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HomeMy WebLinkAbout14011 Hwy 6 - 237704200002EAGLE 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 o - 676 OWNER: Dr. James Arata ADDRESS: 2466 Lake Avenue - Ft. Wayne, Inc. SYSTEM LOCATION: 5025 Highway.24 - Red Cliff, CO LICENSED INSTALLER: Corbin Construction Leadyi.11e 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 -Z-0 minutes. Absorption Area per Bedroom Z d sq. ft. No. of Bedrooms _5 x -2-00 sq. ft. minimum requirement per bedroom = l coo total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: s� %`��INSPECTOR: cove& **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: Z 000 sq. ft. Installed Septic Tank: 2_�6' ® gallons. Degrees: Z06 Feet:�'�O Design Engineer of System: Installer of System: 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: �se_ 4&7r 7d 4_e__ (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: / INSPECTOR: �- .S"RE-INSPECTION DATE: INSPECTOR: * * *. _* * * _* _* * * * * * * * * * * * *. * * * _* * * * * * * * * * I * * *._* * * * * .*._*_ *_* * * RETAIN WITH RECEIPT RECORDS CHARGES Percolation Test = $50.00 Permit Fee (includes final inspection) _ ALL CHECKS OR MONEY ORDERS ARE TO BE MADE PAYABLE TO: EAGLE COUNTY PERMIT N0. N�! 0/0 Name of Applicant: Dr, Mamas Arata Name of Owner: Dr_ Mamas Arata Amount Paid: .2DD_DD (8116/84) Receipt Number: C-0187 Cashier: Paige Martin White and Pink Copies - Environmental Hea-lth Department Green Copy - Applicant/Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 Eagle, Colorado 81631 PERMIT APPLICATION FEE: $150.00 No./091 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: .Vi, J Anus JZA 1;9 ADDRESS: �? � �/� - /ct'(5;-A)ge- Gt%yN� PHONE: o2/ 9-'Yzy - /9'%j NAME OF APPLICANT (if different from owner) : f�p %�rz,�q�uyypJr �,;,��T - J�-��9y; ADDRESS: LfD9 �tzSJ L��tJ/L��r� c�©`%G� PHONE:35'�r DESIGN ENGINEER OF SYSTEM (if applicable): ,q ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF_ SYSTEM: �CD2(3/1J Licensed Installer (see attached list): YES NO ADDRESS: PHONE: a4 P3 PERMIT APPLICATION IS FOR: (x} New.Installation -( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: Lot Size: 960 f Legal Description: yr, • ),_ R aN„ /5-131 BUILDING OR SERVICE TYPE (check applicable category): Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: - --- 8 WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( Garbage Disposal Automatic Washer ( ) Other E OF INDIVIDUAT. (� Septic Tan r.O ( ) Vault Priv�;ti ( ) Pit Privy ( ) Other �Gc Ste/ oL ,VW4 SCC�bN / /'yam• P _6 J .UCo. '90 i') - �a ( ) Residential - Quadplex ( ) Commercial (state usage) NUMBER OF BEDROOMS: ( Dwelling ( ) Transient Use (7� Dishwasher ( ) Spa Tub ( ) Incineration Toilet ( ) Chemical. Toilet ( ) Recycling, Potable Use ( ) 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 ( I yeas , ee attached wcstewaten Stow )Leduc tion methods ) NOTE: The Env Aonmentat Heatth OSS,icet may reduce the nequiAed abso)Lpti.on area upon app,tovat os an adequate ufcstewate,% Stow teducti,on ptan. SOURCE AND TYPE OF WATER SUPPLY: Well ( )2 Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by co /un wa r'v name of supplier: SIGNATURE: DATE- ,INFORMATION BELO LLED OUT By ENVIRONMENTAL HEALTH OFFICER: DISPOSAL SYSTEM PROPOSED: ( ) Composting Toilet ( ) Greywater ( ) Aeration Plant GROUND CONDITIONS: PeAcent Gnound Stope Depth. to Be&tock (pet 8' Pno4ite Hote) Depth to G)LoundwateA Tabte SOIL PERCOLATION TEST RESULTS:. A nuta pet inch tin Note #1 Minuta pets inch to Hote # 2 FINAL DISPOSAL By: Minutes pelt inch to Hote # 3 ( ) Ab4onpt%on Tnench, Bed on Pit ( ) Evapot)Lawsp.Lhati.on ( ) Above Gnound DispeAzat ( ) Sand Fitte)L ( ) Unde tg tound Di6pe)u6at ( ) Wa�stewaten Pond ( ) OtheA_ Amount Paid: aC9 _ �'- Receipt NumbeA -©/y 2 Date: R NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. 1097 OWNER: Dr. James Arata LEGAL DESCRIPTION: 5025 Highway 24 - Red Cliff RURAL ADDRESS: TYPE OF DWELLING: Single Family NUMBER OF BEDROOMS: 5 DATE OF PERCOLATION TEST: 91— `- TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES _� NO TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 ' 2 3 1 2 3 1 2 3 W I 3'D fr t7 2-c; ; S® ` 1� f\ ` zlJ 1 PERCOLATION RATE: 2- RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: / O O 0 S, � RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. zu Environmental Health Officer Date COMMENTS: Rev. 5/31/84 TELEPHONE 303/328-7311 Board of County Commissioners Ext 241 Assessor Ext 202 Clerk and Recorder Ext 217 Sheriff Eagle: Ext 211 Basalt: 927-3244` Gilman: 827-5751 Treasurer Ext 201 Administration Ext 241 Animal Shelter 949-4292 Building Inspection Ext 226 or 229 Community Development Ext 226 or 229 County Attorney Ext 263 Engineer Ext 236 Environmental Health Ext 238 Extension Agent Ext 247 Library Ext 255 Public Health Eagle: Ext 252 Vail: 476-5844 Personnel Ext 241 Purchasing Ext 245 Road and Bridge Ext 257 Social Services 328-6328 EAGLE COUNTY - Eagle, Colorado 81631 September 26, 1984 Dr. James Arata 2466 Lake Avenue Ft. Wayne, Indiana Re: Individual Sewage Disposal System at 5025 Highway 24 Red Cliff, Colorado Dear Dr. Arata: This is to inform you that your individual sewage disposal system, Permit #676 was finalized by Erik Edeen on September 14, 1984, although the house has not been constructed as of this date. I am enclosing a copy of this permit for your records. Sincerely, Lorraine Funke, Secretary Environmental Health Office EAGLE COUNTY /if Enc. -1 C-,a Awl F, of 19 1984 ENVIROMMENTAL HEALTH AdM L----mr-Ll evelim e0mitzmctiam eampamy P.O. BOX 517 - LEADVILLE, COLORADO 80461 - (303) 486-2673 e5k ` wAM r� a5�— z L 4„} .+off No, -. JOB LOCATION BILL TO DATE STARTED DATE _W, II 0 1 d s0 !o%/o 9 JOB FOLDER Product278 ®a NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FC BILLED JOB .COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT NO. 676 OWNER: Dr. James Arata 2466 Lake Avenue - Ft. Wayne, Ind. LOCATION: 5025 Highway 24 Red Cliff, CO INSTALLER: Corbin Construction - Leadville SIZE OF TANK: 1,250 gallons - 200 degrees; 30 feet: DWELLING: Single Family - 5 bedrooms x 200 sq.ft. PERC RATE: one inch/20 mintues - leach field 1,000 sq.ft. Comments: House not started yet - Picture to be submitted of final cover with straw (picture in file - poor picture) Finalized: 9-14-84 By: Erik Edeen 41