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HomeMy WebLinkAbout2800 Cedar Dr - 246704400010N PL EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH Box KA 6th & Broadway VUST BE POSTED ON LOCATION 85p Eagle, Colorado 8163'1+e EASE CALL FOR FINAL INSPECTION BEFORE COVERING ANY PART OF ' PERMIT O IN6W%@s` TMstiLute N . 438 a building or use permit) Owner WILL -TAM V. SMITH System Location S- N' NW% SEA Section 4, T 4 S, R 86 W - on Basalt Mtn above Fryingpan Rive. Licensed Contractor . Owner installed system * Conditional Construction approval is hereby granted fora 7,nno gallon xx Septic Tank or Aerated treatment unit. MINIMUM .REQUIREMENTS: 1,000 gallon septic tank Absorption area (or dispersal area) computed as follows: 10 ' x 8 ' x 8 ' dry well Pere rate 1 inches in 30 minutes 384 sq. ft. sidewall area on dry well absorption area per bedroom 192 sq. ft. # of bedrooms 2 x May we suggest Date June 11, 1980 FINAL APPROVAL OF SYSTEM: sq. ft. minimum requirement A L--,-Vc 0 Inspector Erik W. 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. Date 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 regulations/requirements. 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, 3.2trequires 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_ PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FEES 328-7311 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 NAME OF OWNER: 1 /t�'�'`� t / Si9-7/ / , ADDRESS: % ' X % 3 C ct j IPHONE: NAME OF APPLICANT IF DIFFERENT FROM OWNER): ADDRESS: .� i�/, /PHONE: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): 0 ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: O u%-/ h.-/Z ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (A) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County /'e Lot Size City or Town, if within City or Town Limits LEGAL DESCRIPTION: S' iZ .V STREET (RURAL) ADDRESS: IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (,\) Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( �) Residential - Single-family dwelling ( ) Residential - Duplex ( ) Commercial - State usage # Persons # Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ('\) Dwelling ( ) Non -domestic wastes ( ) Transient Use ( ) Other SOURCE AND TYPE OF WATER SUPPLY: ( ) Well (l Spring Give depth of all wells within 200 feet of the system: If supplied by community water, give name of supplier: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Residential - Triplex Residential - Quadplex Z ( ) Garbage Grinder ( ) Dishwasher Automatic Masher ( ) Creek or Stream Septic Tank ( ) Aeration Plant ( ) Chemical Toilet Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use Pit Privy ( ) Incineration Toilet ( l) Recycling, Other Use ( ) Greywater WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes () No Signaturey Cate INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER _ GROUND CONDITIONS: Percent Ground Slope: 2 4� c��? %(09() yu &'j-1 11 / �'0� �� 5 40�' Depth to Bedrock (per 8' Profile Hole): / �— ;3 Depth to Groundwater Table:cl--/X_----,, °ERCOLATION TEST RESULTS: 2 Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 �l Minutes per inch in Hole No. 3 i BY: ( ) ,Absorption Trench, Bed or Pit ( ) Evapotranspiration 00ther Above Ground Dispersal ( ) Sand Filter Underground Dispersal ( ) Wastewater Pond Heview Routing corm l 1 r-nmary MOULIFl V, ) r1�1UUL111y Aut Date Referred AppI icant Permit No. Location Planning Commission File No. Review and return to the County Building Official within 6 working days .,Planning: Complies with: Yes No Reviewed by: Date: Subdivision Regulations ❑ ❑ Zoning Regulations ❑ Site Plan (Landscaping) ❑ ❑ v ❑ � Recommend Approval : j Comments: ?; +r + County Engineer: Roads ❑ ❑ Grading ❑ ❑ Drainage Recommend Approval: Comments: County Health: Water ❑ ❑ Sanitation ❑ ❑ Perc. test ❑ ❑ �] ❑ Recommend Approval: Comments: According to ISDS application, water will be supplied by a spring. Perc tests were performed y applicant/owner. Final Inspection: C/O Recommend Approval ❑ ❑ Comments: "7 BUILDING WVISION P.O. Box 179, .