HomeMy WebLinkAbout75 Hwy 131 - 194115300020EAGLE (�_-'JNTY DEPARTMENT OF ENVIRONM(-"TAL HEALTH
PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado Box 81 I bth &BroadBroadway PLEASE CALL FOR FINAL INSPECTION
PERMIT NO 3$ (this does not constitute
• a building or use permit)
Owner TOM SIMKINS APPLICANT: DAVID LEE JOHNSON
0075 Highway
System Location WOLCOTT, PARCEL A: Tract 48, Sec. 15, T4S, R83W of 6th P. M. 131
Licensed Qozmctx Nst r• Applicant -Installed
* Conditional Construction approval is hereby granted for a 1000 gallon
xx Septic Tank or Aerated treatment unit. EMERGENCY REPAIR PERMIT
1,000 gallon two -compartment
Absorption area (or dispersal area) computed as follows: septic tank with
900 sq. ft. leach field
Perc rate 1 inches in 40 minutes 900 sq. ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest
Date 24 July 1979 Inspector Eri k Edeen
FINAL APPROVAL OF SYSTEM:
No system shall deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved p ' r to covering any part.
S tic Tank cleanout to within 12" of final grade or aerated access ports above grade.
roper m rials and assembly.
A quabsorption (or dispersal) area.
quate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date 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
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EAGLE COUNTY E.NVIRQNMENTAL HEALTH
ROUTE FORM
-79 NA14E JW
DATE REFERRED APPLICATION NO.
LOCATION
Please review the attached application and return it and this completed form
to the Environmental Health Office.
PLA__ NNING— Complies with: Yes N
Subdivision Regulations
Zoning Regulations
Recommend Approval LX-�
Comments:
-BUILDING _ Set Backs
Site
Access
Other
Recommend Approval[
Comments:
ENGINEER: ( necessary)
Roads
Grading
Drainage
Recommend Approval
Comments:
(_Reviewed By Date
7 2 �f
PERU OTETO
APPLICATION NO.
OWNER:
LEGAL DESCRIPTION:
RURAL ADDRESS:
TYPE OF DWELLING:
# OF BEDROOMS:.
DATE OF TEST: TYPE OF SOIL:
TEST HOLES PRESOAKED: YES 1--' NO
TIME
WATER DEPTH
INCHES OF FALL
RATE
2
3
1
2
3
1
2
3
1
2
3
104
zo/
7 14
z0-
5,1 �F
41
14
-314
'14-
1
1 A,
PERCOLATION RATE: TANK SIZE:
SQUARE FOOTAGE PER BEDROOM: a.,qrft(eX6) LEACH FIELD SIZE:
T
Site has been reviewed and tested for percolation rate.
We recommend: —APPReV-At--
DATE:
EAGLE -CQUa-TY
ENVTRnNMENtAt—t1EAE-TH—eFq4-GER
Johnson, Kunkel & Associates, Inc.
LAND SURVEYING • CIVIL ENGINEERING • MAPPING
July 23, 1979
Mr. Erik Edeen
Eagle County Sanitation
Eagle, Colorado 81631
Dear Erik:
Enclosed is the data from the perk test performed under
my supervision for the Simkins Residence in Wolcott made in
accordance with Eagle County Standards.
JM:epm
Sincerely,
l
CVMacKcwn
C
0
12566
w 1
P.O. Box 409 • 113 East 4th Street • Eagle, Colorado 81631 • Phone: (303) 328-6368
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.JOB NAME Hwy 131, ,�a � T � �Gk JOB 'NO.
Parcel #
xsnri /� n
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
,S�P Ga /
A, ^' ELf'3 I
.
JOB COST SUMMARY
TOTAL SELLING PRICE
\�
TOTAL MATERIAL
1/zg 19S
PERMIT #378
OWNER: Tom Simkins (Applicant: David Lee Johnson)
LOCATION: Parcel A - 0075 Highway 131 - Wolcott
EMERGENCY REPAIR
INSTALLER: David Lee Johnson
SIZE OF TANK: 1,000 gallon two -compartment septic tank
PERC RATE: one inch/40 minutes (900 sq . ft.)
.,-P i In 44 of '4
TOTAL LABOR
INSURANCE
SALES TAX
M'ISC.COSTS
TOTAL JOB COST
GROSS PROFIT
RHEAD COSTS
LESS % OFFSELLING PRICE
NET PROFIT
,Finaalized: 8 7-79 By: Erik Edeen
I
DLDER
Printed in U.S.A.
