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
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41
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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
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BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
_
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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
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