-,P-HdNE: 328-7311 12 :3-80 DATE JOB NAME TIME RECEIVED AM PM CALLER 1SDS Permit 4: 438 INSPECTION REQUEST EAGLE COUNTY William V. Smith L_OTHER ISDS Final ❑ PARTIAL. READY FOR INSPECTION LOCATION BASALT MOUNTAIN ABOVE ERYING.PAN RIVE Section 4, T 4 S. , R 86 W. - S z N'z NW4 SEa MON TUE WED THUR FRI AM PM COMMENTS: Permit originally issued June 11, 1980. Minimum requirements: 1,000 gallon septic tank with 10'x8'x8' dry well with 384 sq. ft. sidewall area for dry well. ❑ APPROVED ❑ DISAPPROVED ❑ UPON THE FOLLOWING CORRECTIONS: CORRECTIONS 3 lS ,c�;, 1XI, /VIC 6:;K ❑ REINSPECT DATE I I - I ✓0 - U EAGLE COUNTY ENVIRONMENTAL HEALTH DATE REFERRED _ ROUTE FORM NAME LOCATION APPLICATION NO. Please review the attached application and/return it and this completed form to the Environmental Health Office .l G�✓lti� 1&4-177 r PIA UINC- Complies with: Yes N Reviewed By Subdivision Regulations I' Zojing Regulations Recommend Approval Comments: _BUILDING: Set Backs I/ Site Other Recommend Ap�provalj Comments:- �e� Q1`/QG4 � e� EN TTNEER (n Roads Grading Drainage Recommend Approval Comments: Date EAGLE COUNTY BUILDING PERMIT APPLICATION .y FINAL: C/O INSPECTION, LANDSCAPE INSPECTION FORM >Review Routing Form ( ) Primary Routing I$0 Rerouting Date Referred Appl icant T85 Q8/plJ Permit No. S%ht -SE % Sec. 9 AM Location Planning Commission File No. Review and return to the County Building Official within 6 working days Planning: Complies with: Yes No Reviewed by: Date: Subdivision Regulations ❑ Zoning Regulations El❑ Site Plan (Landscaping) ❑ ❑ ❑ ❑ Recommend Approval Comments County Engineer: Roads ❑ ❑. Grading ❑ ❑ Drainage ❑ ❑ �—�—BD ❑ Recommend Approval:. Comments: County Health: Water ❑ ❑ Sanitation ❑ Perc . test ❑ ❑ ❑ ❑ Recommend Approval: _ Comments Final Inspection: C/O _ Recommend Approval ❑ ❑ Comments: Final Inspection: Landscaping Recommend Approval ❑ ❑ Comments: EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 November 14, 1986 M E M O R A N D U M TO: PROPERTY OWNERS FROM: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE RE: EXPIRED INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITS Our records indicate that your Permit # z/5? has not had a final inspection of the individual sewage disposal system. If you do not have a current building permit, the above referenced permit has expired. Please contact the Eagle County Environmental Health Office at the following address and give us the current status of your septic tank system and/or arrange for a final inspection. Eagle County Community Development Environmental Health Office P.O. Box 179 Eagle, Colorado 81631 (303) 328-7311, Ext. 227 Your immediate response to this request will be greatly appreciated. Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 438 5 R.r Cal ' wit l 11 a"i - 4 i�— a a� .t 4L tttr �11 q 7J 11-1 �2--"U-"aa- 438-80 TxPrcl�� JOB NAME _ S1/2,N1/2,NW1/4,SE1/4, Sec 4, ��-A. J1 ... ,,. „v _ . .._ __._. 'JOB NO. T4S,R86W on Basalt Mtn .IOR LOCATION .. - , 1 IT r 'L -4 i - S- c 113 BILL TO DATE STARTED DATE COMPLETED DATE BILLED 2111--182-�Do-oaa 5-7- qe � u YIDLy 20 aL� >r :III a � � Y�� JOB COST SUMMARY TOTAL SELLING PRICE �' 1 ) 7"—C' TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 �o NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A, EAG�--,COUNTY DEPARTMENT OF ENVIRP-'MENTAL HEALTH Box 811 6th & Broadway' Eagle, Colorado 81631 PERMIT N° 113 (this does not constitute a building or use permit) Owner W.V. and Eunice Smith System Location 0981 Cottonwood Pass Rd. Gypsum, CO 81637 Licensed Contractor Larry Schultz * Conditional Construction approval