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Home My WebLink About467 Kaibab Rd - 210904104003 (2)INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 962 Please call for final inspection before covering any portion of installed system. OWNER: Frank & Cheryl Farren _ PHONE: 328-7332 MAILING ADDRESS. P.O. Box 893, Eagle, CO 81631 AGENT: PHONE: SYSTEM LOCATION: 0467 Kai bab Road, Lot 20, Filing I I . Upper Kai bab LICENSED INSTALLER self/owner LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 600 SQUARE FEET OF TRENCH BOTTOM. or 200 1 f of 1011 S132 SPECIAL REQUIREMENTS Setback from dry gulch drainage - 251 . ENVIRONMENTAL HEALTH OFFICER DATE: CONDITIONS: 1 ALL INSTALLATION UST COMPLY WITH ALL REQU/REM TS F EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GR TE 25.10-f04, C.A.S. 1973, AS AMENDED. 2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STR CTURES 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 Ill, 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: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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: 89t1AAE FEET. 65 Z INSTALLED SEPTIC TANK: I d e lJ GALLONS 70 DEGREES _ r! FEET SEPTIC TANK CLEANOUT TO WITHIN B" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: L' YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: _ ENVIRONMENTAL HEALTH OFFICER. ��i— �.►'a DATE: ENVIRONMENTAL HEALTH OFFICER: _.. DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: _ _ ... _ OWNER: . AMOUNT PAID: RECEIPT II: CHECK 0: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: �3 � P. 0. BOX 179 evil-) - 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: NA14E OF APPLICANT (�,f d'ffereVrom owner): ADDRESS: �! DESIGN ENGINEW F SYSTEM (If applicable): ADDRESS: PHONE: _3,�2 Q =7 3 3 0, PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES (�) NO ADDRESS: _ PHONE: PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL` SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: ! Lot Size: -2 (o Legal Description• BUILDING OR SERVICE TYPE (Check applicable Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: T-- a (? category): ( ) Residential ( ) Commercial - Fourplex (Type) NUMBER OF BEDROOMS: 3 WASTE TYPES Check applikable catebories): Commercial or Institutional ( ) Dwelling ( )Non -Domestic Wastes ( ) Transient Garbage Disposal () Dishwasher Automatic Washer ( ) Spa Tub (X ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: 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: (X) YES ( ) NO WATER CONSERVATION PLAN: ( x) 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: A..? c SIGNATURE: DATE: ;9- aL -glo Use INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope .5- - Depth to Bedrock (Per 8' profile ole) 7 Fl Depth to Groundwater table 7 SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1 Minutes per inch in Hole #2 Minutes per inch in Hole #3 1 , '��, a ''J;. :1,. '.l. , 'C .� ' ..� t... '�.: ••11,.; ` r ,"f ��Jir `.1•� ll. �,. r,,i• '� ir•Ar ••11•y .L ;y.'i'•,• .Y..', ti ,`. '. .•'yyy,�� ;•y� .4;ivt..{ •�,.:•;,�.t$,�.,..t r..:�• L. d4 42r. -Yf ,ry � � ,.. � ' t v: S' R• 1 - �1y. c•rkc-`f'�:. f.�y ,,•�r,�nr:,t .t �.;. 'Ci-� 3�.. i.,{•'�'l0, it,�. •�-h'��.y .�a,,. �i � •l.•i .ti;',. r,A ,a •s�� y�; cr.i �, -�[ W ,�• K C i Y i� � cy�il a {ifs ti �� lyr�a s�. r)e �. y i ii. �0� � `!• •. Div,•, '; 4,I� SR ��:�� r ,..,, ;t��1�� {t'i4Yr t•, },`b. ,c,cy '"tLl�� .�j•';yT�'ka4z''+li�i>3i'stf •a'¢tJ;"`•s°?r"f4',�'�� *t,tL; '�;4i. •�,��, r�,�G• �'!ti f F � 1, rXi '2 ;3 `"�!y��•' ${• t. f^ �•AO�a��`P f. ''�_�• vq: 3 r t•. ^ y'tl y._`' 11- '' •I.i •Y, - y y ��t ti. Y r`.ri y ,.r r� � 1 �. e.44/ r ti� t�'1 hft\.t6 !.r`i 4l s� ;f� '' �� 1 �.•,, ti; y. ,Yr' ',r: Y- ��fi�l�l+5h �� 1 �34, ctzMl t �:llj 'Jf,S � ,zf•1, S µ F yri K.'(i /< 1 � • � '�,�' •, h - t . , !: � � tL��Al+�y;4`�,�'Gd��C��`_'�'tl�;',"�bt..�:!",rl, 4 `.<I..�rTV; �i.:;��5',�7;•;.}ir,�;:�:7�F?;t�r.��Sa�'rarr;.t�....ita�� r: y ,�, t .:}', � ;t L''l . ^ 1'r - a. It r INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 962 Please call for final inspection before covering any portion of installed system. OWNER: Frank & Cheryl Farren PHONE: 328-7332 MAILING ADDRESS: P O Box 893, Eagle, CO 81631 AGENT: PHONE: SYSTEM LOCATION: 0467 Kai bab Road, Lot 20, Filing 11, Upper Kai bab LICENSED INSTALLER: —self/owner LICENSE N0. