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HomeMy WebLinkAbout4076 Ennen Ave - 219724308002.i'I' MUST BE POSTED EAGLE �1NTY DEPARTMENT OF ENVIRONM'—)TAL HEALTH P sd b50 Box:Pyr 6th & Broadway CALL FOR FINAL INSPECTION Eagle, Colorado 81631 BEFORE COVERING ANY PORTION OF INSTALLED SYSTEM PERMIT0 45� (this does not constitute • a building or use permit) Owner PAUL ICKES & JANET TERRY System Location FULFORD: BLOCK 7: LOTS 5, 6, 7, and 8 Licensed1�f1RiTrTsmnr.r.Fu. * Conditional Construction approval is hereby granted for a gallon Septic Tank or Aerated treatment unit. MINIMUM REQUIREMENT: Absorption area (or dispersal area) computed as follows: 1,000 gal. holding tank Perc rate inches in minutes sq. ft. absorption area per bedroom # of bedrooms 4 x sq. ft. minimum requirement May we suggest Date August 26, 1980 Inspector FINAL APPROVAL OF SYSTEM: Erik W. fo V Edeen No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. Date Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. No final given. The system Adequate absorption (or dispersal) area. (Bud Eaton dug the hole, Jack Riggan put in the tank.) was Adequate compliance with permit requirements. installed in September 1980. Adequate compliance with County and State regulations/requirements. 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, 3.28requires 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 both. --rk- PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FEES 949-5257 927-3823 Zz � ENVIRONMENTAL HEALTH BOX 85 BOX 850 o PP1 FEP- - -- --� EAGLE, COLORADO 81631 PERMIT FEE $75 PERCOLATION TEST FEE = $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. A201 J NAME OF OWNER: G+'/C -A A-11 ADDRESS: , . .3,(i , PHONE: 3�11 NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADDRESS: PHONE: DESIGN ENGINEER OF f SYSTEM (IF APPLICABLE):'lT ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ADDRESS: PHONE: ReEa►OVE4 PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration (X) ,Iee �h LOCATION OF PROPOSED FACILITY: County Lot Size /3R7T-1 � —kvy City or Town, if within City or Town Limits LEGAL DESCRIPTION: 7Z a STREET ( RURAL) ADDRESS: �,,, Z �, IS SYSTEM DESIGIJED FOR LESS THAN 2,000 GALLONS PER DAY? ( ) Yes (, ) No . NOT AiPPUCABU BUILDING OR SERVICE TYPE: (Check applicable cegory) j000 Gq � privy ��di�y, y G"A81)v (,�50)WMer vSe) O Residential - Single-family welling ( ) Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons ?,b/y:5 # Bedrooms WASTE TYPES: (.Check all applicable) ( ) Commercial or Institutional ( ) Dwelling ( ) Garbage Grinder ( ) Non -domestic wastes ( ) Transient Use ( ) Dishwasher ( ) Other A1VM y U)A.57E ®IIJLy ( ) Automatic Masher oE ���LY: ( ) Well �x{ Creek BOpy SOURCE AND TYPE OF WAT .7.. R„k P( ) Spring Creek or Stream Give depth of all wells within 200 feet of the system: If supplied by community water, give name of supplier: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) Septic Tank ( ) Aeration Plant ( ) Chemical Toilet Vault Priv ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater, , ( ) Other l!i�99GiD G/qL Flbor664sS 11qId1,vq : Urra,p t�� WILL EFFEUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (�J No Signature s-1 l , C k, ��� �,;� aJL Date k INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: x1 Depth to Bedrock (per 8' Profile Hole): Depth to Groundwater Table: SOIL PERCOLATION TEST RESULTS: Minutes per,inch in Hole No. 1 Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( Underground Dispersal ( ) Wastewater Pond REPAIR PERMIT APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS A permit fee of $75. shall be charged for alteration, enlargement, or any repair involving alteration of an existing sewage disposal system. This fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $50 shall be charged for all new leach fields on repair permits. Percolation testing may be waived at the -.discretion of the Environmental Health Officer on certain repair cases where prompt action must be taken to prevent a ItLeal