HomeMy WebLinkAbout445 Mountain View - 239122201006 - 0550IS (2)Y
EAGLE 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
328-7311 or 949-5257 or 927-3823 PERMIT NO. ° 550
OWNER: Granville Conway ADDRESS:o716 Paseo, Carbondale Co 81623
6SYSTEM LOCATION: Lot l2, Oak Ridge 1, Aspen Mountain view Subdivision Reinert Road
LICENSED INSTALLER: owner will be responsible for installation LICENSE NUMBER:
**CON.DITIONAL 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 16 minutes.
Absorption Area per Bedroom 200 sq. ft.
No. of Bedrooms 3 x 200 sq. ft. minimum requirement per bedroom
600 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: According to final plat all T'SDS in th1subdi isinn must
be engineer -designed. See ena_i'nAPr
DATE: November 17, 1981 INSPECTOR: Erik 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: SO'� 15 sq. ft.
Installed Septic Tank: lG d gallons.
Design Engineer of System:
Installer of System: Phone:
Septic tank cleanout to4•within 12" of final gr or
aerated access ports above grade? Yes o
Proper materials and assembly? Yes
Compliance with permit requirements? Yes v No
Compliance with County/State regulations requirements? Yes v 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: INSPFr.TnP-
PLEASE RED IM THIS PORTION HITH YQUR SITE PLAN AND FEE(S)
�.8-7?11 949 5�57 9�7-332'3
ENVIPONPENIT111 HEr,LTH
BOX 850
EAGLE, COLORADO 0-1631
PER111IT [EE _ $150 PERCOL JION TEST FEE = $50
APPLICATION FOR INDIVIDUAL SE�-,IAGE DISPOSAL SYSTEf-! PERf1IT
NAME 'OF
OWNER: ell� r g n d I
//e-
C_." h kl a
ADDRESS:
0-7 16f
NAME: OF
APPLICANT (IF DIFFERENT FROM
OlJNER):
110. 9/, �
PHONE: 3 39
ADDRESS: PHONE:
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): �al/� �7roe4ndP5 //ot�h�a1H yeer'j�j
ADDRESS: 44a4 Ai l m d Por !"IC Dr Gle i✓vooi PHONE: 5q5 2_045�
PERSONPERSONRESPRESPONSIBLE FOR INSTALLATIONOF SYSTEM:6 era(eford [/7es ; a r la is�
ADDRESS: 0600 Ff � I Cl a fgh 2�• 3asct/�- PHONE:
PERMIT APPLICATION IS FOR: (X) New Installation ( ) Alteration ( ) Repair
��^^
LOCATION OF PROPOSED FACILITY: County C a q le Lot Size 3 • le97 -r,�
City or Town, if within City or Town `C Limits
LEGAL DESCRIPTION: � e, o T 4/2 d /2 id I A S lYlw (O j'eer✓
STREET (RURAL) ADDRESS: Re i ner- Rcf-
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( 0 Yes ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
(✓I) Residential - Single-family dwelling ( ) Residential - Triplex
( ) Residential - Duplex ( ) Residential - Quadplex
( ) Commercial - State usage
# Persons .3 # Bedrooms 3
WASTE TYPES: (Check all applicable)
( ) Commercial or Institutional (v/.) Dwelling a ?
( ) Non -domestic wastes ( ) Transient Use ( Dishwasher
( ) Other (✓) Automatic Washer
SOURCE AND TYPE OF 14ATER 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: few -
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
(v/) Septic Tank ( ) Aeration Plant ( ) Chemical Toi
Vault P-rivy ( ) L_!i� J1 iiiJ TUi itt ( _.yl l
( ) Pit Privy ( ) Incineration Toilet ( ) R.Use
( ) Gr0N;nLL=
MEi�IFfA)L 1-9Tq
WILL EFFLUENT BE D 14ATERS OF THE E? (l�,l (es No
By: ��� N�P�
Signature
INFORMATION BELOW TO BE FILLED OUT BY ENVIR0Nf1ENTAL HEALTH OFFICER
GROUND CONDITIONS: Percent Ground Slope:
Date QJ. Z
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
fli nutes per inch in Hole No. 3
FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Underground Dispersal ( ) 'slastewater Pond
( ) Other•
PERCOLATION TEST FEE: $50
I.S.D.S. APP. #
014NER:
LEGAL D
RURAL ADDRESS:
TYPE OF DWELLING: ls�,
# OF BEDROOMS: 3
DATE OF PERCOLATION TEST: �� ��' �l TYPE OF SOIL:
TEST HOLES PRESOAKED? Yes No
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
2
3
1
2
3
1
2
3
/ `33
2-3y
/ ;`-3
4!�:
zc
12,5 !