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: Ion() GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 600 SQUARE FEET OF TRENCH BOTTOM. or 200 l f of 1011 S132 SPECIAL REQUIREMENTS: Setback from dry gulch drainage - 251 ENVIRONMENTAL HEALTH OFFICER: DATE: • U CONDITIONS: 1. ALL INSTALLATION UST COMPLY WITH ALL REQUIREM TS. F EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORITY OR TE 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 Ill, 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: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED' PRIOR TO COVERING ANY PORTION OF THE SYSTEM. L-'`01 5�Z INSTALLED ABSORPTION OR DISPERSAL AREA: �7 eE3HfkRE FEET. INSTALLED SEPTIC TANK: 1 d d CZ GALLONS v 70 DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY _ YES NO �J COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: `' YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: ENVIRONMENTAL HEALTH OFFICER: /ly=7 2 4 UGG{_ DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: r. APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: �jj- P. 0. BOX 179 j� Y3S 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: r PHONE:__12 i 7 3 3 ,�L, NAME OF APPLICANT �f d'ffere rom owner): ADDRESS: PHONE: DESIGN ENGINEEd F SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL'SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: ice_ Lot Size: �, (o Legal Description: 11 01E, a., g6zj ::V BUILDING OR SERVICE TYPE Residential Residential ( ) Residential NUMBER OF PERSONS: (Check applicable ca - Single Family - Duplex - Triplex gory) : ( ) Residential ( ) Commercial - Fourplex (Type) NUMBER OF BEDROOMS: 3 WASTE TYPES Check applicable categories): Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use Garbage Disposal ( X) Dishwasher �) Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: 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 (X) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: (X.) YES ( ) NO WATER CONSERVATION PLAN: (X) 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: wZ- SIGNATURE: ,t,�,._,/ DATE: �� 9- a�_ _9Z? INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH.OFFICER: GROUND CONDITIONS: Percent ground slope-5--/,67a Depth to Bedrock (Per 8' profile ole)> X Depth to Groundwater table. > V SOIL PERCOLATION TEST RESULTS: l,, Minutes per inch in Hole #1 Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: c Absorption Trench, Bed or Pit ( ) Evapotranspiration () Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other dv AMOUNT PAID: RECEIPT NUMBER DATE: 0/cp CHECK NUMBER /,9/ s NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" (Environmental Health Dept. - Rev. 4/88) EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: August 14, 1990 Re: Final of ISDS Permit No. 962 This letter is to inform you that the above referenced ISDS Permit has been inspected and finalized. Enclosed is a copy to retain for your records. Also enclosed are informational sheets regarding the care of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Officer, P.O. Box 179, Eagle Colorado 81631. Or we can be reached from Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle area 328-7311, indicate extension 530 after reaching the County Operator. Sincerely, �S Raymo P. Merry, RS Environmental Health Of i'er encl: Information Sheets ISDS Permit xc: ISDS File No. 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 PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. OWNER: /� ✓ �t h�� Ijt LEGAL DESCRIPTION: G--D� 2 o r,,4A A RURAL ADDRESS: TYPE OF DWELLING: �� / / '�i'�1/ NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: 3/ _/1 ai TEST HOLES PRE-SOAKED: YES NO _ TIME I WATER DEPTH II INCHES OF FALL RATE 1 2 3 1 2 3 Ij 1 2 3 1 2 3 3' 1 '� i I 3'la • t l �� I y Osn 75, ii° 7•5,� 3 1 ; 16 3 ! 3 rr 1 3 ' y.1 a l fir Ll = r� Q � � � � � ; �._�. �✓/ t , l � I � (U � a � /I ry/ 4 3 :3 7/ y0 3; 3;yam I-- /.S npr r---(// r-irr to -ram -r-1 I"- 1Srtiodl /'-lo rhPr l 1p,F! r„ �., 10 k-Pe PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: fyO , An^- RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: a s-a SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. --- -- ----- COMMENTS: Rev. 5/31/84 r P /Vo Sco il--Z x Y-I'D -51 � � I ;::- /� vbz rarren Lot 20 Filing 20 JOB NAME 0467 Kaibab Road 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 JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed iA U.S.A. � ram, -,a. y.'.. �►� �. KC 7 * ?C2. S- 1/-fa ®U6 -7Z- # q&7- f4--lt-fa (9 q6' pl,