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Home My WebLink AboutBlk 31, Lot 10, 11 - 219723415008INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0703 P.O. Box 850 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner:_ Andrew C. Rogstad Telephone: 6- 06 Address: P.O. Box 352, Vail, CO 81658 System Location: Block 31, Lots 10 & 11, Ful ford Licensed Installer: License Number: Conditional installation approval is hereby granted for the following Minimum requirements: Gallon Septic Tank or Absorption area of dispersal area computed as follows: N/A Sewage Vault — Aerated Treatment unit Percolation rate: Inch in Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms X Sq. Ft. minimum requirement per bedroom - equals Total Sq. Ft. minimum requirement Special Requirements: Sewage vault to be located a minimum of 12 2 from any property line. Date: 2LS: Environmental Health Officer: <,v c� 1/ CONDITIONS: 1. All installations must comply with all requirements of the Eagle 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 zoning and building departments shall automatically be a violation of a requirement of the permit andcause 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 system is approved prior to covering any portion of the system. INSTALLED ABSORPTION OR DISPERSAL AREA: SQ. FT. INSTALLED SEPTIC TANK: GALLONS; DEGREES; FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: PHONE: SPFqiC 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 REGULATION 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 (Final Approval)7:-Z_-6-�VENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT of Applicant: Andrew C. Rogstad Name of Owner: Andrew C. Rogstad \t Paid: $150.00 Receipt Number: CO330 Date:6/27/85 Cashier: Lorene Lovell bite and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY ` P.O. Box 850 Eagle, Colorado 81631 No. <DolDj PERMIT APPLICATION FEE: $150.00 328-7311 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: _ A P RE W c r ! /too GS EW L) ADDRESS: PO' L3OX } a Vlf%L 60. % j? PHONE: NAME OF APPLICANT (if different from owner): - ( X_ q&0 ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: /i DZE Licensed Installer (see attached list): YES NO ADDRESS: 5�%%7 _ PHONE: PERMIT APPLICATION IS FOR: (� New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: 714:�� 5 %. - O �p. Lot Size: r9�JK _j �i 0 Legal Description: / 4,C>r_5 ZQ D 11 , l ,66''ok15 BUILDING OR SERVICE TYPE (check applicable category): ( ) Residential - Single Family ( ) Residential _ Quadplex ( ) Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex Surr,�nC�a' Wi1Jt`I'i NUMBER OF PERSONS: e,11 NUMBER OF BEDROOMS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional- ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher ( ) Automatic Washer � � � (Q Other, >pW/4, CL S�rgCte ( ) Spa Tub TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) Septic Tank ( ) Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use ( ) Other ,5ZL�e_ S�r-G0 _ VLA14- CobbDQ trj-o#.wQ)( ) 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 (pC) NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO (�) (I6 Yes, see attached wa3tewateA 62ow tedue ti.on methoA ) NOTE: The EnviiLonmentat Health 066ieeA may tceduce the kequ Aed absotcpti,on area upon apptLovat o6 an adequate wa6tewateA 6tow neducti.on plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well () Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied community water giv name of supplier: /�fit17: o� f f1�4LSIGNATURE: \ DA�`$ '� - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFIC.EY: GROUND CONDITIONS: Peacent Gnound Slope I-- -- - Depth to Bedno ck (pet 8' Ptrto 4ite Hot e ) Depth to G)Loun&,jateA Table SOIL PERCOLATION TEST RESULTS: inE_eu peA inch in HoZe #1 Minei to s pen inch to Hole # 2 Minutes pen inch to Hot e # 3 FINAL DISPOSAL BY: ( ) Ab�sonpti,on Tnench, Bed on Pit ( ) Evapotnawspitati.on ( ) Above Gnound Di/spe za.2 ( ) Sand F,i 2ten. ( ) Undengnound D.ispeu a2 ( ) Wastavaten Pond ( ) Others Amount Paid: Receipt Nwnbe1r-- �, Dade: NOTE:. Site Plan must be attached to application. (Env. Health Department - Rev. 4-07=:85) EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE lZf1 �fNam/e Sl L" . , 40r, , =a c en(o / A p p i i cati on- N( Please rev.i&a the attached Individual Se:vage Disposal System Permit Application and return it with this completed form to the Environimentai Health Office, PLANNING: Complies with - YES ..NO .REVIE,,rED BY DATE Subdivision Regulations: Zoning Regulations: — Recommend Approval: COMMENTS: BU`'ILDhiJG: Complies with - YES Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: :E RO l� BEN AL" HEALTH: Complies with - Floodpiain Permit Necessary: I.S.D.S. Regs. Compliance: Reco.;.mend Approval: COS MENTS: NO REVIE14ED BY I DATE YES I NO I REVIE-114ED BY DATE YES NO REVIE14ED BY DATE ✓ 1 1 . —=�Ww =�M �r7. EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 July 9, 1985 Andrew C. Rogstad P.O. Box 352 Vail, CO 81658, Dear Mr. Rogstad: Enclosed is your ISDS Permit #703 for property located at Block 31, Lots.10 & 11, Fulford, Colorado.. The information on the permit application indicates that the system will be owner/ agent installed. Therefore, you will be responsible for the installation of the system. This yellow copy of the ISDS Permit must be posted on the installation site. You must call our office for final inspection before covering any portion of the installed system. We can be reached at 328-7311, Ext. 238. If you have any questions, please contact our office. Sincerely, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY /gp Enc. 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 0703 Rogstad Block 31 Lots .JOB NAME, _ 10&ll Fulford Jos NO. D�S BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT #703 OWNER: Andrew C. Rogstad LOCATION: Block 31, Lots 10 & 11 INSTALLER: N/A SIZE OF TNAK: DWELLING: Summer Cabin PERC RATE: N/A ABSORPTION AREA: N/A FINALIZED: 7/16/87 SEWAGE VAULT Fulford _. OB COST BY: Sid Fox S PROFIT !HEAD COSTS LLINO PRICE :T PROFIT JOB FOLDER Product. 278 NEW ENGLAND BUSINESS SERI Printed in U.S.A.