HomeMy WebLinkAbout14006 Colorado River Rd - 186113402005INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N2 0842 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: Carol J. and Dale W. Proffitt Telephone: 288-1997 Address: 6455 Glencoe Street Commerce City, Colorado 80022 System Location: 14006 Colorado. River Road Licensed Installer: License Number: Conditional installation approval is hereby granted for the following: Minimum requirements: 13QnGallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: ��� Percolation rate: Inch in 1() Minutes Absorption area per bedroom a O Sq. Ft. Number of Bedrooms -' X aO() Sq. Ft. minimum requirement per bedroom - equals Total Sq. Ft. minimum requirement Special Requirements: Date: ')-2,I -SCSI Environmental Health Officer: Erik Edeen 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 AREA10 SQ. FT� INSTALLED SEPTIC TANK: 0 GALLONS; & DEGREES; 2 S FEET DESIGN ENGINEER OF SYSTEM: ) INSTALLER OF SYSTEM: PHONE:)-2"- 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 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.) �2� DATE (Final Approval:__LENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Carol J . and Dal e W. Prof fi tt Name of Owner: Carol J . and Dal e W. Prof fi tt Amount Paid: $150.00 Receipt Number: 4890 Date: 5-20-88 Cashier: JO Check # 3673 ;' White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner i E VIRONME.:TAL H-ALT11 OFFI E - EAGLE COUNTY P.O. Boy: 850 Eagle, Colorado 81631 No. 8150.00 328-7311 ' PF.RCOL%TI0N TEST FEE/ SRO. NA."iE OF OI.,;ER: 0.Y�dl� �i . + ,� ZJ� e C(/, r0 PT/�r ADDRESS: G 1isr 19-I p �n c� �l 2 Z f'►7/YI�vCol Ti �IY NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTE2f (if applicable): ADDRESS: P'hr1 Aviv IivSIALLATION OF SYSTEM: PHONE: PHONE: PHONE: Licensed Installer (see attached list).- YES- NO ADDRESS: PHO.;E : PERMIT APPLICATION IS FOR: ) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTE`f: Street/Rural Address: Zf2 00 C Lot Size: , Legal Description: a /347'-00.-02-'C�i- 02 BUILDING OR SERVICE TYPE (check applicable caItecorv): Residential - Single Family ( ) Residential - DuDlex ( ) Residential - Tr_plex NUMBER OF PERSONS: WASTE TYPES (check applicable cate;ories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes, ( ) Garbage Disposal Automatic Washer Other TYPE OF INDIVIDUAL SEG7AGE DISPOSAL SYSTE'-1 PROPOSED: (3�) Septic Tank ( ) Compostigg Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other G 41 4 x ' °i AP?LT_'CA; f7`, FOR I';DI1' ;::::AL Sr:j.-'�G-i DIS?0S AL S';S'I pF7_'-!T • PER`fIT APPLICATIO\' FEE: ( ) Residential QuadoleV ( ) Co=.ercial (state usage) NUMBER OF BEDROOMS: Dwelling ( ) Transient Use ( ) Dishwasher ( ) Spa Tub ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES OKJ -'NO ( ) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO (�) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO (�} (I 6 yes, see attached tcas-t etcate t SZc•ty redueti.on metfLods) \. NOTE: The EnvZtownentat'_ Heae th O J'.Zce/t mat( reduce the regu i,ted abs o `cpti,on area upon appiovae o5 an adequate tcas.t eLeater 6&tv reduction pZa2. SOURCE AND TYPE OF WATER SUPPLY: (�) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: : LA&et� SIGNATURE------ ---- ---------------DATE_- b _-_ - --- INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent Ground Slope ti G r Depth to Bedtoeh ( pen. 81 Pro 6Zee Hot e) -7 /0 7 Depth to Gnoundttia te,`c Tab& 7 / C, SOIL PERCOLATION TEST RESULTS:. _/0 fi;1ute5pelt..incq iTi Ho�_e #1 l Ali.nutcs pert inch .to Hote #2 IYIi(.i L(.l.l..eis pe%L iACIL to 1lote #3 FINAL DISPOSAL BY: - ( ) Abso,tptioii Trench, Bed or Pit ( ) Evapot,=Lsp AG_ti.on ( ) Above Grcund DZSpe,,usaL' ( ) Sand F,ittc't ( ; Undetg,tound D.tspvrsae ( ) Wast-exat'Ct Pond _ �i�9a 0 - ( II s0 0 0 - �l• s ao ��� c-�� � i0�13 A►nou;zt Pacd: Recei,ut Ntu;ibcr �o2��j Date.: &I --/-8 -------------------- _v%---------------- NOTE: Site Plan must be attached to application. 