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HomeMy WebLinkAbout1305 Colorow Rd - 210713202004INDIVIDUAL 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. 100.4 Please call for final inspection before covering any portion of installed system. OWNER: John & Beverly Rasmussen PHONE: MAILING ADDRESS: P.O. Box 192, Vail, CD 81658 AGENT: PHONE: SYSTEM LOCATION: Lot 2A Colorow at Squaw Creek LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK OR 1250 GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 805 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 280 1 ft of 10" So —per owners request Put inspection portals at end of 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 1/1, 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. G 4 y'ri-ZG✓� INSTALLED ABSORPTION OR DISPERSAL AREA: Zoo �ArREFEET. %0 7(��� INSTALLED SEPTIC TANK: Z, .5y GALLONS ii DEGREES �5 FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY%f 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: �G �y` DATE: aw ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIROiMENTAL HEALTH OFFICE - EAGLE COUNTY Number: P . 0. BOX 179,�y©� 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: 7h ru 0 c =, C MAILING ADDRESS: ��,�: ; {�l( PHONE: 'y 6 _J�5/ NAME OF APPLICANT (If different from owner): ( M ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): IA/J_C ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: jj04 6o Re- LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: ✓ ' t1CeZoAqu) CA Parcel Number: dV& rQ Lot Size: Legal Description BUILDING OR SERVICE TYPE (Check applicable category): (x) Residential - Single Family ( ) Residential - Fourplex Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: 1-12, NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories): Commercial or Institutional ()() Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( x ) Garbage Disposal ( Y�,) Dishwasher (X ) 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: ( ) 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: ( x ) Well ( ) Spring , ( ) Creek/Stream Give depth of all wells within 200 feet of system: O - If supplied byf`Pom: munity water, give name of supplier SIGNATURE: DATE: 8r 51© INFORMATION /BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope 10, o SOIL PERCOLATION FINAL DISPOSAL BY' Absorption re Bed or Pit ( ) Above Groun ispersal ( ) ( ) Under Ground Dispersal ( ) ( ) Other AMOUNT PAID: r ��RECEIPT NUMBER NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. Depth to Bedrock (Per 8' profile hole Depth to Groundwater table 2 911 TEST RESULTS: z.5 Minutes per inch in Hole #1 co Minutes per inch in Hole #2 is Minutes pPr 'inch in Hole #3 V�l Evapotranspiration Sand Filter Wastewater Pond MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) DATE: -�I- y-70 RECEIVED APR 0 9 1990 EAGLE COUNTY CW,"n `MNNITY UVELOPMENT COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO Date: September 28, 1990 John & Beverly Rasmussen P.O. Box 192 Vail, CO 81658 Re: Final of ISDS Permit No. 1004 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 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# Date: EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 August 15, 1990 RE: Issuance of Individual Sewage Disposal System Permit No. 1004 Enclosed is your TSDS Permit No.1004 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, /? #fic Rodger Hosea Asst. Environmental Health Officer Community Development cc: TSDS file RH/alm Board of County Commissioners Assessor Clerk and Recorder Sheriff P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Treasurer P.O. Box 479 Eagle, Colorado 81631 ISDS PtT # 7 /a PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIPTION: L„ Y 2' 114 119 ra /mac MAILING ADDRESS: P, (� l9 7- TYPE OF DWELLING: ;Z6s t y Z,r CQ NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: TTMF. WATER nRpTH YES_ TM(UVq nr VhT.T. Darer MPS QnTT_ DDfIVTT V NO 1 2 3 1 2 3 1 2 3 1 2 3 0'' Sv, 120z roc 6,7 51 LZ -- lvz_ X — cU � 6' 0 4 a s 8 Time to drop last inch a31 10 !v PERC RATE: ,� ® MINIMUM SEPTIC TANK SIZE: 09 MINIMUM LEACH FIELD SIZE: 8' d 5- COMMENTS: :5� Z $/0f6 -y w ® `S Pee e,/ dz: ea A C, -ne PERC TEST DONE BY: Environmtental Health officer rev. 6/90ks DATE: ROUTE FORA EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Q y`0 > V I I u rl>rL[SSe�/ Nam �� J Date Routed 0101--Creek- 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: Buildina Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIRONMENTAL HEALTH: Complies with Floodplain Permit Necessar, I.S.D.S. Regs. Compliant Recommend Approva COMMENTS: YES NO REVIEWED BY DATE 'ES NO REVIE14ED BY DATE 'S N(1 RFVTFWFn RY nATF 6, s4.—l.� S. /�aJtMu11�— ea � j, -�/y C7 C- JOB NAME, JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE fERIAL - -1 ABOR IANCE iS TAX COSTS r l r FOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE # jdd y q-zr9U NET PROFIT JOB FOLDER Product 27E � L6po a ��; MUSS � h z Ld r C U �iJ ra cv Printed in U.S.A. � RECEIVED _ - APR 0 9 1990 '- U N P L A T T E D - EAGLE COUNTY COMMUNITY DEVELbPMENT RaC-3317 �� �- N 890 54 24 E 683. 94' rR BC 11204 . VS30Y.C. R SC 11204 _ = = Cententerle rocarcf T -3 T-2- _ Access cnd utility eoisement - - -_ - OT 2Ac� .L :.= (199382 AC.)200 30 W.C. S CAL E0s _ 00 ��%� to _ - 1B _ -