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HomeMy WebLinkAbout333 Escalante - 239127205008 - 0897ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N2 0897 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: John R. Ziegler Telephone: 920-1879 Address: 0058 Maroon Drive, Aspen. Colorado 81611 System Location: 0333 Escalante, Carbondale, Colorado 81623 7-6 Licensed Installer: Owner Installed License Number: - Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or - Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 53 Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms 3 X Sq. Ft. minimum requirement per bedroom - equals Total Sq. Ft. minimum requirement Special Requirements: 1000 Gallon septic tank - a dosing tank is recommended. Also, 3 - 80 foot long trenches - 2 feet wide with 1 foot of gravel under the pine or a total of 18 inches of gravel. �'` '�/� Date: 3/31/89 Environmental Health Officer: ��T ( l 4 Sid Fox 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 AREA: L't SQ. FT. ��'� INSTALLED SEPTIC TANK: � GALLONS; 270 ® DEGREES;_ FEET DESIGN ENGINEER OF SYSTEM:u liE.t/� �✓ INSTALLER OF SYSTEM: /,�'c%+ t. C)1�vh e✓ PHONE: � 2-C'— 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. Arran e re -inspection when work is completed.)�� DATE (Final ApprovalL/Cl' ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: John R. Ziegler Name of Owner: John R. Ziegler Amount Paid: $275.00 Receipt Number: 1275 Date: 3-22-89 Cashier: A. Rusch Check No. 366 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No. /6;4 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: MAILING ADDRESS: M&eo,ji /�,3. 1421" 9/61/ PHONE: 920-1S179 NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES () NO ADDRESS: SC'n'-t PHONE: PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: , , Physical Address: Parcel Number: Legal Description: Ccs,kondc,LY Co, �fGZ 3 Lot Size: 3, Ol BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex Residential - Duplex ( ) Commercial (Type) ( ). Residential- Triplex NUMBER OF PERSONS: 2 NUMBER OF BEDROOMS: � WASTE TYPES Check applicable categories : ( ) Commercial or Institutional ( ) Dwelling (?�) Non -Domestic Wastes ( ) Transient Use O Garbage Disposal ( ) Dishwasher ( ) Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: X 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 conservation plan. 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: S�fN ►'n£Sft o'ea�i�RJ1�S SIGANTURE: L g. 2��_ DATE: Isla-c-, )G, /Of 9 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 Minutes per inch in Hole #3 FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: $Z76,,00 RECEIPT NUMBERS , DATE: 3 /89 AI_ NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. (Environmental Health Dept. - Rev. 4/88) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. OWNER: LEGAL DESCRIPTION: 6- RURAL ADDRESS: O 3 33 TYPE OF DWELLING: S 1 NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: Z Al TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 a •. - e 11 'lZ 3 : 143 ► i ��s 3/a S3 3-.3e� l PERCOLATION RATE: J 7:� M p RECOMMENDED MINIMUM SEPTIC TANK SIZE: to U 0 RECOMMENDED MINIMUM LEACH FIELD SIZE: / 0 RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 300 C I SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. �-) 7 Environmental Heal M Officer COMMENTS: 1 UVU C_,5A-1 ow l'7_ Rev. 5/31/84 Date ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE t�Eir� R. ZlEU LERI _�1122/Name EJ 12q Date Routed 033.3 E6c0LqlUTE,„ Location �©��A�D 1j(f_ Application No. 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: ilwm NO FAI . =4 COMMENTS:_ 11 .1' 7 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 - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE DES NO REVIEWED BY DATE -c nin DMITCLIEM Dv nATC 1 LJ 1\V 1\L V I .:.. LU U 1 V11 L_ EAGLE COUNTY BUILDING D��s�oN I N S P ECTI.O N. R EQ U EST Phbne:328-7311 P. Box 179 BUILDING PERMIT NO.. �t DATE:JOB NAME TIME ) ;:. AMA RECEIVED: ❑ Plvl... CALLERr'F fT d"N fr•.+' w ® d �' hb�3 �" 49`��' �t, 1 sIRRe. 51 d g i 9®� '��� 4 YuiF} ias 1' i� ry I' �'� t � :® eJ � `°°k' "� L� �„4' @�i kU7&u d '.�.-r.`Iwo ®� '��� �� � & Shs� fl � Tq. �e �:„ I'■3:' Cs C� � .r�4 ��� �. �� d?