HomeMy WebLinkAbout188 Sierra Vista - 239127207006 - 0465IS. � EAGLOUNTY DEPARTMENT OF ENVIROh NTAL HEALTH
'ERMIT MUST BE POSTED ON LOCATION gftkl� 6th & Broadway CALL FOR FINAL INSPECTION
Eagle, Colorado 81631 BEFORE COVERING ANY PART
OF INSTALLED SYSTEM
PERMIT a (this does not constitute
465
• a building or use permit)
Owner LARRY MC GHEE
System Location LOT 36 - ASPEN MESA ESTATES, AMENDED 1ST FILING
Q'f SIERRA VISTA DRIVE
Licensed I;rgl mtm Installer- Owner Installed Farthworks, Inc-
-
* Conditional Construction approval is hereby granted fora 750 gallon
xx Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
�,, 9®
Perc rate 1 inches in 20 minutes ME& sq. ft.
absorption area per bedroom _
# of bedrooms 2 g 300
May we suggest
Date September 29, 1980
FINAL APPROVAL OF SYSTEM:
300 sq. ft.
sq. ft. minimum requirement
Inspector Erik Edeen
MINIMUM REQUIREMENTS:
750 gallon septic tan:
600 sq. ft. leach fie
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.
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.
Date ��/�/�� Inspector - ,� z
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, 3.2,f 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
both.
r26-7311 949-5257 927-3823
ENVIRONMENTAL HEALTH
BOX 850
EAGLE, COLORADO 81631
PERMIT FEE _ $75 PERCOLATION TEST FEE _ $50
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
NO.
NAME OF OWNER:
ADDRESS: )RO . PHONE: 01737o j
NAME OF APPLICANT (IF DIFFERENT FROM OWNER):
ADDRESS: PHONE: Co'
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): u'
ADDRESS: i- uAtc // !;, 4/0 , 73 Zr QM, f�i /e . PHONE:' W5- Sd O e
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: u je jS
ADDRESS: 4d l/3yv PHONE: 9e/s-"S".2-O y
PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County �-,q-c��, Lot Size , �j, AC5,
City or Town, if within City or Town Limits -----
LEGAL DESCRIPTION: n r / j 4J,0�����
STREET (RURAL) ADDRESS: of 36, Si E,tjtA ��, �S b/ 09.If ,
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? Yes ( ) No
BUILDING OR ERVICE TYPE: (Check applicable category)
I esidential - Single-family dwelling ( ) Residential - Triplex
( ) Residential - Duplex ( .) Residential - Quadplex
( ) Commercial - State usage ec
# Persons # Bedrooms
WASTE TYPES: (Check all applicable)
( ) Commercial -or Institutional ( Dwelling ( ) Garbage Grinder
( ) Non -domestic wastes ( ) Transient Use (Dishwasher
( ) Other ' ` ( —)---Automatic Washer
SOURCE AND TYPE OF WATER SUPPLY: ( Well ( ) Spring ( ) Creek or Stream
Give depth of all wells within 200 feet of the system: iyawr
If supplied by community water, give name of supplier: AAdae />J�Ty
TYPE OF IrIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
( ) Greywater ( ) Other
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO 14ATERS OF THE STATE? ( ) Yes (�''� No
Signature( Date 3
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER In
GROUND CONDITIONS: Percent Ground Slope: ASO &i e
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
DC) Minutes per inch in Hole No. 3
FINAL DISPOSAL BY: ( Vf Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Underground Dispersal ( ) Wastewater Pond
( ) Other
To:
Subject:
LARRY McGHEE
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT APPLICAATIO
From:
File No.:
Date:
ENVIRONMENTAL HEALTH
SEPTEMBEX 8, 1980
The enclosed is for your information.
Our office still needs a site plan, either.drawft-by you-or'an engineer:, as, per
the enclosed instructions. Also we do not'yet Ihave your percolation-test.fees
of $50 or else the results of percolation testing as performed'by a reg stered-
professional engineer as per the enclosed instructions.
If you have any questions, please. call our office at 328-7311 or 927-3823.
I will be in touch with you soon.
Z`
Nancy.Morgan, Secretary
" Eagle County Environmental Health
P.S.: Also enclosed is your check made out to EAGLE HEIGHTS. Please
make your check payable to EAGLE COUNTY. Thank you.
- o-
0
PERCOLATION TEST
FEE: $50
OWNER:
LEGAL DESCRIPTION:
RURAL: ADDRESS:
TYPE OF DWELLING:
DATE OF TEST: C--/
TEST HOLES PRESOAKED: YES NO
/
APPLICATION.NO.
i # OF BEDROOMS:
TYPE OF SOIL:
i
f
WATER DEPTH
OF FALL..
rim
_
Nu l.! ,..�_
12
30d
(J
PERCOLATION RATE: pZO TANK SIZE: %�J�D �.
IV
SQUARE FOOTAGE PER BEDROOM: 6'e LEACH FIELD SIZE i,
loD�
Site has been reviewed and tested For percolation rate.
We recommend: APPROVAL DISAPPROVAL
DATE:
` AGLE COUNTY
ENVIR0�11ENTA HE.UTH OFFI F�
BUILDING DIVISION
P.O. BOX 609
PHONE: ho 328-73111
DATE `A%/ JOB NAME
TIME RECEIVED ;c-:0 AM PM CALLER.
❑ OTHER
MON
COMMENTS:
INSPECTION REQUEST
TOWN OF EAGLE
9
❑ PARTIAL. LOCATION 0t(Z4M) Ulm
READY FOR INSPECTION
TUE WED THUR FRI AM PM
APPROVED ❑DISAPPROVED ❑ REINSPECT
❑ UPON THE FOLLOWING CORRECTIONS:
CORRECTIONS
DATE
INSPECTOR
r
e9 /- ,VO
DATE REFERRED
EAGLE COUNTY ENVIRONMENTAL HEALTH
ROUTE FORM
NAME
LOCATION
W�Ap
f
APPLICATION NO.
Please review the attached application and return it and this completed form
to the Environmental Health Office.
PL ITNING__
Comments:
r
ILILDING Set Backs
Site
A.�s
Other.
Recommend Approvalail
Comments:.
ENGINEER (not ecessary)
Roads
Grading
Drainage i
Recommend Approval
Comments:
NAME _
0465 t Estates,0188 Sierra VistaMesa
Dra Jy � . : ° J B �./
irX.x I �� . O NO.
P_a -C�l 4 2 -1A 9 2 7-2-ozODA-/
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
C4
I'MM '(N4
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
ZIP-{
PERMIT # 465
OWNER: e
I
LOCATION: Lot 36 - Aspen Mesa Estates - Filing 1 (amended)�-
DiA8$ Sierra Vista Drive
u � 1 in � � Z 4 T � -'�'��
INSTALLER: Earthworks, Inc.L
SIZE OF TANK: 1000 gallons
DWELLING: residential - 2 bedrooms x 300 sq.ft.�
PERC RATE: one inch/20 minutes (600 sq.ft.)
I-a4-r
/ o
/
G�G%"� • � GCGi.�/CQ000- �G/Y� .Gl�-=�
oze v
Finalized: 12/2/80 By: Gerry Best jai��_I/ i. dInUSA
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