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Home My WebLink About400 Eaton Ln - 210923402002EAGLE CGG 1TY DEPARTMENT OF ENVIRONM67< L HEALTH -PERMIT MUST BE PASTED ON PROPEVIY Box 811 6th & Broadway CALL FOR FINAL INSPECTION Eagle, Colorado 81631 BEFORE COVERING ANY PART SYSTEM. PERMIT N® 393 (this does not constitute a building or use permit) Owner TOM/PAM EHRENBERG (ROY/ROSE WILLIAMS: co —owners) System Location MO' S SUBDIVISION — LOT 4 Licensed esponsible for installation of septic system) 1,000 * Conditional Construction approval is hereby granted for a K= gallon xxx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Percolation rate estimated from subdivision tests taken 5-14-74. Perc rate 1 inches in 30 minutes sq. ft. absorption area per bedroom 300 sq,. ft. # of bedrooms 3 x 300 sq. ft. minimum requirement May we suggest a 1,000 gallon septic tank with a minimum 900 sq, ft. drain field. Date September 21, 1979 Inspector Erik W. Edeen 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. A-- Proper materials and assembly. ( 4 1- L— Adequate absorptio (or dispersal) ea. A equate co pliance with permit* requiremts. Adequate compliance with County and State regulations/requirements. 00 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 hnth .� "1VIRn 1�4F•NTa_L 11E.ALTH BOY 850 I ER.COLATION TEST FEE PER'JIT FEE $50.00 EAGLE, COLORADO 81631 $25.00 v' APPLICATION FOR INDIVIDUAL SE?;'Anr DISPOSAL SYSTE'-. PERMIT No. NAME OF OT?NER:: /G J�%1 t 1 ;4 M �/k'�'%✓ /3F G PHONE O yL 3 ADDRESS: ?75jI pu2 C4NF_ IL .Zyrf4MT, C. OC d, -x )x 1'::5 '7— NA-1-TE OF APPLICANT: 7,9-,y ENa 1:-1V 3F_ e G PHONE-/-9,(v-O 92.3 ADDRESS: _;�73,1 2 ire/cs -Pu g L , •✓� DESIGN ENGP,.. FOR SEPTIC (if necessary) : �y° �ivWG ADDRESS: PHONE LICENSED INSTALLER: d�/�ej _ /'j�`��Q�� PHONE ADDRESS: IS PERMIT FOR: (v) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County r-AGL F Lot Size I 46,eF S City or Town, if within City or Town Limits LEGAL DESCRIPTION: d T /D 'j Su C3 01 if J S / a �✓ WASTES TYPE ( V5 Dwelling ( ) Commercial or Institutional ( ) ?`ion -Domestic Wastes ( ) Transient Use ( ) Other IS SYSTEM DESIGNED FOR 2,000 GALLONS PER. DAY OR. LESS? yes ( ) no BUILDING OR SERZIICE TYPE: /i%j e IL 1� �Q,,,� Number of Persons Number of Bedrooms ( ) Garbage Grinder ( V) Automatic Washer ( ) Dishwasher m4 y t>; SOURCE AND TYPE OF WATER SUPPLY: ( V) Well ( ) Spring ( )Stream or Creek Give depth of all wells within 180 .feet of system: o Fr If supplied by community water, give name of supplier: 0 GROUND CONDITIONS: Percent. Ground Slope: o 40,0A0n. Depth to Bedrock: ,qve/,- 714,4.✓ -3G r Depth to Groundwater Table: LSD T TYPE OF INDIVIDUAL SET,TA(,E DISPOSAL SYSTEM PROPOSED: ( ✓) Septic Tank ( ) Aeration Plant ( ) Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ).Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywaer ( ) Other ` 00Q �/ K `c., -1 /CiG �`� /� c" s�ww x ti 64 �4 "Sy 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 IMPOR.TA NT ! ! ! APPOINTMENT FOR. FINAL INSPECTION 14UST BE MADE PRIOR TO COVERING BY CONTACTING THE INSPECTING ENVIRONMENTAL HEALTH OFFICER. REFER.. TO PE_ TlIT NUMBER. NO APPROVAL T,•?ILL BE GIVEN ON ANY SYSTEM T•TITHOUT FINAL INSPECTION. TOLL -FREE NUNIBEpS 328-7311, Ext. 238 (Eagle area) 949-5257, Ext. 238 (Vail area) 92.7-3823, Ext. 238 (Basalt area) (OVER) ♦ k 4 FINAL DISPOSAL BY: ( V� Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Underground Dispersal ( ) Wastewater Pond ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? A/O 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. 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SIGNATURE A7, DATE EAGLE UNTY ENVIRONMENTAL HEALTH ROUTE FORM DATE REFERRED � _ APPLICATION NO. LOCATION Please review -the attached application and return it and this completed form to the Environmental Health Office. PLAIDi-T-NL- Complies with: YQS Subdivision Regulations Zoning Regulations Recommend Approval 1�j ■ q jjj�C�j� IA Comments: _ Fa& OJVE �f�!(rL�t' �,cj,cj�� y 4)IV / 7— 04,11,V BUILDING• Set Backs ``/ Site Other Comments:. .ENGINEER: Comments: Access Recommend Approval (not always necessary) Roads Grading Drainage Recommend Approval 9-/.9.- r ;� ,16��::' reef e! cress o_ L-230.1 ic:;cription: y/ru4-� `��;.Sf-'�, S fi_`' l�• s / S .G sy � t � � r/J • DO N T 'ITS:. 'OrLC':: TTiIS . tc of Test:, i5' ` �f ::c;�t� o� r `j �, ole: anicter: �' i/ $=,-� i cation of Test. Ho1e: 4d/e ct?c ;;s ✓,' _ ' :sC ;pole was presoalced Irom: To: �(Tii. 1 2 3 1 2.41, 3_ l 2 , 3 1 171 2 3 :> U39 3 Lr- 4 mosner• s 5bctvsn, JOB NAME 0400 Esclante, Ehrenberg, Parcel # 210923400007 JOB NO. B LOCATION BILL TO DATE STARTED TE COMPLETED COLORADO DEPARTMENT OF HEALTH REQUEST FOR SERVICE -L�/� RECEIVED BY ��jj DATE ��ROGRAM //` LOCATION lel �f 110 �5 5�16d. NAME Zhren &�� Z ?// lllCC �itS REPORTED BY �%�J7i2 ��d g4l_z� 91 ADDRESS TELEPHONE SERVICE REQUESTED ACTION REPORT ACTION BY SH-M-71 (4-71-50) f DISPOSITIO DATE DATE BILLED I e4_w Date D Time WHILE YOU WERE OUT M of Phone dy Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT L. ] RETURNED YOUR CALL W310�1 13 Operator IN CY® No.64-7204 ILI