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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 d -a l , OF ), ice ION A o M IC) to 1 0 0 0 L) � (Aj 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