HomeMy WebLinkAbout3015 Hwy 82 - 246511105002EAGLE LINTY DEPARTMENT OF ENVIRONF, JAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT NU is2 (this does not constitute
• a building or use permit)
Owner Carl F. Maulbetsch
System Location
Nelson Subdivision
Licensed Contractor . Same
* Conditional Construction approval is hereby granted fora 1, 000 gallon
XX Septic Tank or Aerated treatment unit. PLEASE CALL FOR FINAL INSP.
Absorption area (or dispersal area) computed as follows:
Pere rate 1 inches in 20 minutes 600 sq. ft.
absorption area per bedroom 200 sq. ft.
# of bedrooms 3 x 200 sq. ft. minimum requirement
May we suggest 600 sq. ft. of drainage field
C�
Date —�'� /mil Inspector
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.
✓ Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
✓ Proper materials and assembly.
�✓ Adequate absorption (or dispersal) area.
1✓ Adequate compliance with permit requirements.
►✓ Adequate compliance with County and State regulations/requirements.
Date Lk,664 1d 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 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
PERMIT NO.
Name of Owner:
Address of Owner:
ENVIRONMENTAL HEALTH(
P.O. BOX 811
EAGLE, COLORADO 81631 PERMIT FEE $25.00
APLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N0
fi� Phone: &2-263 (_,2
161 5
Is facility within boundaries of a city/town or sanitation district? /V
Distance to nearest sewer system: � Afcr-,�r
Location of Proposed System: Q C
Legal Discription: -5�`C i/ 7 T & � ' L�/ S �/..5a1/ dUl37J r v/S/ o.J - �AS/� �T
Type of Structure: Single Family Dwelling ( L_Ot'her: No. Bedrooms
Water Supply: Priv to Well ( k,'T- Location: `7�� f S Distance From leach field:
Size of Lot: L4 6711C_ Public Water Supply:
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 res onsible for design of system:
�L / 4 � � .�-s s. C�y I�� 5 �� -3,6 3
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent per fit. (40h4k___
/77
SIGNATURE OF APPLICANT. Date. �1
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information:
Tank Capacity: �� o gal. (minimum)
Absorption Area: % oo Sq. ft. (minimum)
REMARKS:
APPLICATION IS: APPROVED ( ) DENIED
Permit No.
Fee Receipt: 7-54-d 9909
File:
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
Environmental Health
Box 850
EAGLE, COLORADO 81631
BOARD OF COUNTY 8 August 1979
COMMISSIONERS
328-6809
328-7311 (Eagle)
927-3823 (Basalt)
949-5257 (Vail) .
ADMINISTRATION
328-6674
Page Spracher
ANIM ALSHELTER
Mortgage Plus
949-4292
812 Grand Avenue
32865933R
Glenwood Springs, CO 81601
BUILDING
INSPECTION
RE: Nelson Subdivision
328-6339
3018 Highway 82
CLERK &
RECORDER
Eagle Count
g y
Eagle 328-6377
Basalt 927-3244
Dear Mr. Spracher:
COUNTY
ATTORNEY
328-6674
All loan inspections are done under the authority of the
ENGINEER
Eagle. County Building Regulations, Section 10, sub -paragraph
328-6337
3-A, adopted by the Eagle County Commissioners 25 May 1973.
ENVIRONMENTAL
HEALTH
328-7718
A permit was issued by this department and final approval
EXTENSION
was given on 13 July 1977 for the installation of a 1,000
AGENT
328-6370
gallon septic tank with a 600 s ft. leach field.
g P �i
LIBRARY
328-7787
An on -site inspection on 1 August 1979 revealed that the
PUBLIC HEALTH
system appears to be funcitoning properly.
Eagle 328-6594
Vail 476-5844
This property is served by a well. A water sample was taken
PLANNING
328-6338
1 August 1979 from the well and was sent to the Colorado
ROAD & BRIDGE
Department of Health regional laboratory for bacteriological
328-6591
analysis. The results of the analysis received here 7 August
SHERIFF
revealed that the water meets safe drinking standards as outlined
Eagle 328-6611
Basalt 927-3244
in the Primary Drinking Water Regulations for the State of
Gilman 827-5751
Colorado.
