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HomeMy WebLinkAbout281 Cooley Mesa Rd - 211102300002EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH ASE CALL FOR FINAL P. V. Box 850 - 550 Broadway PERMIT MUST BE POSTED ii,6PECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N ° _ 5 1 3 OWNER: Randy Lee Hill ADDRESS: Box 151, Eagle, Colorado 81631 SYSTEM LOCATION: Part of Tract 54, XXXXXX T 5 S, R. 85 West - about 1 mi off Hwy 6 & 24 on LICENSED INSTALLER: Cooley Mesa Road - Installer: owner -installed LICENSE NUMBER: 14-81 **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 750 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: 1 inch in 15 minutes. Absorption Area per Bedroom 260 sq. ft. No. of Bedrooms 2 x 260 sq. ft. minimum requirement per bedroom 600 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Both systems have the minimum 750 gallon tank with minimum 600 sq. ft. leach field. This permit is for both the main residence and the caretaker's unit- Roth unit_q A-r(z allowed on th's PiGGG Of ProPar#y as it is at least 35 aeres. DATE: June 15, 1981 ��' INSPECTOR: idn, N . F **CONDITIONS: �4�'G%/ ��� 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. s Installed Absorption or Dispersal Area: sq. ft. 1)lo-0 0� Installed Septic Tank: ZT 6 gallons. rop Design Engineer of System: Installer of System: fix, �0�,,ihr� Phone: Septic tank cleanout to within 12" of final glade -or aerated access ports above grade? Yes No Proper materials and assembly? Yes No Compliance with permit requirements? Yes �^ No Compliance with County/State regulations requirements? Yes No COMMENTS: (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: '�7 — & — 6' / INSPECTOR: RE -INSPECTION DATE: INSPECTOR: NLLHJL- KL k UKIV i Hi5 rum tuiv w:I-i H Yuuk i t 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 PERMI NO. i'�I"7 NAME OF OWNER: Ka,,Jv Z 1 ADDRESS: 20-k �5f �'aGfp C�lc, �(f��i PHONE: 3d8-7�7( NAME OF APPLICANT (IF DIFFERENT FROM OWNER):, ADDRESS: PHONE: 1. DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ADDRESS: So 15( Ecou Colo, 9I(o3l PHONE: 4-7,-j71 PERMIT APPLICATION IS FOR: (7() New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County F''iS I2 Lot Size YO FIc�eS — City or Town, if within City or Town 3 Limits LEGAL DESCRIPTION: fdc_f- Sq �Twns��� 5-so�t/t� Jc���,� st west STREET (RURAL) ADDRESS: 1�M je ©fF kj( ' (..,Oq 0,n C0J,,4 h7.esq AQa�c( IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (lj Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( ) Residential - Single-family dwelling ( �() Residential 99OW w;4 Ca,J-0 ( Commercial - State usage "n'L: # Persons 3 — Q # Bedrooms a a cG;t ckf vli co) 2'f4k° ILL WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( Dwelling ( ) Non -domestic wastes ( ) Transient Use ( ) Other Residential - Triplex Residential - Quadplex SOURCE AND TYPE OF 14ATER SUPPLY: A) 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 Washer ( ) Creek or Stream Jt_ Chemical Toilet Recycling, Potable Use Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes Signature (�) No Date (9y INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: 3`7o Depth to Bedrock (per 8' Profile Hole): Depth to Groundwater Table: SOIL PERCOLATION TEST RESULTS: /0 Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 /,S' Minutes per inch in Hole No. 3 FINAL DISPOSAL BY: (X) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( Underground Dispersal ( ) 'Wastewater Pond ( Other -ct t L v I bA/ c 1' r��pOScxi W ZI S`• 1-3 �F Yi16 (/1n N 890 53 ' 06" W MOV N . N ! O ` UI i COED. I `iR.54 P.0.B. /y/O---\ a-lS--v. FEE: $50 APPLICATION �10. OivTNN ER : \K el J A 04A H LEGAL DESCRIPTION: Va �^ S RURAL: ADDRESS • / �� ��� <:�7- _ \( TYPE OF DWELLING: OF �BEDROOMS' ca : DATE OF TEST: TYPE OF SOIL: } l S TEST HOLES PRESOAKED: YES_ NO , TUIE WATER DEPTH INCHES OF FALL RATE I 2 3 1 2 3 1 2 3 1 2 ,3 10,e Z zz I `Z s iXf1 liz r 3� I l4 Z 14 -yl le, /4 /6 lop �p:Sv D • `J p id • SI � p14Z- ED / ld t . I PERCOLATION RATE: �/ TANK SIZE: SQUARE FOOTAGE PER BEDROOii: LEACH FIELD SIZE: Site has been reviewed and tested For percolation rate. -- We recommend: APPROVAL � DISAPPROVAL DATE: 4,K ( r1-11 :^ i EAGLE COUNTY ENVIRO ' IENITAL HEALTH FFICER FEE: ^$SO OWNER: .y )o LEGAL DESCRIPTION: RURAL ADDRESS: 6M7/- TYPE OF DWELLING: DATE OF TEST: TEST HOLES PRESOAKED: YES X� NO N APPLIC TION N0. O / -7 � rA 4i # OF BEDROOMS: 2— TYPE OF SOIL: TIME WATER DEPTH INCHES OF FALL 1 2 3 1 2 3 1 2 3 / 1.:3 /l'45 © l 1 3`�� 5` 2,1 d3 /r,2 a PERCOLATION RATE '?;b;,> � TANK SIZE: SQUAitiE FOOTAGE PER BEDROOM: /J ` LEACH FIELD SIZE: �(d Site 'has been reviewed and tested for percolation rate. We recormend: APPROVAL � DISAPPROVAL DATE: G �r EAGLE NtY ENVIRO\MENTAL HEALT' OFF ER RATE ROUTE FORM NAME )ATE REFERRED h ���APPLICATIO�d CIO.4111 LOCATI&I ,L '� � d� f �' � cc� form 'lease review the attac d appli ation and return it and tYys completed form _o the Environmental Health Office..- )TAIN,tiTIt,� Comolies with: Yes _No Reviewed By Subdivision Regulationsl Zor}ing Regulations Recommend Approval :omments :i jLILDING: Set Backs Site Other t` Recommend Approval .'omments:. -NGTNEER: (not always necessary) ,. -Roads Grading Drainage Recommend Approval :or,:en t s ti s JOB NAME JOB NO. JOB LOCA' 0513 Cooley Mesa - 1 mile off Hwy 6 & 24, 0281 Cooley Mesa BILL TO Rd HILL Parcel # 2111-023-00-002 DATE STAk JMPLETED SG or�u k 0 00 Z 4/ a9 `� u6 ► e i efu�, PERMIT #513 OWNER: Randy Lee Hill R .. s-. _. LOCATION: Cooley Mesa - one mil off Hwy 6 & 24 INSTALLER: Owner SIZE OF TANK: 1,250 gallons DWELLING: Caretaker Unit: 2 bedrooms x 260 sq.ft. PERC RATE: one inch/15 minutes (600 sq.ft.) THIS PERMIT IS FOR BOTH THE MAIN RESIDENT AND CARETAKER = both units are allowed on this piece of property - 35 acres. both systems have the minimum of 750 gallons tank - minimum 600 sq.ft. of leachfield. Finali7arl• 7-11_Rl Rv: Erik Edeen 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 JOB FOLDER Product 278 Qq NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER • Printed in U.S.A.