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HomeMy WebLinkAbout1607 Ruedi Creek Rd- 246901100004EAGLE co,_ rY DEPARTMENT OF ENVIRONMEN L HEALTH Box 811 6th & Broadway PLEASE CALL FOR FINAL INSPECTION Eagle, Colorado 81631 BEFORE COVERING ANY PART OF QUST BE POSTED ON LOCATION INSTALLED SYSTEM. PERMIT N9 44i (this does not constitute a building or use permit) THIS DOES NOT CONSTITUTE A Owner DONALD B. WILCOP BUILDING PERMIT. System Location 1607 Ruedi Creek Road Licensed Contractor _ Ed Drea 927-3431 * Conditional Construction approval is hereby granted fora i,2so gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate RgxA& 1 inches in 30-40 absorption area per bedroom _ # of bedrooms 4 X 250 May we suggest Date June 17, 1980 FINAL APPROVAL OF SYSTEM: minutes 1,000 s q. ft. 250 scr. ft. sq. ft. minimum requirement Inspector Erik W. MINIMUM REQUIREMENTS 1,250 gallon septic tank 1,000 sq. ft. drain field CONDITION: You must maintain 100' distance minimum from all springs, wells, or other water sources c r Edeen / 'X6 (/ No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approvedpKor to covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. roper materials and assembly. fn ,'// / -Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. 1l` Adequate compliance with County and State regulations/requirements. 7/ 27 V 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.PSrequires 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 },.,th s. ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N0 448- Name of Owner; 1)b� 6 0 I 3 , IA/ l LCop Phone: � �a. � 5 72 - 0��� Address of Owner: �, �©� 4A 7LL l 05 Is facility within boundaries of a city/town or sanitation district? N6 Distance to nearest sewer system: -t p 1 /J Location of Proposed. System: Uj 11q of A)r i1`q I , fi� p O fig Legal Discription: Type of Structure: Single Family Dwelling ( 14 Other: No. Bedrooms Water Supply: Private, Well ( Location: p��ceL �" Distance From leach field: I ° 2 ' -;kQO rfi Size of Lot: 1 7, 35- Public Water Supply: /03,' 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 shall 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 design of system: �a Gib G) 0 18S /1212� „ CA6ot3 AMe� -- -'97- N31 The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. ii SIGNATURE OF APPLICANT: _ Date: (T is application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Tank Capacity: Absorption Area: REMARKS: gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( ) DENIED Permit No. - Fee Receipt: File: 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: PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FEES 328 311 PERMIT FEE = $75 r 949-5257 .. �� _ 927-3823 ENVIRONMENTAL HEALTH BOX 850 II EAGLE, COLORADO 81631 7 1990 (7tI j PERCOLATION ,TEST FEE _ $50 h] _A I fri APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NAME OF OWNER: _�,�,�: `fl �J .l _ ADDRESS: ; :j' j°%) � NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADDRESS: - DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: - ---� NO. �%1�7 0:2� PHO� IE' i '0 PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ADDRESS: Q0f-iy t�I���k�= Iwi��.,ti �':�� ��,�,� ��,<� �' � PHONE: PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County ': , Lot Size -- City or Town, if within City or Town Limits LEGAL DESCRIPTION:�r!'',:.,4�, 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 - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons " # Bedrooms t WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( Dwelling ( ) Non -domestic wastes ( ) Transient Use ( ) Other SOURCE AND TYPE OF WATER SUPPLY: ( Well ( ) 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: Septic Tank ( ) Aeration Plant ( ) ( ) Vault Privy ( ) Composting Toilet ( ) ( ) Pit Privy ( ) Incineration Toilet ( ) ( ) Greywater ( ) Other ( ) Garbage Grinder ( ) Dishwasher ( ) Automatic Masher ( ) Creek or Stream Chemical Toilet Recycling, Potable Use Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO 14ATERS OF THE STATE? ( ) Yes Signature V INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: ( P-J_'No Date 71,E !m `-0 Depth to Bedrock (per 8' Profile Hole): Depth to Groundwater Table: 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 FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Underground Dispersal ( ) 'Wastewater Pond ( ) Other REPAI= PERP,"IT 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 .