HomeMy WebLinkAbout350 Second St - 219723421002EAGLE 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 c 62 7
455-2679
OWNER: Loren R. Bodlly ADDRESS: 5555 N Federal Bovd. - Denver
SYSTEM LOCATION: _ Lots 4 & 5 - Black 9 — Fulfard
LICENSED INSTALLER: LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
50g4."
MINIMUM REQUIREMENTS: /000 gallon s tank.er t.
Absorption area or dispersal area computed as follows : GREY W V'€P- mos-r tar_ c(oecT
PERCOLATION RATE: inch in minutes£'D "M« UAvl+ oCr�
Absorption Area per Bedroom sq. ft..4tc 9a-ert' ajA^T2 syoTTM
No. of Bedrooms x sq. ft. minimum requirement per bedroom
total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: Ir//C��ornPos01uC �Zys-J-Em IS 0S O /rr y710s
DATE: W INSPECTOR: C \1CJl
**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. Degrees: Feet:
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: j Wo loo 1466pi P6 TAA) K 126,4,
v � 7 -Lei
(Any item checked "No" requires correction before final approval of system is made.
Arrange a re -inspection when work is completed.)
DATE: 1-10 -77 INSPECTOR:
RE -INSPECTION DATE: INSPECTOR:
: 'DPT TCATTO`: 7OR I'vDI %'ID 'AL SE :AGE DISPOSAL SYSTEM PERMIT
E:P�IRO MENTAL IITEAT74 OFFICE - EAGLE COLTY
P.O. Box 850
Eagle, Colorado 81631 No.�� 3�
PERMIT APPLICATION; FEE: S150.00 328-7311 ;7r-s" FFF! ;SP 8
NkNIE OF 0W'.N ER :
ADDRESS:
NAME OF APPLICANT (if different from owner):
ADDRESS:
PHONE:
DESIGN ENGINEER OF SYSTF24 (if applicable)
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
Licensed Installer (see attached list): YES
Me
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address:
Lot Size:
Legal Description:
Cam" t'A✓ogic�A� /Wires' g' �st•n1 p"p' „�.!�/�.��PiyG" /1iB� iD-✓ C9Ci'
BUILDIN R SERVICE T'ffi ��eck applicable categorv):
(-Pol Residential - Single Family
( ) Residential - Duplex
( ) Residential - Triplex
NUMBER OF PERSONS:
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
( ) Garbage Disposal
( ) Automatic Washer
( ) Other
( ) Residential Quadplex
( ) Commercial (state usage)
NUMBER OF BEDROOMS:
( �) Dwelling
( ) Transient Use
( ) Dishwasher
( ) Spa Tub
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( ) Septic Tank Composting Toilet ( P')' Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use
( ) Other ( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO (;/)
(I6 Yeas , .6ee attached wa�steavateh 6tow teducti.on meth.oA )
NOTE: The Envi onmentae Hea,eth 066ice& may &educe the kequZted abso'tpti.on area upon
app&ovat o6 an adequate wastewateA 6tow &eductEon plan.
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier: fli1.��/'j� �a�l�,�, �f✓,�/
SIGNATURE: /" DATE:
INFO BELOG/ TO BB FTLLED (BUT B �NVIRON,+TENTAL tfBALTN OFFICER:
GROUND CONDITIONS: Pe&eent G&ound Stope
Depth to Bed&ock (pen 8' P&o6ite Hote)
Depth to G&oundwate& Tabte
SOIL PERCOLATION TEST RESULTS: Kinutes pert inch in Hot-e 1
Minu tee peA inch to Hole # 2
M•i.nute/s pet inch to Hot e # 3
FINAL DISPOSAL BY:
( ) Abso&ption T&eneh, Bed o& Pit ( ) Evapot,=vspiAati.on
( ) Above G&ound D.lspeAsa.e ( ) Sand F,i.e vL
( ) Und&tg&ound DbspeAzae ( ) Wastcwate& Pond
( ) Othe&
00 a//
Amount Paid: U � Reec%pt Numbe`c A I l.o Date:
(Env. Health Department - Rev. 4-07-83)
I
ev
Q
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
L,C> ire—%,-\ —il.jl 1, C
Name
`1-os -�3
Date Routed
eDV�
ApplicationNo.
Please rev.iev 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 REVIEWED BY DATE
Subdivision Regulations:
Zoning Regulations: ?
Recommend Approval:
COMMENTS:
BUILDING: Complies with -
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
w
COMMENTS:
YES
NO
REVIEWED BY
DATE
ENGINEER: Complies.with -
Roads:
Grading:
Drainage:
Recommend Approval:
YES
NO
REVIEWED BY
DATE
-A\
COMMENTS:
ENVIRONMENTAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
YES
NO
REVIEWED BY
DATE
AA
tv
COMMENTS:
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328-7311
November 14, 1986
MEMORANDUM
TO: PROPERTY OWNERS
FROM: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
RE: EXPIRED INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITS
Our records indicate that your Permit # lama 7 has not had a final
inspection of the individual sewage disposal system. If you do not
have a current building permit, the above referenced permit has
expired.
Please contact the Eagle County Environmental.Health Office at
the following address and give us the current status of your septic
tank system and/or arrange for a final inspection.
Eagle County Community Development
Environmental Health Office
P.O. Box 179
Eagle, Colorado 81631
(303) 328-7311, Ext. 227
Your immediate response to this request will be greatly appreciated.
Board of County Commissioners Assessor
Clerk and Recorder
Sheriff
Treasurer
P.O. Box 850 P.O. Box 449
P.O. Box 537
P.O. Box 359
P.O. Box 479
Eagle, Colorado 81631 Eagle, Colorado 81631
Eagle, Colorado 81631
Eagle, Colorado 81631
Eagle, Colorado 81631
December 1, 1986
Eagle County Community Development
Environmental Health Office
P.O. Box 179
Eagle, Colorado 81631
In reference to your memorandum dated November 14, 1986 regarding
Permit #627 and the final inspection on. our sewage disposal.
system, please be advised that the tank has been in the ground
for the last year. Unfortunately, we are on an economy hold for
a while.
We understand that the permit has expired and when we have the
available funds to finish the disposal system, we will come into
the office and get another permit.
Thank you.
Carolyn & Loren Bodley
5555 No. Federal, Space 10
Denver, CO 80221
455-2679
Uba-i Bodily Lots 4 & 5 Fulford..
NAME �.: ed
JOB LOCATION
BILL TO
DATE STARTED DATE C
2bis Rmr-tv ('1/1"o- 41 Lm�\ R, 9�
7� L
--*,Cord bI�
L
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
- --- ---- - ----- _-- TOTAL LABOR
INSURANCE
PERMIT #627
SALES TAX
OWNER: Loren R. Buirdtiy
MISC. COSTS
LOCATION: Lots 4 & 5 - Block 9 - Fulford
. ti
INSTALLER:
SIZE OF TANK: 1000 gal scaled tank
DWELLING: Single Family
PERC RATE: N/A TOTAL JOB COST
ABSORPTION AREA: N/A
FINALIZED: 9/10/87 BY: SID FOX
GROSS PROFIT
�. (�19 !�/j _► IV - Z3 ,j6`Z`-`/ma/� ° OZ LESS OVERHEAD COSTS
OF SELLING PRICE
0
NET PROFIT
W^ ^ Printed in U.S.A.
w