HomeMy WebLinkAbout707 Squaw Creek Rd - 210712204014 - 0543ISEAGLE 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° 54 3 OWNER: Pete Dodo ADDRESS: Route 1, Box 38, Silt, CO 81652 SYSTEM LOCATION: 0707 Squaw Creek Road - about 1/2 mile up Squaw Creek Road LICENSED INSTALLER: agent/applicant 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. TEMPORARY SEWAGE DISPOSA SYSTEM APPROVED. SEE NOT Absorption Area per Bedroom sq. ft. BELOW. No. of Bedrooms x sq. ft. minimum requirement per bedroom = total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Must install suitable greywater disposal field. DATE: October 29, 1981 INSPECTOR: Sid Pox, Asst **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: Installer of System: gallons. Septic tank cleanout to within 12" of final grade or aerated access ports above grade? Yes No _ Proper materials and assembly? Yes No Phone: Compliance with permit requirements? Yes No Compliance with County/State regulations requirements? Yes No COMMENTS: % W� ChnnicAl -Cai Ie4 -6 be ei2Fs 6-I-nZ (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: i',tHSL ReIURN IHIS NUk'II(jN WITH YUUR. SITE PLAN AND FEES 3284311 949-5257 927-3823 ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE _ $75 PERCOLATION TEST FEE _ $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. NAME OF OWNER: ADDRESS: o 6 PHONE: NAME OF . APPLICANT (IF DIFFERENT FROM OWNER): WG✓� ADDRESS: P C o ���ffl INONI&© a, PHONE: %30j,)Q_, DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYS ADDRESS: PERMIT APPLICATION IS FOR: ( New Installation LOCATION OF PROPOSED FACILITY: County p� City or Town, if within City or Town Limits O] LEGAL DESCRIPTION: STREET (RURAL) ADDRESS: �N�1� ��CS{�ki CRIEF-t IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? BUILDING 0 SERVICE TYPE: (Check applicable category) ( BUILDING - Single-family dwelling ( ) ( ) Residential - Duplex ( ) ( ) Commercial - State usage PHONE: ) Alteration ( ) Repair Lot Size � (—A r".- D — Cs (Vl"'_ Yes ( ) No Residential - Triplex Residential - Quadplex # Persons t # Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( ) Dwelling ( ) Non -domestic wastes ( ) Transient Use ( ) Other SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) 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 (ZCbemical Toilet ( Privy ( ) Composting Toilet ( ) Recycling, Potable Use /ault it Privy ( ) Incineration Toilet ( ) Recycling, Other Use jGreywater ( ) Other WILL EFFLUENT BE DIS :ARGED CT Y INTO WATERS OF THE STATE? ( ) Yes ( No Signature r Date CJ INFORMATION 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 ( ) Garbage Grinder ( ) Dishwasher ( ) utomatic Masher ( V Creek or Stream 08-04-81 ROUTE FORM Owner: Pete Dodo Applicant: James Hamilton NAME 901 )ATE REFERRED 1/2 mi up Squaw Creek Road - east side of road APPLICATION NO. LOCATION 'lease review the attached application and return it and this completed form _o the Environmental Health Office.. ')T ATT\TTV0. omments : 3L'ILDING Set Backs �i Site La eez A�.s. Other Recommend Approval :omments:. rmnwl� WV1*eP4 - - ,. -Roads NIEA(7-4 Z #454 ! Grading Drainage Recommend Approval :or�.ents: 08-04-81'Erik Edeen advised site plan waived as no improvements will be done to the existing property. There is a house there; and a chemical (temporary) toilet will be used to serve the property. No permanent ISDS will be installed on this permit application. i 0543 1/2 Mile up Squaw Crk Rd,' JOB NAME _ 0707 ,Squaw Crk Rd, DODO 6 JOB NO. JOB LOCATION .. .. ... ._. .. _. _. - .. BILL TO DATE STARTED DATE COMPLETED e DATE BILLED 20) �fSPAY e ` 210— Zz—d4—D d JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL _ �P—)APO I'y — WcjT CC" PERMIT # 543 I _ // OWNER: Pete Dodo LOCATION: 0707 Squaw Creek Road 2 mile up Squaw Creek Road INSTALLED: Owner SIZE OF TANK: greywater disposal field DWELLING: Residential - one bedroom TEMPORARY SEWAGE DISPOSAL SYSTEM APPROVED - Temp. chemical toilet to be installed - expires 6-1-82 P %/`� �.p I� �7 %�(}�� �/J j-jJ JOB FOLDER Product 27$ Qq n NEW ENGLJ 201q � V,i _ J J' �� V 1 `� I LABOR DURANCE .LES TAX .. COSTS TOTAL JOB COST GROSS PROFIT �Ess OVERHEAD COSTS % OF SELLING PRICE NET PROFIT Printed in U.S.A. _.,.:,ncc-..�rvz+--:msrsa»m.c�'�v.?+w,am'aw�;f;�� w�;:.,: �vizr-�-'S'Y. u�»tti�.;s�'HtevY G'e5g'L�Y :�r; l� ..2y..«yxuyy3�..#'.'+&YY�'v �. rrsna@.YSNw?. ��v#�;{y%i' �-r.EisWS'✓ .. .w s:yrr