Loading...
HomeMy WebLinkAbout105 Eagle Court - 211106402004' EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALL FOR FINAL P. U. Box 850 - 550 Broadway PERMIT MUST BE POSTED INSPECTION BEFORE COVERING Eagle, Colorado 81631 PPEE INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N° 59 7 OWNER: Paul Hayes/Mike Simonds ADDRESS: 132 Broadway - Eagle SYSTEM LOCATION: sit A S1aughtPr Addition — Gvpsum LICENSED INSTALLER: T-Aster Frimmi LICENSE NUMBER: 107-82 "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. Absorption Area per Bedroom 2-S'0 sq. ft. No. of Bedrooms ___.3 x ZS 0 sq. ft. minimum requirement per bedroom _ ,7�� total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: I-18-83 INSPECTOR: Sid Fox "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: 9,0 0 sq. ft. Installed Septic Tank: kwo gallons. Design Engineer of System: Installer of System: gut. 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: CPp3 INSPECTOR: L - JLJ-I -& t ;V P ,:.,'IT I EE = $1 �l3 NAME �OF ONI IER: SOX :._0 FE�:.�L:�TI�:; �E=T FEE = S:0 APPLIC T IO'4' FCR is:DI ;'ID'.l�'L..SE::f-rtE DISPOSAL SYSTE'•' PE :.'.IT Paul^Hayes/Mike Simmonds IO • 996 ADDRESS: 132 Broadway - Eagle- PHONE: 38-7 7h NAM OF APPLICANT (IF DIFFERENT FROM Ol•;:lER): ADDRESS: DF.SIGN ENGINEER OF SYSTEM (IF APPLICAGLE) ADDRESS: .PERSON RESPONSIBLE FOR INSTALLATIO"I OF SYSTEM. Lester Frimml PHONE: PHONE: ADDRESS: P.O. Box 616 - Eagle PHONE: 524-7433 PFR,IIT APPLICATION IS FOR: ( ) Me,a Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County Eagle Lot Size 1 Acre Ci ty or Town, i f wi thi n Ci ty or To:•rn Limi is Gypsum v LEGAL DESCRIPTION: Lot 4 - Slaughter Subdivision STREET (RURAL) ADDRESS: Cedar Lane - Gypsum IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( ) Yes ( ) No BUILDING OR SERVICE TYPE: '(Check applicable category) x Residential - Single-family dwelling ( ) Residential -Triplex -' Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage Persons t 0 Bedrooms 3 WASTE TYPES: (Check all applicable) - _ ( ) Commercial or Institutional ( x) D�ie11inq ( ) Garbage Grinder "( ) Non -domestic wastes( ) Transient Use ( x) Dishwasher = Other ( x) Automatic Flasher SOURCE AND TYPE OF WATER 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: PE OF INDIVIDUAL SEFIAGE DISPOSAL SYSTEM PROPOSED: _ x) Septic Tank ( ) Aeration Plant ( ) Chemical Toilet - �auIL P'f'tY� j �.•111�V�L'tl/if iUtt 1 ?i '.ft_11i1g, fit• CtUC v�� ( ) Pit Privy ( ) Incfneration Toilet ( ) Recycling, Other Use ( ) Greyviater ( ) Other -WILL EFFLUE NT BE DISCHAP.GED DIRECTLY INTO WATERS OF THE ST"ATE? ( ) Yes No - Signature r 107 INFORMATMN BEL0:1 TO BE FILLED OUT BY ENVIRMHIENTAL HEALTH OFFICER GROUND CO:!DITIO::S: Percent Ground Slope: _ Depth to Bedrock (per 3' Profile Hole): SOIL PERCOLATION TEST RESULTS: FI:lt,L DISPCS'%L BY: Date��— Depth to (11-oun::•iater Table: Ninutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 !1inutes per inch in Hole 'to. 3 ( ) Absorption Trench, Ced or Pit ( ) Evanotr:nspiratlon ( ) AL-,,e Ground .Di spersal ( ) Sand Filter ( ) Un' rground Dis; ers 1 ( ) t!aste,:jater Pond ( ) 0t:•er Paid 50 - Perc. Test (1-14-83) «i SOX :.:0 w E:i LE, CCL^Inl,Lv 3' G P-..: IT t Er- _ $1513 FE OCL',T; Tc= i FEE APPLICATIO'; FCR i;;OI:'i0• ,4L .SZ':;wr,E DISFOS" L SYSTE'-' PE!".'.IT NAME 'OF 0!!NER: /U& ADDRIESS: E; -2 0�¢11 ��Q ,/-� G L,�� g aL0,PHONE: NA.M.F. OF APPLICANT (IF DIFFERENT FROM 01.-INER) : �� 4� & Cl C� a AD IF,RESS: ,1�i9-�< �/� �l�S'4 Lca PHONE: 1 2Z 5 1� OF.SIGN ENGINEER OF SYSTEM (IF APPLICAGLE): ADDRESS: PHONE: -PERS0,1 RESPONSIBLE FOR INSTALLATION OF SYSTEM: zf /,1 z::( L ADDRESS: Z o nd' (0- to r, �—T PHONE: !V--,> lz3 3 P7RNIT APPLICAT IO'N IS FOR: ( ) "le:�! Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County �f gL z Lot Size City or Town, if within City or To,. -in Lim 1-0 LEGAL DESCRIPTION: STREET (RURAL) ADDRESS: ��',� L �%�l?r�� LU IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? O Yes ( ) No BUhLDING OR SERVICE TYPE: '(Check applicable category) Residential - Single-family dwelling ( ) Residential - Triplex ( Residential -Duplex ( ) Residential - Quadplex Commercial - State usage Persons s Bedrooms WASTE TYPES (Check all applicable) - - _ ( ) Commercial or Institutional ( Dwelling (�) Garbage Grinder ( ) Non -domestic wastes (� Transient Use ) Dishwasher = ( ) Other Automatic Washer SOURCEA TYPE OF IdATER SUPPLY: ( ) Well ( ) Spring ( ) Creek or Stream - ND - -. Give depth of all wells within 2O0 feet of the system: If supplied.,by community water, give name of supplier: ✓� 1�/L�`f=�P %� :TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEil PROPOSED: - _ ( Septic Tank ( } Aeration Plant ( ) Chemical Toilet - _ . . _ ... ,_ .r _ } Vaui L P'f'(VV � j Lvl4� i?L inJ I 1 Il f � Lt_tf�_ 1 111,;, i v' aU �$ i•J% Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other - WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes No Signature Date L� it INFORMATION BELO!•! TO BE FILLED OUT BY ENVIRn;I!.EiNT!1L HEALTH OFFICER GROUND CO;;DITIO;;S: Percent Ground Slope: _ r � Depth to Bedrock (per 8' Profile Hole): � 8 _ Depth to Groun;.Wrater Table: SOIL PERCOLATION TEST RESULTS: Oyy)e z Ninutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 FINAL DISPI S•' Absorption Trench, Bed or Pit ( ) Evanotr.nsoiratlon ,�,,L of : (�) t P ( ) Atove Ground.Di .oersal ( ) Sand Filter Un_'�rground Dis; ersa 1 ( ) :•!ast2:•iater Pend Ot"er i , PERCOLATION TEST FEE: $50 I.S.D.S. APP. jWNER: A S LEGAL DESCRIPTION: L� S�Ao c tA-a9, RURAL ADDRESS: TYPE OF DWELLING: swo\p # OF BEDROOMS: * * * * * * * * * * * * * * * * * * * * * DATE OF PERCOLATION TEST: 17_ Z TEST HOLES PRESOAKED? Yes TYPE OF SOIL: VrJ trd.�,yc�,,, No 4_ e2U C, %-- WATER DEPTH INCHES OF FALL .� PERCOLATION RATE: _ �G� l�P _ X Z 1411'!7� o� RECOMMENDED MINIMUM SEPTIC TANK SIZE: /dv© G1 G , Q�� RECOMMENDED MINIMUM LEACH FIELD SIZE: U \ RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested for ercolation rate. 8.3 Date Environmental-HealthOfficer COMMENTS: / n�� lr Z �� . ha "7z,�-tz COLORADO DEPARTMENT OF HEALTH ACCOMMODATIONS INSPECTION REPORT � Name S w - Acct. No. Category No. Location Zip Owner Add ess Zip Operator - Address Zip Units Capacity Male Female Juv. Water, Source -Type Sewage, Type -Method Food Source Swimming Pool An inspection of the above noted facility on this date reveals the violations and deficiencies' listed below which you are hereby ordered to correct: 10A V.1e z0 w0�1. '! - 2�j Date Recoived By ES:MFD:57 (5-75-10) nspected By core FF�`1 IE! CfE N ?po is - ^a n �G 3 I� �I m a r rn S j� a YY [ s � i 2 K y =!� ai" :I.8 P Sn or p?' n ...b.. It on h �on N og, A .xo rn cn D m 0 D�Z D G) z M.K o- - > C= v 0 -A --I Z z m --j _ o-e z Qi " U) D o Vf xKz p> 0� - > D C�� Z^ u' --i o o - c z z 7-1 --C (-n 1 • 1 o U) n' X 597 JOB NAME � M04 I L "Im JOB NO. Lot 4, Slaughter Addition JOB LOCATION BILL TO DATE STARTED Omen,- L/ DATE COMPLETED PERMIT #597 FMI(4ro mik"- OWNER : -pa 132 Broadway Ea Ze Li57 LOCATION: Slaughter Addition Gypsum INSTALLER: oco los r'Ctq)'e Cxr-r Lester©co 1, 00 uxe SIZE OF TANK: 1,000 gallons DWELLING: PERC RATE: Double wide - mobile home one inch120 minutes 3 bedrooms x 266 sq.ft, (800 sq.ft.) (tank covered over before final inspection made) Finalized: 6-30-83 by: Richard PYlman DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT # 597 OWNER: 'retal Hey'-, LOCATION: Lot 4 - Slaughter Addition - Gypsum INSTALLER: Lester Frimml SIZE OF TANK: DWELLING: Residential - 3 bedrooms x 250 sq.ft. PERC RATE: one inch/20 minutes (750 sq.ft.) 2-25-83 By: Erik Edeen Need re-inqnprtinn fnr tank installation 0 4a 00 6