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HomeMy WebLinkAboutBlk 22, Lot 7,8 - 219723101003INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0730 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: Packy Walker Telephone: 476-2340 Address: RXNx 555 E. Lionshead Circle, Vail., CO 81631 System Location: Lots 7 & 8, Kock 22, Fn1 fora Licensed Installer: Owner Installed License Number: - Conditional installation approval is hereby granted for the following: Minimum requirements: Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: 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: Environmental Health Officer: 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: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: PROPER MATERIALS AND ASSEMBLY: COMPLIANCE WITH PERMIT REQUIREMENTS: COMPLIANCE WITH COUNTY i PHONE: YES NO YES NO YES NO (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: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Packy .Walker Name of Owner: Same Amount Paid: $150.00 Receipt Number: C0186 Date: 8/15/84 Cashier: White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner b APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT PERMIT APPLICATION ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 Eagle, Colorado 81631 No. Ao \� ;150.00 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: ADDRESS: 6_ NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: r PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM' — Licensed Installer (see attached list): YES PHONE: hL7lp-�� PHONE: PHONE: NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: Lot Size: Legal Description: to T5 i 4A 5 1oc k 2_Z BUILDING OR SERVICE TYPE (check applicable category): ( Residential - Sing- �lr Residential - Quadplex ( ) Residential - Duplex ( ) Commercial (state usage). ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional Dwelling ( ) Non -Domestic Wastes (✓�) Transient Use ( ) Garbage Disposal ( ) Dishwasher ( ) Automatic Washer ( ) Spa Tub ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) Se k ( ) Composting Toilet ( ) Incineration Toilet (L ault ri ( ) Greywater ( ) Chemical Toilet ( ) Pit rivy ( ) 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 (I4 Yeas, .6ee attached wa6tewatetc 4tow neducti.on meth.oA ) NOTE: The Envito mentae Health. 044icetc may tceduce the tequiAed abSoApti.on atcea upon apptcova2 o4 an adequate waustewaten 4tow teducti.on plan. SOURCE AND TYPE OF WATER SUPPLY: �o �iS ( ) Well (� pring ( ) Creek/Stream Give depth of If supplied in 200 feet of system: _ er, give name of supplier: SIGNATURE: DATE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE LED OUT BY ENVIRONMENTAL HEA TH OFFICER. P L GROUND CONDITIONS: Pencevit Ground Stope 11 Depth to Bedtco ck (peA 8' Pko jite Hote) Depth. to Gtcoundwaten Tabte SOIL PERCOLATION TEST RESULTS: Minutes pets tin tin Hote #1 Minutes pets inch to Hote # 2 FINAL DISPOSAL By: Minute,6 pen finch to Hote # 3 is ity ( ) Ab6wLptt:on Trench, Bed otc Pit ( ) Evapot akmpvt.ati.on ( ) Above Ground Dizpettsat ( ) Sand F-%?. uL ( ) Undetcgtcound Di6peuae ( ) WalstewateA Pond ( ) Othetc Amount Paid: e` 1 . D O Receipt Numbest. C - 6113 Date: NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) ri ��11 ri 1, 0 N O V 4-1 O U 1 •r r' r' ro CL 3 Q 'O Q S.. O �G V) 4- U 0 r «5 to 0- H LL- INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0799 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5 25 7 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: Mona J . McMillian Telephone: (307) 468-2895 Address: P. 0. Box 292, Upton, WYO 82730/ P. 0. Box 1474, Eagle, CO 81631 System Location: Lot 7 & 8, B1 k 26, Ful ford Licensed Installer: License Number: Conditional installation approval is hereby granted for the following: Minimum requirements: / S-6 Gallon S®�4te Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: 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: Holding tank required Y- Date: n —1 3 -6 -7 Environmental Health Officer: 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: A SQ. FT. INSTALLED TANK: '7-S-U GALLONS; DEGREES; FEET DESIGN ENGINEER OF SY INSTALLER OF SYSTEM: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: PROPER MATERIALS AND ASSEMBLY: COMPLIANCE WITH PERMIT REQUIREMENTS: COMPLIANCE WITH COUNTY / STATE REGULATION REQUIP�,EM COMMENTS: �. �1SL��Reere i PHONE: I- 30? - 14 8 -ZMYS' YES NO YES _L�O YESO YES NO /l 1,u0q5M_ 1,V-,97ef m us (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval) 7-27- 4�6i ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: _Mona J . McMillian Name of Owner: Same Amount Paid: 150.00 Receipt Number: 3475 Date: 8/10/87 Cashier: Check #115 E. Huenink White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner IJ U� 'IeI V'- i APPT ICAT"' FOR 'E."T aL Sr'�:\G DTc Lr.