is hereby granted for a 1000 gallon X X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate 1 inches in 20x25 minutes 1000 sq. ft. absorption area per bedroom 1000 # of bedrooms 3 X 333t sq. ft. minimum requirement May we suggest c Date July 30, 1976 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. � Se is Tank cleanout to within 12" of final grade or aerated access ports above grade. Pamper materials and assembly. Adequate absorption (or dispersal) area. dequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. c 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 25-10-10 2. This permit is valid only for connection to structu: building requirements. Connection to or use with and Zoning office shall automatically be a violatic legal action and revocation of the permit. 3. Section III, 3.24 requires any person who construe system in a manner which involves a knowing and tarned in the application of permit commits a Clas both. Post -it" Fax Note 7671 Date . � 11 of � To M !9 From n Co./Dept: Co. Phone # Phone # 70 -x3at, _ Fax'19K— 7 —(� 5 Fax # k t5 ENVIRONMENTAL HEALTvj P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 ' PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT t Name of Owner: W.V. Smith Phone: 328-6608r- Address of Owner: 4;e k 7.3 Is facility within boundaries of a city/town or sanitation district? 1�J Distance to nearest sewer system:` Location of ProposedSystem: l E / t'%' l ee. t- r' -7 ., 9 Legal Discription: / Type of Structure: -Single Family Dwelling X) Other: No. Bedrooms S R YtiNyy Water Supply: Privately"'-O Location: Distance From leach field: }-� /_/ Size of Lot: 7,'$ A Public Water Supply: An appropriate plat plan must accompany site inspection for this application showing required information, (See attached sheet.) The individual sewage disposal system will be constructed and installed in accordance., with the regulations governing individual sewage systems within Eagle County, and-,- sha:ll"'comply with House Bill' 1553 CRS 66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be obtained at the Eagle County sanitarian's office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone 328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final inspection. Name, address, and telephone of person responsible for esign of system: + U The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT:y' - F Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Permit No. Tank Capacity: r'"if'7 gal. (minimum) Fee Receipt: Absorption Area: ;°?4) `% Sq. ft. (minimum) File: REMARKS: APPLICATION IS: APPROVED (^'�l DENIED ( ) The above individual sewage disposal system was installed by AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Dater Sanitarian: -AGLE COUNTY ENVIRONMENTAL HEAL,,i INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE SLIP_�� v Date Reterred Location Please review theattachedapplication and return it and this completed form to the Environmental Health office within 6 working days. Planning File Number Yes No Reviewed By Date Complies with: Subdivision Regulations Zoning Regulations Recozmaend Approval Comments: County Engineer: Roads Grading: Drainage Recon5tend Approval 'a � Comments: Building Department: Set Backs Site Access Other Recommend Approval I 1 (� 1 u i v '�> ck) ! Ln i I 1 � M, i v f \l a i r f � � i r t ( a ( "*;IN \, ram. �c ^a tti - Ln 3 :� r r �i t 1� v C EM 0113—Tract 9L Sec 18.