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HomeMy WebLinkAbout2580 Hwy 82 - 000000000000 - 0605ISEAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED SPEC,TION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANT. NY PORTION OF INSTALLED SYSTEM A8- 7311 or 949-5257 or 927-3823 PERMIT NO. N° 605 927-3400 OWNER: Linda Nelson ADDRESS: 2580 Highway #82 - Carbondale, CO SYSTEM LOCATION: LICENSED INSTALLER: 2580 Highwag 82 - Basalt 81623 Tom Welker (Carbondale) LICENSE NUMBER: **CONDITIONAL 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: one inch in 10 minutes. Absorption Area per Bedroom 490 sq. ft. �5` No. of Bedrooms 1 x 400 sq. ft. minimum requirement per bedroom) = 400 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: 4114183 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: sq. ft. Installed Septic Tank: / 0 gallons. Design Engineer of System: Installer of System: Septic tank cleanout to within 12" of final grade or Degrees aerated access ports above grade? Yes No Proper materials and assembly? Yes No Feet Compliance with permit requirements? Yes No Compliance with County/State regulations requirements? Yes COMMENTS: Phone: IR (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: INSPECTOR: _1'1I-W,L I'L IIf`"1 IIII', I'(11 IIf)'I 3 A I, i nL E�^ PEf' 'IT I'EE _ S150 - MANE OF O'••!NER: I nal Ck _ 0�.---- -- - - APPLICANT (IF DI FFEI.Y. A D r)RE S S : G-. �-,� ----- - -- - - DESIGN ENGINEER OF SYSTEM (IF APPLICA,BLE): PHn'IE: PiiME: ADDRESS: �6 I_-t — ----- 1';iO;IE: PERSOII RESPONSIBLE FOR INSTA,LLATIO^I OF S`;'STE'': ADDRESS: PERMIT APPLICATION IS FOR: ( ) Nei,, Instal lation ( ) Al teration Repair LOCATION OF PROPOSED FACILITY: County _ _ Lot Size \ J3�� City or Town, if within City or Toa,n Li!,J is LEGAL DESCRIPTION: I_ I-C . 0 JLv S - I� (;, 0 S 1°C (2I I6 6i�, STREET (RURAL) ADDP, -S: g IS SYSTEM DESIGNED FOR LESS THAII 2,000 GALLONS PER DAY? () Yes ( ) f�10 BUILDING OR SERVICE TYPE: (Check applicable categor,,) 7 ( ) Residential - Single-family dwelling ( ) Residential - Duplex (X) Commercial - State usage #Persons _L r •-� Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( ) Non -domestic wastes ( ) Other Residential - Triplex Residential - Quadplex ( ) Dwel 1 i nq ( ) Transient Use SOURCE AND TYPE OF IJATER SUPPLY: ( ) ble11 (X Sprind Give depth of all wells within 200 feet of the system: If supplied by community grater, give name of supplier: TYPE OF INDIVIDUAL SEI-JAGE DISPOSAL SYSTEi.1 PROPOSED: (-.>q Septic Tank ( ) Aeration Plant ( ) ( ) Pit Privy ( ) Incineration Toilet ( ) ( ) Grey�.iater ( ) Other ( ) Garbage Grinder ( ) Dis1M,as11er ( ) Automatic ':!asher ( ) Creek or Stream Chemical Toilet -..ii ._. , Recycling, Other Use ,TILL EFFLUENT BE DISCHARGED DIRECTLY I^'ITO I•IATE'S OF 1-IIF ST;°',TF? ( ) Yes ( 1,10 1 i g n a t u re ._ Da t e/ �k- INFORMATIONk BEL0:-1 TO BE FILLED OUT BY E1`1hIRn1;!1E'1TAL h'-ALTH OFFICER ,ROUND CONDITIO!IS: Percent around Slop(,: Depth to Bedrock: (per 3' Profile Hole): ---- - - De;,LII to louna':,.�ter T,lble:� l� :OIL PERCOLATION TEST RESULTS: �7 !•li notes ')et- i nck in I'ol 1 inch in !!ol e No. 2 INAL DISPOSAL !'i notes pet- inch it, Hole �,o. 3 BY: (absorption Trench, Bed or Pit ( ) Er�uot:ransniration ( ) Above C I-OUnd Di sper)„ 1 ( ) LjnL''erc,rnund Dispers�l ( ) ,' !;?s _.. :`^ Pond Nl�j ( ) 0'_ 06 0 • ' - 3 �� '� Fi),� .� er7,i `ee c ' s,h311 fie c.'1'r for '.I ter': ,. n ,_(1I ,r'. 