7!To �G ulh (Env. Health Department -Rev. 4-07-83) 5t G � �� ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Name Date Route QQ &�-Application No. Location Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form the the Environmental Health Office. PLANNING: Complies with - YES NO REVIEWED BY DATE Subdivision Regulations: Zoning Regulations: Recommend Approval:. COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodpiain Permit Necessary: I.S.D.S. Regs..Compliance: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE • I D DATE JA EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 April 18, 1988 Carol & Dale Proffitt 6455 Glencoe Street Commerce City, CO 80022 Dear Mr. & Mrs. Proffitt, Thank you for your phone call today regarding the Individual Sewage Disposal System permit for your property located at 14006 Colorado P.iver.Road. All we need to get the permit issued will be a detailed site plan and a check for $150.00. If you need additional assistance, please do not hesitate to contact me. Si nce`rely, Erik Edeen Environmental Health Officer Eagle County EE/ar xc: files 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 W I EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 June 23, 1987 Carol J. & Dale W. Proffitt 6455 Glencoe St. Commerce City, Colorado 80022 Dear Mr. & Mrs. Proffitt An inspection of your property on June 15, 1987 revealed that the site conditions and soil percolation tests indicate your lot is suitable for an individual sewage disposal system. You must maintain 100' between septic drainfield and your potable water supply well, and all neighboring supply wells. The size of your lot does not conform to current lot sizing regulations that are enforced in Eagle County. You may need a variance from the lot sizing requirements. Please contact -Mike Mollica of our Community Development Department for additional information. Mike can be reached at 328-7311 Monday through Friday from 8:00 am to 5:00 pm. If you have any questions regarding this leter or any other matter please contact me at the County offices. copy Susan Vaughn Mike Mollica file S i ncerely, Erik W. Edeen 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 ENVIRONMENTAL HEALTH OFFICE N ame'� % Date Routed�1 j\ ApFt i ccation--140 Location Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form to the Environmental Health Office, PLANNING: Complies with - YES ''NO •REVIEIIED BY DATE Subdivision Regulations: Zoning Regulations: Recommend Approval: COtiP•�E'dTS BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ,ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: EN111PONi MENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YES I NO REVIE!•!ED BY DATE I • � ------------------- 02 YES NO I REVIEVIED BY YES I NO I REVIE14ED BY C0IMi1ENTS: �C�1ly�4 ZE,6 h1,- 6.—Z2--$7 DATE DATE 69 PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO.E 0` OWNER: / At l LEGAL DESCRIPTION: .RURAL ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS:_ DATE OF PERCOLATION TEST: C 16--. S7 TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO 1 TIME 2 3 WATER DEPTH 1 2 3 II INCHES I 1 OF FALL 2 3 RATE 1 Cf PERCOLATION RATE: In "Cle- RECOMMENDED MINIMUM SEPTIC TANK SIZE: % L57- RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 2-n r) SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer Date COMMENTS: Rev'. 5/31 /84 842 Proffitt 14006 Colorado JAB NAME_ JOB ina i nrtnTrnnr BILL TO DATE STARTED DATE COMPLETED DATE BILLED _ # �'i f f�tt PERMIj arOl and pale Pro ver ?load OWNER' C 14p06 GOl°radO R, `OCPjION 0,Aner Gal AOns R 00 INsj ANK' 1 ResA den°e 11 �WE� NG 3 10 MPI 0x10X11.6 Dry we gr,k Edeen PE SCR A ION AREP • 1 gy Ag 3_26�$$ FINP�IZEO• JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOE ___.yN,MA 01471 JOB FOLDER Printe4 0