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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--- DMMO _ "V Qi �1 Z tU W 2 o y, a OJ Z W n f0 r `` / ti U V 0 pop U N,,, C C3 Z a W a �. W O t) 0 ns - OIlVl � (� J I— O H C CL `p � N 0 ! � ❑ t y M U ° U U Q 1� x Y U N L U E U m 0