HomeMy WebLinkAbout32259 Hwy 6 - 194331310001 - 0483ISNUMBERS: EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 4 or 949-5631 BXX= 6th & Broadway Box 850 /311 Eagle, Colorado 81631 %PLEASE CALL FOR FINAL INSPECTION PERMIT O 4�3 (this does not constitute BEFORE COVERING ANY PORTION OF INSTALLED SYSTEMa building or use permit) Owner Owner: Gary Turner Occupant: James C. Perry System Location 32259 Highway 6 - outside and west of Edwards LicensedX&� ��tai 1 PY © - ©9 f/ * Conditional Construction approval is hereby granted fora ,000 gallon -lL� xx Septic Tank or Aerated treatment unit. EMERGENCY 'REPAIR PE Absorption area (or dispersal area) computed as follows: Pere rate IMX 1 inches in Est. 20 minutes 750 sq. ft. MINIMUM REQUIREMENTS: 1,000 gal septic tank with a minimum absorption area per bedroom 250 sq. ft. sq. ft. leach field mop %L-'el,O # of bedrooms X -5- x -250- sq. ft. minimum requirement CONDITION: Leach field must be 200' away from wells on this May we suggest property & on adjacent property Date February 26, 1981 Inspector ERIK W. EDEEN FINAL APPROVAL OF SYSTEM: 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. 3/10/81 ** IMPORTANT NOTE: As this is an existin€ Adequate absorption (or dispersal) area. condition, Erik Edeen advises that the that the leach field must be at least Adequate compliance with permit requirements. 100 feet away and as close to 200 ft. from the well as possible. Adequate compliance with County and State regulations/requirements. _­� 5-D Date ,� �— S _ _ Inspector _'�r 4� ­�� 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. 3.28 3. Section III, & 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. PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FEES vfr 8='3 1 949-5257 927-3823 ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 14-Apz- Av--zolv"**' PERMIT FEE _ $.75 PERCOLATION TEST FEE = $50 NAME OF OWNER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT e�.Y NO. Al ADDRESS: ltar;G t� i���✓t ��>�fdh r s - %%lj��/ i% flod PHONE: NAME OF APPLICANT ( I F DIFFERENT FROM OWNER) : +.Jam eS C : ADDRESS: � ! /�,��.:a,� f'wa��s. PHONE: V2Z1 _ 32 21 DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PHONE: P RSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (` ) New Installation ( ) Alteration �-< Repair LOCATION OF PROPOSED FACILITY: County ale Lot Size City or Town, if within City or Town Limits LEGAL DESCRIPTION: STREET (RURAL) ADDRESS: IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (k-7'___Yes ( ) No BUILDING OR SERVICE -TYPE: (Check applicable category) (4--)'Residential - Single-family dwelling ( ) Residential - Triplex ( ) �:esidential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons e;2 # Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional (welling ( ) Garbage Grinder ( ) Non -domestic wastes ( ) Transient Use ( ) Dishwasher ( 1 Other ( ) Automatic Masher SOURCE AND TYPE OF 14ATER SUPPLY: ( L�`Wel i ( ) Sp -ring ( ) Creek or Stream Give depth of all wells whin 200 feet of the system: //� If supplied by community water, give name of supplier:/A TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (i-�Septic Tank ( ) Aeration Plant ( ) Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greyinater ( ) Other WILL EFFLUENT E DISCHARGED DIR TLY INTO 14ATERS OF THE STATE? ( ) Yes (2--r—No Signature Date(—� INFORMATI BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER 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 No. 1 , 20IVp r Minutes per inch i n Hole No. 2 - / /000 000 - A✓ €�Z' 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 REPAIR PERMIT APPLICATION k 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 Uealth 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:, TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM 14AS INSTALLED � ~ PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT, SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: 11/e�9�i �o r 6'6t& : /" - 60 OWNER OF SYSTEM: ADDRESS: APPLICANT: ADDRESS: DATE: 0483 Outside and west or ' Edwards,(�32259 .Hwy 61� JOB NAME c+PTT ..', JOB NO. - JOB LOCATION BILL TO - DATE STARTED DATE COMPLETED DATE BILLED l . Ac��2> JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL, 2-01 ^ 2/?"5/81: Erik Edeen advised NO ROUTING NECESSARY as PERMIT I 483 �' � � j� �f��� is Emergency Repair Permit! OWNER: Gary Turner _ LOCATION: 632259 Highway 6 - (outside and west of Edwards) _ 11 Ac INSTALLER: Alan Koch SIZE OF TANK: 1,000 gallons DWELLING: Residential - 5 bedrooms x 200 sq.ft. PREC RATE: on inch/20 minutes (1,000 sq.ft.) n.. r. I, rA.. N I-inanzea: i 1-c-04 ter• ���- JOB I