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HomeMy WebLinkAbout1342 Beard Creek Rd - #6 - 000000000000INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N_ 0 0891
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: Gary Cornwell Telephone: 295-2500
Address: 1225 Seventeenth Street Suite 2650
System Location: 1342 Beard Creek Road(Scottsville) Edwards, Colorado
)MUMMInstaller: Jeff Thomas P . 0. Box 491 Edwards, CO License Number: N/A
Conditional installation approval is hereby granted for the following:
Minimum requirements: 750 Gallon Septic Tank or Aerated Treatment unit
Absorption area of dispersal area computed as follows:
Percolation rate: 1 Inch in 20 Minutes
Absorption area per bedroom 300 Sq. Ft.
Number of Bedrooms X Sq. Ft. minimum requirement per bedroom -
equals Total Sq. Ft. minimum requirement
Special Requirements: 300 square foot leach field or 60' of 10" SB2
Date: November 18, 1 988Environmental Health Officer: Z41 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 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 portio'y of the ss It
eem.
INSTALLED ABSORPTION OR DISPERSAL AREA: Q. FT.
INSTALLED SEPTIC TANK: GALLONS; DEGREES;— FEET
DESIGN ENGINEER OF SY EM: er '''?' -
INSTALLER OF SYSTEM:
SEPTIC TANK CLEANOUT T9—WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE:
PROPER MATERIALS AND ASSEMBLY:
COMPLIANCE WITH PERMIT REQUIREMENTS:
COMPLIANCE WITH COUNTY / STATE REGULA'
III
Ink
11111111, I
PHONE:5P-2-6 -~3 `lV ge
YES O
YES
YES NO
Y,YS NO
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.) ---1, ,-I
DATE (Final Approval ENVIRONMENTAL HEALTH OFFICER: `t'' L
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: _Carl F. Siepker Name of Owner: Gary Cornwell
Amount Paid: $275.00 .Receipt Number: 796 Date: 11-14-88Cashier:_ J. Brophy
Check # 1296
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: 3260
P. 0. BOX 179
EAGLE, COLORADO 81631
949-5257 Vail 328-7311 Eagle 927-3823 Basalt
PERMIT APPLICATION FEE $150.00
PERCOLATION TEST FEE $125.00
NAME OF OWNER: C KA C o a t' WE;jL
MAILING ADDRESS: j 2 .19 1 % t"" S y f �, S'( PHONE: aq 5'- ass do
NAME OF APPLICANT ( If different from owner) : C S / gip` gA
ADDRESS: 13 H a l3Fnrd Ct-� RED r-6. 6 3 `/ FP,,*xA cc PHONE: 3 ©3 5),a4 -3 � 3 6
DESIGN ENGINEER OF SYSTEM (If applicable):
ADDRESS: •— PHONE: —
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Jj3— -14tongs
LICENSED INSTALLER: ( ) YES (_/) NO
ADDRESS: l36S 13FatF-,f ti, Rd /?(). L1c�1 1FP,,pq7j5 (0 PHONE: 303-�:2G~3ys�9
PERMIT APPLICATION IS FOR: ( ✓) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address: r3 (s 6c-Rlv1CP R4 0-6 Edwiktz4SS ( a
Parcel Number: G Lot Size: 3 AceR5
Legal Description: S"
BUILDING OR SERVICE TYPE (Check applicable category):
Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential'- Triplex
NUMBER OF PERSONS: NUMBER OF BEDROOMS:
WASTE TYPES Check applicable categories):
Commercial or Institutional ( ✓f Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( ) Garbage Disposal ( ) Dishwasher
( ) Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
vJ Septic Tank Composting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable 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
WATER CONSERVATION PLAN: ( ) YES NO
NOTE: The Environmental Health Office may reduce the required absorption area upon
approval of an adequate water conservationplan..
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system: PaPr;:
If supplied bW community water, give name of supplier: Nowt
SIGNATURE: -ea F a<e ,t DATE: to- — L 7 —V �
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope
Depth to Bedrock (Per 8' profile hole
Depth to Groundwater table
SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1
Minutes per inch in Hole #2
1mHnu4Ccs per inch in Hole #3
FINAL DISPOSAL BY:
( Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Under Ground Dispersal ( ) Wastewater Pond'
( ) Otfjer
AMOUNT PAID. 22?5'• 0` RECEIPT NUMBER cl Lo DATE:
rpp7ry mimrz i? 17 n "`RACNTFR•
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION.
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER".
(Environmental Health Dept. - Rev. 4/88)
i
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $125.00 ISDS APPLICATION NO.
OWNER:
LEGAL DESCRIPTION:c�� LU CGXc �p
RURAL ADDRESS:
TYPE OF DWELLING: /���G»—� /6e� NUMBER OF BEDROOMS: f
DATE OF PERCOLATION TEST: TYPE OF SOIL: C
TEST HOLES PRE-SOAKED: YES X_ NO
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
2
3
1
2
3
1
2
3
PERCOLATION RATE: /''a�'z
RECOMMENDED MINIMUM SEPTIC TANK SIZE: 7(5"Q
RECOMMENDED MINIMUM LEACH FIELD SIZE:
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environmental Health Officer
COMMENTS:
Rev. 5/31/84
Date
1
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $125.00 ISDS APPLICATION NO. 3260
OWNER: GARY CORNWELL (CARL SEIPKER, ,JEFF THOMAS, BLADE RUNNERS)
LEGAL DESCRIPTION: 23 _ACRES, LOT 6, SCOTTSDALE
RURAL ADDRESS: 1365 BEARD CREEK ROAD #, 6, EDWARDS
TYPE OF DWELLING: 1 BEDROOM SINGLE FAMILY RES. NUMBER OF BEDROOMS: 1
DATE OF PERCOLATION TEST:
TEST HOLES PRE-SOAKED:
NOVEMBER 16, 198SfYPE OF SOIL:
YES A NO
WATER DEPTH
____TTIME
INCHES OF FALL
RATE
1
2
3
1
2
3
11
2
3
1
2
3
/
-.--
---�
�---
.
PERCOLATION RATE: 2-0 /'5sG',�"''
RECOMMENDED MINIMUM SEPTIC TANK SIZE: A/g
RECOMMENDED MINIMUM LEACH FIELD SIZE:
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: �3 QQ
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
G
Environmental Realth Officer ER I K W . EDEEN Date f 11-16-88
COMMENTS:
Rev. 5/31/84
891 Cornwell 1342 Beard
Circle
JOB NA JOB NO.
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
--_
PERMIT # 891—� --- ----------
OWNER: Gary Cornwell (Carl Sei
Jeff and
Runners all hada hand
LOCATION; Creek Blade
1365 Beard in this, too)
INST Scottsdale ek Road A, Edwards
ALLER: Jeff Thomas
SIZE OF
TANK: DWELLIL1000 Gallons
PERrnNG 1 Bedroom rP.; a_
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
---+zu: LO MPI
ABSORPTION AREA: 60 feet of 10" SB2
FINALIZED: 12-16-88
BY; Erik Edeen
JOB FOLDER Product 278 tL---
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