HomeMy WebLinkAbout6024 Hwy 6 - 211303400009EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P. 0. Box 850 - 550 Broadway PLEASE CALL FOR FINAL Eagle, Colorado 81631 PERMIT MUST BE POSTED INSPECTION BEFORE COVERING AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N� 0 OWNER: Frankie Ward — 7 50'3 ADDRESS: P.O. Box 1126 - Eagle, CO SYSTEM LOCATION: Tract 39 - Sec. 3-5-86 - Highway 6 - Gypsum, CO LICENSED INSTALLER: Owner LICENSE NUMBER: **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: one inch in 5 minutes. Absorption Area per Bedroom 200 sq. ft. No. of Bedrooms 3 x 200 sq. ft. minimum requirement per bedroom 600 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: 4/25/83 INSPECTOR: **CONDITIONS: 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. Installed Absorption or Dispersal Area: GOO sq. ft. Installed Septic Tank: ("000 gallons. Degrees Feet: Design Engineer of System: Installer of System: cwyv 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? COMMENTS: Yes No (Any item checked "No" requires correction before final appro 1 f system is made. Arrange a re -inspection when work is completed. DATE: _ L INSPECTOR: RE -INSPECTION DATE: INSPECTOR: •rirTnn..••_..-. Box SSO E;'o L7_, COL1117\7_0 81C�1 P- .� IT HE 150 APPLIC %TIO'i FCR ;;IOI'; i DUB:L SE:a`'GE DISFCSt%L SYSTc`'" PE':'II T _NAME 'OF 01-PNER: ADDRESS: NAND_ OF APPLICANT (IF DIFFE"ENT FROM Ol•.'iIER) : ADr)RESS: FEE 5 0 �009 PHONE: )Q� - PHONE: I)F-SIGN ENGINEER OF SYSTEM (IF APPLICABLE): ��� CA'- QWA ADDRESS: -P o, -&X: iQ ( Eadk Co 1 PHONE: -PERSON RESPONSIBLE FOR INSTALLATION OF SYSTE,�',: �� lam. WWI, ADDRESS: r 1.U��2 �� gl(��I PERMIT APPLICATIO,! IS FOR: (tl� New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County Lot Size HQ.L'a City or Town, if within City or To:•rn Limi is LEGAL DESCRIPTION: � �o;� � Isk. 3-5/(9 STREET (RURAL) ADDRESS:�(a IS SYSTEMM DESIGIIED FOR LESS THAN 2,000 GALLONS PER DAY? ( Yes ( ) No - BUILDING OR SERVICE TYPE: (Check applicable category) ( Residential - Single-family dwelling ( ) Residential - Triplex "'( ) Residential - Duplex - ( ) Residential - Quadplex Commercial - State usage # Persons ibjO % Bedrooms WASTE TYPES: -(Check all applicable) ( ) Commercial or Institutional (c/J"' M-;e11ing ( ) Garbage Grinder ( ) Non-domestic.wastes ( } Transient Use ( ) Dishwasher `.( ) Other ( ) Automatic Flasher. SOURCE A?1D TYPE OF WATER SUPPLY: (L"-)"Wel1 ( ) Spring ( ) Creek or Stream ;.. Give depth of all wells within 200 feet of the system: � If su lied.b community water, give name of supplier: pP y y PP :..:-TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEi i PROPOSED: _ Chemical Toilet _ (-�tS/epti c .Tank �( ) Aeration Plant ( ) Cher .YauIL P'uivy .� ) L. frig•-i�Li irJ illiICI. ( -)' ti='_-iL1iiig, !w+�. C'lU .�• iVJC � _ .. ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use _ ( ) Greywater ( ) Other WILL EFFLUEidT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes No -Signature n�,e,� 7j G��i/i Cate x INFORfiATIO,N BELO1.1 TO BE FILLED OUT BY EINVIROilMEidTAL HEALTH OFFICER GROUND MIDITIONS: Percent Ground Slope: Depth to Bedrock (per 8' Profile Hole): Depth to rjroUr,,-- "pater Table: SOIL PERCOLATION TEST RESULTS: M9T Minutes per inch in bole Ilo. 1 PiinUteS per inch in Bole No. 2 h'1 (U !'i nu tes per i nch in Hole No. 3 FI'I,:L DIS--;SAL DY: (y) !..t;sorat