01' _,'' in oI Ving al oration Of n eX1 S �i n 1 S�,, i. (1 „_.c. l T i11 TeE i by Eagle County Indivic,ual C ,.;�•� Il osa l March27, 19S0. For minor repairs of less than ''S100 for r:laintenance r;f- the disposal systerl, no fee shall he required. A percolation test _fee of S50 shall be char(led for all nevi leach fields on repair per!Tllts. Percolation testing may be I-laived a. the discretion of the EnVironl;'.ental Health Officer on certain repair cases where prmipt action must be tal:en to prevent a ;:eal th hazard. IF PRESENT SYSTE11 IS PRE-EXISTI?!G, 111011-CONFOP.ITh JG, A NF'-] SYSTEFI S1!rALL BE Ii"`TALLED, CO,IPLYING WITH ALL CURRENT REGULATIMIS. IF A IdE'.r SYSTE1i IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEII/PALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: - DATE PRESENT SYSTEM WAS INSTALLED PERMIT NUMBER FOP, ORIGINAL SYSTEI.1, IF A PER11IT WAS ISSUED BY THIS DEPARTHIENT: 1116-yLP-1 SITE PLAIN BELO•;I SHO1,,1fI11G PRESENT SYSTEM' COIiPOHENTS: ri 5'�s DAT E : 16 �� EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 November 14, 1986 MEMORANDUM TO: PROPERTY OWNERS FROM: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE RE: EXPIRED INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITS Our records indicate that your Permit # &05 has not had a final inspection of the individual sewage disposal system. If you do not have a current building permit, the above referenced permit has expired. Please contact the Eagle County Environmental.Health Office at the following address and give us the current status of your septic tank system and/or arrange for a final inspection. Eagle County Community Development Environmental Health Office P.O. Box 179 Eagle, Colorado 81631 (303) 328-7311, Ext. 227 Your immediate response to this request will be greatly appreciated. Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 ANGLE COUNTY memorandum To: - Linda Nelson Fxi.)m: — ----- - ----- Environmental Health Office Subject: Enclosed ISDS Permit # 605 File No.: Date: April 14, 1983 Enclosed is a copy of your individual sewage disposal system permit #605 for property located at 2580 Highway #82. The information on the permit application indicates that the system will be agent installed; therefore, he will be responsible for the installation of the system as your agent is not a licensed installer for Eagle County. This copy must be posted on the installation site. The installer or owner must call OUT office for final inspection before covering any portion of tf We can be reached at 328-7311, extension 238 or at 927-3823. If you have any questions, please contact us. /If Enc. -- Lorraine Funke, Secretary Environmental Health Office EAGLE COUNTY 0 U El EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE L It, A � o Name� Date Routed 10 1 �580 bl- Car �, Application o. L o c att ion Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form to the Environmental Health Office. PLANNING: Complies with - . YES NO REVIEWED BY DATE Subdivision Regulations: / Zoning' Regulations: Ljr� Recommend Approval: COMMENTS: t > Y1AA BUILDING: Complies with - 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 REVIEWED BY DATE ti ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YES NO REVIEWED BY DATE COMMENTS: PERCOLATION TEST FEE: $50 I.S.D.S. APP. 014'NER•: i_EGAL• DESCRIPTION: Z S� fS ` RURAL ADDRESS: i TYPE OF DWELLING: + # OF BEDROOMS: / .DATE OF PERCOLATION TEST: TYPE OF SOIL: TEST HOLES PRESOAKED? Yes No iWATER DEPTHI •� ®®ems®��l1®0�►©©m PERCOLATION RATE:RECOMMENDED MINIMUM MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: D s� RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:Oli Site has been reviewed and tested for percolation rate. Date Environmental eat icer COMMENTS: 7 AS —2-- � ,-L 0605 Nelson 2580 HWY 82 JOB NAM. Basalt L JOB NO1. B LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 6 &1 JC_------ -- - -- -- F JOB COST SUMMARY TOTAL SELLING PRICE PERMIT#605 OWNER: Linda Nelson LOCATION: 2580 Hwy 82 - Basalt INSTALLER: Tom Welker SIZE OF TANK: 1000 gl. DWELLING: Res. Sing. Fah. - I bedroom PERC RATE: I inch in 10 minutes ABSORPTION AREA: 400 s.f. FINALIZED: Covered over before BY: final inspection