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-
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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
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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
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TIME
WATER DEPTH
INCHES OF FALL RATE SOIL PRO]
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PERC RATE: �� o�� MINIMUM SEPTIC TANK
SIZE:
r3
aD MINIMUM
LEACH FIELD SIZE : 3l 78 �( Z.olid =
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1617
C�n� COMMENTS: 3 = �Q l n'r 1 � �
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PERC TEST DONE BY:
DATE:1"
Environmental Health Officer
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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
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