HomeMy WebLinkAbout213 Strawberry Rd - 246908201006r
j EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
CALL FOR FINAL P. 0. Box 850 - 550 Broadway
°;CTIDN BEFORE COVERING Eagle, Colorado 81631
PORTION OF INSTALLED SYSTEM
-7311 or 949-5257 or 927-3823 PERMIT NO. N 2 52 7
PERMIT MUST BE POSTED
AT INSTALLATION SITE
rANER: Rmx Dean Wagner & Amy Krakow ADDRESS: Box 121, Basalt, Co 81621
SYSTEM LOCATION: _
i LICENSED INSTALLER:
Lot 6, Block 2, Peachblow Subdivision, Fil. #2 - 0150 Strawberry Road
LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 1,000 gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: 1 inch in 10 minutes.
Absorption Area per Bedroom 215+ adj. sq. ft.
No. of Bedrooms 3 x 215+ adj, sq. ft. minimum requirement per bedroom
800 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: Keith Patterson, whom you have recommended as your installer, is
not, as of this mailing, an Eagle County licensed installer. He has taken out the appli-
ca on bu has n te �tur edit responsible foinstallation of system
AEa Ause;ieroesllation. YDT. gu21Eyow
Sid Fox
**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: sq. ft.
Installed Septic Tank: i�_Ifb gallons.
Design Engineer of System:
Installer of System:
a,9i-
Septic tank cleanout to within 12" of final grade or
aerated access ports above grade? Yes No
Proper materials and assembly? Yes (i No
Compliance with permit requirements? Yes t--" No
Compliance with County/State regulations requirements? Yes No
COMMENTS: 4tPf1AAs /'o 1;i s E,a s'Ae-,e
(Any item checked "No" requires correction before final approval of system is made.
Arrange a re -inspection when work is completed.)
DATE: 4s -;2 _ F-i INSPECTOR:
RE -INSPECTION DATE: INSPECTOR:
RETAIN WITH RECEIPT RECORDS PERMIT NO. N'_ 527
CHARGES
Name of Applicant:Dean Wagner/Amy Krakow
Percolation Test = $50.00 Name of Owner: Same as applicant
Permit Fee (includes final inspection) = $75.00 Amount Paid: $125,00
ALL CHECKS OR MONEY ORDERS ARE TO BE
MADE PAYABLE TO: EAGLE COUNTY
Receipt Number: #5211=$75; #5214=$50
Cashier: Nancy C. Morgan
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
.1..-i;-)L .KL ui.iv i nIJ HUKI IUN IN I I H rUUK Si! t 1-1-Ai I HIVU t EtJ
M� }'31 i 949-5257 927-38F:5
ENVIRONMENTAL HEALTH
BOX 850
EAGLE, COLORADO 81631
PERMIT FEE _ $75 PERCOLATION TEST FEE _ $50
APPLICATION FOR INDI.'-?!';' Sf_�'.^.`' DTI^SAL SYSTEM PERP1I"f
NO.
NAME OF OWNER: 4r5W WmayeQ AMX KR^0CtnvV r 0
ADDRESS: 40X 60, 8/62/ PHONE : /
9 '2' 7 433Z
NAME OF APPLICANT (IF DIFFERENT FROM OWNER):
ADDRESS:
PHONE:
1 ,,: ('�'•I n C.'..'l:ir rY? r%r .r ^T ri:F : :7:T) a i (`t'F%! � } CVV , � • -W��
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: /C._/Ti-/ ?2ftZ7 � 5?_ 7/ EiCCAVA7Z)o1;Z
ADDRESS: 454��L-7— 40 PHONE: g,6•223�
PERMIT APPLICATION IS FOR: (P'l New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County, 6;'dtEi 1= Lot Size 4 57Aor
City or Town, if within City or Town Limits
LEGAL DESCRIPTION: _GOT' (o o4oco4;z 2 %45!jC/5 ffCg ey
STREET (RURAL) ADDRESS: O/c'b isjx4hW,6i50Ry
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (Ir Yes ( ) No
.BUILDING OR SERVICE TYPE: (Check applicable category)
(� Residential - Single-family dwelling ( ) Residential - Triplex
_( ) Residential - Duplex ( ) Residential - Quadplex
�;om,"slercid i - State u-.-d(a
# Persons 2- # Bedrooms 3
WASTE TYPES: (Check all applicable)
( ) Commercial or Institutional (P'7� Dwelling (PI) Garbage Grinder
( ) Non -domestic wastes ( ) Transient Use Dishwasher
( ) Other Automatic Washer
SOURCE AND TYPE OF WATER SUPPLY: (i--" Well ( ) Spring ( ) Creek or Stream
