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.
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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
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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
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PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: kly/< CI'a /`Zj
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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
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PERC RATE : 'S-e`/y-y /2 r MINIMUM SEPTIC TANK SIZE: 75 D
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MINIMUM LEACH FIELD SIZE: ,/ o&
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