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HomeMy WebLinkAbout7091 Frying Pan Rd - 246906400004EAGL► \NTY DEPARTMENT OF ENVIROA'NTAL HEALTH , � T MUST BE POSTED ON 1-0 ATION Box 811 6th & Broadway - ` EASE CALL FOR FINAL INSPECTION Eagle, Colorado 81631 BEFORE COVERING ANY PART OF THE SYSTEM PERMIT0 416 (this does not constitute • a building or use permit) Owner Alf Gardner System Location 7091 Frying Pan Road Basalt, CO 81621 OTTO CREEK RANCH Licensed QKX0tXXKk Tnstalli-r• I aol HughPq � " * Conditional Construction approval is hereby granted fora 1 ,250 gallon = �' xx Septic Tank or Aerated treatment unit. EMERGENCY REPAIR PERMIT Installation of a new septic Absorption area (or dispersal area) computed as follows: tank with minimum 1,250 'gal. and a new leach field of Perc rate 1 inches in 10 minutes 1000 sq. ft. minimum 1,000 sq. ft, size is recommended. absorption area per bedroom # of bedrooms 4 X 250 May we suggest Date November 29, 1979 FINAL APPROVAL OF SYSTEM: 250 sq. ft. sq. ft. minimum requirement Inspector Erik 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. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulat'ons/ uirements. Date �— D� s �O 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 both. . PER.COLATION_ TEST FEE. $50.00 ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE 525. 00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO NAME OF OWNER: : ADDRESS _/2 NA14E OF APPLICANT: ADDRESS: A 55 L/ DESIGN ENGR.. FOR SEPTIC (if necessary): ADDRESS: -%/ HONE PHONE ,- L4 LICENSED INSTALLER: PRONE ADDRESS: f3 IS PERMIT FOR: ( ) New Inst lation ( ) Alteration ( Repair LOCATION OF PROPOSED FACILITY: County4-Lot Size City or Town, if within City or Town imits LEGAL DESCRIPTION: WASTES TYPE (�) Dwelling ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( ) Transient Use ( ) Other IS SYSTEM DESIGNED FOR 2.,000 GALLONS PER. DAY OR LESS? yes ( ) no BUILDING OR SERVICE TYPE: Number of Persons Number of Bedrooms ( ) Garbage Grinder ( ) Automatic Washer ( ) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) Well X Spring ( )Stream or Creek Give depth of all wells within 180 .feet of system: If supplied by community water, give name.of supplier: GROUND CONDITIONS: Percent Ground Slope: Depth to Bedrock: *44,9,�sW Depth to Groundwater Table: , TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM 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: 4Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 i� i� i� iC iC i♦ �� :C i� i� iC i� i� iC i� i� i� �C i� i�. i� i� J� iC i� iF i� - i� JJi� i� i� i� n iC i� iC iC IMPORTANTI I I APPOINTMENT FOR. FINAL INSPECTION MUST BE MADE PRIOR TO COVERING BY CONTACTING THE INSPECTING ENVIRONT'IENTAL HEALTH OFFICER. REFER TO PET. = NUMBER. NO APPROVAL WILL BE GIVEN ON ANY SYSTEM IIITHOUT FINAL INSPECTION. TOLL -FREE NTJMBERS 328-7311, Ext. 238 (Eagle area) 949-5257, Ext. 238 (Vail area) 927-3823, Ext. 238 (Basalt area) (OVER) FINAL DISPOSAL BY: ( ) 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?�� ` 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 additioual pages if necessary to, give complete information. SIGNAT DATE PERCOLATION TEST ✓cam © 9 FEE: $50 _ APPLICATION NO. OWNER: LEGAL DESCRIPTION: RURAL`- ADDRESS : TYPE OF DWELLING: z� S 2 ,1, # OF BEDROOMS: DATE OF TEST: %� %— %�' TYPE OF SOIL: TEST HOLES PRESOAKED: YES NO TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 PERCOLATION RATE: 4/0 /0-7 TANK SIZE: (� SQUARE FOOTAGE PER BEDROOM: ;;:2�0 LEACH FIELD SIZE: Site has been reviewed and tested for olation rate. We recommend: APPROVAL DISAPPROVAL DATE: /�--91 P, 1, �, a EAGLE COUNrY ENVIRONMENTAL HEALTH OFFICER �\ILDINGDIVISION INSPECTION REQUES �. BOX 179 /DONE: 328-6339 EAGLE COUNTY . DATE .��"""� /�� JOB NAME TIME RECEIVED AM PM CALLER ❑ OTHER ❑ PARTIAL. LOCATION READY FOR INSPECTION MON TUE WED THUR FR [P-,,nC'P P R 0 V E D ❑ DISAPPROVED 5? PON THE FOLLOWING C RRECTIONS: CORRECTIONS AM PM ❑ REINSPECT DATE r� DATE REFERRED EAGLE COUNTY ENVIRONMENTAL HEALTH w•. �''� ROUTE ORM 4zz���� NAME APPLICATION NO. OCATION Please review the attached application and return it and this completed form to the Environmental Health Office. _ ANNING: Complies with: Yes N Subdivision Regulations Zoing Regulations Recommend Approval Comments: _BUILDING• U/ Other Comments: o1►Ce��� Comments: Set Backs Site �oC� Recommend A] Roads Grading Drainage Recommend Approval 0416 Otto Crk R&RG , Basalt, OB NAME _ 7091 Frying Pna Rd, Gardner AA �fc�m �z A� JOB NO. Parcel # 246906400004-$ JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 24 �I//��11 yr, (cam �7 1 �p/�) � \II � l /GRw[ JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL ol �" i �� • �./ _... PERMIT #416 OWNER: Alf Gardner LOCATION: 7091 Frying Pan Road - Basalt (Otto Creek Ranch) 14d Z'/>0 INSTALLER: Lael Hughes SIZE OF TANK: 1,250 gallons DWELLING: residential - 4 bedrooms x 250 sq. ft. PERC RATE: one inch/10 minutes 1,000 sq.ft. Finalized: 1-08-80 By: Les Douglas :E ,L JOB COST ZOSS PROFIT OVERHEAD COSTS )F SELLING PRICE NET PROFIT LO/ JOB FOLDER Product 278 s ® NEW ENGLAND BUSINES 5 { w Printed in U.S.A. n iM"st:es, V