HomeMy WebLinkAbout33801 Hwy 6 - 210505119005 - 0540ISEAGLE 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 2 54 0
OWNER: James E. and Esther Kemp ADDRESS: P. 0. Box E, Edwards, CO 81632
SYSTEM LOCATION: Off Hwy 6 & 24 at Edwards; on former Edwards Post Office property -
34129 Highway 6 at Edward LICENSE NUMBER: yes
LICENSED INSTALLER: owner -installed
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 1,000 gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: Est. 1 inch in 5 minutes. (Perc test discontinued. Unable to
Absorption Area per Bedroom 165 x 3 x 1.3 sq. ft. get accurate results; dirt continually
falling into holes)
No. of Bedrooms x sq. ft. minimum requirement per bedroom
= 675
total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: This property is 550-600 ft. away from the sewer line,
according to the owners.
DATE: October 7, 1981 INSPECTOR: Sidney N. Fox, Assistant
**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: 1410 sq. ft.
Installed Septic Tank: 1000 gallons.
Design Engineer of System: none
Installer of System: James E. Kemp, owner Phone: 926-3770
Septic tank cleanout to within 12" of final grade or
aerated access ports above grade? Yes xx No
Proper materials and assembly? Yes xx No
Compliance with permit requirements? Yes xx No
Compliance with County/State regulations requirements? Yes xx No
COMMENTS: First inspection done 10-2-81 Tank ok to cover; Second inspection done
10-6-81 Leach field ok to cover.
(Any item checked "No" requires correction before final approval of system is made.
Arrange a re -inspection when work is completed.)
DATE: October 2, 1981 INSPECTOR: Sidney N. Fox, Assistant EHO
RE -INSPECTION DATE: Oct. 6, 1981INSPECTOR: Sidney N. Fox, Assistant EHO
.'L.EASE Kt i URN I HIS t'UKT ION W1 f H YOUK ,)ITt PLAN AND FEES
ail 949-5257 927-3823
ENVIRONMENTAL HEALTH Y
BOX 850
EAGLE, COLORADO 81631
PERMIT FEE = $75 PERCOLATION TEST FEE = $50
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
NAME OF OWNER: j�
ADDRESS: 10 .
NAME OF APPLICANT (IF DIFFERENT FROM OWNER):
ADDRESS:
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE):
ADDRESS:
S/4G,—
NO. 9�y
�/� a PHONE:
PHONE:
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION F SYSTEM:�,,,1���y„)�
ADDRESS: _ — /�' i. 97& PHONE:
PERMIT APPLICATION IS FOR: (X) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County i C % Lot Size
City or Town, if within City or Town Limits
A
LEGAL DESCRIPTION:
STREET (RURAL) ADDRESS:
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (X) Yes
, - - �74Z�
( ) 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 ( ) Garbage Grinder
( ) Non -domestic wastes (. ) Transient Use ( -) Dishwasher
( ) Other Automatic Masher
SOURCE AND TYPE OF WATER SUPPLY: (4) Well ( ) Spring ( ) Creek or Stream
.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 ( ) Chemical Toilet
( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
( ) Greywater ( ) Other
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (X No
Signature - _ Date!—�'..
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER
GROUND CONDITIONS: Percent Ground Slope: Ie j G
Depth to Bedrock (per 8' Profile Hole): + Depth to Groundwater Table:
SOIL PERCOLATION TEST RESULTS: _ �j' Minutes per inch in Hole No. 1
5" Minutes per inch in Hole No. 2
s Minutes per inch in Hole No. 3
FINAL DISPOSAL BY: ()Q Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( Underground Dispersal ( ) 'Wastewater Pond.
( Other
FEE: $SO
APPLICATION N0.
OT%N ER:
LEGAL DESCRIPTION:
RURAL ADDRESS: Q. ® BU4
TYPE OF MvTELLING: # OF BEDROOMS
DATE OF TEST: TYPE OF SOIL:
TEST HOLES PRESOAKED: YES �_ NO
a
r n �
TDIE
1 2
(.'tU`(g
to : z3 lv : z
WATER DEPTH
1 2
w
INCHES OF FALL 11 RATE
3 ,
1
2
r
3 1L1 1 2 1` 3
PERCOLATION PATE: f t J'
TIU,K SIZE: ` �N 1000
SQUARE FOOT -AGE
PER BEDROO is LEACH FIELD SIZE: � i 0 -- (P
Site has been
reviewed and tested
Eor percolation rate. _..
G;e recommend:
APPROVAL
DISAPPROVAL
ATE:
EAGLE COUNTY
EtiVIRONIE:;TAI HEALTH OFFICER
APPLICATION ACCEPTED BY
PLANS CHECKED BY - -
APPROVED FOR'ISSUANCEBV
r x
White Copy -:INSPECTOR Blue, Copy —APPLICANT Green Copy -ENVIRONMENTAL HEALTH
ROUTE FORM
1il
— � O N AM-E ��yy
)ATE REFERRED APPLICAT/ION 'NO.
LOCATION
.'lease review the attached applic Lion and return it and this completed form
:o the Environmental Health Office.
?LLLT\T11(3 COmDlies with: Yes RT Q Reviewed By
Subdivision Regulations
Zo Reg
ulations ulations sC� 3
Recommend Approval
;omments:
3UILDING Set Backs
tI/ Site
Other
Recommend Approval
omments:.
(not alw s necessary)
Roads
Grading
Drai ge
ecommend Approval
.or,nents :--
[-E-AGLE COUNTY memorandum
To:
Subject:
James E. and Esther Kemp
Necessary ISDS Permit fees
From:
Environmental Health Department
File No.:
Application #887
Date:
June 17, 1981
As per your phone discussion with Erik Edeen this morning, no letter
will be required regarding non -connection to the sewer district as
your property is more than 400 ft. from the sewer district boundaries.
However, the fees of $125 must be paid before your permit application
may be further processed. The $125 covers $75 for the permit fee and
$50 for the percolation tests if our department performs the tests.
If you have any questions, please contact this office a
328-7311 or 949-5257.
Sincerely,
Nancy C. Morgan, Secretary
to Erik W. Edeen, Environmental Health Officer
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0540 34129 Hwy 6 & 24
K$MPT A
NAME N
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JOB LOCATION _ _•`= __ - _
BILL TO
DATE STARTED_
EyA
—'- — — -
DATE COMPLETED
DATE BILLED
I
aL 12.l
b-05 co S
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
/a OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 41471
JOB FOLDER
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