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.
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