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HomeMy WebLinkAbout6818 Trough Rd - 000000000000EAGLE 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 a 53 2 OWNER: Claude Ellison LESSEE: Harold Smith ADDRESS: 6816 Trough Road, Bond, CO SYSTEM LOCATION: 6816 Trough Road, Bond, CO LICENSED INSTALLER: Lessee -Installed LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL MINIMUM REQUIREMENTS: 750 Absorption area or dispersal PERCOLATION RATE: 1 Absorption Area per Bedroom is hereby granted for the following: .gallon septic tank or aerated treatment unit. area computed as follows: inch in 20 minutes. 200 sq. ft. PERMIT TO BE MAILED TO: 9706 Trough Road Bond, CO 80423 No. of Bedrooms 2 x 200 sq. tt. minimum requirement per bedroom = 400 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Before final approval or inspection of this system, applicant must submit to ENV. HLTH Dept. a detailed site plan showing location of sewage disposal DATE: Sept. 2, 1981 INSPECTOR: **CONDITIONS: N. Fox 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. YW Installed Absorption or Dispersal Area: no sq. ft. Installed Septic Tank: /DSO® I gallons. Design Engineer of System: Installer of System: N 0 Phone: Septic tank cleanout to within 12" of fin rade or JIL aerated access ports above grade? Yes �No Q���eS Proper materials and assembly? Yes No Compliance with permit requirements? Yes No [ ��0 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: C INSPECTOR: RE-INSPECTI N D TE: INSPECTOR: RETAIN WITH RECEIPT RECORDS PERMIT NO. No 532 CHARGES Name of Applicant: Harold E. smith Percolation Test = $50.00 Name of Owner: Ellison, Claude Permit Fee (includes final inspection) = $75.00 Amount Paid: $125.00 ALL CHECKS OR MONEY ORDERS ARE TO BE Receipt Number: 5222 MADE PAYABLE TO: EAGLE COUNTY Cashier: Nancy C. Morgan White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner r LEM3L KC I UKIV 1 1­113 t'UKI 1UN 41 1 H YUUti J1 I L FLAN AidU rcEJ -32'8=7311 949-5257 927-3823 o , ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE _ $75 PERCOLATION TEST FEE _ $50 APPLICATION FOR INDTVTDUA►. SEWAGF DISPOSAL SYSTEM PERMIT NAME OF -OWNER: /1,,6001- 0 f7 Ste, •r/4 ADDRESS: 0)0 NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADDRESS: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PERSON FE PONSIBLE iOR INSTALLATION OF SYSTEM: ADDRESS: ( 1L-7"40JUG4 '7PbAn _Ronj c- Ilu PHONE : PHONE: PHONE: PHONE: PHONE:1�--y3� PERMIT APPLICATION IS FOR: ( kj New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County } Lot Size A 4- City or Town, if within City or Town Limits - LEGAL DESCRIPTION: "7—,2A T �/C3 Tf1-f % Ac%z AA)0 7'Nf' /�/�` z Of - S667-12V 9 STREET (RURAL) ADDRESS: _6_7330NTDO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? tom'' Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable c tegory) Residential - Single-family dwelling ( j Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons `"� # Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional welling ( ) Non -domestic wastes ( �ransient Use ( ) Other • SOURCE AND TYPE OF 14ATER SUPPLY: ( ) We11 bp<f 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 ( ) ( ) Greylviater ( ) Other ( ) Garbage Grinder ( ) Dishwasher ( ) Automatic Masher ( ) Creek or Stream Chemical Toilet Recycling, Potable Use Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO14ATERS OF THE STATE? ( ) Yes No Signature e'e Date INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: 2 07c, Depth to Bedrock (per 8' Profile Hole): Depth to Groundwater Table: SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole No. 1 bp1e 5 "Zo M ?