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