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HomeMy WebLinkAbout4150 Bellyache Ridge Rd - 194135201002EAGLEO JNTY DEPARTMENT OF ENVIRONC . �AL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT MUST BE POSTED ON PROPERTY PLEASE CALL FOR FINAL INSPECTION PERMIT® 232 (this does not constitute • a building or use permit) Owner DAVID SMETANA System Location Lot 2, Bellyache Ridge Subdivision Licensed Contractor George Burens, Box 5, Wolcott, CO * Conditional Construction approval is hereby granted for a 1000 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 15 minutes sq. ft. absorption area per bedroom # of bedrooms x sq. ft. minimum requirement May we suggest 10xlOx10 Dry well Date December 1, 1977 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 p grade or aerated access ports above grade. Proper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. L/ Adequate compliance with County and State regulations/requirements. Date �� /� InspectorAlf lix RETAIN WITH RECEIPT RECORDS AT NSTRUCTION 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 L _'L ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N. C C Name of Owner:Z)4L '�" Phone: 1� V V Address of Owner: C6"� Is facility within boundaries of a city/town or sanitation district? Distance to nearest sewer system: 14--1-A 0 Location of Proposed S stem: ,�� - Legal Discription: f �- Type of Structure: Single Family Dwelling ( Other/ o. Bedrooms ,3 Water Supply: Private Well ( Location: - ��� c�� �,d5 ebistance From leachfield_: Size of Lot: �� Q Public Water Supply: - An appropria ­pldf pla must accompany site inspection for this application showing required information. (See attached she ividual 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. Na e, address, and telephone of person responsible for design of system: 60,e61672 d%?6t/5 9 3 The undersigned acknowledges that the above infor tion true and that false information will invalidate the application or subsequent Irmit e. 16' f SIGNATURE OF APPLICANT: Date: -` (This apple on becomes in4alid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: /�,7 Oo� p _—__7, Permit No. Tank Capacity: `000 gal. (minimum) Fee Receipts Absorption Area: &I x /0 x iQ Sq. ft. (minimum) File: 10A.r1��y iJJ REMARKS: APPLICATION IS: APPROVED ( ) v 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: PERCOLATION TEST FEE: $50 Application No. 4616" Owner: I 0Me,` , Permit No. Legal Description: Type of Dwelling: 171-rjNo. of Bedrooms: Date of Test: �V — Z — Depth of Holes: /r Diameter: Type of Soil: Location of Test Holes: Test Holes Presoaked: Yes: No: TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 50 PERCOLATION RATE: Iv1PT APPROVED: // DISAPPROVED: DATE: a x �� �� ���/ /Oco X / �, 64 i n . A " 3 r r EAGL; COUNTY ENVIRONMENTAL IIEAL`. INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM NAME cxl3oZ tte Ref ered � � �/% Permit Number LOCATION 'mac )lease review the attached application and return it and this completed form to :he Environmental Health Office within 6 working days. 3LANNING: File No. _ Yes No Reviewed by Date Complies with: Subdivision Regulations Zoning Regulations Recommend Ap ;omments: "OUNTY ENGINEER: Roads Grading Drainage Recommend Approval ;omments: 3UILDING DEPARTMENT:. Set backs Aber :"omments : Site Access Recommend Approval IEl JOB 0232-Lot 2 Bellyache Subdivision 4150 Bellyache Ridge Rd SMETANA Y JOB NO. nR I neA'MIN Z5 - J 017 - BILL TO DATE STARTED DATE COMPLETED DATE BILLED 2C 7- L- 1C., SLejv�'Pen- IT JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT # 232Mc�S���� OWNER: David Sm 6tana C ��.a lee.v�� LOCATION: Lot 2 - Bellyache Ridge Subdivision (2.06 acres),O A,,: INSTALLER: George Burans SIZE OF TANK: 1,000 gallons DWELLING: Residential and Cabin - 3 bedrooms (approved for one dwelling only) PERC RATE: one inch/15 minutes (suggest 10 x 10 x lOx dry well) TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS Rio OF SELLING PRICE NET PROFIT ER Printed in U.S.A. Finalized: Oct. 25, 1978 By: JoAnn Deighan INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 4 1 7 Please call for final inspection before covering any portion of installed system. OWNER: Steve McDonald PHONE: 926- 'im MAILINGADDRESS: P.O. BOX 2824 City: Vail- ' ' sale: CO zip: 81658 APPLICANT: Scott Davis PHONE: 926-3788 SYSTEM LOCATION: Lot 2, Bellyache Ridge Sub. TAX PARCEL NUMBER: 1941-352-01-002 LICENSED INSTALLER: Davis Excavating LICENSE NO: 27-94 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 675 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install 675 square feet of absorption trenches via 18 Infiltrator „ni tG as requested. Install inspection portals at the end of Farb french, and not barkfi Tl until final ins ec i ENVIRONMENTAL HEALTH APPROVAL: DATE: 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. 