+' eal 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 SYSTEM: ADDRESS: APPLICANT: ADDRESS: DATE: COLORADO DEPARTMENT OF HEALTH ACCOMMODATIONS INSPECTION REPORT Name Co. Acct. No. Category No. Location Zip Owner Address Zip Operator Address Zip Units Capacity Dale Female Juv. Water, Source -Type Sewage, Type -Method` Food Source Swimming. Pool An inspection of the above noted facility on this date reveals the violations and deficiencies listed below which you are hereby ordered to correct: !�� • Q��" � �' aril/>� )ate Received By Inspected By Score :PS:57 (5-75-10) PERCOLATION TEST FEE: $50 OWNER: U.tom �D � 11,4tI LEGAL DESCRIPTION: w i z , APPLICATION NO. RURAL; ADDRESS: TYPE OF DWELLING: � �� � liL� % /� # OF BEDROOMS: � DATE OF TEST: �— ' �V 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 Ll 7 y 4 2-1 z I� l ZID 2-I PERCOLATION RATE: lZ� TANK SIZE: SQUARE FOOTAGE PER BEDROOM: LEACH FIELD SIZE: Site has been reviewed and tested for ercolation rate. / We recommend: APPROVAL DISAPPROVAL DATE: —7 ` , 0 EAGLE COUNT ENVIRONMENTAL HEALTH OFFICER EAGLE COUNTY ENVIRONMENTAL HEALTH 1 ROUTE FORM Cv /lp — 0 fJ NAME DATE REFERRED /� 0 y LOCATION APPLICATION NO. Please review the attached application and return it and this completed form to the Environmental Health Office. PLAN ING-- Complies with: Yes No Reviewed By Subdivision Regulations I` Zo ing Regulations n A Recommend Approval WA ( V7 Comments:— o=01-r nw�ut--M k4cp AkP -4 A BUILDING: te/ Other Comments Set Backs Site A��e7s s-- Recommend Approval ENGINEER: (n4>-� r necessary) Roads Grading Drainage Recommend Approval Comments: J0 EAGLE COUNTY Environmental Health EAGLE, COLORADO 81631 TELEPHONE 303/328-7311 BOARD OF COUNTY COMMISSIONERS Ext 241 ADMINISTRATION Ext 241 ANIMAL SHELTER 949.4292 ASSESSOR Ext 202 BUILDING IN INSPECTION Ext 226 or 229 CLERK & RECORDER Ext 217 COUNTY ATTORNEY Ext 242 ENGINEER Ext 236 ENVIRONMENTAL HEALTH Ext 238 EXTENSION AGENT Ext 247 LIBRARY Ext 255 PUBLIC HEALTH Eagle Ext 252 Vail 476-5844 PLANNING Ext 226 or 229 PURCHASING/ PERSONNEL Ext 245 ROAD & BRIDGE Ext 257 SHERIFF Eagle Ext 211 Basalt 927-3244 Gilman 827-5751 SOCIAL SERVICES 328-6328 TREASURER Ext 201 May 27, 1980 Donald Wilcop 213 S. Madison La Grange, Ill. 60525 Dear Mr. Wilcop, We have received your application for an individual sewage disposal system permit. However, we cannot process your application until we receive a more detailed site plan according to requirements. Enclosed please find receipts for check numbers 1424 and 1455, as well as instructions concerning the submittal of site plans. If you have any questions, please contact this office. at (303) 328i77311 ext. 238. EE/j h enc. 3 Thankyou, l.J r Erik Edeen Environmental Health Officer E �o ❑a O�RR� (L� u o \J d a n� z d ❑O O nnQ F- LL. 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JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED !II-��-��} JOB COST SUMMARY TOTAL SELLING PRICE 1c�t_�I ® PERMIT # 441 OWNER: Donald LOCATION:f,,,='1607 Ruedi Creek Road INSTALLER: Ed Dreagerallons SIZE OF TANK: 1,250 g DWELLING: Resident ial0_40 midnutess (1,000ssgfft.) PERC RATE: one inch/ 3 Finalized: 07-22-80 By: Erik Edeen TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS '/o OF SELLING PRICE NET PROFIT LO/ JOB FOLDER Product 278 � _ Printed in U.S.A 0 rn IN �1I Ill 0