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HomeMy WebLinkAbout1279 Brush Creek Rd - 210904300004EAGLr ;,OUNTY DEPARTMENT OF ENVIRG/ ENTAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMITO 62 (this does not constitute • a building or use permit) Owner Estote of J. D. fillen System Location E> SW 3W~W Sec. 4, Twn. 5, R844+7 Licensed Contractor . Ed -Watson * Conditional Construction approval is hereby granted for a 1250 gallon Septic Tank or Aerated treatment unit. NOTE: Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 20 minutes 600 sq. ft. absorption area per bedroom 200 sq. ft. 70st on Property. Call for Final Insrec- tion. No Fee. Renair to Existing System. # of bedrooms 3 x 200 sq. ft. minimum requirement May we suggest a rainimum of 600 sq. ft. leach field. //> Date November 3, 1075 Inspector ✓(J) 0, �.C°�D�",zlelel Erik W. Edeen FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. Date Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE * CONDITIONS: 1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 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 structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section 1II, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or L-1- I/ I _y l,, v '-e( i-'r�� J L �/V V V Y 5l �j ENVIRONMENTAL HEALTH a P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 219 Name of Owner: AI-Z-ATL o. D. A.Le-n/ Phone: .i�28 - 4 � Address of Owner: �( ze Is facility within boundaries of a city/town or sanitation district? �® Distance to nearest sewer system: 1n,✓v' Aug/�Qo4' Location of Proposed System: Legal Discription: a Jai �k Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms Water Supply: Private Well ( ) Location: Distance From leach field: �^ Size of Lot: IV?-61— 1A*1&VK /%., S 9S "*� :s w T— �= Public Water Supply: � � �1!' An appropriate plat plan must accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS 66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon ,approval of this application, may be obtained at the Eagle County sanitarian's office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone 328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final inspection. Name, address, and telephone of person responsible for design of system: ED //J#rSary/ The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent ,per it 6VA-� SIGNATURE OF APPLICANT: Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: 2-0 -t Permit No 6 Tank Capacity: f°z.s ci gal. (minimum) Fee Receipt: IE Absorption An Sq. ft. (minimum) File: Ul REMARKS: %riQS�d�/Ae- ! APPLICATION IS: APPROVED ( (/) DENIED The above individual sewage disposal system was installed by AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date: Sanitarian: EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 June 10, 1985 Alpine Mortgage Company P.O. Box 1166 Glenwood Springs, CO 81.602 Attn: Molly Downs - RE: LOAN INSPECTION - 1279 Brush Creek Rd. - Ea le, Colorado Dear Ms. Downs: All water and sewage disposal system loan inspections are done under the authority of the Eagle County Building Regulations, Section 10, Sub -paragraph 3-A, adopted by the Eagle County Commissioners, September 20, 1982. An onsite inspection on or about June 3, 1985 of the above referenced property revealed that the septic system appears to be functioning properly with no apparent problems. The individual sewage disposal system, Permit 62, was approved on November 3, 1975 in accordance with applicable County,and State regulations concerning such installations.at that time. This department recommends that the septic tank be pumped every three or four years. Potable water is supplied by the Town of Eagle. If you have any questions concerning this matter, please contact our office. Sincerely, Z,°'1�v� Erik W. Edeen Environmental Health Officer EAGLE COUNTY EE/gp Board of County Commissioners Assessor Clerk and Recorder P.O. Box 850 P.O. Box 449 Sheriff P.O. Six 537 Treasurer L'--'- ^-- -- --- - „.. .. .,-.. z: z 21 If tE 17 lie I Z! 14 13 12 11 10 9 E1 7 6 5 u1 Q 1 r 1 2 3 Q 5 6 7 6 9 10 13 12 13 14 15 16 17 1® r 0062-El SWI4 SWJ Sec 4 TWP 5 R84W 2 JOB NAME `�— 1279 Brush Creek Rd Johnson JOB NO. OB LOCATION BILL TO DATE STARTED I DATE COMPLETED PERMIT 4 -� . U r- OWNER: EI I Allen e n (by Helen Allen) LOCATION: E,, SW`14, SW-4, SW-,, (113-595 acres) Sec. 4, Twn. 5, R84W Eagle A D REPAIR TO EXISTING SYSTEM INSTALLER: Ed Watson 0 SIZE OF TANK: 1250 gallons DWELLING: PERC RATE: single family - 3 one 4 k bedrooms x 200 sq.ft. -- IZU minutes (600 sq.ft.) SUGGEST A MINIMUM OF 600 sq.ft. LEACH FIELD Finalized: Not listed (application date: November 3, 1975) DATE BILLED ------------- 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. 