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:
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LP4Ch� F/�L17 V� I�CIiI Al. )a00<;AL
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OWNER OF SYS T EN-
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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