HomeMy WebLinkAbout35427 Hwy 6 - 210504455004 - 0813ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT NQ 0813 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 REPLIR YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner: Pahl Kudel Telephone: 312-969-2226 • dd. rlinrci 1•.u-Grove System Location: *15427 Hwy 6 Edwards, Licensed Installer: Ri 11 Ewing 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: I Inch in 2n 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: 10-5-87 Environmental Health Officer: Erik Edeen j ,,�- e 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. F INSTALLED ABSORPTION OR DISPERSAL AREA: L� SQ. FT. INSTALLED SEPTIC TANK: G GALLONS; DEGREES;— FEET DESIGN ENGINEER OF SYSTEM:? INSTALLER OF SYSTEM:y i/mil/ �= 1 "a, PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES G NO PROPER MATERIALS AND ASSEMBLY: YES NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES]` O COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO COMMENTS: / Q "d3— 67 (Any item checked NO requires correction before final approval of system is made. Q Arr r -inspection when work is completed.) /C1—/�S—S % 'C c< -� 7 DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER. DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS Name of Applicant: Dave Kudel Name of Owner: Paul Kudel PERMIT Amount Paid: fi 1 90 _ nn Receipt Number: '1980 Date: 10-9 87 Cashier: J . Brophy Check 11303 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APP ICn7+n. FOR yr"i:'.;.�L :;F'::\(; DIc-.,.�:tiL ..:�-_ Pr. PER:?IT API'LIC:,TION FEE: NAME OF OWNER: No. O S Liu. M1 ' - PERCOL\TIO`; TEST F F... $123�( ENVIRONMENTAL EEALTii OFFICE - EAGLE Cl'•[:;:T`:' P.O. 30- ,;50 Eagle, Colorado 81631 3'8-7'1' ADDRESS: L_), c4, �. r-r1 �©r��it r-� 6cc) U�.r.,� �� PHONE: 3 �2"�Itac(""Z-Z �? NA.'�IE OF APPLICANT (if different from ocmer) : \_10Cl o ADDRESS: Box 4 ."� S ` 2.1 W ) PHONE: Cl 4(0-3�c43 DESIGN ENGINEER OF SYSTE.`I (if applicable): ADDRESS: PHONE: C/ INS ALL.NTION OF SYSTE`l: - cAl;V��G /� lam/1I ij ` Licensed Installer (see attached list): YES. Ij- NO is�G ADDRESS: PHO:;E: PERMIT APPLICATION IS FOR: ( ) New Installation ( ) alteration (�) Repair LOCATION OF PROPOSED IJ:DIVIDUAL SEA?AGE DISPOSAL SYS7774: Street/Rural Address: Lot Size: Legal Description: BUILDING OR SERVICE TYPE (check aoolicable cate^-orv)• ( ) Residential - Single Family ( ) Residential - Duolex f(x) Residential -NUMBER OF PERSONS: WASTE TYPES (check aoolicable cate;ories): ( ) Co=ercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal ( ) Automatic Washer ( ) Other ( ) Residential - Quadples ( ) Co.-::::ercial (state sage) NL^•IBER OF BEDROOMS: (X) Dwelling ( ) Transient Use ( ) Dish:aasher ( ) Spa Tub E OF In7DIVIDUAT. SE?-:AGF DISPOSAL SYSTE•I PROPOSED: (X) Septic Tank ( ) Cor„posting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant l ( ) Other ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISC10,GED DIRECTLY INTO ?'ATERS OF THE STATE: YES ( ) NO (x ) `IS SYSTE`? DESIGNED FOR LESS TdAN 2,000 GALLONS PER DAY: YES NO ( ) WASTE?,7ATER FLOW REDUCTION PLAN: YES ( ) NO ( ) I6 YeS, See at tcched a:as c,,eLtet Stew .'LedLLGtCc;T ;ne,u'LOdS NOTE: The EnvZLo;une;2ttc.e Heaevt 03'6.i.ec,t mat ,educe the •terjuZted ab.sc,Lpt,LUn atea upon app,tovae o5 an adeOU.at CtiaSiel'Q.i %� SCCCU .tedLLCtC0;2 pea;2. SOURCE AND TYPE OF WATER SUPPLY: (�) Well ( ) Spr;ng ( ) Creek/Stream Give depth of all wells within 200 feet of system: 1S {-•-F-- If supplied by community water, give name of supplier: SIGNATURE_ -C3r'.' SuO- rD�Q - - - - - DATE: 9I LS I '- - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICEr": GROUND CONDITIONS: Penee;vt G.tound Slope r Dept:L to Bed -Loch eh (pen 8' P.to �tiee Ho ee ) Depth ,to Gh.OLL;icCccutet Tab.ee SOIL PERCOLATION TEST RESULTS:f Zii�'hA�— ,{ c;Lutcs pet .Lne;l en Hobe K1 4f.L:;uctcs pelt .melt .to Ho.ee # 2 rf i(;LutuS lie,", iiLck tO Ho•i'e #3 FINAL DISPOSAL BY: 2ya / 6,Z � ( AbSo.tptLo;l Tae;Lcli, Bed o.t Pit ( Evapot,=LsPiACt 0n r ( ) Above Gacund DZspe%.sa.e ( ) Saad Fie-tct ( ) Unde Lg.tound DispnSae ( J Was.t ccra.tc-t Pond Amou;tt Paid: M, OO Recei;2t NLu;ibe-t Datc: ——————————————————— �———————————— — — — — — — NOTE: Site Plan must be attached to'application. (Env. Health Department - Rev. 4-07-33) ate Rou ed EAGLE COUNTY E`lVIROPiMENTAL HEALTH OFFICE Pame) _ U App 1 i cation lic Location Please revie,;i the attached Individual Se: -rage Disposal System Permit Application and return it witF ",is r^mniQ+Pd form to the Environmental Health Office. PLA?iNM DATE BO1Se Cascade .., . COi XEi: BUILD Bui COMmE ENGI COMr EN11 F CO: pri � I w tl�., W � to EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328-7311 October 6, 1987 David Kudel Box H Edwards, CO 81632 Dear David, Enclosed is your ISDS Permit #813, for property located at 35427 Hwy 6, Edwards. The information on the permit application indicates that the system will be installed by Bill Ewing. This yellow copy of the permit must be posted at the installation site. You must call our office for final inspection before convering any portion of the installed system. We can be reached at 328-7311. If you have any questions, please contact this office. Sincerely, Jo Brophy, Secretary Environmental Health Office /jb 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 61-1 xuael 35427 Hwy 6 Edwards . JOB NAME _ JOB NO. X0 JOB FOLDER Product 278 &jj7® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB (led poo - 0� 56 7- loco #OPl3. vcc(-, -oo' 0�-M2. �✓i u.�� rYv� i2u.�n�-vc �W"h,,4, 'h;1 9 .� 1 •s Imo: /�; ,4