-r Minutes per inch in Hole No. 2 ao r^ Minutes per inch in Hole No. 3 Rf cehar �7Aial FINAL DISPOSAL BY: Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Underground Dispersal ( ) Wastewater Pond ( } Other zwg�v- � .2- �� .I IINHL: U U I1VJ1- -I I VIV t Lt11vv,D\ rI _ ttv.�r �v t tviv v� �ivI Revie-v* Routing Form ( ) Primary Routing ( ) Rerouting 8-10-81 Harold E. Smith Date Referred AppI icant Permit No. 6816 Trough Road' Location Planning Commission File No. Review and return to the County Building Official within 6 working days Planning: Complies with: Yes No Reviewed by: Date: Subdivision Regulations ❑ H Zoning Regulations ❑ Site Plan (Landscaping) (1 F� county Engineer: Hoaas U l__I Grading ❑ ❑ Drainage ❑ ❑ ❑ ❑ Recommend Approval: Comments: County Health: Water ❑ ❑ Sanitation ❑ ❑ Perc. test ® ❑ ��/-�' ." © ❑t Recommend Approval: c� Comments: O&JAJEC CCv S S k <� Final Inspection: C/O Recommend Approval ❑ ❑ Comments: Final Inspection: Landscaping Recommend Approval ❑ ❑ Comments: C/O I ssued Final Filing Date by Date J 4 EAGLE COUNTY memorandum To: Mr. Claude Ellison Subject: ISDS Permit #532 From: File No.: Date: Environmental Health Office September 27, 1983 This is to inform you that your ISDS Permit #532 for property on 6816 Trough Road in Bond has been finalized and signed off by Sid Fox on September 26, 1983. I am enclosing a copy of this permit for your records. -- Lorraine Funke, Secretary Environmental Health Office EAGLE COUNTY /if Enc. OtdNER : _ FEE: $50 !-. 2S5 — APPLICATION No. � �® Ct l \ LEGAL DESCRIPTION: -z,4e_ RURAL ADDRESS:Ryyen v TYPE OF DGIELLING: DATE OF TEST: TYPE TEST HOLES PRESOAKED: YES NO�'�� # OF BEDROOMS: OF SOIL:, -- TIME WATER DEPTH INCHES OF FALL RATE 1 2 12, Z 6 3 !2- q I 2 3 1 2 3 3 1 2 zo 33f1 V PERCOLATION PATE: �(� %'� TANK SIZE: 75-0 SQUARE FOOTAGE PER BEDROOM: �LEACH FIELD SIZE: Site has been reviewed and tested fo percolation rate. We recommend: APPROVAL DISAPPROVA L DATE: q1tAr I EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICER !r LlLa&12 C O� Mgumumdum To: Subject: Harold E. Smith Sewage Disposal System Permit #4= From: Sid Fox, Environmental Health Dept. File No.: ISDS Date: Sept. 2, 1981 Enclosed please find your Individual Sewage Disposal System Permit #532 for property located at 6816 Trough Road. Please note the Special Requirement: Before final approval or inspection of this system, applicant must submit to the Environmental Health Office a detailed site plan showing location of sewage disposal tank and leach field in relation to proposed dwelling, water supply, and other required information as specified on the enclosed instruc- tions. You must call this office for final inspection before covering any portion of the installed system. If you have any questions, please call us at 328-7311. ncm Enclosures UO.SG 0616 a-rougn xoaa 7 JOB NAME _ ELLISON JOB NO.Z�L BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL - } _ Cqm(d /Vd f d L-( cutb i PERMIT # 532 OWNER: Claude Ellison LOCATION: -6M- Trough Road - Bond INSTALLER: Lessee Installed (Harold Smith) B COST SIZE OF TANK: 750 gallons DWELLING: Residential - 2 bedroomx x 200 sq.ft. PROFIT PERC RATE: one inch/20 minutes (400 sq.ft.) EAD COSTS -IN _INE, PRICE PROFIT �'�n�l�-�orl• �In .I�tn /Yi\/.,.., ,. — -� .�fw�ilA;';._> s 408 FOLDER Product 278. i5gi7e NEW ENGLAND BUSINESS SERVICI Printed in U.S.A. Permit application date: 9-2-81. �.. M p Z 4� Oa p W CD Q .21 ou �Novt0 SNowA) AT —Tf4l S MA—r cW s