���€g�#3 `+IrhY t: � � �`� � ��7Y� � % i � d�ll.S GJ�E�I'j t � � 3 �,: ���t k; 1i $i'9� `%" �""�� % ✓® fix. i�7.; 9G i a d �° �,�,-�' a��"'��� ��` i 3 �9@d`€:■�i F � � -11N '� � fWo �� �■. ���� �� a ki d � ����`€. r4�� � �l I ■ OTHER LOCATION: ■ Ready for Inspection.., ■ MONDAY ■ TUESDAY ■ WEbNESlpAlY EITHURSDAYi o• ■ ■ • M'-REINSPEGT ■ .e . . • . s •• MEMORANDUM To: ISDS File No. 897 , From: Raymond P Merry, RS' RE: Status of ISDS Perm' o. 97 issued to John. Ziegler at 0333 Escalante, Aspen Mes Estates On November 3, 1989 a site visit to 0333 Escalante revealed that the septic system appeared to be installed and covered. There is no record of a final inspection for this property and should be placed in the "completed" file for future reference. L of r.. .. .. ............ +2 Lto e4L CAIJ C, 897 Ziegler 0333 Escalante - n 7 VJOBNAME_ Carbondal 2391-272-o5-oos JOB NO. (� JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST -SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT __L00) JOB FOLDER Product 278 Qp NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed to US.A. �r n;� 4 r Ltd Tr 7 B �_�3.0 1 AC * ;{r�� i` tiQt a\ i\+dJ P(CLVRurry r v� ►s ........,......1.. - -- - - - '•�ENT NO. -- - - - -_ a,1 ,nE(;ORDER OF. EAGLE -!COUNTY COLORADO AS DOCI,,. � } ;_' DAY OF_:-.__—,'- A.D.19 EXECUTED THIS - • ` Wit..-t. . - F r '� �5 r: HE-- E:j.",� - - --- - — CQ_UTi_�1i�'i1/11�'_�"v_EF_ u� aT!r ATE_-, SURVEYOR'S CERTIFICATE , _ THIS PLAT APPROVED BY THE BOf,.'�^ OF C`__'MsA,ISSI0NERS 0 I, JklklD ES F RESER, DC HEREBY CERTIFYTHAT I AM A REGISTERED EAGLE COUNTY, COLORADO THIS _ C,:Y __ _ LaD SURVEYOR LICENSED UNDER THE LAWS GF THE STATE OF - ` A.D. 19 ,FOR FILING WITHTH ,ERK"A u EECOFr�EK '� �:.OLORADO,THAT THiS PLAT IS ATRUE,CORRECT AND COMPLETE I' EAGLE COUNTY -AND FOR CONVEYANCE TO T HE COUNTY Cc � OF FEAT THE REPEAT OF LOT 7, ASPEN MESA ESTATES, FIRST- '�`t - PUBLIC DEDICATIONS SHOWN HE RE N"; SUSjEuT-TOTHE PRL,':SIOf4 F ILING AS LAID OUT, PLATTED, DEDICATED AND SHOWN HEREON, ``� THAT APPROVAL IN NO WAY C9LIG" ES �Au_E COUNTY FOR THAT SUCH PLAT WAS MADE FROM AN ACCURATE SURVc*Y OF SAID - • FINANCING OR CONSTRUCTING C '"=RCr�'E'vIE�4TS ONLAZS, PROPERTY BY ME AND UNDER IV,` SUPERVISION AND CORRECTLY ,a •'•� 1 STREETS OR EASEMENTS DEDI:A ��TO'�iE r'JBLIC EXCEPT SHOWS THE LOCATION AND DIMENSIONS OFTNELOTS EASEMENTS- f`I SPECIFICALLY AGREED TO 13Y Th y'0�'.RD O`= CO" "�!ISSIONERS AND .AND STREETS OF. SAID SUBDIVISION AS THE SAME ARE STAKED tj � FURTHER THAT SAID APPROVAL �_' :Ll. !` I �^ WAY OBLIGATE EAGLE UPON THE GROUND IN COMPLIANCE WITH APPLICABLE REGULATI - ` • `' '\� COUNTY FOR MAINTENANCE OF DEC; ,ATED TO THE PUBLIC GOVERNING THE SUBDIVISION OF LAND.:_ r� UNTIL CONSTRUCTION OF IfviPROVE; �""S THEREON SHALLHAVE � �s_. BEEN COMPLETED TO THE SATIS ,,� TION OF THE BOARD OFIN WITNESS WHEREOF I HAVE SET MY HAND AND SEAL THIS' COMMISSIONERS. DAY OF 5EPreMOER A.D. 1978, _ - - CHAIRMAN 4AMES F. RESER . - - ' `F WITNESS MY HAND AND SEAL OF TuE COUNTY OF EAGLE REGISTERED LAND -SURVEYOR 9184 :r 1 . � COUNTY CLERK 1 N,� - K CERTIFICATE 2 - PLANNING COMMISSION CERTIFICATE_ "4 —OF -TAXES UNDERSIGNED DO HEREBY C z.IFY THATTHE ENTIRE-NMIOUNT ' I,THE ttin!nFpS!G. T IIS FLAT APPROVED BY EAGLE COUNTY PLANNING AND ZONING T ;. _ PA A LE AS THIS DATE OF TAXES AND ASSESSMENTS D� h `D PAYABLE I CCMIv `ISStON THIS DAY OF �I 1 - UPON THE PARCELS OF REAL ESTATE DESCRIBED ON THIS SLAT A.D. 19 ARE PAID IN FULL. by: DATE - CHAIRMAN:--,'.- - �. RESTRICTIONS _ NOTES. - -- - �. CLERK_RECORDER_- -- ERD. Lr�. UCH IME THATTME BAS,� C,aRBONDALE u". i F , ,:'OWNOUND REBAR fJ0 CAP . AT S T I[ _ THIS PLAT w D CO D NRTHIE OC F THE CLERK _ _ _ FND • F +� � F SYSTEM ���-. D THESE _ � �: r -- - ;+I CENTRAL SEWER SYSTEM IS I'IS Lt_E T .------ -_ .- t SET: SET 5 REBARW/PLASTIC CA. _.S.9184 CENT - F; A nt ; c ,� ._.- __ EA 0, EAGLE t`.'vD RECORDER AT O'CLOCK�M t — = LOTS WILL CONf.�CT TO THE 5 ;t. = TOTAL ACRES 7.47f (SINGLE FAN,Y RES.) • , T� - � - COU"ITY, COLt�RADO AND IS D.�LY RECORDED IN BOOK t PAGE NO ST t OF.COLORADO NUMBER OF LOT$ f+ - 2 =.I ss PROTECTIVE C VE.' "NTS SEE ..� FOR ORIGINAL PROTECT 0 ., - COUNTY O E COUNTY RECORDS. BOOK 213 AT GE OF HE EAR.., U - THE FOREGOING DEDICATION- WAS ACKNOWLEDGED BEFUR METHIS . GAY_OF A-D, 19 - . BY -