-5—H JOB NAME-=- -Rd skAx JOB NO. AS - --�19 �l I;Ajv, JOB LO TION BILL TO DATE STARTED oATE COMPLETED DATE BILLED 1s -0� 9;0-- 92 —o bmverao Wers hs) ,c ado m-� ha,r,� cu -a�� �/j s , ' . - �) eh I lam' D 1174 VjM% ,'ULeP 2a�l Aho Q SvP (ZS - Z 33 JOB COST SUMMARY k-6— 4.4, --� TOTAL SELLING PRICE TOTAL MATERIAL 1 1''Tylc:�Zcuj-'�'TIST TOTAL LABOR INSURANCE tv SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT d' JOB FOLDER Product 278 Q® NEW ENGLAND BUSINESS SERVICE, INC„ GROTON, MASS, 01471 JOB FOLDER Printed in USA EAGI - COUNTY DEPARTMENT OF ENVIR("ENTAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT N° 113 (this does not constitute a building or use permit) V. and Eunice Smith Lion 0981 Cottonwood Pass Rd. Gypsum. CO 81637 itractor Larry Schultz ionai Construction approval is hereby granted for a 1000 gallon _ Septic Tank or Aerated treatment unit. 3n area (or dispersal area) computed as follows: l inches in 20x25 minutes 1000 sq. ft. rrption area per bedroom 1000 bedrooms 3 X333t sq. ft. minimum requirement uggest C Ju_. ly 30, 1976 Inspector _27 Erik W. Edeen OVAL OF SYSTEM: n shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system ed prior to covering any part. Se 'c Tank cleanout to within 12" of final grade or aerated access ports above grade. Pamper materials and assembly. —Adequate dequate absorption (or dispersal) area. �e4uate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. `~ . Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE tallation must comply with all requirements of the County Individual Sewage Disposal Regulations, d pursuant to authority granted in 25-10-10 Permit is valid only for connection to structu ig requirements. Connection to or use with )ping office shall automatically be a violatii action and revocation of the permit. n III, 3.24 requires any person who construe i in a manner which involves a knowing and Post -it'" Fax Note 7671 Date # or dO pages 7o n/1 I9 From CoJDept. Co. Q Phone # Phone # -70 aR- 55 Fax p970 T ©I 5 Fax # �D 3� k 0/ ENVIRONMENTAL HEAL? j P.O. BOX 811 t. ' PERMIT NO. EAGLE, COLORADO 81631 ` PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N. Name of Owner: W.V. Smith T� Phone: 328-6608~-,' Address of Owner: 0o k 7 Is facility within boundaries of a city/town or sanitation district? _ /!/'J Distance to nearest sewer system: 9'f ,, , /F, s Location of Proposed System:. 1_o o 7- / p Legal Discription:� r % N %12 y - C / �' 5 - g a Type of Structure: Single Family Dwelling (X) Other: No. Bedrooms V_ N Water Supply: Private ( X ) Location: Distance From leach field: • D-06 Size of Lot: ( 71 S /� -1— ' _._ Public Water Supply: An appropriate plat plan must accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system III be constructed and installed in accordance with the regulations governing individual sewage systems within Eagle County, and sK'all comply with House Bill 1553 CRS 66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be obtained at the Eagle County sanitarian's office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone 328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final inspection. Name, address, and telephone of person responsible for ye�sign of system: The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. Ar SIGNATURE OF APPLICANT: - Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information:. A&` Permit No. Tank Capacity- gal. (minimum) Fee Receipt: Absorption Area: % }' Sq. ft. (minimum) File: REMARKS: APPLICATION IS: APPROVED ( DENIED The above individual sewage disposal system was installed by AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date: Sanitarian: C F V ON ^v' ,fit l !; i rtc. .' � i ( • �' s . � - �-• •-• Cis E1',+�• 1 c. { C A, I c `f t L L) L:. L L) L:. �c:rfL /cr if re Q CA B �.-' PTV .A_ r� �13 oO � a IL4 V- S A- 7 JOB NAME 0113-Tract 91 Sec 18-5-85 H JOB NO. —11S —N JOB LO TION BILL. TO DATE STARTED uATE COMPLETED DATE BILLED bmVer-stZD M er s o c oho M.c haAM- a s -o q;?e, 2 Z a o Q 2Qett4& a-� 4L., &J JOB COST SUMMARY "J "X� 4.4, TOTAL SELLING PRICE TOTAL MATERIAL ZD14B4 Lv c AEZ-1 p. koz 14, H42� pymcua? 1�1 TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 NEW ENGLAND BUSINESS SERVICE, INC, GROTON, MASS. 01471 JOB FOLDER Printed In USA.