ion Trench • Ced or Pit ( ) Evenotr:nsoi ration ( ) Above Ground Di spersa 1 ( ) Sand Fi 1 'ter # ( ) Un_' rgrour,d ''Dispersal ( ) :•iaste':later Pend ( ) Or.,2r i-A,c,�,�r� ��e 43 , PERCOLATION TEST FEE: $50 I.S.D.S. APP. # ,OWNER: .Arj LEGAL DESCRIPTION: =2AcT 3� - S Gam, 3- P2 5- RURAL ADDRESS: Iw 60 G- S urn=-. TYPE OF DUELLING: p # OF BEDROOMS:_ DATE OF PERCOLATION TEST: - Iy 3 TYPE OF SOIL: two A a't-1 — TEST HOLES PRESOAKED? Yes No ISWATER DEPTH ` ., PERCOLATION RATE: T RECOMMENDED MINIMUM SEPTIC TANK SIZE: � v RECOMMENDED MINIMUM LEACH FIELD SIZE: �? RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: c�G Site has been reviewed and tested for percolation rate. Date Environmenta eat icer COMMENTS: z- L- , � %o C lc- Ir x, �{C, ( C: 0- - -/ h i S S i n CA �, 4j!jr2ll N JOB 'NAME; PD.LQa !� 140 t Iv MOCK r4oC JOR LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL -- �a Awy PERMIT #608��vy,�Y� NAME: Frankie Ward LOCATION: Tract 39 - Sec. 3-5-86 - Highway 6 Between Dotsero and Gypsum INSTALLER: Owner SIZE OF TANK: 1,000 gallons y� DWELLING: Residential - 3 bedrooms x 200 sq.ft. PERC RATE: one inch/5 minutes (600 sq.ft.) TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB Finalized: 5/6/83 By: Richard Pylman Printed in USA EAGLE 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 614 328-7311 or 949-5257 or 927-3823 PERMIT NO. OWNER: Jeff Blalr (F. Ward) ADDRESS: SYSTEM LOCATION: Between_5572 and 692E LICENSED INSTALLER: 'honer lo?lg PERMIT MUST BE POSTED AT INSTALLATION SITE - Eagle, 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 Absorption Area per Bedroom No. of Bedrooms x sq minutes. ! _ sq. ft. U, ft. minimum requirement per bedr000i����rQ^' total sq. ft. minimukq requirement. SPECIAL REQUIREMENTS: DATE: **rnNnITIONS• 11 SPECTOR: 1. All install( - n must ply with all require e s of the County Individual Sewage Disposal Syste Regul i ns, adopted p�rsuant authority granted in 25-10-104, C.R.S. 1973, as men 04' 2. This permit',is vali only for connection to structures which have fully complied with County 'zoning d building requirements. Connection to or use with any dwelling or s ruc e n 9t approved by the building and zoning departments shall automatically viofiation 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: nr Tarnr n-rT n.� nnrr r.�rnr..-r �.. - 32:.-i3i i sox ES0 E:',LE COL']?.:,_11 81 G 3 1 PERt IT I EE $1 ED FE-. CL:',7; , TEET F"cc = SSO i1:D1'; iDL'�L r,c D.SPOS',L SYS, E'-! PE7:!!I i APPLIC.^,TIO't FOR .NAt,!E OF 0I'1NER: Loll V1;e � PHONE: ADDRs';-SS:' /l�aC.O�'1S %y'�ul�-y �l� SAP Cow NAMU: OF APPLICANT (IF DIFFE^EIT FROM 0:•!;IER): rSI�Cf Ia►y A05RESS: P 0- j3c`��®�fv -q(.S V.11t,7'nr4 c-r= rule Ca.- 1631 PHONE: 23 5- 77(-f 4f DF.SIGN ENGINEER OF SYSTEil (IF APPLICAGLE): A/14 ADDRESS: PHO:'dE -PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEi•1•: ADDRESS: S ¢� PHOIIE: 24-L,g P7R:IIT APPLICATION IS FOR: (>4 "Iew Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County yle- Lot Size C1c''es Ci ty or To,,.in, i f wi thi n Ci ty or Toarn Limi is r LEGAL DESCRIPTION: 2C . 3 q ... 