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Home My WebLink About525 Elsie Ave - 219723101011EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED INSPECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N o - 52 2 OWNER: John D. Seipel ADDRESS: Box 524, Eagle, Co 81631 SYSTEM LOCATION: Lots 1, 2, 3, 4 - Fulford - Block 22 LICENSED INSTALLER: Self -installation LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: inch in minutes. Absorption Area per Bedroom No. of Bedrooms x sq. ft. sq. ft. minimum requirement per bedroom total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: No percolation test is necessary as the owner plans to install a vault privy. It must be installed according to Eagle County ISDS Regulations. Before covering, must call for final inspectic DATE: July 8, 1981 INSPECTOR: Erik W. Edeen **CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal System Regulations, adopted pursuant to authority granted in 25-10-104, C.R.S. 1973, as amended. 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 structure not approved by the building and zoning departments 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, 3.21 requires any person who constructs, alters, or installs an individual sewage disposal system to be licensed according to the Regulations. FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Eagle County Individual Sewage Disposal System Regulations until the installed system is approved prior to covering any part. Installed Absorption or Dispersal Area: sq. ft. Installed Septic Tank: gallons. Design Engineer of System: Installer of System: Phone: Septic tank cleanout to within 12" of final de or aerated access ports above grade? Yes 1-)Vtrallo Proper materials and assembly? Yes � No Compliance with permit requirements? Yes _�� No Compliance with County/State regulations requirements? Yes �No COMMENTS: f " ClU�� Cr (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: /6--2 q' W INSPECTOR: RE -INSPECTION DATE: INSPECTOR: RETAIN WITH RECEIPT RECORDS PERMIT NO. N! 522 CHARGES Percolation Test = $50.00 - n/a Name of Applicant: John D. Seipel Name of Owner: John D. Seipel Permit Fee (includes final inspection) = $75.00 Amount Paid: $75.00 ,ALL CHECKS OR MONEY ORDERS ARE TO BE Receipt Number: EH #004 MADE PAYABLE TO: EAGLE COUNTY Cashier: Nancy C. Morgan kite and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FLtS 328-7311 949-5257 9� ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE = $75 PERCOLATION TEST FEE = $50 APPLICATION FOR INDTVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NAME OF OWNER: ADDRESS: NO. 9-/ PHONE: 328-7220 NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ADDRESS: I PHONE: PERMIT APPLICATION IS FOR: K ) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County 4�?Ie. Lot Size 140r5 City or Town, if within City or Town Limits LEGAL DESCRIPTION:l� 1f Mock 22 l-o//zwr STREET (RURAL) ADDRESS: IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (< Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( ) Residential - Single-family dwelling ( ) Residential - Triplex ( Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons # Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( Dwelling ( ) Non -domestic wastes ( ) Transient Use ( ) Other SOURCE AND TYPE OF 14ATER SUPPLY: ( ) Well 0<') Spring 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 ( ) ( %) Vault Privy ( ) Composting Toilet ( ) ( ) Pit'Privy ( ) Incineration Toilet ( ) ( ) Greywater ( ) Other ( ) Garbage Grinder ( ) Dishwasher ( ) Automatic Masher ( ) Creek or Stream Chemical Toilet Recycling, Potable Use Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes Signature Date 4c �c �c �c * * * * �c * �c * * �F INFORM ON 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 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 EAGLE COUNTY M E M O R A N D U M TO: PROPERTY OWNERS FROM: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE RE: EXPIRED INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITS Our records indicate that your Permit # � has not had a final inspection of the individual sewage disposal system. If you do not have a current building permit, the above referenced permit has expired. Please contact the Eagle County Environmental.Health Office at the following address and give us the current status of your septic tank system and/or arrange for a final inspection. Eagle County Community Development Environmental Health Office P.O. Box 179 Eagle, Colorado 81631 (303) 328-7311, Ext. 227 Your immediate response to this request will be greatly appreciated. Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 -'-: ALL:PROVISIONS OF LAWS,ANDDRDINANCES GOVERNINGTHIS � L " I.-"- �. TYPE OF WORK.'COMPLIED,WITH`WHETHER SPECIFIED �sIGNATURMdOO NTR. YOROR'AUTHORIZED,AGENT •j RBE �: HERN O,R', NOT THE: GANTING -OF'A PERMIT DOES; NO EIT d F 1 PRESUME TO,`GIVE AUTHORITY -TO VIOLATE.OR CANCEL`THE: H PROVISIONS OF_ANY OTHER ST,.ATE OR LOCAL LAW REGULATING - CONSTRUCTION OR THE PERFORMANCE`- OF CONSTRUCTION: IGN TURE,OF OWNER (IF WNER BUILDER) ,g z APPLICATION:AC, � I PLANS � fF�BD White Copy -INSPECTOR CanaryCopy—APPLICANT Pink CopyENVIRQNMENTAL HEALTH Gold Copy=ASSESSOR . 0522 Lots 1,2,3,4, Fulford NAME Blk 22 �—s��FT• �t � I �, �,� —_ i ' = a... .A JOB NO Parcel # 2197-231-01- -Q _ -- -• - -- %L BILL TO DATE STARTED DATE COMPLETED DATE BILLED Z01 go Coos 420 Acts JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL Al v Fie wa�_�1 »PERMIT # 522 OWNER: d-ohn D.�* Tame— _ , Ck LOCATION: Lots 1, 2, 3, 4 - Fulford - Block 22 (V0 CIS, �►�'C , �LLd /�C> INSTALLER: Owner SIZE OF TANK: - vault privy DWELLING: Residential - Finalized: No' -date Permit application date: 8-8-81 Vr-Kl°Il I If DLL OWNER: LOCATION: Lots 1, 2, 3, and 4, Fulford B ock 22 F- -_ - . L � INSTALLER: Self -installation SIZE OF TANK: 1100 gallons DWELLING: PERC RATE: ABSORPTION AREA: FINALIZED: 10-24-88 BY: Sid Fox PARCEL # ? ,� zo r 4J ro U] f o r I rd -P 0 N td N N W N Ul > 0' -P �4 (d U 10�J0(d N O W W m�4-4mZ > .H (d a) _H ¢, ro -P N N .-I rd Qa 0 -P �4 >i4J P .N w o -P o �M or a�m Z'H 10 Q) O a) > : rl Z O Z O Jv W -P ,—I H W _H O 01 O Da Da '-4 �4 4-4 N • O A4 €4 4-3 co m 4J O 4J O O \ •rq U) -H Ri H UI O co •ri U) •r-I p \ -N p N cd FG .N l— •ri d-) cd U2 'J