HomeMy WebLinkAbout358 Kaibab Rd - 210904102014EAGLE jUNTY DEPARTMENT OF ENVIRONA .ATAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N0 152 (this does not constitute
• a building or use permit)
Owner Jonathan Gamble
System Location Lot 60, Kaibab Subdivision
Licensed Contractor . Same
* Conditional Construction approval is hereby granted for a 1, 000 gallon
XX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows: (PLEASE CALL FOR FINAL)
Perc rate 1 inches in 10 minutes 600 sq. ft.
absorption area per bedroom 200
# of bedrooms 3 x 200 sq. ft. minimum requirement
May we suggest 600 sq. ft. of drainage fiel
Date Z-1 Z % % Inspector _�%��_
FINAL APPROVAL OF SYSTEM: c t i n g f o r Erik W. Edeen, R.P.S.
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.
OK Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
OK Proper materials and assembly.
OK Adequate absorption (or dispersal) area.
OK Adequate compliance with permit requirements.
OK Adequate compliance with County and State regulations/requirements.
Date _ OC TOBER 210 1977 Inspector ERIK W. EDEEN, R.P.S.
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 III, 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
both.
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO.
EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR (INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 313
Name of Owner: �on/.gT6t.4sl Phone: 3?19 - 69 d,
Address of Owner: &ox- 6 v? 2- CAef 44
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System./
Legal Discription:
Type of Structure: Single Family Dwelling ( y' ) Other: No. Bedrooms--3
Water Supply: Private Well (A10) Location: Distance From leach field:
Size of Lot: Z. r) c 1 Ac,2c" Public Water Supply: Yts
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: CAM& Ari�}go�
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent per
SIGNATURE OF APPLICANT: permit. ,44. / ' �--� "-"-"Dote:✓ *Ir L
(This application becomes in slid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: /�9 INIUr Permit No. /-3� f
Tank Capacity: 1, sc Q-O gal. (minimum) Fee Receipt:;7
AbsoSq. ft. (minimum) File:313
REMARKS: ��� .r9ui `C�G�� ZX-e-1 Al--V
APPLICATION IS: APPROVED ( V ) DENIED
The above individual sewage disposal system was installed by
AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE- QF T EAGLE COUNTY HEALTH DEPT.
Date: Sanitarian:�/`�
FIN CTOBER 21, 1977 ER W. EDEEN, R.P.S.
' EACLE COUNTY 1-•1 IRONMENTA HEALTH
INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMITIla
ROUTE SLIP �
Name /off J
Date. Reterred MrllliL TiUllbtC
Location
%lease review the attached application and return it and this completed 'form to the
;nvironmental Health office within 6 working days.
'lanning: File Number Yes No Reviewed By Date
Complies with
Subdivision Regulations
Zoning Regulations
Recommend Approval
,onnen t s
r
:ounty Engineer: Roads
Grading:
Drainage
��rr
Recommend Approval
;orament s:
3uilding Department: Set Backs
Site
Access
Other
Recommend Approval
�.
:omments:
1LE
PE«COr,,^TxOfd 'TIEST
Fee.�o. 00 ,
Ip»13.c'tion ,No. 91/S Permit No.
Owner: —ToAl,,Z�TIV4AI CO�Im3LE
Lc<,nl Description: 4
Tyne of Dwelling: No. of Bedrooms:
Date of Test: Denth of Doles
Diameter: Tyne of Soil:
Location of Test Holes:
Test hole v-as nresoaked from:To:
`1`lmte Dz to Ti ntA
Percolation Rate: ;,IPI
site lias been revieN ed• and .tested fox percolation
We recommend: IPPROVPL DIStPPROVAL ' DtTE:
Environnient,,,l licr.lth
Ea-10 County
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EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
June 4, 1990
Joan Harned
Box One
Gypsum, CO 81637
RE: Water supply and sewage disposal inspection for property
located at:
0358 Kaibab Road, Lot 60
Kaibab Subdivision, Eagle, Colorado
Dear Ms. Harned:
All loan inspections are completed under the authority of the
Eagle County Building Resolution, Section 3.09.03, A (7), adopted
by the Eagle County Commissioners on October 8, 1985.
On June 4, 1990, this department conducted a site inspection of
the above referenced property. The inspection was requested by
you for the purpose of evaluating the existing condition of the
on -site wastewater disposal and water supply systems.
