,r 2-q4O Ce-Aow' Do Ve o V, Ka+7,w, zc>/. ctqg C,(D 8 I (o 2 (12- 5 - -7 -3-7 (,c, e1,)-7- 4q4j - 9,4 ( � 012--7-3(�,q7 a _GdhY __nofz-c2dJ----u�� . ?-- hough- ----_bld.9 -code. oamplianc.L. --- - �. --, .-d-—nokcc-- ----- - -- --- -- -- - - - o --look--a-i All _ 1ega - . _-lf L 14ectd) -cc cL Jucrc'a -- - -- - -Pow - -.WatuaaY e, Aipilc e _ IV�',t not _ lamming- u.o fa s S -- hcw .&plain. � l/-le- y n2cl- Ov2c- in I q4o q fa �rn fh�Lc.p Cam- rf-_ oP _cam irmn Bl..,l-t Q; ern ,dhcccp olccl. 1rf3 cue cL8.o . -am of N4L hc:xboA&nczj duct -co(. HLS prop 014 rigour arum rrucc_& } Ot 44L)SL4 Ohl aao � Peov 1c I• m,c� . gu. - tgaxu on � � Q i } i t �``----- I ISDS Permit�- Date 6y , Z 3 - ca 2- ISDS Final Inspection CgWleteness Form Tank is gal. Tank Material Tank is located -LY-_ft. and IL degrees W"um at l.oa..elc) Tank is located ft. and degrees from I ,Z-ZeS Tank set level. Tank lids within 8" of finished grade. Size of field fts units lineal ft. Technology e Cleanout is installed in between tank and house(+ 1/I00ft). e There is a "T" that goes down 14 inches in the inlet and outlet of the tank: -f-- Inlet.and outlet is sealed with tar ,tape, rubber gasket etc. T k ;bias two- dompartments with the-_,-I;arger-.-..,cpqpartment closest to the .�,,,, house. �,.meaeure, distance and relative directj©n to.,. / Depth of field. ft. Soil interface raked. Inspection portals at the.end of each trench_. Proper distance to setbacks. Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks 'removed from trenches, etc.) Type of pipe used for building sewer line Leach field Other -� Inspection meets reguirements . j ,,) � Copy form to installer's file if recommendations for improvement Pere suggested. ACTION TAKEN Setbacks Well 'Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Fie d 100 25 20 10 50 25 10 10 50 10 5 10 50 10 * 10 --- --- E- COUNTY -ENV; RFALTH P.O. BOX 179 EAGLE, CO 81631 ...... ..... ..... .... .. ... . ........ f. ......... . .. ... ......... ....... .... ... . ....... ........ .......... . ... ....... ....... JOB SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE ............ ........ ........... —.4 ................ .... ............. ............. PROOKIM I (Sin* Sheets) 2i5-I IP&d*dj t sk&.Grotw. Mast 01471. To Order PHONE TOLUREE 14OD-225-00 2182-02 Tax# 2467-054-00-007 JOB NAME _ REPAIR 1495 Cedar Dr. MEYER Basalt, CO k� ind j ��,17�_ JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 1 - l N41) all n - ?--02- .Z JOB FOLDER Pn A oL.p PERmir 006. OWNER: Ted Roof Basalt CO 81621 Box 134 - LOCATION: Basalt Mountain - Tract 44 - Corners of Sect 5 INSTALLER: SIZE OF TANK: 1 ,000 gallons�\�q� DWELLING: PERC RATE: one inch/20 minutes Finalized: June 1974 BY: Erik Edeen � .rvG r'VLUC,K -3 7dL::.� 1 JOE NO.