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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 �o cfo F 10 9 " N du , �l C rnLo o 1 ; fS'zlT a� �� o 3 i42 Tit- -7 z � ��� � _ � �R - \ \n\ , N �`• \ �p ,tom � (� .y 121 le ti N Sit jLli m w LLt 41 w Z RY b, O i V N a� N J VV N. o LU t� n .H Mrn N N -W G `0 0 •t) 0 J O 01.tn W ry W LU Lo O O N N •IJ '. 1 nj' 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 A