5er , STREET (RURAL) ADDRESS: 7 Nw cy (6 IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( Residential - Single-family dwelling ( ) Residential - Triplex '( ) Residential - Duplex - ( ) Residential - Quadplex _( } Commercial - State usage Persons LA Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( Dwelling ( ) Garbage Grinder ( ) Mon -domestic. wastes ( ) Transient Use � Dishwasher ( ) Other lx) Automatic Washer SOURCE AND TYPE OF WATER SUPPLY: WelI ( ) Spring ( ) Creek or Stream - Gi ve depth of al 1 wel 1 s within 200 feet of the system: ;'•=If suppl ied,by community water, give name of supplier: -TYPE OF INDIVIDUAL SEI,IAGE DISPOSAL SYSTEi, PROPOSED: =_ Septic Tank ( ) Aeration Plant ( ) Chemical Toilet i •, i , .,_. y_ - , "IVY •t i L.._;fn�.��•L i �i J i U i , :.. 1, i< • ; - Ii =':y�_ i 1 inQ ) v' QU . r' l.•JC _ - ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other WILL EFFLUEilT BE DISCHARGED DIRECTLY INTO I.IATERS OF THE STATE? ( ) Yes No ".Signature Date _.__ic .. �e * �• * �e * :k �: * * * k * is �c ;k x * * k �• * � � * * t t * 7F ... _•. INFORNATIOiN BELO1•1 TO BE FILLED OUT BY ENVIRn;lI';E ITAL HEALTH OFFICER A G,11 l.�; GROU;ID CONDITIO;JS: Percent Ground Slope: .- �� - Depth to Eedrock (per 8' Profile Hole): Depth to r,rouna.'rater Table: SOIL PERCOLATION TEST RESULTS: Pinutes per inch in Hole No. 1 -�' Plinotes per inch in Hole No. 2 �'inutes per- inch in Hole No. 3 = FI'!„L DISP,,S.',L ,Y. ([_�t:sorption Trench, Cad or Pit ( ) Evanotr:nsoir•a`_ion ( } AL,Ive Crour.d Di ,persal ( ) Sand Filter ( ) Un.`r^round Dis"ersai ( ) '.last,. -later Pend Ot•'er M ~ N PERCOLATION TEST'FEE: '50 ` I.S.D.S. APP. # 0WNER: &2 LEGAL DESCRIPTION: RURAL ADDRESS: TYPE OF DWELLING: # OF BEDROOMS: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * DATE OF PERCOLATION TEST: ��" �� TYPE OF SOIL: TEST HOLES PRESOAKED? Yes J No TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 /Y, ST 4/ �Z 37 2 -2% 4 q-0 q'q ; yam �V7 PERCOLATION RATE: _6— RECOMMENDED _ MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: G Oa 'ii RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Z©� Site has been reviewed and tested for percolation rate. L Date Environmental eat i --- COMMENTS: I\y V I I_ 1y f\1'1 EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE ame Date R uted7 "I � A. 4 1 I � , p ��,,, Application No. Location Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form to the Environmental Health Office.. PLANNING: Complies with - YES NO REVI 014 B DATE Subdivision Regulations: Zoning Regulations: 1 Recommend Approval: COMMENTS: "fti,�, r_)r)0— 4.e� (b,C,_ cc)r\ c, i BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE ENGINEER: Complies with - Roads: G ra d i n g: Drainage: Recommend Approval: YESI NO AEAERD BY DATE jj COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YES NO REAnWBY DATE COMMENTS: El El I? CD N �-• � s� o- c _O m �0 0 '�° m 0. d 0. 0.0 ;u m g-0 < d C. ry a 3 0 m rt 3 y rt 3 0 c 0 rt N d lQ CD CD ❑❑❑ ❑❑o < m Z v CoD h m :DaO m oo< o 0 D cb c 0 c O= z CL CDa 0 m m d 3 D v s CD - Xa '+ v m 0- D v m3 �sD v m m v m av ° X O m 3 0 < D m CD � N D v 0 CD a 0 CD OD 3 0 3 m O G m N ..a O Z a m I 0 3 0'=r m 3 m m o I n, 0 0 0 c 0 h n 0 3 0 3 m 0 m 3 m m N Ln 0 Z 0 rh O m it \ D Ft N. ti l 'd m � N I N v w Ca J Ki N m N rr n r D rt Z, -4 a' w o• O z (� a W m I N. rt rt I✓ o I � m c a W C v C r � o m � _ D n D n 0 O c z v Z c rt 3 W m •v - 0 La 0 3 — Z < O z n v mO z� O �^ D 3 I—' O Z z D 0 0 c rt 3 c CD O 3 U614 ..JOB 'NAME. )�8-r -x -, - C.e 17 JOLT, NO .�, JOR LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in fnted'n U.S.A. Z --or