SOCIAL
SERVICES
328-6328
Sincerely,
TREASURER
328-6376
Jo Ann Deighan
Assistant
Environmental Health Officer
JAD/ncm
Enclosures: Statement
Water Test Analysis
<111/77 6 9
, f E2C TEST S.L' NE 7�U LE b I`=0:r6
c EAGLE COUNTY FNVIRONMLNTAL HEALTH
INDIVIDUAL SE14AGE DISPOSAL SYSTEM PERMIT
ROUTE SLIP
�924 /%IAv�i3 c-Tsc�
Name
/5� 7 7
I1ate�l.e errs ` i�
Location
'lease review the attached application and return it and this completed form to the
:nvironmental Health office within'G working days.
Manning: rile NumberYes No Reviewed By Date
Complies with:
Subdivision Regulations
_'Zoning Regulations
Recommend Approval
:omments
:ounty Engineer: Roads
Grading:
Drainage
Recommend Approval
,ommentss
tuf.lding Department: Set: Backs
Site
Access
Otht.r
Recommend Approval
t
_.C7
'
PE"COL; TION TEST
.
Fe:c:5o. 00
IPnlic'Lion No,
Permit No.
Owner:
Legnl Description:.
`
Tyne of Dwelling—
No. of Bedrooms: s
Date of Test:
Denth of Holes:
Diameter;
Tyne of Soil:
Loc...tion of Test Holes:
Test hole xva.s nresoaked from:
To:
Time Drto
-Time_ Date
•
,
TIME
WATER DEPTH
� INCHES OF FALL
RATE
IDLE ::
1
2
3
1j
2
J�
L '1
2
3
l
2
3'
Percolation Rate:
�LPI
.:site .tins been reviewed• and tested for Percolation.
rate."-
i?e reconunend: IPl-ROVIL
DISrPPROVAL
DFTE:
Exile i'r. 3�clecn,
R.P. S.
Environmental
He, 1th
'
Eat le County
WATER TEST {
j STANDARD BACTERIOLOGICAL l+i
�Colorado Department of Health
4210 Edst 111h Avenue :Denver- 80220' r
1 RESULTS'2
` 'Phone 388 bl 11
`✓',
-,,Name of ,.-•;,, �r
Cs ' Count G
taken Date Y SuPPIy-� y_-::.
� N ` ,;,
a
^
Sa ple
V Private { f� Well,
MF F per 100 ml
,
W }T
Source Surface
Type of Supply ;{ :) Munici
al
f
Food Establishment {'_) Raw 'Water"
24 Y 4LB
r�y' Chlorine
Residual m9�
Sample Taken b `mob
Sam P y N x
111 m all Information x; +
BGB
24 %' 48
ea '
Aj
`SPC
Return Report
Ifr_
f ilC•1A!
to R a
tNVIRONMENTAI (EA ): j 4 +�nF
SAMPLE IS +?
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a UNSATISFACTORY FOR TEST
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Please re sc �bmif 9I�{ yyry'
,LAB i 1r
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0162-Nelson ub vision
,IOB NAME. -.30 Hwy 82 D ON t� JOB NO. I2-
JOB LOCATION ,� � p p 1 i �)f
BILL TO 1 J1`� " �i, �, �\ a JIB ��� %v1 150162
DATE STARTED DATE COMPLETED DATE BILLED
Zo Z-1 ! 11 �s c4tN wqsTervajA p-To -'R, ej\ aj�5, o ll 'Wrf V �'�- i (% IV,
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COUNTY �C
PROGRAM
LOCATION
�T
REPORTED BY
SE VICE REQUESTED
JOB COST SUMMARY
TAL SELLING PRICE
VIATERIAL
R
t
PERMIT # 162
OWNER:
LOCATION: Nelson Sub/divison - Basalt, (1 acre)
ACTION REPORTwk�
dr
INSTALLER: Owner
SIZE OF TANK: 1,000 gallons
DWELLING: 3 bedrooms x 200 sq.ft. (residential)
PERC RATE: one inch/20 minutes (600 sq.ft.
ACTION BY DISPOSITION
(suggest 600 sq.ft. of drainage field)
li-M-71 (4-71 -50 ) /I
�vv rvw— -OI Udfa ��® NEw ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB R Finalized: 4-21-/7 7
/ By: Erik Edeen
- COLORADO DEPARTMENT OF HEALTH
REQUEST FOR SERVICE
E I V E D BY ��� i22GG�e DATE
- CLC NAME
ADDRESS �4*L /9 �� �na� TELEPHONE 9V.3- 7226