HomeMy WebLinkAbout649 Pinon Dr - 246708201002` EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PLEASE 'CALL FOR FINAL P. 0. Box 850 - 550 Broadway
,INSPECTION BEFORE COVERING Eagle, Colorado 81631
ANY PORTION OF INSTALLED SYSTEM
328-7311 or 949-5257 or 927-3823 PERMIT NO. N c
PERMIT MUST BE POSTED
AT INSTALLATION SITE
5 85 REPAIR PERMIT
OWNER: John w_ SpencrPr, Jr_ ADDRESS: 649 Pinon Drive - R ga7 CO s76 7
SYSTEM LOCATION: 649 Pnon Drive - nay 7t
LICENSED INSTALLER: owner 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 > 0 minutes.
Absorption Area per Bedroom sq. ft.
No. of Bedrooms s x sq. ft. minimum requirement per bedroom
total sq. ft. minimum requirement. / /
SPECIAL REQUIREMENTS: fW r �G
d-e � `7 a
DATE: `�_ a-Gl $Z-- INSPECTOR:
**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: Ja WO k sq. ft.
Installed Septic Tank: 2kgallons. alSd��
a
Design Engineer of System: 411o;l
Installer of System:Phone: _
Septic tank cleanout to within 12" of final grad,- or
aerated access ports above grade? Yes No
Proper materials and assembly? Yes �/ N
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.) -{
i
DATE: //-- - - 6 -z INSPECTOR: o
RE -INSPECTION DATE: INSPECTOR:
r - PLEASE RZTTII�rl THIS POP.TInN WITH YO UP SITE PLAN AND FEE(S)
328--7.3r1 ► 9419-.5257
U%7-.3S23
r
Eilb'I P.ONi0ENT,"',L HEAL T H
BOX 850
EAGLE, COLORADO 81631
PER11IT JEE _ $150 PERCOLATION TEST FEE = S50
APPLICATIOid FOR INDIVIDUAL SE''VlAGE DISPOSAL SYSTEIN PERPIIT
NAME OF OIJNER:
ADDRESS:
NAME: OF APPLICANT'(IF DIFFERErT FROM O'JNER):
ADDRESS:
DF.SIGN ENGINEER OF SYSTEM (IF APPLICABLE):
NO. q sr.,
I PHONE: '-=20 6
PHONE:
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:Q9Z�,,�
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: ( ) New Installation (V41" Alteration ( Repair
LOCATION OF PROPOSED FACILITY: County e nftL 6�- Lot Size
City or Town, if within City or Town Lim its I -
LEGAL DESCRIPTION:
STREET (RURAL) ADDRESS:
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (Y() Yes ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
(Vef Residential - Single-family dwelling
( ) Residential - Duplex
( ) Commercial - State usage
# Persons 4, 11 # Bedrooms
Residential - Triplex
Residential - Quadplex
ls�
WASTE TYPES: (Check all applicable)
( ) Commercial or Institutional ( Dwelling (✓) Garbage Grinder
( ) Non -domestic wastes ( ) Transient Use Dishwasher
( ) Other (� Automatic flasher
SOURCE AND TYPE OF LJATER 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 SEfJAGE DISPOSAL SYSTEM PROPOSED:
(� Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
_ n. { i.-
:Vaui.t F'i.vy ( ) �•!!irv?�IIJ 1 U i I-1 ( 1 *;.._.�/1_111i�, _ i, Cl L) t_ kj.Z -
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use V
( ) Greywater ( ) Other 0,,-rl P�s
i V
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO 4JATERS OF THE STATE? ( ) Yes ( No
Signature
a
INFORMATION BE fJ TO BE FILLED OUT BY ENVIRONP ,JTAL HEALTH OFFICER
GROUND CONDITIONS: Percent Ground Slope:
Date i15 �_
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
Plinutes
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
I iio i $is=
To: Subject:
Mr. John Spencer, Jr. ISDS Permit #585
From: File No.: Date:
Environmental Health Office 1 12-14-82
This is to inform you that your ISDS Permit #585 for property located on 649
Pinon Drive, Basalt, was finalized by Erik Edeen on November 5, 1982.
I am enclosing a copy of this permit for your records.