3
a
3
/U
-7
PERCOLATION RATE: _z �% �� �j l,-7S
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE:
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Z 0
Site has been reviewed and tested for percolation rate.
Date Environme Health 07ficer
COMMENTS: r'J
CONSTRUCTION PERMIT APPLICATION
Jurisdiction of EAGLE COUNTY
USE THIS FORM WHEN APPLYING FOR ANY OR ALL OF THE FOLLOWING PERMITS:
CIRCLE THOSE THAT APPLY— [ A ] Building [ B ] Plumbing [ C ] Electrical [ D ] Mechanical
[ E ] Road Cut/Right of Way [ F ] Individual Sewage Disposal System [ G ] Grading [ H ] Sign
Applicant to complete numbered spaces only.
JOB ADDRESS 0 ) /, �./) %
�(/
c v
LEGAL 1 DESCR
LOT NO.
/ ry
G
BLK
TRACT
1 OSEE ATTACHED SHEET)
OWNER MAI L ADDRESS
ZIP PHONE
k'
3
CONTRACTOR ,' MAIL ADDRESS
ry1 E
PHONE LICENSE NO.
4
ARCFJT-ECT-OR DESIG ER MAIL ADDRESS
fit. -+ - - bP` l� iI �� �� Ile
PHONE LICENSE NO.
5
ENGINEER MAIL ADDRESS
PHONE LICENSE NO.
6
LENDER MAIL ADDRESS
t j -t ; , H
BRANCH
USE OF BUILDING ,(//
t/
8
Class of work: Q NEW ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ MOVE ❑ REMOVE
9
Describe work: 1 !
� � t
i
10
Change of use from
Change of use to —
11
Valuation of work: $ /�, U v Q 6
14
Total floor area of structure: 3 I O Gr
12
Acreage or sq. footage of lot: 3 7 Q C r (= 5
15
Height of structure above finish grade:
13
Sq. footage of lot coverage:
16
Special Conditions and Additional Information: —
17
Energy Award:
SITE PLAN MUST BE INCLUDED WITH THIS APPLICATION: exceptions are listed in
Eagle County Building Resolution. For site plan preparation instructions refer to Eagle County
publication "Graphic & Submittal Requirements for Site Plans".
18 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED SIGNATURE OF CONTRACTOR O AUTHORIZED AGENT DATE
HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING �.Yt "i•/
CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF OWNER (IF OWNER BUILDER) DATE
APPLICATION ACCEPTED BY PLANS CHECKED BY APPROVED FOR ISSUANCE BY
White Copy —INSPECTOR Canary Copy —APPLICANT Pink Copy —ENVIRONMENTAL HEALTH Gold Copy —ASSESSOR
EAGLE COUNTY ENVIRONMENTAL HEALTH
ROUTE FORM
NAME���
APPLIC. NO. — —
MOCATIO.
.lease review the attached Individual Sewage Disposal System Permit Application and
return it and this completed form to the Environmental Health Office.
PLANfdING: Complies with: YES NO REVIEWED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDING:
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
COMMENTS:
ENGINEER: Complies with:
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
YES NO REVIEWED BY DATE
YES NO REVIE14ED BY DATE
EAGLE COUNTY
FAX COVER SHEET
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
P.O. BOX 179, EAGLE, CO 81631
970-328-8755 970-328-8788 FAX
TO: ae'a
FAX #:�
FROM: i`
NO. OF PAGES INCLUDING COVER SHEET: -3
REGARDING:
owk04i o--C\-P� -r SL
q a -O-, Y � U
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If you do not received all pages please call our office (970) 328-8755
0550 Lt 10 Aspen
T�Mesa, [,4l1,,- lO� ��,( G? C`I.�f 1.
JOB NAME --sAY
JOBi�,��JU / l/E' iJOB NO. t - klj IOI
Parcel # ����-���-n�z_nnca 5��d
�Jmi1- daa-
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OIL
JOB LOCATION
Th , F�
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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Aas
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
L �.�„_� j �
r sctvmd g Af t►� J aJ 1 o FAa-C-0V P� r �� ►og 1 B O ,1 �a �G:a�}
i r/� G 4C�ts._;��
PERMIT #550 Ri' hTi�1��� J �t
16 �3
OWNER:
LOCATION: Aspen Mountain View Subdivision - Lot 12,
Oakridge 1 - Rb�t
00044. -Tv` U� A'1 h6W
INSTALLER: Owner j; ���
D. Grounds - Design Engineer
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms x 200 sq.ft.
PERC RATE: one inch/10 minutes (600 sq.ft.)
ff-- 22
� nts Ti Ie TS-OSSO-�'I i�,S also _q(4A4 Ta' BF-1JSC
TOTAL LABOR
INSURANCE
SALES TAX
MISc. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
Printed in U.S.A.
Finalized: 7-27-83 By: Erik Edeen LDER