HomeMy WebLinkAbout3808 Squaw Creek Rd Upper Cabin - 210714300062 - 0996ISINDIVIDUAL 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. 996 Please call for final inRnPrtinn hafnra rnvarinn — ...+:.... ,.a : _ OWNER: Richard D. Craig PHONE: 926-1039 MAILING ADDRESS: P.O. BOX 899, Edwards, CO 81632 AGENT: PHONE: SYSTEM LOCATION: 3808 Squaw Creek Road LICENSED INSTALLER: Owner LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 600 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 200ft of SB2 per owner's request. Place inspection portals at end of each line place 2 inches of gravel under each line ENVIRONMENTAL HEALTH OFFICER: ✓ , DATE: 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 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 SYSTEMSHALLBE 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. � /v L.necaZ p INSTALLED ABSORPTION OR DISPERSAL AREA: 5 SQUARE FEET. S D Z INSTALLED SEPTIC TANK: IC"70 GALLONS D DEGREES Itr% FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY_ YES NO COMPLIANCE WITH COUNTYISTATE 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: �/� DATE: a �?C ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) APPLICANT/AGENT: RETAIN WITH RECEIPT RECORDS PERMIT OWNER: AMOUNT PAID: RECEIPT N: CHECK #: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: 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 a C✓ �r /,S MAILING ADDRESS: (P, d . FD )� ar dS a E632 PHONE: 9 c % ` / U ' NAME OF APPLICANT (If different from owner): ADDRESS: ��L%�r9U"�.1.r- PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: NEI4 INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: Skog (2�-ca_,Ra/ _ Parcel Number: Lot Size: 02 ro 8! s Legal Description: BUILDING OR SERVICE TYPE (Check applicable Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: WASTE TYPES Check applica le categories): category): ( ) Residential ( ) Commercial - Fourplex (Type) NUMBER OF BEDROOMS: Commercial or Institutional t>< Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) 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 NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: 0<a 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 ( ) Give depth of all wells within 200 feet of system: If su ied by community water, give name of supplier: SIGNATURE: DATE: 31I� INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: Creek/Stream GROUND CONDITIONS: Percent ground slope 10 — p� Depth to Bedrock (Per 8' profile hole)_ Depth to Groundwater table ;;p f'or SOIL PERCOLATION TEST RESULTS: , Minutes per inch in Hole #1 ,'A, Minutes per inch in Hole #2 ' Minutes per inch in Hole #3 FINAL DISPOSAL B ' Absorption rend , Bed or Pit ( ) Evapotranspiration Above Groun ispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Othe AMOUNT PAID: RECEIPT NUMBER aDATE: ho CHECK NU NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) ROUTE FORM% bp —t (.� 3 lIL C EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Date .o to U IE0 b Application No. Loca n 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: -55 z Recommend Approval: COMMENTS: i)A /,nVAMJ411W A X A , i/ w BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YE5 NU REVIEWED by DATE ENVIRONMENTAL HEALTH: Complies with -4 YES NO REVIEWED BY _ DATE Fl_oodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: I �, e .s r % 1e.- EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: August 17, 1990 Richard D. Craig P.O. Box 899 Edwards, CO 81632 Re: Final of ISDS Permit No. 996 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. We can also be reached depending on your calling area at the following numbers: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle Area 328-8730. Sincerely, Roger C. Hosea Assitant Environmental Health Officer Community Development Enclosures: Informational Sheets Final ISDS Permit cc: Chrono file ISDS file# Building Permit file## 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 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: July 30, 1990 Re: Issuance of Individual Sewage Disposal System Permit No. 996 Enclosed is your ISDS Permit No. 996 This copy of the permit must be posted on the installation site. You must call our office for final inspection before covering any portion of the installed system. If you have any questions, please feel free to contact us at the following numbers for your calling area: Vail/Avon 949-5257; Basalt/El Jebel-- 927-3823; Eagle area 328-8730. Sincerely, Raymd P. Merry, R.S Envi onmental Health / xc: ISDS file �S cer 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 ISDS T # 336z 16 It 6 to 10 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: kly/< CI'a /`Zj jr LEGAL DESCRIPTION: Gt�_ Tsti , 2 CA MAILING ADDRESS: 10, a 61>e` � � � �' ��•�r A"A� Cd 2- TYPE OF DWELLING: Cr'YI NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES_ NO TTME WATER- nEPTH ti4ru-F..Q nrraT.T.` QnTT_ DDnVTT c 1 2 3 1 2 3 1 2 3 1 2 3 0' r,�7 14-1 / /0 I� O /� 1'15,, tgZZ %° %z 21 "1 ,tb `t7 �K3i log , %y ���t — ��, �� --- 3, s,lx 21 7Z, 103Xq 141 �Z 61 ql qo : yZ y7 11 Time to drop last inch PERC RATE : 'S-e`/y-y /2 r MINIMUM SEPTIC TANK SIZE: 75 D R MINIMUM LEACH FIELD SIZE: ,/ o& COMMENTS: S �, w , ,� �.� , Z G o 0 w rti r . t. PERC TEST DONE BY: �v2�_2 DATE: 7 2-6- -Fa nvi onmental Health Officer rev. 6/90ks yo r i t i t 6Lev jprox r,� r K i Tii z , I -`tip IFAGI ( / l 996 Craig 3808 Squaw Creek rf2 m , JOB NAM�kCCP��� o� - � `! J d V Q � � B Nay . )Q . JOB LOCATION BILL TO DATE.STARTED �s &-8 DATE COMPLETED .JOB FOLDER Product278 ®® NEW ENGLAND BUSINESS SERVICE. INC., GROTON, MA 01471 JOB FOLDER 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 Printed in U.SA 1 I�4 � a jr tY h • p ` lillT�� .�. a1, - i - r a► rt �y�" oi•. • r it