-- Lorraine Funke, Secretary
Environmental Health Office
Eagle County
e TELEPHONE EAGLE COUNTY
303/328-7311
Board of County Eagle, Colorado 81631
Commissioners
Ext 241
Assessor
Ext 202 December 14, 1982
Clerk and
Recorder
Ext 217
Sheriff Mr. Thomas Hays
Eagle: Ext 211 P • 0. Box 717
Basalt: 927-3244 Carbondale, Colorado 81623
Gilman: 827-5751
Dear Mr. Hays:
Treasurer
Ext201 RE: ISDS Loan Inspection for property located at
Administration Lot 2, Red Table Acres
Ext 241
An ISDS inspection was made on the above subject property on
Animal Shelter Tuesday, December 14, 1982 and the system appears to be operating
949-4292 satisfactorily with no apparent problems (this system was installed
in 1979).
Building
Inspection I am enclosing a receipt in the amount of $25.00 which was paid
Ext 226 or 229
for this loan inspection.
Community
Development Sincerely,
Ext 226 or 229 a
County Attorney
Ext 263 Erik Edeen
Engineer Environmental Health Officer
Ext 236
Environmental
Health /if
Ext 238 -enc.
Extension Agent
Ext 247
Library
Ext 255
Public Health
Eagle: Ext 252
Vail: 476-5844
Personnel
Ext 241
Purchasing
Ext 245
Road and Bridge
Ext 257
Social Services
328-6328
REPA1P. PPPLTC T iC"I
k '1
FOR Ii!Di IDUr",L S '-:AGE DIS''POSAL SYSTE.',S
A :)er~it fee of S44-�' shall be charted for alteration, enlargement, or any repair
involving alteration of an existing seiage disposal system. This fee is authorized
by Eagle County Individual Se,, -rage Disposal Systei,,l Regulations adopted and effective
March 27, 1980.
For minor repairs of less than $100.for maintenance of the individual sew�ae
disposal system, no fee shall be required.
A percolation test fee of $50 shall be;,charge:d jor'all n2,;r leach fields on repair
permits. Percolation testing may be waived at t o-d,scre`tio'n of the Environmental
Health Officer on certain repair cases where prompt--:action.niust be taken to prevent
a health hazard.
IF PRESENT SYSTEM IS PP,E-EXISTING, NON-CO^!FORMING, A NEW SYSTEM SHALL BE INSTALLED,
COiiPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE
APPLICABLE.
DESCRIPTION OF PROBLEPI/MALFUNCTION: %�,
TYPE AND SIZE OF SYSTEM PRESENTLY IN USE:
DATE PRESENT SYSTEM WAS INSTALLED
PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT:
SITE PLAN BELO's,l SHOWING PRESENT SYSTEM COMPONENTS:
OLINER OF SYSTEM:
ADDRESS:
APPLICANT:
ADDRESS: _
DATE:
u585 Spencer Lot 20A 649' ipinon (
JOB n �iA11lfS Drive 2467-082-01-002 !d,1� j''e�
.: _ OR N
Y
BILL TO _
DATE STARTED
DATE COMPLETED
DATE BILLED
Am. li�T
S OC49 Rhox Nye-
r ace
�rcO#', 2 67- 022- 01-0n2
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
PERMIT # 585
OWNER: John W. Spencer, Jr. AV\V%,
A ff\ Za 1i
LOCATION: 649 Pinon Drive - Basalt
0+9 F
INSTALLER: Ed Dreager
SIZE OF TANK: - existing
DWELLING: Residential - 5 bedrooms
PERC RATE: one inch/20 minutes
Old dry well to be redone and new one added 10 x
�'-_-, _ __�. � � t: o� Rv• Fri I� FriPan
1
JOB COST
iS PROFIT
TS
10 x 10 HEAD COPOSICE
ET PROFIT
JOB FOLDER Product.278 nBs ® NEW ENGLAND BUSINESS SEF
. l Printed in U.S.A.
RECEIPT Date - 19_1821
Received From
Address — CO . , flow
For Dollars $ 156 or'
/{t-t-UUNI HOW PAID _
AMT.OF ff,--CP
ACCOUNTCASHAMT. PAIDBALANCEMONEYDUEORDER By L.in�t.Qa
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