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. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED. FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. INSTALLED ABSORPTION OR DISPERSAL AREA: 675 SQUARE FEET. INSTALLED SEPTIC TANK: 1000 GALLON 77 DEGREES 6 FEETFROM SE corner of east side of house. SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X YES NO COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: X YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: ENVIRONMENTAL HEALTH APPROVAL: ' DATE: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # Incomplete Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit # A4/7 ply Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMr!f ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY eo P . 0. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) *************************************************** PERMIT APPLI 150.00 PERCOLATION TEST FEE $200.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: MAILING ADDRESS: PHONE: APPLICANT/ CONTACT PERSON: PHONE: LICENSED SYSTEMS CONTRACTOR:-- c�"7/4�-\ I. PHONE: � �0 COMPANY/DBA: ADDRESS:=22K ************************************************************************** PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION--I��REPAI LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: �v � 11A Tax Parcel Number: 19w Lot Size: Physical Address: L4120 ii�G/ yAC,cf� rx R✓�. BUILDING TYPE: (Check applicable category) �) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface () Public Name of Supplier: Number Number Type _ of Bedrooms '3 of Bedrooms *These systems require design by a Registered Professional Engineer SIGNATURE: • Date: ��01-�************ AMOUNT PAID: 1 � •l RECEIPT #: V`'�1"�� DATE: _ql, _ CHECK #: CASHIER: COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 EAGLE COUNTY, COLORADO September 21, 1994 Steve McDonald P.O. Box 2824 Vail, CO 81658 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Final of ISDS Permit No. 1417-94 Parcel # 1941-352-01-002, Property located at: Lot #2, Bellyache Ridge Subdivision. Dear Mr. McDonald, 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 building 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, Jeff Feder Environmental Health Specialist ENCL: Information Brochure Final ISDS Permit enclosures COMMUNITY DEVELOPMENT DEPARTMENT (303)328-8730 DATE: TO: FROM: EAGLE COUNTY, COLORADO September 19, 1994 Davis Excavating Environmental Health Division 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Issuance of Individual Sewage Disposal System Permit No. 1417-94, Tax Parcel # 1941-352-01-002 Property Located at: Lot 2, Bellyache Ridge Subdivision. Enclosed is your ISDS Permit No. 1417 is valid for 120 days. The enclosed copy of the permit must be posted at the installation site. Any changes in plans or specifications invalidates the permit unless otherwise approved. Please call our office well in advance for the final inspection. Systems designed by a Registered Professional Engineer must be certified by the Engineer indicating that the system was installed as specified. Eagle County does not perform final inspections on engineer designed systems. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle county requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328-8755. cc: files JOB. N 1417-94 MCDONALD Lot 2, Bellyache Ridge Subdivision JOB NO inn i nreronnr �ls �oa BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 ®g NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471. JOB FOLDER Printed in U.S.A. 1 _ - - - - - - - _. _ - - __ _ ,- - k- E� s- is -_ a .; ► --' ?,_ '_ �' ' t . L. �.... e r =- ;F_ - _ _ � !� _ __ _ _ - f - _ _�. _ .. _ -. -_ _ _ _