HomeMy WebLinkAbout476 Pilgrim Dr - 210519202008 - 0752ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0752 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: Sanford M. Treat, Jr. Telephone: (416)366-8321 Address: P. 0. Box 77, #2550 Toronto Dominion Center, Toronto, Canada System Location: 8 Casteel Creek Drive Licensed Installer:_ Donald Davis Excavating License Number: Conditional installation approval is hereby granted for the following: Minimum requirements: 1250 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: Inch in 7 Minutes Absorption area per bedroom 200 Sq. Ft. Number of Bedrooms 4 X 200 Sq. Ft. minimum requirement per bedroom - oloC) equals 800 Total Sq. Ft. minimum requirement fr"". Lq.pkj, oa !eo© � Special Requirements: Setback from ditch 50 feet - applicant must submit an as -built site plan. Date: ? �S396 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-/ 2'-S- 0 GALLONS; ZOO DEGREES;____ FEET DESIGN ENGINEER OF SYSTEM: /5-- INSTALLER OF SYSTEM: G w' '. 4 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 COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES 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 DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Sanford M. Treat, Jr. Name of Owner: Same Amount Paid: $2,00.00 Receipt Number: 2117 Date: 7-8-86 Cashier: E. Huenink Check #98 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APP I1.ATID ., FOR Sr.: AGE DISPOSAL S':S-7 P77�'!T7 E`XIRO.'`fE.:TAL f:EALTif OFFICE - EAGLE COU:::�' P.O. Box S50 (( f Eagle, Colorado 81631 `:o. 1. D`� \r PERMIT APPLICATION FEE: 8150.00 328-7311 PERCOLATION TEST FF7: S50.00 NAME OF Of.T\ER: �1/,VI/0 _ ADDRESS: c�JC %2 7saG l �d �� /%,tf PH0';E: NAME OF APPLICANT if different from owner): ADDRESS: �� S®c �'�G f//IflI' c /!�/ �t��dC, PHONE: DESIGN ENGINEER OF SYSTE.`f (if applicable) : ADDRESS: i :/�. �j� �6fa �j!%��'.//� , fJl`%ZO�i PHONE: PrtCav�v ILL V YJ11JuL I:;�; INS,-'LLATION OF SYSTEM: Licensed Installer (see attached list): YES- NO ADDRESS: PERMIT APPLICATION IS FOR: (Vj"_ New Installation LOCATION OF PROPOSED INDIVIDUAL SM4AGE DISPOSAL SYSTnf: Street/Rural Address: 0e Lot Size: Legal Description: BUILDI�-OR SERVICE TYPE (check aoolicablz catertorv): ( ) Residential - Single Family ( ) Residential - Duplex ( ) Residential - Tr -oleic NUMBER OF PERSONS: WASTE TYPES (check apolicable cate?ories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( Garbage Disposal (� Automatic Washer ( ) Other I ( ) Alteration ( ) Repair ( ) Residential Quadplex ( ) Co.--::ercial (state usage) NM-IBER OF BEDROOMS: (✓) Dwelling ( ) Transient Use ( ✓f Dishwasher (v'5 Spa Tub 1 TYPE OF- N'DIVIDUAL =E?'AGE DISPOSAL SYSTEM PROPOSED: ( Sept;cTank ( ) Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use ( ) Other LC� e' ,_ /v ( ) 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 (VY (I6 Yes, see attached was.t ezcatet Stew Aeducti.on me''zods ) NOTE: The BnvZtowentaL. Heaet'z 0'6.