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Home My WebLink About1852 Dally Rd Top Ch 12 - 210524200006EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLE-ASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway INSPECTION BEFORE COVERING Eagle, Colorado 81631 ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 OWNER: Beaver Creek Associates SYSTEM LOCATION: LICENSED INSTALLER: PERMIT NO. N° 526 PERMIT MUST BE POSTED AT INSTALLATION SITE ADDRESS: P.O. Box 7, Vail, CO 81658 80' south of chair terminal - at top of chair #12 owner/agent-installed 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 sq. ft. ISDS PERMIT 1,000 FOR gallon sealed No. of Bedrooms x s ft. minimum re uiremen ult. q• q � per nit to be be�room = total sq. ft. minimum requirement. Pumped when full. SPECIAL REQUIREMENTS: DATE: July 24, 1981 INSPECTOR: r1k Edee **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: Design Engineer of System: gallons. Installer of System: Phone: Septic tank cleanout to within 12" of final grade or aerated access ports above grade? Yes No Proper materials and assembly? Yes No Compliance with permit requirements? Yes No Compliance with County/State regulations requirements? Yes No COMMENTS: (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: INSPECTOR: RE -INSPECTION DATE: INSPECTOR: RETAIN WITH RECEIPT RECORDS o _ PERMIT N0. �1- 526 CHARGES Percolation Test = $50.00 n / a Permit Fee (includes final inspection) = $75.00 ALL CHECKS OR MONEY ORDERS ARE TO BE MADE PAYABLE TO: EAGLE COUNTY Name of Applicant: Beaver Creek A Go Name of Owner: Same as applicant Amount Paid: $75.00 Receipt Number: E20S 5202 Cashier: Nancy C. Morgan White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FEES 947=5257' ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE = $75 PERCOLATION TEST FEE = $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NAME OF OWNER: ADDRESS: _;�, c-t',' \'L 4_ S S o C NO. y6 ILI PHONE: �? 40oo VO/ NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ,a. ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): A), r,DiiRESS : 'PHONE: rHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: yf\ ADDRESS: _Re ? f%a; %o%, PHONE: _9!,/9 6Ood 2!5X.,4 4(0// PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County Lot Size t)G City or Town, if within City or Town Limits LEGAL DESCRIPTION: STREET (RURAL) ADDRESS: Saw �'SS A [h / t4-a" _-_23 , ;� C ,F '# / ,S'aL47- IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ()C) Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( ) Residential - Single-family dwelling ( ) Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex ( X ) Commercial - State usage c4- -Vo # Persons 6,4L t? 8s # Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( ) Dwelling ( ) Garbage Grinder ( ) Non -domestic wastes Transient Use ( ) Dishwasher ( ) Other ( ) Automatic flasher SOURCE AND TYPE OF WATER SUPPLY:" ( ) Well ( ) Spring ( ) Creek or Stream Give depth of all wells within 200 feet of the system: IlJoy.-e. If supplied by community water, give name of supplier: to, TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( k ( ) Aeration Plant ( ) Chemical Toilet t Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit rivy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY -INTO 14ATERS OF THE STATE? ( ) Yes (jQ) No Signature Date 7- -. -d'! INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: / Z �n 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 I. F-41CAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit p ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( Underground Dispersal ( ) Wastewater Pond Other ROUTE `rc.�& NAME • )ATE RdERRED .� APPLICATION NO. . LOCATION 'lease review the attached application and return it and this completed form .o the Environmental Health Office. �i\`T_ ComDlies with: Yes Subdivision Regulations) Zor}ing Regulations i-�L Recommend Approval aents : 3UILDING Set Backs , Site Other :omments: S- Recommend Approval Y, ,o.�r:en t s : L/ 7- z 0-rI Reviewed By v� //I(iC) 4-_ P -11, 0526 801 South of Chair NAME terminal, ch 12, Top of chair 12 `rt. JOB NO.. t . JOB LOCATION BILL TO DATE STARTED s 0 DATE COMPLETED i CD PERMIT #526 OWNER: ° ozs2,aT� LOCATION: 80' South of chair terminal - at top of Chair #12 INSTALLER: Owner SIZE OF TANK: 1,000 gallon sealed vault - unit to be pumped when full. DWELLING: Outhouse (commercial) on top of Lift #12 Finalized: No date given h Permit application date: 7-24-81 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 :)L®GR Printed in U-SA ave-t r 11 L Vail Associates, Inc. PO. Box 7 Vail, Colorado 81657 `30S 949 - 5750 "lon uradiny t--*# C h a i r -w Upper Term# n I Cn LM