F
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44*
40, AI VAC- ' IeV "V 44,65 ! A-f t
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Sewer
T, h1*3
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Email *
aaseptic.co@gmail.com
Pumping Report
Inspection Report
MM
/
DD
/
YYYY
Systems Cleaner Company Information
A&A Septic Grand County
970-557-4257
aaseptic.co@gmail.com
Sandy Roberts 970-390-8940
75 HWY 131 Wolcott, CO
MM
/
DD
/
YYYY
Tanker Serviced by Columbia Sanitation
Sandy Roberts
Onsite Wastewater Treatment System (OWTS) Pumping & Inspection Report
Reports should be submitted within:
10 days for observations or ndings of failing systems
10 days for recommended repairs and malfunctions
30 days for systems functioning as intended
This report is for the services conducted: (check all that apply)
Date of Service
05 06 2023
Name
Phone
Email
Person Requesting the Service (name and contact):
Address of Property Serviced
Date of Service
05 06 2023
Sewage Disposal Site
Property Owner Name
970-390-8940
wolcottroberts@aol.com
IS-0378
Yes
No
Yes
No
Tank 1
1000
Concrete
Polyethylene
Fiberglass
Other:
Yes
No
Yes
No
Yes
No
Property Owner Phone
Property Owner Email
OWTS Permit Number
Was the tank pumped?
Was the tank inspected?*
Tank Size (gallons)
Tank material
Is the tank in good condition such that the tank functions are not compromised?
Are tees or baffles in good condition?
Is the top of tank or risers to grade?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Are risers in good condition such that their function is not compromised?
Is the lid (riser or manhole) in good condition?
Does the lid have secure closing mechanism to prevent easy access?
Was tank water level above the outlet invert?
Was tank water level below the outlet invert?
Does the tank have an effluent filter?
If yes, is the filter accessible for cleaning?
If yes, is the filter clean and in good condition?
Comments:
Yes
No
Tank 2
Concrete
Polyethylene
Fiberglass
Other:
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Is there a second tank?*
Tank Size (gallons)
Tank material
Is the tank in good condition such that the tank functions are not compromised?
Are tees or baffles in good condition?
Is the top of tank or risers to grade?
Are risers in good condition such that their function is not compromised?
Is the lid (riser or manhole) in good condition?
Does the lid have secure closing mechanism to prevent easy access?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Dosing Systems, Pressure Dosed Systems Higher Level Treatment
Was tank water level above the outlet invert?
Was tank water level below the outlet invert?
Does the tank have an effluent filter?
If yes, is the filter accessible for cleaning?
If yes, is the filter clean and in good condition?
Comments:
Does the system contain a dosing pump, siphon, control panel, and/or secondary treatment unit?*
Was an inspection completed for any of these components? (dosing pump, siphon, valves, control panel, and/or secondary treatment unit)*
Dosing Pump
Floats
Siphon
Distribution zone valves
Automatic distribution valve (ADV)
Flushing Valves
Audible Visual alarm
Control Panel
Advanced Treatment Unit
Yes
No
Other:
Yes
No
MM
/
DD
/
YYYY
Yes
No
Soil Treatment Area, Absorption Area, Leach Field
Yes
No
Yes
No
The system has (check all that apply)
Are these components operating properly?
Comments:
Is there a current operation and maintenance (O&M) contract?
If yes, when is it valid through?
Was an inspection conducted for the soil treatment area?*
Was the soil treatment area covered with snow?
Are there odors?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
N/A
Yes
No
Yes
No
N/A
Yes
No
Are there wet areas on ground surface?
Is irrigated landscaping planted over the soil treatment area?
Is vegetative cover adequate to protect area from erosion?
Is the vegetative cover excessive?
Are driveways, animal corrals, patios, or other features constructed over the area?
If the property is vacant, were the lines hydraulically loaded?
Are there observation ports?
If yes, is there standing effluent in the observation ports?
Is there a distribution box?
Yes
No
N/A
Yes
No
N/A
Diverter valve in good condition
Yes
No
Building Sewer
Yes
No
Yes
No
Yes
No
General Questions and Comments
Yes
No
If yes, is the distribution box accessible to grade?
If yes, is the distribution box in good condition and outlets level?
Comments:
Was an inspection of the building sewer line conducted?*
Is there a cleanout on the building sewer from the house to the septic tank?
Is there any evidence of damage, plugging or settlement of the building sewer from house to first septic tank?
Is there any evidence of damage, plugging or settlement of the building sewer from the septic tank to the soil treatment area?
Comments:
Is the property vacant?
Yes
No
Unsure
Yes
No
Unsure
Yes
No
Unsure
Yes
No
Other:
Yes
No
Other:
Yes
No
If vacant, how long?
Is the property served by a well?
Is there a record drawing (as-built or diagram)? (If no or unsure, please provide a sketch to environment@eaglecounty.us)
Does the system meet all required setbacks in Regulation 43?
Comments:
In my opinion, at the time of the inspection, the OWTS has deficiencies that require repairs.
In my opinion, at the time of the inspection, the OWTS is functioning adequately.
Were any non-permitted repairs completed?
Please List All Completed Non-Permitted Repairs Below:
Yes
No
This form was created inside of Eagle County Government.
Was the rest of the system inspected?*
Forms