A review of the County records indicates that:
On October 21, 1977,_the sewage disposal system was permitted
under Permit Number 152, inspected and approved in accordance
with County Individual Sewage Disposal Regulations. The system
consists of a 1000 gallon septic tank and 600 square feet of
absorption area. A visual inspection of the ground surface
indicated that the system is apparently functioning
satisfactorily at this time. Obviously, this inspection does not
guarantee the system's continuous satisfactory performance.
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
Page 2
The water supply to this residence is from the Town of Eagle, a
community water system. The community water system is inspected
on a regular basis by the Colorado Department of Health and to
the best of our knowledge complies with current drinking
standards.
If you have any further questions concerning this inspection,
please feel free to call me at (303) 328-7311, Ext. 530, or
write.
R e s p e c t f 411-y--.Sujbnri ,
�m P. Merry, R
Envi nmental Heal icer
Dept. of Communit Development
xc: Files
RPM/tmt
LOAN INSPECTION FORM
LOCATION:
REQUESTO
i
COPIES TO:
j3py-/V9
BILL TO:
* * * * * * * * * * * * * ii *-* *-* * * *•* * * * * * * * * * * * * *
ISDS PERMIT # L
INSPECTION INFORMATION r'�jj�y�
INSPECTION DONE BY: DATE:.
s
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
April 15, 1987
The Kissell Company
1542 Railroad Ave. #5
Rifle, CO 81650
Attn: Judy
RE: Loan inspection for property located at 0358 Kaibab Road
Lot 60, Filing 2, Kaibab Subdivision / Owner: Glen Miller
Dear Judy,
All loan inspections are completed under the authority of the
Eagle County Building Resolution, Section 3.09.03-A(7), adopted
by the Eagle County Commissioners on October 8, 1985.
An onsite inspection of the sewage disposal system on April 14, 1987
revealed that the system appears to be functioning properly with no
apparent problems. This septic system was finalized -on October 21, 1977.
under Permit #152.
Potable water is supplied by the Town of Eagle Community Water Supply.
If you have any questions concerning this inspection, please contact
our office.
Sincerely,
/gp
Enc.
cc: Glen Miller
Board of County Commissioners Assessor
P.O. Box 850 P.O. Box 449
Eagle, Colorado 81631 Eagle, Colorado 81631
Clerk and Recorder Sheriff Treasurer
P.O. Box 537 P.O. Box 359 P.O. Box 479
Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631
0152-Lot 60 Kaibab Subdivision
JOB NAME- 0358 Kaibab Rd
I�� OWI-bZ-d1 JOB NO. I S2
LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
COLORADO DEPARTMENT OF HEALTH
COUNTY
REQUEST FOR SERVICE
PROGRAM �Yi��. RECEIVED BY DATE >- �- %%
LOCATION O '/',OT NAME
REPORTED BY ja4�Lz� ADDRESS /0307 TELEPHONELffarY l06%13
i
SERVICE REQUESTED �r �o�Ca-� -�� B COST SUMMARY
SELLING PRICE
RIAL
PERMIT: #152
ACTION REPORT
OWNER:
LOCATION: Lot 60 - Kaibab Subdivision �
(2.721..acres)
ACTION BY DISPOSITION
INSTALLER: Owner
SIZE OF TANK: 1,000 gallons
SH-M-71 (4-71-50) DWELLING: Residential - 3 bedrooms x 200 sq.ft.
PERC RATE: one inch/10 minutes (600 sq.ft.)
(suggest 600 sq.ft. of drainage field)
JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 Finalized: October 21, 1977 By: Erik Eileen
JOB FJC
-:W- [�)W�
Eagle County OWTS Systems Cleaners Reporting Form
NOTE: Required to be submitted to Environmental Health within 10 days of cleaning an OWTS
system
_
EAGLE COUNTY Systems Cleaner Company �Vxl, I Eb1�� � ! i License Number
Email Address �� r V I� 0�-9` Phone c77D '-VO-C6ZD
Service Technician A �U Phone '17V _ 13Wg'
Tax Parcel # C,, Address of Service WS KC, "I
Person Requesting Service dook n' gi I Phone
Property Owner /4WVC- Mo ,,0 Phone
Septic System itNumber Tank Size /�
Date of servicPer "I Tank Material ("-a"Y tdE
.. , w
Sewage Disposal Site
General Condition and Functionality of the System A 164 T M✓"_& NUEli 5EOriG-
l�
Recommended Repairs
Site sketch showing location of the septic tank access lids measured from at least 2 fixed points
(Photos Encouraged)
V IPC6_2� AI
0� v,
Signed �'^ % /� Date