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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 8K808 AEf o1FOAnn