HomeMy WebLinkAbout3300 Homestake Creek Rd - 237912400001EAGLE COF"fY DEPARTMENT OF ENVIRONMEN('L HEALTH
_........ .... .
PERMIT MUST BE POSTED ON PROPERBox 811 6th &BroadwayTX CALL FOR .'FINAL INSPECTION
Eagle, Colorado 81631
PERMIT O 2gQ (this does not constitute
• a building or use permit)
Owner
System Location TRACT 37 in N2, S. E. % and N. E. 4, S.E. 4 of Section 12. TWP 7A R R$ R 81W
Licensed Contractor owners
* Conditional Construction approval is hereby granted for a 1,000 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 10 minutes 400 sq, ft.
absorption area per bedroom 200
# of bedrooms 2 x 200 sq. ft. minimum requirement
May we suggest 400 sq. ft. of drainage field.
Date Inspector
FINAL APPROVAL OF SYSTEM:
No system shall be_deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved to covering any part.
Se ank. cleanout to within 12" of final grade or aerated access ports above grade.
Pr r materials �assembly.
equate sorption (or dispersal) area. INSTALLED:
1,000 gallon septic tank
equate compliance with permit requirements. 600 sq. ft. leach field
Adequate compliance with County and State regulations/requirements.
Date Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
* CONDITIONS:
1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973
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 structures not approved by the building
and Zoning office shall automatically be a violation of a requirement of the permit and cause for both
legal action and revocation of the permit.
3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
hnth_
ENVIRONMENTAL HEALTH -)C�
P.O. BOX 811 /
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE (DISPOSAL SYSTEM PERMIT NO 440
Name of Owner: cr"�Cl -arz- /f//=e yr 1 cay� S Phone: 6'
Address of Owner: &C, x Z 7 `� % !/ems �r (--,A,, f16 S 7 Y7�� 59aa e5,�
Is facility within boundaries of a city/town or sanitation district?�
Distance to nearest sewer system: Kn+ %e-
Location of Proposed System: 14up "G>XI Vn a ��t� �• i't7�� s =' t� � +J y- �i�ort ,�p�H�<Ake
/ h, _ J Cal
Legal Discription: 1 <'a c� ,�_ / � w� � ) Z �- y sr �
Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms 'L
Water Supply: Private Well ( X ) Location: Distance From leach field:
Size of Lot: 6,67 Acres Public Water Supply:
An appropriate plat plan must accompany site inspection for this application showing required information. (See
attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the
regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS
66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be
obtained at the Eagle County sanitarian's office.
Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone
328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final
inspection.
Name, address, and telephone of person responsible for design of system: Owo e r-y
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF LICANT: d t'' Date:
(This application becomes invalid 6 months from above date.)
LTH DEPARTMENT USE ONLY
Percolation Information: Permit No.
Tank Capacity: / 6 0 0 gal. (minimum) Fee Receipt:
1 'Y�D S minimum Absorption Area: q. ft. (minimum) File:
REMARKS:
APPLICATION IS: APPROVED ( ) DENIED ( )
The above individual sewage disposal system was installed by
AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT.
Date- Sanitarian:
�150.00
1nnlxcation ANO. - - Permit No.
Owner:
Lc,-,:l Doscxiption:
Tye le of Dwelling;: �1No. of Bedrooms: �
Date of Test: 12— 7- /7r Denth of Boles: G
Di�;metez : Tyne of coil:-
Locv,ti.on of Test doles: - -
Test bole was nxesoaked fz•om: To:
D:: to ,' . ' Time DUte
TIME ��•
17PTER DEPTH
i ItiTCrIL'� Q; r1 Lr�
� RATE
l �
3 -
--
3 ; zo
21!
1 O
0-.
�+
T
C
ez c.ola.tion Rate:
'-.Site leas been z•e�ieIVe;1 and tested Cox ;:cs1 colatio,i. YZI tc ,
We xcco:1unencl: 1pjjROVPL DSSr I'�'rOV:!Il DITE:
a;uvj.ro:�rnc�i�tr,l.