1181 Please call for final inspection before covering any portion of installed system. OWNER: The Helen Allen Trust c/o Jean A. Johnson PHONE: 328-6867 MAILING ADDRESS: BOX 610, Eagle, CO 81631 AGENT: PHONE: SYSTEM LOCATION: 1279 Brush Creek. Road, Eagle LICENSED INSTALLER: Selpel Construction LICENSE NO. 03-92 DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1000 gal - 4 bed GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. 1250 gal - 3 bed DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. 3 bed = 786 sq f t 4 bed = 1047 sq ft SPECIAL REQUIREMENTS: 3 bed, 26 infiltrator units in bed. 4 bed 34 infiltrator units is bed. Install inspection portals at end of each trench. ENVIRONMENTAL HEALTH OFFICER:_ddL021DATE: 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 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 ORS DISPERSAL AREA: � SQUARE FEET. v-) a �� � �� �et� (�7 Q 0�� lt�. INSTALLED SEPTIC TANK: � GALLONS DEGREES FEET ���'� ��Pi��(�(l- W�Si SIV C�T h(�1 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: Lla DATE: !' ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: ISDS Permit # Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY P.O. BOX 179 EAGLE, CO 81631 328-8755/927-3823(Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 ************************************************************************** PROPERTY OWNER: A 4,.:= „v % 0 S 7- MAILING ADDRESS : . I- -/." (aZ 61 PHONE :. P-29 - 6 s 6 7 APPLICANT/CONTACT PERSON: ��l�.�6ra f2_ �vs�•✓ PHONE: LICENSED SYSTEMS CONTRACTOR:-- .XiL'L-Z LO.✓ 2 T�Q,,,( ADDRESS: PHONE:-%�a2cY �d o2u PERMIT APPLICATION IS FOR: (&-),- NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: 8Y Parcel Number: �Z/V V& I.?0o0cfi Lot size: 4c3-2-7 Physical Address: 1oZ79 &2as �/�c.=�:� �_ y Lc �. 91 BUILDING TY,pE: (Check (,t/;) Residential / ( ) Residential / ( ) Commercial / TYPE OF WATER SUPPLY: applicable category) Single Family Number Multi -Family* Number Industrial* Type_ of Bedrooms of Bedrooms Well( ) Spring ( ) Surface ( ) Public (>Q Name of Supplier: Tom,,,, *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" SIGNATURE• DATE: AMOUNT PAID: RECEIPT# RS- 9 O DATE: ?1o2?A; >L CHECK # -?9V-7 CASHIER: COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO July 31, 1992 �i The Helen Allen Trust C/O Jean A. Johnson Box 610 Eagle, CO 81631 RE: Final of ISDS Permit No. 1181-92 500 BROADWAY 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. This permit does not indicate compliance with any other Eagle County requirements. Also enclosed is a brochure regarding the care of your septic system. Be aware that later changes to your dwelling may require appropriate alterations of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division at 328-8755. Sincerely, �"'.' , e Brenda Henderson Office Assistant Environmental Health /bh ENCL: Information Brochure Final ISDS Permit cc: Files PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: LEGAL DESCRIP-IoN: MAILING ADDRESS: TYPE OF DWELLING: Fir' NUMBER OF BEDROOMS_a_ 100*11 TEST HOLES PRE-SOAKED: YES i/ NO �� TIME WATER DEPTH INCHES OF FALL RATE SOIL PRO] 1 ,;a5 2 3 Eat. 1 2 3 1 2 3 1 2 3 0+ 3D '3► '3 Z ,a5 �. a� 5, is 1 • 1,�2 L.tv 3.1 1' 21 9 : 50 '. 61 ' 5z 75 9, a .75 WD &. % 5' ' g.55 5622q,5D 8.a75 .37-5 .Z .375 Au 6 x /V 71 - q'.mn 'Ot ' oz S.cD q.E�75 •1�5.375.3 4 l �i ; c�5 ' o� : D� 10 , 5 q .15 . � . 375 .5� . 3.3 l D 8' R�ID 75 ZIlu. oo .� .�5 0 Time to drop last inch 4Z0 7_0 ) PERC RATE: �� o�� MINIMUM SEPTIC TANK SIZE: r3 aD MINIMUM LEACH FIELD SIZE : 3l 78 �( Z.olid = � �•j Z 1617 C�n� COMMENTS: 3 = �Q l n'r 1 � � lii rif -e I= 39 I n f'i l4rr, *1d" ► I n; a-C i n hA,4 • 0% r._ I A . I . PERC TEST DONE BY: DATE:1" Environmental Health Officer �rpO� rev. 6/90ks (�7-5 01 x i.3 = WLCL8 �; I *_9*5 f. J"Zp X 900_ 8M�17 ' z 5 10 y ate° JOB NAME JOB NO. 000"JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY A �� -, a/ TOTAL SELLING PRICE TOTAL MAT9=01AII _ I ! y' JOB FOLDER Product 277 ®a NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01• AB _— — -- iloLXGE e i e I eQtcul MA y `Z