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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._- JnEt I.nCGT1nIV 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 ST =1T ?ICE FIT NEW ENGLAND BUSINESS SERVICE, INC., GRC - _ v �v v O.Y: Lr\ Macuona l d JOB FOLDER Product 27$ Qq Printed in USA. 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