�•.rT EN% IRO:: fENTAL i:EALT11 OFF :CE - EAGLE Cl•U.,—- P.O. Aux S30 r 1 Eagle, Colorado 81631 `:o. PER -%!IT APM.ICATTON FEE: S150.00 328-7311 � PF-�COL.1TI0`1 TEST F7'. $125 00 NAME OF OIdNER: �1 a iv A �, AIC loll).6 AA/ , x l y%�/' ADDRESS: I J C-d707 UA%P110::E: NAME OF APPLICANT (if different from owner) ADDRESS: DESICN ENGINEER OF SYSTEM (if applicable): ADDRESS: PHONE: PHONE: Prtc,(;v iCL;iiV�IJ1LuL IO.; INSZALLATION OF SYSTE`f:� .(C ICiCCAN Licensed Installer (see attached list): YES NO ADDRESS: • PHONE: PERMIT APPLICATION IS FOR: (x New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL -SET 'AGE DISPOSAL SYSTE'4: Street/Rural Address: ukFO1PA C'ele Lot Size: S6 X 1,2 S Lv( � Legal Description: G 7 ?a(ZC t?' 1 Na Z 1917 BUILDI.•TG OR SERVICE TYPE (check aD�M bla cate^-orv) (X) Residential - Single Family ( ) Residential - Duplex ( ) Residential - Tr_olex NUMBER OF PERSONS: Z DO Lf ( ) Residential - Quadolex ( ) Co.---::ercial (state usage) N MBER OF BEDROOMS: WASTE TYPES (check applicable cate^_ories): ( ) Co«..mercial or Institutional ( kj Ihwe l I i n g ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) ( ) Automatic Washer ( ) Spa Tastier Spa Tub ( ) Other =E OF INDIVIDU L =AGE DISPOSAL SYSTE'-I PROPOSED: tJ1a.-� Septic Tank ( ) Composting Toilet ( ) Incineration Toilet (X) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use ( ) Other ( ) Recycling, Other Use WILT EFFLUENT BE DISCHARGED DIRECTLY INTO T.•.'ATERS OF THE STATE: YES ( ) NO (> IS SYSTEH DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( n) NO ( ) WASTET•7ATER FLOW REDUCTION PLAN: YES ( ) NO (x) (16 Yes, see attached CUas t ell a -ten Rew tedLLC t 0;1 methods ) NOTE: The Env,- �o,,vie17.tL(.f--' Heaef`1 060'.�ce"L matt ,educe u.e terj LL`,.2d ab.so%Lptto)i a, -Lea upon appnOVaZ U3 ail adeGUaL.' CUaS.t�;L'C�t2 StCIU-tedLLCtCO;t pCa;t. SOURCE AND TYPE OF WATER SUPPLY: ( ) well ( ) Spr;ng (� Creek/Stream Give depth of all wells within 200 feet of system: + If supplied by community water, give name of supplier: D C SIGNATURE: - - - - --m�DATE ,�Y� �- - - - - - - - - - - - - �_ - - - - - INFORMATION BELOW TO BE FILLED OUT BY ENVIROVEHTAL HEALTH OFFICER: GROUND CONDITIONS: PeAceist G.towid Slope r Depth ,to Bedtoch_ (pen 8' Pto'Zee Hole) Depth to GnocuicLw te,t Tabee SOIL PERCOLATION TEST RESULTS: M.'J u,tcs pet .C)Lch .en Ho..e ? 1 N 1 Mi.autes pen -i;ich .to Hole # 2 i:i-i:icwt us pe%, .iACIL .t0 HOZe #3 FINAL DISPOSAL BY: - ( ) Abs o.tp do;i Tnejtch, Bed o,t PZt ( ) Fvapo.etajts piAa tioj2 ( ) Above Gnoccjtd D.i.spnsa.2 ( ) Sand FU-tct ( ) Uade,tgnowid Dispetsa.E ( ) (Vas-tcwa,tc'c Pclid ( ) O.th CA Amou;Lt Paid: o v /J�'� Recc i,p t NcU:jb c.t ---------------------/--------------------- MTE: Site Plan must be attached to -application. (Env. Health Department - Rev. 4-07-33) d477 EAGLE COUNTY ENVIRONJMENTAL HEALTH OFFICE - Date Routed App I i cation--1'do 141LocatIon) Please revie,:r the attached Individual Se:�rage Disposal System Permit Application and return it with this completed form to the Environmental Health Office. PLANNING: Complies with - YES . NO "REVIE!,!ED BY DA COMIME; JTS : BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIPM17,11ENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Reco.�,mend Approval: CO3'j'-1ENTS : TE YES I NO YES I NO REVIE!-IED BY REVIE1.4ED BY i DATE DATE w Old m-go - CD G) cn 0 > > 2E 0 -TI 0 0799 McMillian Lot 7 JOB NAME Fulford 219 r-=Z3'-14-006 JOB NO. 1� JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL �� ---�-- PERMIT # 799 OWNER: Mona J. McMillian LOCATION: Lots 7 and 8, Block 26, Fulford INSTALLER: Owner SIZE OF TANK: 750 gallon holding tank DWELLING: 2 BR Residence PERC RATE: ABSORPTION AREA: FINALIZED: 7-27-88 BY: Sid Fox ,LDER