En„10 C;ouuLy
COLDRADD DEPARTMENT OF HEALTH
ACCOMMODATIONS INSPECTION REPORT
w Category �o.______
Z'
Owner Address Zip
Operator -vAddreao Zip
Unit Cmpacit MaIa Female 3uv.
Water' Source —Type Sewage, Type —Method Food SourcsL______________
Swimming Pool
An inspection of the above noted facility on this date reveals the violations and dafioi3noios
listed below:
'
4b/ —v= ,
) �= �A
n'KJ•)•Kev. •'S
Application must
be complete where
applicable. Type or
print in BLACK
INK. No overstrikes
or erasures unless
initialed.
v�vt)Nuv uI v totirry k�lr vvm I L.tS riCJUUt-iut:J
818 Cen(�_�ial Bldg., 1313 Sherman St., Denver, Coloracj_`:0203
PERMIT APPLICATION FORM
( ) A PERMIT TO USE GROUNDWATER
(,X,) A PERMIT TO CONSTRUCT A WELL
FOR: (X) A PERMIT TO INSTALL A PUMP
(1) APPLICANT - mailing address
( ) REPLACEMENT FOR NO
( ) OTHER
WATER COURT CASE NO
NAME C_�=s
STREET '3ox 17111
CITY ',.'nil Colo. i11657
(State)-- (Zip)
TELEPHONE NO. 1-949-5 (R1 o-- Ld"—'�c'53
(2) LOCATION OF PROPOSED WELL
County ,: a r
S.>F�a 'X of the.. `'.T. %, Section 72
Twp. 7S. S , Rng. 811_— 6th P.M.
N,SI E.%V
(3) WATER USE AND WELL DATA
Proposed maximum pumping rate (gpm) )t f=l
Average annual amount of ground water
to be appropriated (acre-feet):
Number of acres to be irrigated
lone
1`To'_1e
Proposed total depth (feet):
Aquifer ground water is to be obtained from:
Owner's well designation 11 all
GROUND WATER TO BE USED FOR:
(U) HOUSEHOLD USE ONLY • no irrigation (0)
( ) DOMESTIC (1) ( ) INDUSTRIAL (5)
( ) LIVESTOCK (2) ( ) IRRIGATION (6)
( ) COMMERCIAL (4) ( ) MUNICIPAL (8)
( ) OTHER (9)
DETAIL THE USE ON BACK IN (11)
(4) DRILLER
Name 1Z_censed
Street
City
Telephone No. __..� _ _ Lic. No.
09 @ ��
FOR OFFICE USE ONLY: DO NOT WRITE IN THIS COLUMN
Receipt No. C/L�Z. -5j
Basin Dist.
CONDITIONS OF APPROVAL
This well shall be used in such a way as to cause
no material injury to existing water rights. The
issuance of the permit does not assure the applicant
that no injury will occur to another vested water
right or preclude another owner of a vested water
right from seeking relief in a civil court action.
APPROVED FOP, HOUSEHOLD USE ONLY, FOR ONE
(1) S41NGLE FA MILY DIAIELLoNG AND NOT TO BE
USED FOR {RRIGATION. THE RIETURN FLOW FROM
THE USE Or THJS `,V LL MUST BE RETURNED TO
THE SAIAE STREf-W ) SYSTEi,,i IN WHICH THE 1.'4'ELL
IS LOCATED.
.TO ,'ASSURE THAT THE RETUPNJ FLOW IS To BE
RETURNED TO THE SAI- E STREAi.1 SYSTEM, AN
INDIVIDUAL V,JASTE-V!ATER D)S =OSAL SYS T EIS,
WHEN USED, 1`,iI1 T BE or THEE-' N0''ti EV,°,FO(ZATIVE
APPLICATION APPROVED
PERMIT NUMBER _932'�%
("�(�
DATE ISSUED _ S E P J-: 2 1977 _
EXPIRAT[ 0 TE
ENGINEER)~-- --
/ F /
I.D. COUNTY .... _ f._..—..__
(511 'HE LOCATION OF THE PROPOSED WELL and o.- area on
which the water wil' be used must be indicated on the diagram below.