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:
(&-Y�Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
Vault PriDiv ( i Composting Toilet l 1 Rawcling.. Potahle Use
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
( ) Greywater ( ) Other
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO 14ATERS OF THE STATE? ( ) Yes ( �,) No
Signature
Date _Z 3
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER
GROUND CONDITIONS: Percent Ground Slope:
Depth to Bedrock (per 8' Profile Hole): f Depth to Groundwater Table.--�(^(+i4 r
r nri rsrM"I.-! n-rTM TCC..T RESULTS: LO Minutes per inch � n Hole No. 1
JO Minutes per inch in Hole No. 2
(0 Minutes per inch in Hole No. 3
FINAL DISPOSAL BY: A) Absorption Trench, Bed or Pit ( ) Evapotranspiration
{ ) Above Ground Dispersal ( ) Sand Filter
( ) Underground Dispersai ( ) 'Wastewater Pond
( ) Other
�t [ LLYIJL F%L;U1-,iI I i -1J i"iJ '.i il; i'i +4i I TUUr' Ji l t rLf N AAU
'b
'`" Q i —
94. 5257 G'2i-3823
JLIJ.:•I J�
ENVIRONMENTAL HEALTH
BOX 850
EAGLE, COLORADO 81631
PERMIT FEE _ $75 PERCOLATION TEST FEE _ $50
APPLICATION FOR INDIVIDUA!_ SEWAGE DISPOSAL SYSTEM PERMIT
NAME OF OWNER:
ADDRESS A x
NO.
PHONE: q6- - (7f?qq
NAME OF APPLICANT (IF DIFFERENT FROM OWNER): 4 4�
ADDRESS: PHONE:
DESI GN ENGI E-Ek Ur ;Y,S EM fir F,i�PL"1LABLt ) :
ADDRESS:
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF
ADDRESS: Zfdx ���� Sir
SYSTEM:
r `>
PHOfIE:
PERMIT APPLICATION IS FOR: (,X) New
Installation ( )
Alteration (
) Repair
LOCATION OF PROPOSED FACILITY: County
City or Town, if within City or Town Limits
LEGAL DESCRIPTION: /-C
STREET (RURAL) ADDRESS:
Lot Size
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (�) Yes (�2 1981
13UILDING OR Stk`:� CE T'I PE: (Check appl "i cab i e category) ENVIRONMENTAL HEALTHAD#,
5
Residential - Single --family dwelling ( ) Residential - Triplex
( ) Residential - Duplex ( ) Residential - Quadplex
( ) Commercial - State usage
# Persons TW n _ _ _ _ # Bedrooms
WASTE TYPES: (Check all applicable)
Commercial or Tnstitutinnal (>C) Dwelling (X) Garbage Grinder
( ) Non -domestic wastes ( ) Transient use ( ` Dishwasher
( ) Other ) Automatic Washer
SOURCE AND TYPE OF WATER SUPPLY: (x) Well ( ) Spring ( ) Creek or Stream
Give depth of all wells within 200 feet of the system: M)1
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
( ) Greyrtater ( ) Other
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO 11ATERS OF THE STATE? ( ) Yes �-t ) No
Signature
Date
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER
GROUIND 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
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
APPLICATION ACCEPTED BY i
PLANS CHECKED BY
APPROVED FORMS UAN
7
Ik
White Copy=INSPECTOR Canary Copy —APPLICANT Pink Copy 'ENVIRONM Gold.Copy`ASSESSOR
ROUTE FORM
ATAME
)ATE REFERRED yy APPLICATION NO.
�y LOCATIO���
h
'lease review the attached applicati and return it and this completed form
_o the Environmental Health Office..
IT,A_IN"I - - ComD1ies with: Yes iT
Subdivision Regulations I
Zo ing Regulations
Recommend Approval
:omments:
3L'ILDING Set Backs
LI/ Site
Other
Recommend Approval
.'omments : .
-:912920jr (
G ina
Ij-
f-
R�.`o�u�. � �nnrnv�l
:or,er.en t s
Reviewed By
• ' FEE: $50
APPLICATION N
OT,TNNER:
LEGAL DESCRIPTION:,
RURAL ADDRESS -
TYPE OF DWELLING: �j� � � # OF BEDROOMS-
DATE OF TEST: TYPE OF SOIL: Is i a -
TEST HOLES PRESOAKED: YES �_ NO ,
TDIE
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
Z J3
1
2
3
Ll
2
3
l zo
-,)3
/31
73
p
25�
LL,
Lo ���-
a� 3
l�31
�, l , 3
3
11, �t
3
Tz
/
l
1��
z df
rz-
1r
{
PERCOLATION RATE: j� TASK SIZE: M .