�ee,,L macs ,teduce the ,teoui;ted absorption area upon apptovaZ o' an adequate was,' e er 6zow reduction nZa,i. SOURCE AND TYPE OF WATER SUPPLY: (, k'ell ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIG.'ATUREDATE ----��-------r----- - - -- ----- - - - - -- i INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent Grou;zd Slope r Depth to Bedtoeh (pe•i &' Pro5.t.2e Hole) Depth to GnouJz&vcutet TabZe SOIL PERCOLATION TEST RESULTS:_ Ai;lutes pet .inGt .in Ho. e nl Minutc3 pets .inch .to HoZe # 2 r•u.Yru.t,t',S r:.e%L -(.rtGl �.0 Hvze 43 FINAL DISPOSAL BY: _ ( ) Abso.tptiod TreJzch, Bed at Pit ( j Evapot,=tspiAation ( ) Above Grcund DZspe,.sa.('_ ( ) Sand Ftet&t ( ) UJtdety,tound DZSpvrsae ( ) (Vas -tc=tct Pond OthvL ao - %� �00� ArnvuJzt PaLd: Q� Recet;-�t Ncunbet �W Dat- : �? 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. OWNER: LEGAL DESCRIPTION: Y ✓ �r/ � � �� l� ��� � RURAL_ ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: — `� 2 •— $ TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES ����NNOO TIME 'I WATER DEPTH 1! INCHES OF FALL RATE 1 2 3 1 2 3 I 1 2 3 1 2 rZ.'Z2 Z:23 �b Z r �f2 �� a 5 �j� PERCOLATION RATE: m o_:I: RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: 8O6 (� 0 2 2-00 r RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Zoo 02 �sca ---� �N►, SITE HAS BEEN REVIE�IWED AND TESTED FOR PERCOLATION RATE. Environ tal Health Officer Date COMMENTS: �2.�.. �c '- sv _ Rev. 5/31/84 C COLORADO DEPARTMENT OF HEALTH ACCOMMODATIONS INSPECTION REPORT Name6/(�e1 ` Co. Acct. No. Category No. / 9 Y Location Zip Owner Address Zip Operator Address Zip Units Capacity Male Female Juv. Water, Source -Type Sewage, Type -Method Food Source Swimming Pool An inspection of theabovenoted facility on this date reveals the violations and deficiencies listed below which you are hereby ordered to correct: r ....1_�kso k/c/1 Date Received By JPS:57 (5-75-10) Inspected By Score �� � [Ott '--'2 1 a ,I v aw0.�3 J .7 8 NAME Aloe 1990 cqo©� JOB, P40� OB TO DATE STARTED PERMIT #752 DATE OWNER: Sanford M. Treat LOCATION: 8 Casteel Crk. Dr. / Lot 8, Pilgrim Downs INSTALLER: Donald Davis Esc. SIZE OF TANK: 1250 gl. DWELLING: Res. Single Fam. w/Caretaker Unit - 4 bdrms PERC RATE: 1 inch in 7 mi-nutes ABSORPTION AREA: 825 s.f. FINALIZED: 10/02/86 BY: Erik Edeen 0 _DER 0 N i O L N O E Cc y o - m C U E C y c +� cis_ .V v- > 0 — C °- 0 rn. C. -t) � M C CA C = 7 Q� •O E(n > O. C 0 C) 0 vi 0 N Q •i U 0 c cco = C cCo L M L yU 1 c � o o -0 E a 113.0 O Cl w a> 0 0 fYC r N y _ c R 11�V1[`1 O oV t O d 3 E O O y 0 d -W W aCi —00 • � aC0 DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS ° >�: o ° -no ,D C i O E+_ y b •>r c�mco ob v W ° C V - C R d? � a "0y co r c co c + z z O Cl)-0 '� � z y � � � -0 GC a Q.0 O m W = Q W CO cca`� m° coo > U Q Q y � 0.0 w= 0 0 J 0 TOTAL JOB COST GROSS PROFIT LESS OVER jIEAD COSTS % OF SELLING PRICE NET PROFIT 0}0 Printed in U.S.A. W U LL LL J W 2 ,+ N Ve, -Z lull�� =='�1� 'I — a� ,��—III�I�� F-iLL, vi AI PI rE- rip fms:W Z.0 q 04V 0. FL.mil —% OL Afit Ile CA of %17 4i P;;,� P?;Kj 711a 1br.L. 40f 10 C-,MF,7ur ON acy, V r > FA H LCrVe> Fri LA FIL&P-bH-p Ekw-rp-. -Te.A f ' / f�o L3 NORTH -P ' SITE PLANS 60)P 501T 49 0�. 11 A-1