Use the CENTER SECTION (1 section, 640 acres) for the well location.
4�t 1 MILE, 5280 FEET
NORTH SECTION LINE
I
NORTH
r
-r-
z
z
o_
U
rn
-
rn
LU
4-
0CI
i
I I A
I
u`
— —
__!_
rn i
{
D
fn
CA
m
II
0
z
1
r
I
m 1-
I
SOUTH SECTION LINE
I
I
_Y
{
4-
T-—
I
The scale of the diagram is 2 inches = 1 mile
Each small square represents 40 acres.
WATER EQUIVALENTS TABLE (Rounded Figures)
An acre-foot covers 1 acre of land 1 foot.deep
1 cubic foot per second (cfs) ... 449 gallons per minute (gpm)
A family of 5 will require approximately 1 acre-foot of water per year.
1 acre-foot ... 43,560 cubic feet ... 325,900 gallons.
1,000 gpm Dumped continuously for one day produces 4.42 acre-feet.
(10) LAND ON WHICH GROUND WATER WILL BE USED:
(6) T_HE WELL MUST BE LOCATED BELOW
by distances from section lines.
ft. from S, ,� 7"/ sec. line
(north or south)
yI ft. from f= "' -t sec. line
(east or west)
LOT BLOCK FILING +z
SUBDIVISION
(7) TRACT ON WHICH WELL WILL BE
LOCATED Owner: 1-11 //-
No. of acres Co, 6 7 Will this be
the only well on this tract? All
(8) PROPOSED CASING PROGRAM
Plain Casing
6 in. from
in. from
Perforated casing
in. from
in. from
D ft. to 16 D ft.
ft. to ft.
ft. to ft.
ft. to t.
(9) FOR REPLACEMENT WELLSgivedistance
and direction from old well and plans for plugging
It:
Owner(s): No. of acres:
Legal description:---
(11) DETAILED DESCRIPTION of the use of groundwater: Household use and domestic wells must indicate type of disposal
system to be used.
(12) QTHER WATER RIGHTS used on this land, including wells. Give Registration and Water Court Case Numbers.
Type or right
Used for (purpose)
Description of land on which used
(13) THE APPLICANT(S) STATE(S) THAT THE INFORMATION SET FORTH HEREON IS
TRUE TO THE BEST OF HIS KNOWLEDGE.
SIGNATURE OF APPLICANT(S) i
EAGLE: jUNTY ENVIRONMENTAL IIEAL.i
ROUTE FORM
N hA IE
1te Refered Permit Number
LOCATION
please review the attached application and return it and this completed form to
the -Environmental Health Office within 6 working days.
Q, 7-19
"LANNING: File No. Yes No Reviewed by. Date
Complies with:
Subdivision Regulations
Zoning :Regulations �lCul
Recommend Approval
:omments:
BOUNTY ENGINEER: Roads
Grading
Drainage
Recommend Approval
�omments
3UILDING DEPARTMENT:
Set backs
Site
Access
)then .
- i
Recommend Approval _.
;omments
0290-Tr 37 Sec 12 Twp 75 R81W
JOB NAME - 2.5 Mi W of Hwy 24 DES • LLB — 9 _ T��`� JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
T
TO Q
DATE
TIME
�AM
FROM
AREA CODE —TELEPHONE NO.—OROPER.
O
M
./ /
NOF
EXTENSION #
E
xx==
E�-
L SIGNED
OPhoned
°II Return d
ack Call
ants To Will Call ❑ Was
❑ See
J11
See You Again In
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
PERMIT # 290 (— (s)-
OWNER: Gary & Sara Hall & David Jones
LOCATION: Approx. 2.5 miles west of Highwy 24 - along
Homestake Creek (6.67 acres)
INSTALLER: Owners
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 2 bedrooms x 200 sq.ft.
PERC RATE: one inch/10 minutes (400 sq.ft.)
Suggest 400 sq.ft. of drainage field.
Finalized: 9-5-80 By: Erik Edeen
JOB FOLDER Product 278 �@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB F,C
