HomeMy WebLinkAbout123 Paseo Rd - 239127402006 - 0541ISEAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway
INSPECTION Bt-FORE COVERING Eagle, Colorado 81631
ANY PORToIdN OF INSTALLED SYSTEM
328-7311 or 949-5257 or 927-3823 PERMIT NO. N o 54 1
OWNER: Walt and Vonda Williams
PERMIT MUST BE POSTED
AT INSTALLATION SITE
ADDRESS: Box 111, Space 23, E1 Jebel, CO
SYSTEM LOCATION: Lot 8, Los Pinones Estates Subdiv - on Paseo Road
LICENSED INSTALLER: Owner installation 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 20 minutes.
Absorption Area per Bedroom
No. of Bedrooms 200 x
200
sq. ft.
4 sq. ft. minimum requirement per bedroom
= 800 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: Based on.'Rtte �nsliection`and.percolation'tes-t� building Site.Snd
t
been laid out and are 4pproved' fxom' th2=s off:tce.
DATE: October 29, 1981 INSPECTOR: Er2`Tr W', Edeen
**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:
Design Engineer of System:
gallons.
Installer of System: 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 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: INSPECTOR:
RE -INSPECTION DATE: INSPECTOR:
rLtASL Rt i univ i h13 i UKI Aviv VYI i n ruuK St i L rLAN AN rU,,
3, i64311 949-5257 ��' ''927-3823
ENVIRONMENTAL HEALTH
BOX 850 �r
EAGLE COLORADO 81631
PERMIT FEE = $75 PERCOLATION TEST FEE _ $50
APPLICATION FOR INDIVIDUAL SEW ,CE DISPOSAL SYSTEM PERMIT
NO.
NAME OF OWNER: i t
ADDRESS: PHONE: ;
NAME OF APPLICANT (IF DIFFERENT FROM OWNER):
ADDRESS: PHONE:
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE):
ADDRESS:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
ADDRESS
PHONE:
PHONE:
PERMIT APPLICATION IS FOR: (I�) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County (`cc(( Lot Size CE.0
City or Town, if within City or Town Limits
LEGAL DESCRIPTION:
STREET (RURAL) ADDRESS:
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( ) Yes ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
() Residential - Single-family dwelling ( ) Residential - Triplex
( ) Residential - Duplex ( ) Residential - Quadplex
) -Commercial - State usage _
# Persons #Bedrooms
WASTE TYPES: (Check all applicable)
( ) Commercial or Institutional (:) Dwelling ( ) Garbage Grinder
( ) Non -domestic wastes ( ) Transient Use ( ) Di0waa�'-ier
( ) Other (') Automatic Masher
SOURCE AND TYPE OF 14ATER SUPPLY.: ( V ) 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
\ 1 vaunt f i it' 1 / : oril 3st ng i_i L. \ '��-,-1: � v c
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
( ) Greywater ( ) Other
( ) Creek or Stream
40 r
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (V) No
Signature
Date
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL 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
Minutes per inch in Hole No. 3
INAL DISPOSAL BY: (✓) Absorption Trench, Bed or Pit Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Underground Dispersal ( ) 'Wastewater Pond
( ) Other
EAGLE COUNTY ENVIRONMENTAL HEALTH
ROUTE FORM
APPPLIC. NO.
Please review the attached Individual Sewage Disposal System Permit Application and
return it and this completed form to the Environmental Health Office.
PLANNING: Complies with: YES NO REVIEW+IED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDING: o
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
COMMENTS:
ENGINEER: Complies with:
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
EN'-u�I R��N�1EN�T��1�HEAL���H
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
COMMENTS:
YES NO REVIEWED BY DATE
YES NO REVIEWED BY DATE
YFS Nn RFVTFWFD RY DATE
°
_
(4 z 1
xx
Ertk Edeen
10r2M1
xx
Erik Edeen
10-29-8
PERCOLATION TEST FEE: $50
9/4/-
I.S.D.S. APP. #
OWNER: k1d lzev
LEGAL`DESCRIPTION:
RURAL ADDRESS: Lo z
TYPE OF DWELLING:
Los .Diiar� es ZS
# OF BEDROOMS
.DATE OF PERCOLATION TEST: /o,lao/f/ TYPE OF SOIL: 2
TEST HOLES PRESOAKED? Yesr No
i
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
2
3
1
2
3
1
2
3
�Z y
/ a , Y 7
I Z, so
27
-30
1sq
r 2 ; s 7
1; 60
—2F
30
Vq
r 0
;/
2 8
J l
3 U
2-0
Zo
PERCOLATION RATE: z ®
RECOMMENDED MINIMUM SEPTIC TANK SIZE: Z
RECOMMENDED MINIMUM LEACH FIELD SIZE: F Q 0 �G r
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: (7 0
Site has been revieuied and tested for percolation rate.
Date Environmental eat icer
COMMENTS:
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
v5FOki
November 14, 1986
M E M O R A N D U M
TO: PROPERTY OWNERS
FROM: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
RE: EXPIRED INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITS
Our records indicate that your Permit has not had a final
inspection of the individual sewage disposal system. If you do not
have a current building permit, the above referenced permit has
expired.
Please contact the Eagle County Environmental.Health Office at
the following address and give us the current status of your septic
tank system and/or arrange for a final inspection.
Eagle County Community Development
Environmental Health Office
P.O. Box 179
Eagle, Colorado 81631
(303) 328-7311, Ext. 227
Your immediate response to this request will be greatly appreciated.
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
Nov. 23, 1988
Eagle County Enviornmental Health
PO Box 850
Eagle, Colo 81631
ATTN: Sid Fox
Dear Sid,
Enclosed please find a drawing of our home with the measurements
for our septic tank and leach field. If you have any questions or
if I can be of further assistance please don't hesitate to give me
a call. I apologize for the length of time this took.
Sincerely,
von
Vonda Williams
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0541 Lt 8, Los Pinones Estates
Subdiv, 0123 Paseo Road NAME
x
WILLIAMS ., JOB NO. _
LOCATION
BILL TO
DATE STARTED I DATE COM
Zola i,�,fi� c�,er � C.���(1"e� �c � 1, a. L, I,�,'ll,om.s
0 t23
i�r��r�l� 239f-2��4-02-0D6 2040 Aces
04
PERMIT # 541 ��4i ,.,. A
OWNER: Walt and Vonda Williams
LOCATION: Lot 8, Los Pinones Estates Subdivision
Paseo Road Q t� (iaGMT
SIZE OF TANK: G+(�� 1�
DWELLING:
PERC RATE:
ABSORPTION AREA:
FINALIZED: Inspection approved years ago by Les Douglas
File was finaled out 11-28-88 by Sid Fox
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
!L®ER Printed in U.S.A.
6
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