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EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631 -- r.-__'= = `. �._... ;�'`6(}
PERMITO 463 (this does not constitute
a building or use permit)
Owner grouse creek livery ltd.
System Location 1.75 miles up Spraddle Creek Road *2 (chuckwagon)
Licensed Zont W1K ' owner is responsible for installation
* Conditional Construction approval is hereby granted for a gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate inches in minutes sq. ft.
absorption area per bedroom
# of bedrooms x
May we suggest
sq. ft. minimum requirement
Date September 15, 1980 Inspector
FINAL APPROVAL OF SYSTEM:
Eri k W. Edeen
TEMPORARY SYSTEM
FOR GREY WATER ONLY
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.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
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, 3.22lFrequires 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
hoth_
VLtHJt KtIUKN IH15 PURTION WITH YOUR SITE PLAN AND FEES ti&/
328-7311 949-5257 927-3823
ENVIRONMENTAL HEALTH
BOX 850
EAGLE, COLORADO 81631�r���_�y��
PERMIT FEE _ $75
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
NAME OF OWNER:
ADDRESS: I.
NAME OF APPLICANT (IF DIFFERENT FROM OWNER):
ADDRESS:
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE):
ADDRESS:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
ADDRESS:
NO.
9,�'J'
PHONE: 617,6,-44qt
PHONE:
PHONE:
PHONE:
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County ����.�<t�« Lot Size
City or Town, if within City or Town Limits
LEGAL DESCRIPTION:
STREET (RURAL) ADDRE55:
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (0 Yes ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
( ) Residential - Single-family dwelling ( ) Residential - Triplex
( ) Residential - Duplex — ) Reside tial - Qua le
( ) Commercial - State usage
# Persons _ e �
WASTE TYPES: (Check all applicable)
( ) Commercial or Institutional ( ) Dwelling ( ) Garbage Grinder
( ) Non -domes is wa tes ( ) Transient Use ( ) Dishwasher
( Other � � Automatic Washer
f
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) 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: Aso 5u/hs �-U J
( ) Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
(� ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
(DC ) Greywater ( ) Other
WILL EFFLUENT
4roo_4�
BE DISCHARGED DIRECTLY INTO d1ATERSS OF THE STATE? ( ) Yes
Tki to
Signature
INFORMATION BELOW TO BE FILLED OUT BY ENVIRO MENTAL HEALTH OFFICER
GROUND CONDITIONS: Percent Ground Slope:
Date
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
( Other
a
EAGLE COUNTY ENVIRONMENTAL HEALTH
ROUTE FORM/
Z/,� zef./z
NAME �ou1
DATE REFERRED i Ql%� �� _ APPLICATION ;`10 .
��
' L ATION
Please review the attache application and retu�n)it and this completed form
to the Environmental Health Office.
ITNINC�;
Complies with: Yes
No Reviewed By
Date:
Subdivision Regulations
I'
i
Z Xnc, Regulations
A.
W _
%`proval `" Z340 I
Recommend Approval
Commentpi
�S S
Akir &_W&Tv
A7Z_A1e1Q
_ P
Set Backs
BUILDING
Site
i
Other
Recommend Approval
Comments:
ENGINEER: necessary �
Roads �.
Grading
Drainage i
Recommend Approval i
Comments:
i
'cAdLE COUNTY
pEnvironmental Health
EAGLE COLORADO 81631
TELEPHONE 303/328-7311
BOARD OF COUNTY
COMMISSIONERS
Ext 241
ADMINISTRATION
Ext 241
ANIMAL SHELTER
949-4292
ASSESSOR
Ext 202
BUILDING IN
INSPECTION
Ext 226 or 229
CLERK &
RECORDER
Ext 217
COUNTY
ATTORNEY
Ext 242
ENGINEER
Ext 236
ENVIRONMENTAL
HEALTH
Ext 238
EXTENSION
AG ENT
Ext 247
LIBRARY
Ext 255
PUBLIC HEALTH
Eagle Ext 252
Vail 476-5844
PLANNING
Ext 226 or 229
PURCHASING/
PERSONNEL
Ext 245
ROAD & BRIDGE
Ext 257
SHERIFF
Eagle Ext 211
Basalt 927-3244
Gilman 827-5751
SOCIAL SERVICES
328-6328
TREASURER
Ext 201
July 24, 1980
Roger Tilkemeier
Grouse Creek Livery Ltd.
Box 2996
Vail, CO 81657
Dear Sir:
All individual sewage disposal system applications must be
routed to the Planning and Building Departments for comments
prior to the issuance of the permit for installation of
any type of disposal system.
Your application for the above was routed on July 15 and
has been denied by the Planning Department for the following
reason:
NOT APPROVED. If this use is in the County jurisdiction,
t n a Special Use Permit is needed.
r
Jim Williams, Zoning Inspector
Box 179, Eagle, CO 81631
328-7311 or 949-5257, ext. 234
If you have any questions or need further information, please
call at one of the numbers listed above.
Sincerely,
J
Erik W. Edeen
Environmental Health Officer
EWE/ncm
9/15/80: Jim Williams advised that the Board of County Commissiners
said no special Use Permit necessary this year, due to
the limited use this, year. Next year, if they decide
to operate again, they will need a Special Use
Permit.
JOB NAME
J
JOB NO.
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
.
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 JWp NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB
FOLDER Printed in U.S.A.
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