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HomeMy WebLinkAbout302 Green Mountain Dr - 210904203005y EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH j 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 2 52 9 OWNER: Bobby & Suzanne Lottman ADDRESS: Box 441, Eagle, CO 81631 SYSTEM LOCATION: Lot 31, Upper Kaibab,.Filing #2 LICENSED INSTALLER: Jeff Audilett I& T o5;2-0 LICENSE NUMBER: "CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1,250 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: 1 inch in Absorption Area per Bedroom 215 No. of Bedrooms 4 x 215 10 minutes. sq. ft. sq. ft. minimum requirement per bedroom 860 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: System must be installed either by owner or licensed installer. Please call this office before covering any part of installed system. Permit must e posted at site. DATE: August 28, 1981 INSPECTOR: 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: r 0 sq. ft. Installed Septic Tank: 42 <;70 gallons. Design Engineer of System: A Installer of System: 0(wC4 Sc&-rf DAy_' Phone:? Septic tank cleanout to within 12" of final grade 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 require ents? Yes No COMMENTS: c� - C'l d� e oco S ( 5ce) 6�� PP&) -�-Am lr e-� " P I j d (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: ✓� �� INSPECTOR:_!Zs. RE -INSPECTION DATE: INSPECTOR: RETAIN WITH RECEIPT RECORDS PERMIT NO. N,0_ 529 CHARGES Name of Applicant: Bobby & Suzanne Lottman Percolation Test = $50.00 Name of Owner: Same as anPlicnt Permit Fee (includes final inspection) = $75.00 Amount Paid: $125.00 ALL CHECKS OR MONEY ORDERS ARE TO BE Receipt Number: #5217 MADE PAYABLE TO: EAGLE COUNTY Cashier: Sidnev N. Pox White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner F'LLA,JE KL IURN I H1.J NOki lUIV WITH YOUK Jl 1 L FLAN ANU rLLJ -7311 949-5257 927-3823 ENvIRONMENT'AL HEALTh BOX 850 EAGLE, COLORADO 81631 PERMIT FEE _ $75 PERCOLATION TEST FEE = $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NAME OF OWNER: ADDRESS: 13-IX _Ial NO. q rJ PHONE • 5,; y - c'°1'-Tic-_i NAME OF APPLICANT (IF DIFFERENT FROM OWNER):, ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): n ' HliuRtCE 55 PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: �)jrTr_�h —ALL ADDRESS: PHONE: PERMIT APPLICATION IS FOR: () New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County ��'�C Lot Size(�%l� City or Town, if within City or Town Li its LEGAL DESCRIPTION: %cy) . STREET RURAL ADDRESS:cj IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? �X,) Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( Residential - Single-family dwelling _( ) Residential - Duplex '( ) Commercial - State usage # Persons 2_ " 'Dadr Residential - Triplex Residential - Quadplex WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( ) Dwelling ) Garbage Grinder ( ) Non -domestic wastes ( ) Transient Use ( ) Dishwasher ( ) Other ( j Automati.- Washer SOURCE AND TYPE OF WATER SUPPLY: ( ) 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: J OK) Septic Tank ( ) Aeration Plant ( ) Chemical Toilet tiault Privy ( ) Composting Toilet ( ) Recycling, Potable Us" ( ) Pit Privy ( j Incineration Toilet ( j Recycling, Other Use ( ) Greywater ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes O No 4 Signatures Date c INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: Depth to Bedrock (per 8' Profile Hole): g'e LY-S I Depth to Groundwater Table: SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole No. 1 IiD Minutes per inch in Hole No. 2 1® 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 ROUTE FOP, NAME y )ATE REFERRED v2 APPLICATION i10 OCA T I OiI 'lease review the attached application and return it and this completed form =o the Environmental Health Office.. '?,a�`TIN?C- Complies with: Yes Subdivision Regulations) Zor}ing Regulations Recommend Approval 'omments: 3UILDING : L/ Other :omments: .o—,-nents : Set Backs Site As- Recommend Approval Ro d s Gradin Drainage Recommend App Reviewed By Date i To: RECEIPT EAGLE COUNTY 12 6 / 0 COMMUNITY DEVELOPMENT P.O Box 179 Eagle, CO 81631 (303) 328-8730 FAX (303) 328-7185 Date: ` .'e S i-cvm Y 123 1Lo5 Account # Description Total Check Cash 1 TOTAL I Sinai -customer Yellow -Treasurer Pink-Depanmer COMMUNITY DEVLOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO July 