-I C, —
SQUARE FOOTAGE PER BEDROO't: � LEACH FIELD SIZE:
Site has been reviewed and tested F percolation rate. --
We reco=end: APPROVAL DISAPPROVAL
DATE: <�Jxj�
EAGLE COUNTY
ENVIRONMENTAL H TH OFFICER
FE. COUNTY memorandum
To:
Subject:
Dean Lloyd Wagner, Applicant
individual Sewage Disposal System Application.
From:
File No.:
Date:
Environmental Health Department
#894
July 7, 1981
Tnis ottice has received your permit application for individual sewage disposal system for
property located at Lot 6, Block 2, Peachblow Subdivision. You have shown on the application
that you are the owner of the property and also in the section for the installer of the system
that Keith Patterson is the owner. Are you both co -owners of this property? Which filing
is this property located in:
In addition to the answers to the above questions, we require that you submit a fee in the
amount of $75 for the permit fee and $50 additional if you wish that we do the percolation
tests to test the soil absorption. We do also need a site plan outlir
necessary on the enclosed pages. Please see the enclosed literature f
information we require.
If you have any questions, please contact us.
Sincerely,
Nancy C. Morgan, Se tary
Environmental Healt Department
P. O. Box 850, Eagle, Colorado 81631
Phone: (303) 328-,7311 or 927-3823
Enclosures
EAGLE COUNTY memorandum
To:
Subject:
James Copland, Architect
Individual Sewage Disposal System Information
From:
File No.:
Date:
Environmental Health Department
28 July 1981
Enclosed please find the information you requested on the phone today. Please
return the completed application, the site plan, and the proper fees, according
to the information sheet. This is in reference to the property located at
Peachblow Subdivision, Filing #2.
If you need any further assistance, please contact us.
Sincerely,
Nancy C. Morgan, Secretary to
Sidney N. Fox, Assistant Environmental Health Officer
P.O. Box 850
Eagle, CO 81631
Phone: 927-3823 or 328-7311
ncm
Enclosures: App. #900 and Information sheets
LOAN INSPECTION FORM
LOCATION:
REQUESTOR: �pQ�! �aon���
COPIES TO:
/.coo r �l> S/Co
BILL TO: yhQ J j1f cy n
* * * * * * * * * * * * * -h *-* *-* * * *•* * * * * * * * * * * * * *
ISDS PERMIT
INSPECTION INFORMATION:
- `-�-� , :� � fir.--v� �a� •�� • --�_� � � _.
f
J.
INSPECTION DONE BY: DATE:
y ! f
X * Zd•F� 60
2�a
QO
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
. (303) 328 7311
January 23, 1987
Mr. Dean Wagner
Post Office Box 121
Basalt, Colorado 81621
RE: Loan Inspection for property located at 7682 Frying Pan Road,
Lot 6, Block 2, Peachblow Subdivision
Dear Mr. Wagner,
All loan inspections are completed under the authority of
the Eagle County Building Resolution, Section 3.09.03, A(7),
adopted by the Eagle County Commissioners on October 8, 1985.
An on -site inspection of the sewage disposal system on
January 22, 1987 revealed that the septic system appears to
be functioning properly. This individual sewage disposal
system was permitted and installed in accordance with State
and County Regulations. Final approval for Individual Sewage
Disposal Permit Number 527 was granted on August 25, 1981.
Water is supplied by an on -site well. If necessary, the
homeowner is responsible for getting a bacteriological water
sample.
Should you have any questions regarding this inspection,
please do not hesitate to contact this office.
Sincerely,
Sid Fox, Assistant
Environmental Health Officer
SF/cb
ENC:
cc: Thatcher and Associates
Files--'
Board of County Commissioners Assessor
Clerk and Recorder
Sheriff
Treasurer
P.O. Box 850 P.O. Box 449
P.O. Box 537
P.O. Box 359
P.O. Box 479
Eagle, Colorado 81631 Eagle, Colorado 81631
Eagle, Colorado 81631
Eagle, Colorado 81631
Eagle, Colorado 81631
n NAMI
U527 Lt 6, B1 21 Peachb w
Sub, F1 2,000213 Strawberry RdV
WAGNER /
Parcel # 2469-082-01-006
JOB NO._-
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BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
LOU
JOB COST
SUMMARY
TOTAL SELLING
PRICE
TOTAL MATERIAL
LLB �
PERMIT # 527
Owner: Dean Wagner_&-wry—K-r*k4�4
LOCATION: Lot 6 - Block 2 - Peachblow Subdivision - Fil.#2
-94U frawberry Road
INSTALLER: Keith Patterson
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms x 215+ sq.ft.
PERC RATE: one inch/10 minutes (800 sq.ft.)
Finali7crl• Q_00 of
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