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HomeMy WebLinkAboutBlk 32, Lot 1,2 - 219723407003EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE 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: Thomas M. Boni A olyoq� PERMIT N0. N° 549 PERMIT MUST BE POSTED AT INSTALLATION SITE ADDRESS: #3 Oakhurst So. Ct, Glenwood Sgqs, co_ SYSTEM LOCATION: Lots 1 and 2, Block 32, Fulford - Eacrie County LICENSED INSTALLER: owner -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. No. of Bedrooms x sq. ft. minimum requirement per bedroom total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Permit is for a sealed vault to b f ed as nPrPssarzj DATE: 11-16-81 **CONDITIONS: INSPECTOR: 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 ;A�bDsL�otion or Dispersal Area: 1,A sq. ft. Installed _ Tank- nallnn Design Engineer of Sy Installer of System: Septic tank cleanout to within 12" of final rade 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 fiDa-r-appyoval of system is made. Arrange a re -inspection when work is completed. DATE: 9 1 5 INSPECTOR: RE-INSPECTI N ATE: INSPECTOR• PLEASE Ri TTIRM THIS POR.TInN WITH YnUR SITE PLAN AND FEE(S) 328--%311 949-�5257 7-3SV. �3 ENVI P.ONPENT,AL HEr;LTH BOX 850 EAGLE, COLOR ADO 81631 PERPIIT f EE _ $1 PERCOLATION TEST FEE = S50 APPLICATION FOR INDIVIDUAL SE';'P.GE DISPOSAL SYSTEP1' PERPIIT NAME 'OF OWNER: as— ADDRi:SS: .-f- 'z, (hal1i, tA NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADF,RESS: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PHONE: q5 =, Q( ;-Lj PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ADDRESS: PHONE: PERPIIT APPLICATION IS FOR: (X New Installation ( ) Alteration ( ) Repair Z LOCATION OF PROPOSED FACILITY: County E� (e Lot Size — City or Town, if within City or Town -�Limi (� LEGAL DESCRIPTION: �'� t t 2 ,�2�6ck 9 a ,-A �/ c� STREET (RURAL) ADDRESS: IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? y ) Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( Residential - Single-family dwelling ( ) Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons i # Bedrooms �— WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional Dwelling ( ) Garbage Grinder ( ) Non -domestic wastes O Transient Use ( ) Dishwasher ( ) Other 5ca5OW411 ( ) Automatic Washer SOURCE AND TYPE OF WATER SUPPLY: ( ) 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: hyd Vd h,, .� TP) k TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) Septic Tank ( ) Aeration Plant ( ) Chemical Toilet i a lJ i t P'r' I Vy ( ) L- I J L i i if ! V i 4 ( ) *i _ 4y �_ I Y t t i' d i c i J ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (k'-� �Io Signature Date (3— INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: 13-6-7 j �/ Depth to Bedrock (per 8' Profile Hole): l Depth to Groundwater Table; SOIL PERCOLATION TEST RESULTS: �!7` Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 P?inutes per inch in Hole No. 3. FINAL DISPOSAL BY: ( ) ,Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( Underground Di persal ( ) 'Wastewater Pond ( L__r 10ther L,,kcU-c�- #aC,/ °-0 Lo..' EAGLE COUNTY ENVIRONMENTAL HEALTH ROUTE FORM NAME DATE ROUTED �7/5 APPLIC. N0. Please review the attached Individual Sewage Disposal System Permit Application and return it and this completed form to the Environmental Health Office. PLANfdING: Complies with: YES NO REVIEWED BY [SATE Subdivision Regulations: Zoning Regulations: Recommend Approval: COMMENTS: BUILDING: i YES NO REVIEWED BY DATE Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with: Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIRONMENTAL HEALTH: Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YFS Nn RFVTFWFn RY DATF COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO Date: September 17, 1990 Re: Final of. ISDS Permit No. 549 725 CHAMBERS AVE. P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328.7207 This letter is to inform you that the above referenced ISDS Permit has been inspected and finalized. Enclosed is a copy to retain for your records. Also enclosed are informational sheets regarding the care of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Officer, P.O. Box 179, Eagle, Colorado 81631. We can also be reached depending on your calling area at the following numbers: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle Area 328-8730. Sincerely, 16� Roger C. Hosea Assitant Environmental Health Officer Community Development Enclosures: Informational Sheets Final ISDS Permit cc: Chrono file ISDS file# Building Permit file# 0549 Lt 1 & 2 Blk 32 r'ultorct JOB NAME _ BONI Parcel # 2197-234-07-003 ►_, .106 LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED ST e. - Fol k 0 10 Ams 2- 19_may_ ?_ 3 JOB COST SUMMARY TOTAL SELLING PRICE OZ2 02 PERMIT # 549 OWNER: Thomas M. Boni LOCATION: Lots' 't'�"- Block 32 - Ful ford INSTALLER: Owner( PERMIT IS FOR A SEALED VAULT TO BE PUMPED AS NECESSARY. TOTAL MATERIAL )ST )FIT OSTS 'RICE xv, DFIT Printed In U.S.A. 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