HomeMy WebLinkAbout136 Colorado River 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 N0. N 0 55 3
OWNER: Bill Stephens ADDRESS: Two Rivers Investment, Gypsum, CO 81637
SYSTEM LOCATION: 0136 Colorado River Road Eagle Countv
LICENSED INSTALLER: Ken Schultz
LICENSE NUMBER: 1981
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: l,000 gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows: REPAIR PERMIT FOR
PERCOLATION RATE: Est 1 inch in 20 minutes. LEACH FIELD
Absorption Area per Bedroom 222 300
No. of Bedrooms 2 x 300
sq. ft.
sq. ft. minimum requirement per bedroom
= 600 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: New leach field must be 100 ft. from this property's water supply
line and all other water supply �We--Ils in the area. TEmus -e a so I00 Tc. fromrie
River. The 1,000 gallon septic tank may be alr ady existing- The home built about 1945.
**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.
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:
RF-TVPFf' MN nATF - TNCPFf'TnD
PLEASE RETtIPM THIS POP.TIM WITH YQUR SITE PLAN. AND FEE(S)
328•�-�3 .,'y 94g..525i 9_2.7--3S223 y
ENVIP,ONIIPEINTAL HEALTH
BOX 850
EAGLE, COLORADO 81631
PER'1IT 1EE _ $150 PERCOLATION TEST FEE _ $50
APPLICATION FOR INDIVIDUAL SE�-IAGE DISPOSAL SYSTE"N, PER'1IT
NO. ��o
NAME 'OF .01-1NER: -jd
ADDR[`SS : CCU) �7 ` PHONE: 5�— q3�
NAME: OF APPLICANT (IF DIFFERENT FROM OWNER):
PL�
ADF)RESS: ,(�F3if 670 a� Cho. PHONE:
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE):
ADDRESS:
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
ADDRESS: Gy �,, ����, �i�,�� PHONE: -
PERMIT APPLICATION IS FOR: ( ) New Installation ( Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County (-e Lot Size / _
City or Totvn, if within City or Town LiriiLs
LEGAL DESCRIPTION:
STREET (RURAL) ADDRESS:
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( yr Yes ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
( LIT Residential - Single-family dwelling ( ) Residential - Triplex
( ) Residential - Duplex ( ) Residential - Quadplex
( ) Commercial - State usage
# Persons '17 o
# Bedrooms
WASTE TYPES: (Check all applicable)
( ) Commercial or Institutional ( Dwelling
( ) Non -domestic wastes ( ) Transient Use
( ) Other
SOURCE AND TYPE OF WATER SUPPLY: ( �6t1e11 ( ) 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:
(C� Septic Tank ( ) Aeration Plant ( )
1 Vau L P`r ivy t i.:.;iij JLiti, iVii l l J
( ) Pit Privy ( ) Incineration Toilet ( )
( ) Greywater ( ) Other
( ) Garbage Grinder
( ) Dishwasher
( 1,,K Automatic Masher
( ) Creek or Stream
Chemical Toilet
Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes
Signature
INFORMATION BELO14 TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER
GROUND CONDITIONS: Percent Ground Slope:
Depth to Bedrock (per 8' Profile Hole):
SOIL PERCOLATION TEST RESULTS:
Cate
Depth to Groundwater Table:
Ninutes per inch in Hole No. 1
Hi nutes 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 ( ) .11vlastewater Pond
( ) Other
PERCOLATION TEST FEE: $50 waived fee ##920
" I.S.D.S. APP. #
014NER: Bill Stephens (Two Rivers Investment Co.)
LEGAL DESCRIPTION:
RURAL ADDRESS: 0136 Colorado River Road
TYPE OF DWELLING: single family residential # OF BEDROOMS: 2
DATE OF PERCOLATION TEST: test waived TYPE OF SOIL:
TEST HOLES PRESOAKED? Yes No
TIME WATER DEPTH INCHES OF FALL RATE
1 2 3 1 2 3 1 2 3 1 2 3
el
PERCULAHON RATE: Estimated 20 mins per inch by Erik Edeen
RECOMMENDED MINIMUM SEPTIC TANK SIZE: 1,000 gallon
RECOMMENDED MINIMUM LEACH FIELD SIZE: 600 sq. ft.
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 110 sq. ft.
Site has been reviewed and tested for percolation rate. due to the weather (snowing)
and this is an emergency rep ' c est is waived and is estimated.
Date Environmental --Health Officer
COMMENTS:
�`� v<.--�- -61
EAGLE COUNTY ENVIRONMENTAL HEALTH
ROUTE FORM
Owner: Bill S.
1 ME #920
12-21-$]_
DATE ROUTED 0136 Colorado River Road APPLIC. NO.
LOCATION
Please review the attached Individual Sewage Disposal System Permit Application and
return it and this completed form to the Environmental Health Office.
PLANNING: Complies with: YES NO REVIE14ED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDING:
Building Permit Applied For
Building Permit Issued:
Recommend Approval:
COMMENTS:
ENGINEER: Complies with:
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
YES NO REVIEWED BY DATE
YES NO REVIEWED BY DATE
ENVIRONMENTAL HEALTH: YES NO REVIEWED BY DATE
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
xx
Erik Edeen
12-21-81
COMMENTS: This is a repair permit. Try to expedite.
JOB NAME,
JOB IN .
.InR LACATION
BILK TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
PERMIT #553
OWNER: Bill Stephens - Statc Route
Gypzu,m, CO 81637
LOCATION: 0134 Colorado River Road
REPAIR PERMIT FOR LEACH FIELD
INSTALLER: Ken Schultz
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 2 bedrooms x 300 sq.ft.
PERC RATE: one inch/20 minutes (600 sq.ft.)
NnA1i7l3d
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JOB FOLDER Product 278 &g?® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB F
