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HomeMy WebLinkAbout169 Kaibab Rd - 210904103001EAGLE L TY DEPARTMENT OF ENVIRONML PERNiIT MUST BE POSTED ON LOCATIOSx 850 ADOW&kk 6th & Broadway Eagle, Colorado 81631 PERMIT M 436 Owner Sla'RxSxx1Txx xxzSxxirxx DONALD E. GILMER System Location ,L HEALTH PLEASE CALL FOR FINAL INSPEC TION BEFORE COVERING ANY PORTION OF INSTALLED (this does not constitute SYSTEM a building or use permit) LOT 47 - KAIBAB SUBDIVISION, FILING #2 -, 0169 Kaibab Road Licensed Contractor Owner -installed * Conditional Construction approval is hereby granted for a 7000 gallon xx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 20 inches in 1 minutes 750 absorption area per bedroom _ # of bedrooms 3 X 250 May we suggest Date June 9, 1980 FINAL APPROVAL OF SYSTEM: 250 sa. ft. s q, ft. sq. ft. minimum requirement MINIMUM REQUIREMENTS: 1,000 gallon septic tank 750 sq. ft. leach fiel IMPORTANT NOTE: The driveway must be locate a minimum of 20 ft. from th shoulder of the intersectin street; in this case, Sothm Circle. Therefore, the driv way must be moved an additi, al 10 ft. south from the northeast corner of the property. Inspector Erik W. Edeen, Environmental Health 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 cleano �infinal grade or aerated access ports above grade. Proper materials and assembly. ��c ��. �` �%h—� " L' GNU �v �o rte Adequate absorption (or dispersal) area. �V(� — w Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. 14 D�ae Inspector TAIN 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, 3.2&3requires 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 1 PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FEES .3?8-7311- 949-5257 927-3823 . ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE _ $75 PERCOLATION TEST FEE _ $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. NAME OF OWNER: 4 G I ADDRESS: f 13y 7 I�r� � G 016'$`"7 PHONE: rj-' 6 _ 3� jy�2_ NAME OF APPLICANT (IF DIFFERENT FROM OWNER): S M ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: a� p�lnfll�7c'Y` ADDRESS: 04 r �� c^� rr� i' /�C���//�_� PHONE: PERMIT APPLICATION IS FOR: (r/i New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County Lot Size (o City or Town, if within City or Town Limits,�� LEGAL DESCRIPTION: fit, �—q., �`�i'�1c — L)Lt)'o `,' ,(1 hr1 i c1-3 11_(V STREET (RURAL) ADDRESS: c,1 4,2 IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( v1 Residential - Single-family dwelling ( ) Residential - Triplex Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons # Bedrooms _s WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( ✓) Dwelling ( /7 Garbage Grinder ( ) Non -domestic wastes ( ) Transient Use ( Dishwasher ( ) Other ( i%) Automatic Washer SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek or Stream Give depth of all wells within 200 feet of the system: If supplied by community water, give name of supplier: T 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 WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (; ) No Signature Date * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: - -- �-' -O Depth to Bedrock (per 8' Profile Hole): Depth to Groundwater Table: SOIL PERCOLATION TEST RESULTS: .Z 63 0'p Minutes per inch in Hole No. 1 ZpMinutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 FINAL DISPOSAL BY: ( Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Underground Dispersal ( ) Wastewater Pond ( ) Other REPAIR PERMIT APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS A permit fee of $75. shall be charged for alteration, enlargement, or any repair involving alteration of an existing sewage disposal system. This fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $50 shall be charged for all new leach fields on repair permits. Percolation testing may be waived at the -discretion of the Environmental Health Officer on certain repair cases where prompt action must be taken to prevent a .peal th hazard. IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, A NEW SYSTEM SHALL BE INSTALLED, COMPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEM/MALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM WAS INSTALLED PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT: SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: OWNER OF SYSTEt^: ADDRESS: APPLICANT: ADDRESS: DATE: BUILDING DIVISION