HomeMy WebLinkAboutCamp Hale - 220317100001 - Temp Event PermitINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0704
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: Seventh Day Adventist Telephone:
�� 1• i 1'i- i 1� 1 I 1; miasI111 il� 1' n�
System Location:
Camp Hale
Licensed Installer: License Number:
Conditional installation approval is hereby granted for the following:';,1000 .Gal 1 on Hol di ng Tank
Minimum requirements: Gallon Septic Tank or Aerated Treatment unit
Absorption area of dispersal area computed as follows: N/A
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:
Date: ;7_ CL_ ZLIZ, Environmental Health Officer: 5M'T_,)
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 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 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:.
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE:
PROPER MATERIALS AND ASSEMBLY:
YES NO
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) ENVIRONMENTAL HEALTH OFFICER: ce�
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant:NAD Pathfi nders-7th Day Adv. Name of Owner:
Amount Paid: $150.00 Receipt Number: C0329 Date: 6 26/85 Cashier:
Gail Parker
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENTVIRON'IENTAL HEALTH OFFICE - EAGLE COUNTY
.P.O. Box 850
1 Eagle, Colorado 81631 No.
PEPUNTIT APPLICATION FEE: $150.00 328-7311 PERCOLATION TEST FEE: $50.00
NAME OF %TNER: SPVFNTH DAY ADVENTIST
ADDRESS: WASHINGTON, D.C. PHONE:
NAME OF APPLICANT (if different from owner): DEBEST PLUMBING, INC.
ADDRESS: 3431 COLUMBINE AVE. BOISE, IDAHO 83704 PHONE: (208) 322-4844
DESIGN ENGINEER OF SYSTEM (if applicable): NA
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: MILFORD TERRELL
Licensed Installer (see attached list): YES NO X
ADDRESS: 3431 COT,LIMBINE AVE BOISE, IDAHO 83704 PHONE: (208). 322-4844
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration
( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTE�iI:
Street/Rural Address:
Lot Size:
Legal Description: 2 6 1985
BUILDING OR SERVICE TYPE (check applicable category): UU pp ��CC���
( ) Residential - Single Family ( ) Resid��V19Q �jffAM
( ) Residential - Duplex ( ) Commercial (state usage)
( ) Residential - Triplex
NUMBER OF PERSONS: 151 OQC) NULIBER OF BEDROOMS:
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional ( ) Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( ) Garbage Disposal ( ) Dishwasher
( ). Automatic [dasher ( ) Spa Tub
( ) Other Cx7e "cell
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
(V ) Other / ��,,, emu, SOU S�.QQ �� ( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY SINTO �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 yes, see attached waatewatetL 6tow tteduction methods)
NOTE: The Envaonmenta2 Health 066ieett may tteduce the &egwiAed absottpti.on cAea upon
appttovat o6 an adequate wastewatetL 4tow tceducti.on ptan.
SOURCE AND TYPE OF 14ATER SUPPLY: ( Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier:
SIGNATURE: 67Per aA.�4�,( 4- t DATE:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT By ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAeent Gt ound Stope
Depth to BedAock (pet 8' Ptto 6.Ue Hot e )
Depth to Gitoundwa teA Tabte
SOIL PERCOLATION TEST RESULTS: Minutez peA inch in Hote l
M,i.nute/s puL inch to H02e #2
FINAL DISPOSAL BY: Minutes pets inch to Hote #3
( ) Abdottpti.on Tttench, Bed o& Pit ( ) EvapottanspiAatti,on
( ) Above Gttound DizpeAsat ( ) Sand Fi?-teA
( ) Undettguund D.ispeua2 ( ) WastetvatvL Pond
( ) Othe/t
Amount Paid: $4 0,00 Receipt Number C Date:C42
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-83)
21
Vail Police Department -
3 (V 0
ATTN: Dispatch Coordinator
75 South Frontage Road, West
Vail, CO 81657
Minturn Department.of Public Safety
P.O. Box 191
-:.-1-xinturn, CO .: °81645
Eagle County Sheriff's Office
T.0. Box 359
Eagle, CO 81631
Colorado State Patrol _ Y
P.D. Box 480.
Eagle, CO 81631
Eagle County Emergency Hospital Dist.
P.O. Box 2056
Vail`, CO 81658 . _. .....�:
Eagle County Environmental Health Officer
P.O. Box 850
Eagle, CO 81631
Vail Fire Department
'ATTN: Dick Duran
42 West Meadow Drive
.Vail, CO 81657 _
Eagles -Vail Fire -Department
P.O. Box 983
Avon, CO 81620
Colorado State.Highway Dept.
Box 603
Avon, CO 81.620
Ste Vincent's Hospital --
West 4th & Washington
4
Leadville, CO 80461 !�
Vail Mountain Rescue
P.O. Box 1597
Vail, CO 81658
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EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
July 9, 1985
DeBest Plumbing, Inc.
3431 Columbine Ave.
Boise, ID 83704
Enclosed is your ISDS Permit #704 for the 1,000 gallon holding
tank that will be supplied at the 1985 NAD Pathfinder camporee.
This yellow copy of the ISDS Permit must be posted on the install-
ation site. You must call our office for final inspection
prior to the start of the camporee. We can be reached at
328-7311, Ext. 238.
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
EAGLE COUNTY ENVIRONIMENTAL HEALTH OFFICE
(Name) -
Date Ro teed -
-1
APp i i ca—
Location
Please review the attached Individual Se:•iage Disposal System Permit Application and return
it with this completed form to the Environmental Health Office.
PLAytrlfh JG: Complies with - YES ran 0F11TM,1Cr) av
Subdivision Regulations:
—
�.c•�.v v t
UH i t
Zoning Regulations:
✓
......
Recommend Approval:
?�-8
✓�
(61-! . �'!�
0�•1,-,E,•!TS ,
Ba ILDnI1'JG: Complies with - YES I NO I RE!!IE:iED BY DATE
Building Permit Applied For:
Building Permit Issued: I i
Recommend Approval: d
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COPIMENTS :
ITL HEALTH
Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
CO"- MENTS :
YES NO I REVIELIED BY DATE
YES NO REVIE14ED BY
DATE
0704 Camp Hale
JOB NAME ,,,_.
JOB 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 �® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Printed in U.S.A.
JOB FOLDER
of
