HomeMy WebLinkAbout250 - 310 Alcazar Dr - 210701404001 - 0999ISINDIVIDUAL 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. PERMITNO. Please call for final inspection before covering any portion of installed system. OWNER: Kensington Land Co. - Buildings 4, 5, 6A PHONE: 926-3500 MAILING ADDRESS: PO Box 988, Edwards, CO 81632 AGENT: PHONE: SYSTEM LOCATION: 2030 Cordillera Way, Lot 35A,B,C Cordillera Filing II LICENSED INSTALLER: Rothberg , Tamburl nl &Wi ndor LICENSE NO. DESIGN ENGINEER OF SYSTEM- Rothberg, Tamuri ni &Windsor, 1100 Stout St, #750, Denver, CO 825-5999 INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 2250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Engineer design approved. Need perc test results. No TCO will be issued until final septic inenectinn it a�nroved Cross Reference with #1002. 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 BEA 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: SQUARE FEET. INSTALLED SEPTIC TANK: GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALSAND ASSEMBLY YES NO 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: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: A1JJ�A AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT n� ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: y 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:,a�-��np��' c1 �J LAGi��i✓� �rz�-i� ��- MAILING ADDRESS: /p 01 P,,< 9FF, , "pry -��� PHONE: 9_0 36-00 NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): IRO 7�4 �_� ,� �,�� IAI 0,-- ADDRESS: //Q7©�, ��re�� %�0, Z)���e� �� PHONE: Y,S -.5 9R� PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (>< NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: ,4?6 R/63.2 Parcel Number: Lot Si z o - / Legal Description: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex. ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: � .� '� �cac�. NUMBER OF BEDROOMS: C-s t WASTE TYPES Check applicable categories { Commercial or Institutional ( /Dwelling ( ) Non -Domestic Wastes ( ) Transient Use Garbage Disposal (A--rDi shwasher (k,-)-' 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 ( IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: V--r ES ( ) NO WATER CONSERVATION PLAN:&/a/er- "��>-�� (;.—"ES( ) 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: Jzzd If supplied by community water, give name of supplier: SIGNATURE: lnE.jbs DATE: 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 FINAL DISPOSAL BY: { Absorption Trench, Bed or Pit ( ) Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other AMOUNT PAID: l�j �f RECEIPT NUMBER Minutes per inch in Hole #2 Minutes per inch in Hole #3 () Evapotranspiration �j Sand Filter ( ) Wastewater Pond NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) [ :4VDR.11 Ifilm TO: Eagle County Planning Department FROM: Eagle County Environmental Health DATE: October 30, 1991 RE: File No. SM-765-91 The Environmental Health Department of Eagle County has reviewed your referral and respectfully submits the following comments: This is regarding adequate wastewater disposal ref your approval criteria related to the Minor Type B Subdivision. The original approval of Cordillera Phase I determined that wastewater could be disposed of through individual sewage disposal systems; however, the "Board" will hear a 1041 Application on November 12, 1991, for an extension of a sewer line from the UEVCSD Squaw Creek plant to serve Phase I of Cordillera, including this project. If the 1041 is denied, Cordillera could pursue the less desirable individual septic approach for Alcazar III. They must be aware that these larger septic systems would require site approval through Colorado Department of Health. Vaults