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HomeMy WebLinkAbout5313 Bellyache Ridge Rd - 194134101017EAGLE CC, TY DEPARTMENT OF ENVIRONME? .L HEALTH PERMIT MUST BE POSTED ON PROPERTY Box 811 6th & Broadway Eagle, Colorado 81631 PLEASE CALL FOR FINAL INSPECTION PERMIT N9 382 Owner LAWRENCE/CAROL KELLY System Location Lot 54 - Bellyache Ridge Filing #2 Licensed GeRUaotor- (this does not constitute a building or use permit) / G-f.ri1� * Conditional Construction approval is hereby granted for a 1 ,000 gallon XXX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: •�. Perc rate 1 inches in 30 minutes 800 sq. ft. absorption area per bedroom # of bedrooms 2 X 300 300 sq. ft. plus additional sq. footage for washer, dish- washer, & garbage grinder sq. ft. minimum requirement May we suggest 1,000 gallon septic tank with minimum 800 sq. ft. leach field. Date August 21, 1979 Inspector FINAL APPROVAL OF SYSTEM: Erik 14. Edeen 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. 2{r� GL'��5 Adequate absorption (or dispersal) area. Ad uate 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 tenth 0 �. 0Ei1VIDONT?FNTAL HEALTH BOX 85 f'E B0 _COLATION TEST FEE EAGLE OX 85DO 81631 PERMIT FEE $50.00 $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. 0l Z- NAME OF OWNER: c� aS a ilc�Q , y�- PHONE ADDRESS: NAME OF APPLICANT: �a,��ierICP g l arr3 ASP � PHONE A/ 7,� - /3 0-, 3 ADDRESS: DESIGN ENGR.. FOR SEPTIC (if necessary): ADDRESS: PHONE LICEN,9,ED INSTALLER: ADDRESS: PHONE IS PERMIT FOR: ( v'6New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County Lot Size /� c7crP f City or Town, if within City or Town�ts LEGAL DESCRIPTION: WASTES TYPE ( I-) Dwelling ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( ) Transient Use ( ) Other IS SYSTEM DESIGNED FOR 2,000 GALLONS PER. DAY OR. LESS? ( ✓f-yes ( ) no BUILDING OR SERVICE TYPE: s/�24111,e 7Zr0;/ dn,e_' Number of Persons � Number of Bedrooms ( Garbage Grinder (, -)Automatic Washer (L—�- Dishwasher SA.RCE AND TYPE OF WATER SUPPLY: ( ✓Well ( ) Spring_ ( )Stream or Creek Give depth of all wells within 180 .feet of system: .--�- If supplied by community water, give name of supplier: /�r IV ell GROUND CONDITIONS: Percent Ground Slope: f �- Depth to Bedrock: Depth to Groundwater Table: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEr' PROPOSED: ( Septic Tank ( ) Aeration Plant ( ) Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 IMPORTAIIT t I t APPOINTMENT FOR. FINAL INSPECTION MUST BE FADE PRIOR TO COVERING BY CONTACTING THE INSPECTING ENVIRONI.lENTAL HEALTH OFFICER. R..EFER. TO PFRTIIT NUMBED... NO APPROVAL WILL BE GIVEN ON ANY SYSTEM W4ITHOUT FINAL INSPECTION. TOLL-FFFE NUMBERS 328-7311, Ext. 238 (Eagle area) 949-5257, Ext. 238 (Vail area) 927-3823, Ext. 238 (Basalt area) (OVER) 4�1; .. ,_ K FINAL DISPOSAL BY: r ( Absorption Trench, Bed or Pit ( ) Above Ground Dispersal ( Underground Dispersal ( ) Other f ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? SITE (PLOT) PLAN: Include location of wells, springs, potable water supply lines, subsoil drains, lake water course, streams, dry gulches. Show location of proposed system by direction. Show distance of proposed system from dwellings and other fixed reference objects. Please indicate scale of reference, if any. Attach additional pages if necessary to give complete information. SIGNATURE DATE ,r,..:_ _. --_ . � i _... _.. ��� ,�'� _�ys rfv�, �`"" `�' ��4� ��. � P ��;j�z �C �� �_�, °g��� '� EAGLE UNTY ENVIRONMENTAL HEALTH ROUTE FORM t / l 7 NAME DATE REFERRED ��/ APPLICATION NO, OCATION Please review the attached application and return it and this completed form to the Environmental Health Office. PLANNING_ Comments: Complies with: Ye—.5— I No I Reviewed By Subdivision Regulations Zoning Regulations Recommend Approval ----------------__,.-- BUILDING Set Backs Other Comments: Site L Access Recommend Approval .ENGINEER: (motes necessary) Roads Grading Drainage _ Recommend Appro-v-91­ Comments: , 7 C� '-74 • ";x-, 7,"- - PERCOLATION TEST FEE: $50 OWNER: Cyr LEGAL DESCRIPTION: RURAL ADDRESS: APPLICATION NO. < r TYPE OF DWELLING: l _ # OF BEDROOMS: c�-- DATE OF TEST: �-—�� �y TYPE OF SOIL: TEST HOLES PRESOAKED: YES_ NO TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 2 3 1 2 3 1 2 3 c1 61, ,S7 7 PERCOLATION RATE: Ev ` 10. TANK SIZE: SQUARE FOOTAGE PER BEDROOM: C) l ' LEACH FIELD SIZE: /, i�� "�4-,-, Site has been reviewed and tested for percolation rate. We recommend: APPROVAL DISAPPROVAL DATE: 15 /0-7 EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICER OCOLORADO DEPARTMENT OF H A „ E LTH COUNTY' ,,< � REQUEST FOR SERVICE PROGRAM fCi� RECEIVED BY DATE _ZL,2 LOCATION NAME REPORTED BY SERVICE REQUESTE ACTION REPORT (f ACTION BY ADDRESS DISPOSITIO TE LE PHONE DATE SH-M-71 (4-71-50) c N 0 ro tt a � � 2 �M r•i r-r r-I r .,.q d ,-I CQ C, .r d G4 6 � M � � M � LO a r CN U co U o a p LL Q W I— �_ rn W V FU cn D cc O Oa O LL Q a. V W J O W O >N J O z U —' OU. O w g U O N m OC m Z �� (A 1n� Wo O J LU Q LU O U 0 J v=i Q d m Z (n N o O o H ro Q` 9 �,. aT a —mil z s cJ S.. •� ro IL U O U � _ N 4I W } St 7 > d rn +-) r0 0 L r 4- > N r O Q" C -0 LL_ N rn O O U 1 ) TJ O •r ro O 3 Ctom' -0 N I S- 0 N r6 O N •r r r0 N r }= r U 4 r 1 r r5 O CO -- U rn M r M N m U ro \ 5= 1 _ S. 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