th hazard. IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, A NEW SYSTEM SHALL BE INSTALLED, COMPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEM/MALFUNCTION: _1s //7 1-2e(fd (Of Ro pOIrs TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM WAS INSTALLED ? PERMIT NUMBER FOR ORIG_,INAL SYSTEM, IF A. PERMIT WAS ISSUED BY THIS DEPARTMENT: SITE PLAN BELOW SH0IEJit ING PRESENT SYSTEM COMPONENTS: OWNER OF SYSTEM: ADDRESS: APPLICANT: ADDRESS: DATE: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: 3294 P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00' Paul and Carol Ickes 53'Lakewood Lane Council Bluffs, IA 51501 NAME OF OWNER: Lee and Jan Terry 9706_Hartman Omaha, NE 6232 MAILING ADDRESS: PHONE: Carol Ickes 1-800-228-9532 NAME OF APPLICANT (If different from owner): Jack Riggan (agent) ADDRESS: Post Office Box 668 Eagle. CO 81631 _ _ PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF LICENSED INSTALLER: ( ) YES ADDRESS: SYSTEM: ( ) NO PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: 1st and Main Streets - Fulfc Parcel Number: Lot S Legal Description: PHONE: ALTERATION ze: ( ) REPAIR 'd _oc BUILDING OR SERVICE TYPE (Check applicable category): Residential- Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use { ) Garbage Disposal ( ) 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 ( ) Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATURE: DATE: INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: Creek/Stream GROUND CONDITIONS: Percent ground slope Depth to Bedrock (Per 8' profile hole Depth to Groundwater table SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1 Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: RECEIPT NUMBER DATE: CHECK NUMBER CASHTFR- NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". "I L� (Environmental Health Dept. Rev. 4/88) l i e EAGLE COUNTY ENVIRONMENTAL HEALTH ROUTE FORM Q 1 •- /ham fa NAME DATE REFERRED APPLICATION NO. ' :.. LOCATION Y Please review the attached application and return it and this completed form to the Environmental Health Office., PLA_nNIN Complies with: Subdivision Regulations. Zoning Regulations ' � c -53 Recommend Approval Comments:' BUILDING Set Backs tl/ S it e Other Recommend Approval Comments:. ENGINEER (not always necessary) _-Roads Grading Drainage Recommend Ap Comments: s N Reviewed By EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 October 26, 1989 Jack Riggan Box 668 Eagle, CO 81621 RE: Building Permit 3917; Terry Ickes, Fulford, CO Mr. Riggan: This letter is to inquire about the status of the septic system at the above referenced project. our records indicate that a final inspection was never done on this system. Please contact us at 328-8311, Ext. 530 if you have any further questions. i7� EIVP;. .. sincer OV 2 2 V� .1 " OLE COUL - Ra d P. Mer En ronmental Hea h Officer AIX i r�S�ee-�,`or� wry r ;nn y �s -�� �` w l �1 �. r "� l 30 -,311 /mot �J� ae1.. 4o vise}-- RPm/tmt �o,, -k�a- 51? �,c. , 4- ; i s fe e d 4,ee~- 41 / ow' U-) e-4r-- IL he. WA-9 n e-- li.n lock_ 4-k�e, it vq - k Ltse Since 1 W o w I d. iti'� � a.. Ua , / w-6 l e, Cp k S,`+C j, `Th � 5 Y S-be*.../ S G��. � �►^-e�0�.�.�-- hem, �e'? C��1.�G�Ces PeAmi /Y- /iv /98/- s ve ofi the ,ri.esy u hk'ehe 2 �hin�%<-- buAtea /a l�oo Owl- Qu.r.Go I p, _ Board of County Commissioners Assessor Clerk and Recorder Sheriff "1'reas re$ - P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 4795 /SO / Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 i +J LL. 0) c o S- .c 4 a) k^ Iri cn •I-) O t aJ N -P r- nE 1= 0)E 0co E D)O U U �G •r Q U r- M • 1 fC3 Z Q LOLLJ RS .. ¢ .. •� I Z W ~ C'S F-- r O J !t. 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TOTAL SELLING PRICE -File v 2 Jl�m _ - PERMIT #457 7� '� ,�e-t -Perry OWNER: �� Fulford - - - Lots 5 �6 °�'g EOCATION: Block 7 .: tank Jack Ri ggan al 1 ons hol ding INSTALLER: 1,000 gallons TANK: SIZE OF summer pWELLING: Cabin N/A - - -. PERC RATE: r� �As:g"' } � /f Vf\ U"' c� G�F inspection made• No final _ -- Printed in U-SA. •