HomeMy WebLinkAbout5893 Frying Pan Rd - 246712102001EAGLE CONY DEPARTMENT OF ENVIRONMEK )L HEALTH
'ERMIT MUST BE POSTED ON LOCATION Box 811 6th & Broadway CALL FOR FINAL INSPECTION BEFORE
Eagle, Colorado 81631 COVERING ANY PART OF SYSTEM
Owner
System Location
PERMIT NO 464 (this does not constitute
• a building or use permit)
TAYLOR CREEK HOMEOWNERS ASSOCIATION
5893 Frying Pan Road, Basalt, CO 81621
Licensed CRRtxavkxx Installer-
* Conditional Construction approval is hereby granted fora 1,000 gallon
xx Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 90 1 inches in 40 minutes sq. ft.
absorption area per bedroom
# of bedrooms x
May we suggest
Date
September 16, 1980
FINAL APPROVAL OF SYSTEM:
sq. ft. minimum requirement
Inspector
MINIMUM REQUIREMENTS:
1,000 gallon septic tank
Leach field shall be installed
as per engineer design.
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.
tic Tank cleanout to within 12" of final grade or aerated access ports above grade.
roper materials and assembly.
Adequate absorption (or dispersal) area.
dequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date C/ 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_
�rLtHJt Kt I UKIV I till t'UKI lUN Wl 1 H YUUK SITE PLAN AND FEES
s: -7311 949-5257 927-3823
ENVIRONMENTAL HEALTH
BOX 850
EAGLE, COLORADO 81631
PERMIT FEE = $75 PERCOLATION TEST FFE _ $50
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
NAME OF OWNER: _
ADDRESS:- `j SDI
NAME OF APPLICANT (IF DIFFERENT FROM OWNER):
ADDRESS:
DESIGN ENGINEER F SYSTEM (IF APPLICABLE):
ADDRESS: )3 (A" 060
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
ADDRESS:
PERMIT APPLICATION IS FOR: ( ) New Installation
NO. O v?e__1
PHONE: )743?Y
PHONE:
WO PHONE:
it4Sla��
PHONE
( ) Alteration
LOCATION OF PROPOSED FACILITY: County Ci Lc
City or Town, if within City or Town Limits W I
LEGAL DESCRIPTION: I&.d W &L&4, �B�✓l sv�i tt�c.- -�
STREET (RURAL) ADDRESS:
i
Repair
Lot Size I`2
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 O Residential - ex�ipC
( ) Commercial - State usage
# Persons # Bedrooms
WASTE TYPES: (Check all applicable) .
( ) Commercial or Institutional (�j Dwelling
( ) Non -domestic wastes ( ) Transient Use
( ) Other
SOURCE AND TYPE OF DATER 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
C( o) Dishwasher
Q) Automatic Masher
( ) Creek or Stream
I/Lz V,�Q_
Chemical Toilet
Recycling, Potable Use
Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( )
Signature
U/1 I
Yes ) No
Date 12- Scp / 8
�d��(
INFORMATION BELOW TO
BE FILLED OUT BY ENVIRONMENTAL HEALTH
OFFICER
/00
0 9
GROUND CONDITIONS: Percent
Ground Slope: Z
``�� //r
Depth to Bedrock
(per 8' Profile Hole):
Depth
to Groundwater Table:
SOIL PERCOLATION TEST
RESULTS: G Minutes per
inch
in Hole No. 1
Y?`�
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
EAGLE
COUNTY ENVIRONMENTAL HEALTH
ROUTE FORM
< lVVcl—
rIgME
DATE REFERREDr
APPLICATION NO.
6
' ..
1
LOCH ION
Please review the attached
application and return it and this completed fore
to the Environmental Health
Office.
RLAN-NINCComplies with: Yes No Reviewed By
Subdivision Regulations)
Zoing Regulations
� 4
inc,
7
Recommend Approval
Comments:
.BUILDING: Set Ba
tl/ Site
s
Other
Recomm
Comments:
FNGTNEER: (not always necessary
Roads
Grading
Drainage
Recommend Approval
Comments:
PERCOLATION TEST
FEE: $50
APPLICATION N0. (J
OWNER:
- r
LEGAL DESCRIPTION: '�-"
RURAZ; ADDRESS: 1711
TYPE OF DWELLING: � 1
-, <(' # OF BEDROOMS
DATE OF TEST: TYPE OF SOIL:".�
TEST HOLES PRESOAKED: YES NO�"�~ Jam✓ L' �t %
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
l
2
3 J1
1
2
3
1 i
2 (
3
f
10
t,.
PERCOLATION RATE: TANK SIZE:
SQUARE FOOTAGE PER BEDROOLI:/L(�, �.� LEACH FIELD SIZE:
/01
Site has been reviewed and tested for percolation rate.
We recommend: APPROVAL DISAPPROVAL
DATE: �K " 12-m
EAGLE COUN Y
ENVIRONMENTAL HEALTH OFFICER
0464 5893 Frying Pan Rd
NAME TAYLOR CRK HOMEOWNERS ASC
�M _ _ , Imo--,�, � �-; t. �,� �,,: 6 � � � • •
JOB LOCATION
BILL TO
DATE STARTED I DATE
2-01q TD�V CWQ- F-vf'(Wl Em &Qk�
PERMIT #464 _ °�wf4�
OWNER: Taylor Creek Homeowners Association
LOCATION:005893 Frying Pan Road - Basalt
0f16
INSTALLER:
SIZE OF TANK: 1,000 gallons
DWELLING: Quadplex
leach field shall be installed as per engineer design
PERC RATE: one inch/40 minutes
246' Ili -d2- CC) I
Finalized: 10-3-80 By: Erik Edeen
)LDER
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
13
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