for holding wastewaters temporarily would only be considered if there exists an approved 1041 Permit. Building permits for these units will no be approved by this division until we know how wastewaters will be disposed of permanently. Ray rry, .E.H.S En ronmental Hea Officer �op�f / /1 /' / , / Dni= moon EAGLE COUNTY ENVIRONMENTAL, HEALTH OFFICE If A Iblvi D to . u t ed ! U l e GE Application No. (Location)�� 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: COMMENTS: 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 YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with - YES NO REVIEWED BY DATE Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: ' y�lS, S;rnfi� �ayu—.�� fe-t-CT LDS/icePik EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date August, 16, 1990 RE: Issuance of Individual Sewage Disposal System Permit No. 999 Enclosed is your ISDS Permit No. 999 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 and 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, Roger Hosea Asst. Environmental Health Officer Community Development cc: ISDS file RH/alm 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 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-S730 EAGLE COUNTY, COLORA©O October 4, 1990 Dear Applicant: 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO S 1631 FAX (303) 328-7207 Please be advised that this office will not be conducting percolation tests between November 15, 1990 and March 15, 1991. Additionally, all final inspections on installed systems must be completed prior to December 1. If you have any questions, please call me at 328-8730 or 927-3823 ext. 730 in the Basalt/El Jebel area. sincerely, Roger Hosea Asst. Environmental Health Officer RH/alm I I t 999-90 TxPrcl# JOB NAME _ Lots 35A,B,C/Filing 2, Cordillera Subdivision JOB NO. JOB LOCATION BILL TO vml-�U—h DATE STARTED DATE CO.MPLET D DA E BILLED �Qoc IU1-6��1 Z1 c) - 014 JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLINGPRICE NET PROFIT JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. 3 _ s _ _ r a r . _. x _ �._ - - ._ __ _ r - � _. � . _ _. i--. _ - - - _ _ •_ _ .. _. - _-_- _- _. -., -. - - _ _ _ _ _ _ _ _ Ott_ •-6 _ 'q - _ - _ •- - -. - _- -� � _ _ _ _.. � _ _ _ .. - - _:. - _. - -- - _ `_- _ � _ _ -a _ _ _ _ _ _ _ - _ _ _ _ _ _ ice,•' �i_ - : , Y - . _ - - _ •rya 1 . . - . - - --_ _ [ - - - - - - -_ - - - �. -c _ - , _- -'.. . -_ --�_- -._ •-_ _ _ _ - _ Lam _ a _ / - _ � .., :�- -ice- _ - _ - -_._ _ ,-, __-._ •{- .- _, _._: ,_: __-:-_ ._ > _ - _. �- - _ - _ - - -_ _ _ _ .t� P _ _" • - - _ -. , i _ > < s. - a _ -_ . -.- r. _ � x - r.. -tee• __ - r >. .: _-- � _ _ _ __ _ _ _ _ _ _ _ _ _ > _ _ _ _ _ _ _ _ _ _ _ - _ _ e a. v , -_._ `_. .� _- - - __.. .: -.�__ _: 1 _ -'• --' __ - - - __ __ _ _ _ _ - _ _ _ � _ _ _ - _tea __- _- _ _ _ ___• — - . - - __..-.. -.- - .- - - -_- _ '_- _ .. - - -. :. - ..__ _ _ - - _ _ - - _ _ _ ii. _ cam= _ _ a r � , - -`-- - - a- - -- -• -- _ - -- - - _. _ � _ : _ _ ... -,�_` - _ r - _ _ - - tom- -z -. _ .. - -._ _ .:-'- --' ;:•.- -' --- -�•' -- --.4-�� }�`-Yea`":::� - ---- _. _ __ _ _ _ _ _ _ _ : _ _ _ _. �. - :_ • ._ _ -' f _-_ -_. .. - _ _ _ _ _ _ _ _ _ _ -.fit: y !30.84 - - _ 8030_ liffi ROTHBERG, TAMBURINI & __INSaR, .. INCr ' 8020 ' a '— w 20 0 _ a _ Professional Enguieers : do Consultants Denvner, C0 - _ _ - - . - - Ot 0 8 —- 'j9 - - CORD LLER -_-� — — _ _ - - • - ALCAZA-R E SHEET . NO 4 - _ - - - - T PLANs000- - - _ -.-.LEACH-•I -SI _..... - - _ e DESIGNED BY . - = - � . _ �. _ ' DRAM 8Y::. * � � - - _ CHECKED BY E- " t VN mip O - ; - _ a: - NO 0 ATE DES'D WAN _ REVISION - _ 1990 ROTHBERG' c N TAtdBURlNt do WI APPROVED BY. _ - — DATE: - - — '= PROJECT - - : - -- JUNE 1990 - � TA-i42O-