P.O. BOX 609 PHONE: 328-7311 DATE TIME RECEIVED- -_ JOB NAME AM PM CALLER INSPECTIuN REQUEST TOWN OF EAGLE BUILDING FOOTING FOUNDATION FRAMING FINAL PARTIAL LOCATION: COVER INSULATION SHEETROCK VENEER ROOF PARTIAL LOCATION: PLUMBING ROUGH STANDPIPE FINAL W D C S MECHANICAL ELECTRICAL VENTILATION HEATING HOODS TEMPORARY ROUGH FINAL SMOKE DETECTOR PARTIAL LOCATION: PARTIAL LOCATION: PARTIAL LOCATION: ❑ OTHER MON TUE COMMENTS: ❑ PARTIAL. LOCATION READY FOR INSPECTION WED THUR FRI_ _AM PM ❑APPROVED ❑DISAPP'ROVED ❑ REINSPECT DATE INSPECTOR 1 EAGLE COUNTY ENVIRONMENTAL HEALTH ROUTE FORM �' 0U NA14E ��95— DATE REFERRED / �- 7 /Z—1, " Z APPLICATION NO. ?: LOCATION 016 q Please review the attached application and return it and this completed form to the Environmental Health Office. PLANNING Complies with: Yes Subdivision Regulations Zo ing Regulations Recommend Approval Comments: My I Pei, !a Vjj W-, - -. � Date BUILDING: Set Backs -� LI/ Site Ass ( I Other F Recommend Approval Comments:. .ENGINEER (not always necessarv) 1p"/O& /- �-* PERCOLATION TEST FEE: $50 APPLICATION NO. % IS OWNER : �a /'1CZL� E• /�rl'1 e,/"' LEGAL DESCRIPTION: � RURAL ADDRESS: k&Zbu.$ 06 ad TYPE OF DWELLING: _ it ��� � # OF BEDROOMS: 3 DATE OF TEST: / p/f, oZ � �; 9BO TEST HOLES PRESOAKED: YES �' NO TYPE OF SOIL:GC� f��4, /0r A / TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 10 i3� 1_01 SO /0 r�/ 31, 20 PERCOLATION RATE (/ �/� TANK SIZE: f 0 0 C SQUARE FOOTAGE PER BEDROOM: �c�D LEACH FIELD SIZE: 77,�—d Site has been reviewed and tested for percolation rate. We recommend: APPROVAL DISAPPROVAL DATE: FC)_ EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICER EAGLJE COUNTY Environmental Health EAGLE, COLORADO 81631 TELEPHONE 303/328-7311 June 9, 1980 BOARD OF COUNTY COMMISSIONERS Ext 241 ADMINISTRATION Donald E. Gilmer Ext 241 P. O. Box 754 ANIMAL SHELTER Vail, Colorado 81657 949-4292 ASSESSOR RE: Individual Sewage Disposal Permit Application #795 Ext202 Lot 47, Kaibab Subdivision, Filing #2 - 0169 Kaibab Road BUILDING IN INSPECTION Dear Mr. Gilmer: Ext 226 or 229 CLERK & The Environmental Health Department requires that all applications RECORDER for septic stems be routed to the Count Planning, Buildin , Ext 21 7 p y y g� g and Engineering Departments for comment prior to issuance of the COUNTY ATTORNEY septic permit. Your application for the above property was Ext242 routed June 2. ENGINEER Ext236 Listed below are the comments and/or recommendations made by those departments. If you have any questions or wish to obtain ENVIRONMENTAL HEALTH further explanation, please contact the appropriate department. Ext 238 EXTENSION PLANNING: APPROVED. AGENT Ext247 BUILDING: APPROVED. LIBRARY Ext255 ENGINEERING: CONDITIONAL APPROVAL. The driveway must be located PUBLIC HEALTH a minimum of twenty (20) ft. from the shoulder of Eagle Ext 252 the intersecting street; in this case, Sothman Circle. Vai1476-5844 Therefore, the driveway must be moved an additional PLANNING ten (10) ft. south from the northeast corner of the Ext 226 or 229 property. PURCHASING/ PERSONNEL Ext 245 G orge . We r ROAD & BRIDGE Engineering Department Ext 257 SHERIFF Please note that Permit #436 is enclosed with the Engineering Eagle Ext 211 Department's conditional requirement attached. Please resolve Basalt 927-3244 Gilman827-5751 this problem so as not to delay the final inspection of approval SOCIAL SERVICES for the installed system. 328-6329 TREASURER Ext 201 Sincerely, Erik W. Edeen Environmental Health EWE/GWH/ncm Enclosure 0436 Lt 47, Kaibab Sub, Flg 2, _ JOB NAME: _ I L0169 Kaibab Road G-hLXE�R� XLi � � !t-�I'i �� � �� �, Parcel # 2109-041-03-001`' JOB 'NO. - JOB LOCATION _.. BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL c� PERMIT # 436 BBr y' OWNER: LOCATION: Lot 47 - Kaibab Subdivision - Filing #2 ~/0169 Kaibab Road - Eagle INSTALLER: Owner SIZE OF TANK: 1,000 gallon (block tank - cast iron inflow and outfl o PVC leach field DWELLING: Residential - 3 bedrooms x 250 sq.ft. PERC RATE: one inch/20 minutes (750 sq.ft.) TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS 0% OF SELLING PRICE NET PROFIT rinalized: 10-24-80 d41-u3-©off By: Brian Haas OLDER 0 Printed in U.S.A. �v Lo I LoT L to oT q 7 4A lop If z ci: 47 Dot%.IILD E, CS*ILMrR- Vq V-L) LO 1A D 0 L-.rit q 3 P, LoT `{ I". L oT 41 LoT If 4 D 5COLE 2 o f Lat Ulpi>F-P, L o-r +1 F i L-1 W G" a-