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HomeMy WebLinkAbout623 Hwy 82 - 000000000000 - 0508ISEAGLE OUNTY DEPARTMENT OF ENVIRONMEN1/,—D HEALTH PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED INSPECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N c 50 8 OWNER: 4 R SS:� SYSTEM LOCATION: LICENSED INSTALLER: LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: `fib gallon tic tan or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: inch in minutes. Absorption Area per Bedroom sq. ft. No. of Bedrooms x sq. ft. minimum requirement per bedroom = total sq. ft. minimum requirement. �% _-- SPECIAL REQUIREMENTS: lj-e �6P.', P/i ✓'Q.I' ",eelOslo DATE: (S— 2—J— r/ INSPECTOR: **CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal System Regulations, adopted pursuant to authority granted in 25-10-104, C.R.S. 1973, as amended. 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 structure not approved by the building and zoning departments 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, 3.21 requires any person who constructs, alters, or installs an individual sewage disposal system to be licensed according to the Regulations. FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Eagle County Individual Sewage Disposal System Regulations until the installed system is approved prior to covering any part. , Installed Absorption or Dispersal Area: e� S sq. ft. Installed Septic Tank: gallons. Design Engineer of System: Installer of System: �. Septic tank cleanout to within 12" of final gr- or aerated access ports above grade? Yes �No Proper materials and assembly? Yes No Compliance with permit requirements? Yes No Iai elM Compliance with County/State regulations requirements? Yes No COMMENTS: 4ny item checked "No" requires correction before final approval of system is made. rrange a re -inspection when work is completed.) INSPECTOR:S� NSPECTION DATE: A-16 INSPECTOR: r�C���C r.�iuKi+ ri� rVKIiViJ ire it1 YUUK JLtL �-LAN ANU �EL,� 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: ADDRESS: NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADDRESS: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ADDRESS: NO. If�71 PHONE: PHONE: PHONE: PHONE: PERMIT APPLICATION IS FOR: ( ) New Installat-on ( ) Alteration ( ) Repair _OCATION OF PROPOSED FACILITY: County City or Town, if within City or own Limits LEGAL DESCRIPTION: STREET (RURAL) ADDRESS: IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? BUILDING OR SERVICE TYPE: (Check applicable category) ( ) Residential - Single-flmily dwelling ( ) Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons # Bedrooms Lot Size WASTE T YPtS: (Check all applicable) Commercial or Institutional ( ) Dwelling ( ) Non -domestic wastes ( ) Transient Use ( ) Other SOURCE AND TYPE 'OF 14ATER 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 ( ) Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other DILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes ( ) No ) Yes ( ) No Signature ( ) Garbage Grinder ( ) Dishwasher ( ) Automatic Masher Creek or Stream Date INFORMATION BELOW TO BE FILLED OUT BY ENVIRnNMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: 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 rlinutes 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 SE,'IAGE DISPOSAL SYSTE ?S A permit fee of 575. 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, 1990_ 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< :health 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: A �D��� /� /o�D Qa-P S r�tic Ao✓d� �Y 0A-INa j T- /a' .9�X 0.5741,'10_ L..eA 4-k/ �/C G� /,d�/ CL4 _ _ f7.o�eb DuNC_ Rems.L-i - 419CAuy AP20i✓Cb 0?�j TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: 1Q pQ E 41- Cem eA, Sc to t IC. 1N SeRjes I-A0Ke1) 76 35' .<_ !� c __Fje4% DATE PRESENT SYSTEM WAS INSTALLED o 7- PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT: 17�dCts r3�3 SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: w, LP4Ch� F/�L17 V� I�CIiI Al. )a00<;AL I r � s ruC w 9 1 OWNER OF SYS T EN- c 5`��oQ 1.� A''1AI 1j/4L lit ADDRESS : SOX ✓ 2 E c .Te e C 4 rAPPLIC 11!i . ADDRESS: q16 3-- 177 DATE: Z —.? / -'P/ 0508 D&B Trailer Court, El' 82h 0623 Hi l b ee, Highway JOB NAME JTo 5� JOB NO. WILLIAMS _ --- LOCATION ERIK: According to Section 3.3(c) of the ISDS Regulations, a fee of $75.00 shall be charged for alteration, enlarge- ment or repair involving alteration of an existing sewage disposal system. Apparently the Commissioners have already approved that the D &,B park be allowed one more unit and sept"ic.to be hooked onto the present leach field. Is all of this correct? They also h ve to ive us check r $75 t comp with the regs. nd w n ed a si e pla a so. ve y t d to them abo t a y o thi ? 1 ea e.g t b k o wi your inform ti n. h.ey have pr ide m wit n om (??) applica 'on (i is .at a ed.) 1,7 PERMIT # 508 OWNER: Danny & Bonnie Williams LOCATION: D & B Trailer Court - E1 Jebel INSTALLER: Owner SIZE OF TANK: 1,000 gallons DWELLING: Residential - Existing absorption area Finalized: 5-28-81 r By: Best/MacDonald