12, 1994 First Western Mortgage Carol Lacroix P.O. Box 1237 Vail, CO 81658 Dear Carol, 500 BROADWAY P.O. BOX 179 EAGLE, COLORADO 81631 FAX: (303) 328-7185 RE: Individual Sewage Disposal System (ISDS), and water well inspection for property located at: 302 Green Mountain Dr.,Lot 31, filing 2, Upper Kiabab., Tax Parcel #2109-042-03-005. All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, B(6), adopted by the Eagle County Commissioners on October 8, 1985, amended June 23, 1992. A review of Eagle County records indicates that on 04/ 15/82, the ISDS was Finaled under Permit Number 0529. The system consists of a 1250 gallon septic tank, and 860 square ft. leach field. This system is adequate to accommodate up to 4 bedrooms. On July 08, 1994, this department conducted a site inspection of the above referenced property. The inspection was requested by you for the purpose of evaluating the existing condition of the on -site ISDS and water well. The site visit conducted revealed no visible sign of ISDS failure. Obviously, this does not guarantee the continued satisfactory performance of the system. The water supply to this residence is from Town of Eagle, a community water system. The community water system is inspected on a regular basis by the Colorado Department of Health and to the best of our knowledge complies with current drinking water standards. If you have any further questions concerning this inspection, please feel free to call me at 328-8755 or write. Sincerely, Shannon Garton Environmental Health Specialist cc: files July 12, 1994 First Western Mortgage Carol Lacroix P.O. Box 1237 Vail, CO 81658 Dear Carol, RE: Individual Sewage Disposal System (ISDS), and water well inspection for property located at: 302 Green Mountain Dr.,Lot 31, filing 2, Upper Kiabab., Tax Parcel #2109-042-03-005. All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, B(6), adopted by the Eagle County Commissioners on October 8, 1985, amended June 23, 1992. A review of Eagle County records indicates that on 04/15/82, the ISDS was Finaled under Permit Number 0529. The system consists of a 1250 gallon septic tank, and 860 square ft. leach field. This system is adequate to accommodate up to 4 bedrooms. On July 08, 1994, this department conducted a site inspection of the above referenced property. The inspection was requested by you for the purpose of evaluating the existing condition of the on -site ISDS and water well. The site visit conducted revealed no visible sign of ISDS failure. Obviously, this does not guarantee the continued satisfactory performance of the system. The water supply to this residence is from Town of Eagle, a community water system. The community water system is inspected on a regular basis by the Colorado Department of Health and to the best of our knowledge complies with current drinking water standards. If you have any further questions concerning this inspection, please feel free to call me at 328-8755 or write. Sincerely, Shannon Garton Environmental Health Specialist cc: files FEE: $50 " OhTN ER : S0-?_Q 6U P F / 9/+� LEGAL DESCRIPTION:'j� RURAL ADDRESS: TYPE OF DWELLING: �fr M— APPLICATION N0. # OF BEDROOMS: DATE OF TEST: TYPE OF SOIL: S; TEST HOLES PRESOAKED: YES NO6t Tug WATER DEPTH INCHES OF FALL RATE 1 2' 3 i 1 2 3 1 2 3 1 2 3 } •/ V sG_ �/ l 'L � �� f/ f �G� �j i/ �+ e,? '33 q, 1? q::56 Ldo I i I! i PERCOLATION PATE: Jr'r�� TANK SIZE: SQUARE FOOTAGE PER BEDROOM: LEACH FIELD SIZE: Q (� ('Y)jr�. Site has been reviewed and tested For percolation rate. We recommend: APPROVAL ✓ DISAPPROVAL DATE: 2 �� �EAGL COUNTY ENV IRONIME'dTz'L TH OFFICER ` 0529 Lt 31, Upper Kaibab, F1 \ JOB (NAME -Sc 21 0378 Green Mnt. Drive`f x t �x� F, LOTTMAN JOB 'N0. n n BILL TO DATE STARTED DATE COMPLETED DATE BILLED a � 5uzc� e� M 11 c�� -N Rvt�lfz-1 L) /0 0 1 -:4 1 o q - L) a- L) JOB COST SUMMARY TOTAL SELLING PRICE 2—ON sccl,,'\ecA A ►Il,(cI16A. dry ' ` ) �(� PERMIT # 529 OWNER: Bobby and Suzanne Lottman LOCATION: Lot 31 - Upper Kaibab - Filing #2 INSTALLER: ? -� SIZE OF TANK: 1,2tO gallons DWELLING: Residential - 4 bedrooms x 215 sq.ft. PERC RATE: one inch/10 minutes (860 sq.ft.) Finalized: 4T15-82 By: Sid Fox TOTAL MATERIAL ZZ TOTAL LABOR INSURANCE SALES TAX MISS. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS %OF SELLING PRICE NET PROFIT J.Oi I Printed in U.S.A. ad M' M (2) r. A