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Home My WebLink AboutWyoming Mine - 220520100002EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH 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 N° 5 4.2 328-7311 or 949-5257 or 927-3823 PERMIT NO. - OWNER: Quad-Honstein ADDRESS: 13651 W. 54th Ave., Arvada, CO 80002 SYSTEM LOCATION: Wyoming Mine - 1/2 mile east of Redcliff LICENSED INSTALLER: Glenwood Toilet Rentals LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: inch in minutes. TEMPORARY SEWAGE DISPOSAL Absorption Area per Bedroom No. of Bedrooms x sq. ft. PERMIT VALID FOR 10/81 through 10/82. sq. ft. minimum requirement per bedroom THIS PERMIT FOR "SAN-O-LET" total sq. ft. minimum requirement. TYPE SYSTEM SPECIAL REQUIREMENTS: Any change in the facilities will require an amendment to this permit. No discharge of domestic waste water Is to "e allowed. DATE: October 29, 1981 INSPECTOR: Erik W. Edeen �Cl/ **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: gallons. Design Engineer of System: 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 r/ No Compliance with County/State regulations requirements? Yes 7Z No COMMENTS: (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: /l— ,5 -- $ / INSPECTOR: RE -INSPECTION DATE: INSPECTOR: PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FEES -328-7=11 PERMIT FEE _ $75 949-5257 D 1 p T? ,�7 927-3823 ENVIRONMENTAL HEALTH BOX 850 jjL 27 1981 EAGLE, COLORADO 81631 ENV1R0EKAU(t ftW FEE _ $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. NAME OF OWNER: as ad — h S -rein ADDRESS: /3�5�( Wes' 54-- IQye. Arvada , 6D16. F000t PHONE: #20-74,91 NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADDRESS: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): 1_5 a_vw 1+..�_ PHONE: ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: CllenWOod ?a;lef _f?enfals ADDRESS: P O. 8pX 2Z7.1 Alew Casfle, Co lo, 21 ( 47 PHONE: PERMIT APPLICATION IS FOR: (�j` New Installation LOCATION OF PROPOSED FACILITY: County E*Q le City or Town, if within City or Town Limits LEGAL DESCRIPTION: ( ) Alteration ( ) Repair Lot Size STREET (RURAL) ADDRESS: W V0 041h4 A4;Jfd — Yz M ' Ile east 4f ' >e-a(c l c f f 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 R.S4dciitial Luptex ( Residential Iq Quadplex ( ) Commercial - State usage # Persons _ # Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( ) Dwelling ( ) Non -domestic wastes ( ) Transient Use ( ) Other SOURCE AND TYPE OF 14ATER SUPPLY: ( ) 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 (X) ( ) Vault Privy ( ) Composting Toilet ( ) ( ) Pit Privy ( ) Incineration Toilet ( ) ( ) Greywater ( ) Other ( } Garbage Grinder ( ) Dishwasher ( ) Automatic Washer ( } Creek or Stream Chemical Toilet Recycling, Potable Use Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (i.-' No Signature Date-j4.JLI `�,, oul 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:> 149 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 %6� Underground Dispersal ( ) 'Wastewater Pond Other s„ � ovvow �" REPAIR PERMIT APPLICATION FOR INDIVIDUAL SE14AGE DISPOSAL SYSTEMS A permit fee of $75. shall be charged for alteration, enlargement, or any repair involving alteration of an existing sewage disposal system. This fee is authorized by Eagle County Individual.Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $50 shall be charged for all new leach fields on repair permits. Percolation testing maybe waived at the discretion of the Environmental Health Officer on certain repair cases where prompt action must be taken to prevent ah.ealth hazard. IF _PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, A NEW SYSTEM SHALL BE INSTALLED, r �' r n ri Y T[',9 TC r'r"JTri�" 01 r"CC� 11t1C COMPLYING i4iTfi ALL CURRENT REGULATIONS. Ir h NEW St�i��l 1� i�Lkk iRED, ALL FE-E ARE APPLICABLE. DESCRIPTION OF PROBLEM/MALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM I,IA.S !NSTAL I ED PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT: SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: OWNER OF SYSTEM: (5 /e n L1yo o a, —ro i lef Y:i'e,4fa /s ADDRESS: P•O . C3 Z Z 7 : /tJ��_�(e /o rn do 11447 APPLICANT: Q — N®rls�et✓i ADDRESS: Ale, , Iqrr/ DATE: ^.��-1�4 Z /fg/ ROUTE FORM S,As .� )ATE REFERRED l/ LOCATIO11 Q,PPLICATION NO 'lease review the attached application and return it and this completed form :o the Environmental Health Office.. '?,LIN\�INCL Complies with: Yes Subdivision Regulations) ZoXReg ulations sCU i Recommend Approval .'omments: 3UTLDING Set Backs tl/ Site Other Recommend Approval .'omments : . s5 9 AIW A1/1 AP No Reviewed By Date I a.�t C-�,.-/ 0542 Wyoming Mine 1/2 miles E JOB NAME of Redclif JOB NO. Tem ftPORA i TO DATE STARTED DATE COMPLETED DATE BILLED �V tro / (+� f G'r �� ne, A LL.0 i [-W& ZZO ~ 20 - Farce 00-0 1 &mS, 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 JOB FOLDER Product 278 _p NEW ENGLAND BUSINESS SERVICE-'INC.. GROTQN, MA 01471 JOB FOLDER 0 Printed in U.S.A.