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Home My WebLink About169 Toner Rd - 246703400003EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALL FOR.: I 41AL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED INSPECT,hON BEFORL COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF'In�TALLED SYSTEM N c 606 328 7311 or 949-5257 or 927-3823 PERMIT NO. 927-4425 OWNER: Dallas Dag 44 ADDRESS: 175 Big Hat Road - Basalt SYSTEM LOCATION: 0Or6eToner6Creek Road03 Basalt, Co 81621 LICENSED INSTALLER: AhPUta F'nginpPring (nPgian F'.nginPPr) LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: gallon septic tank or /LTO aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: _� inch in minutes. Absorption Area per Bedroom 2 00 4 sq. ft. No. of Bedrooms e x 2-OD sq. ft. minimum requirement per bedroom g ®Q total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: April 14, 1983 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: Design Engineer of System: Installer of System: gallons. 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: INSPECTOR: w::... Gn•( S .0 S1631 Pc 3 I i 1 EE = $1Si7 FE71CL7,T I^% TE-E i FEE = SEO _NAME OF 01•!,lER: ADDRESS : -wG APPLICATIO'i FOR IINDIVILOUAL DISPOSAL SYSTE'" PEF!'IT q T�"C_� IIO. C- VD^ PHONE: NAME OF APPLICANT (IF DIFIFttE--^E____NT FROM .Ol.-INER): W , ��Mk2A-tc�.C.. AD�,RESS: "1.�1� i `b`�'- y-��► �[Q-Z4 PHONE: qj:-I - g4Q2s DF.SIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: I' prrge6-Efr- �.•PERSO! RESPONSIBLE FOR INSTALLATIONOF SYSTEP'.:--rL.12�SL�"J - ADDR*ESS: �c �Cl to-0c3 ts.2I PHO' NE: !1r7_q_ 45_?-O� PER;IIT APPLICATION IS FOR: C,�) ^le:•i Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County Gt Lot Size City or Town, if within Ci ty or To:•rn Limits LEGAL DESCRIPTION: STREET (RURAL) ADDRESS: 4C71% l d� SIR.. �t(t.t121� IS SYSTEM DESIGIIED FOR LESS THAN 2,000 GALLONS PER DAY? (X) Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) (�) Residential - Single-family dwelling ( ) Residential - Triplex "'( ) Residential - Duplex ( ) Residential - Quadplex - ( ) Commercial - State usage Persons 2„ i Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional (�a) Dareliing (�) Garbage Grinder ( ) Non -domestic wastes ( ) Transient Use Dishwasher ( ) Other ( ) Automatic Washer SOURCE A?lD TYPE OF WATER SUPPLY: (>) Well ( ) Spring ( ) Creek or Stream = ..Give depth of all wells within 200 feet of the system: � ej _If supplied.by community water, give name of supplier: :=;TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEiI PROPOSED: ---) Septic Tank ( ) Aeration Plant ( ) Chemical Toilet - VaUl( P'('IYy t I .�._;d v?li��J TUii l ( ) R&,yCi ill, iv�au,£ _( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater = ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (,� No °Signature U 10FORtiATION BELO1.1 TO BE FILLED OUT BY ewiRminEINTAL HEALTH OFFICER Date C� GROUND CONDITION'S: Percent (Iround S1 pe: Depth to Bedrocr: (per a' Profil- Hole): Depth to rroun,�:•rater Table: SOIL PERCOLATION TEST RESULTS: Ninutes per inch in Hole No. 1 Plinutes per inch in Hole No. 2 !!inutes per, inch in Hole No. 3 FI'Ir",L DISFOS,"%L BY: ( ) Absorption Trench, Bed or Pit ( ) Evanotransoir•ation ( ) Above Ground Dispersal ( ) Sand Filter ( ) Un_'crground Dispersal ( ) ..!aste,.,ater Pond To: Subject: Wili?iam Campbell ISDS Permit # 606 From: � File No.: Pnvironmental Health Office Date: April 14, 1983 Enclosed is a copy of your individual sewage disposal system permit #606 for property located at 00169 Toner Creek Road, Basalt. The information on the permit application indicates that the system will be engineer designed by Abeyta Engineering, Glenwood Springs. Therefore, they will be responsible for the installation of the system. This copy must be posed on the _installation site. The installer or owner our office for final inspection before covering any portion of the instal ed syste We can be reached at 328-7311, extension 238 or 927-3823. If you have any questions, please contact us. -- Lorraine Funke, Secretary Environmental Health EAGLE COUNTY 10 -ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Name Date Routed �- T 0011011 Application No. Location 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 RFVTFwFn RY nATF Subdivision Regulations: Zoning'Regulations: Recommend Approval: COMMENTS: - I BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE 7h ENGINEER: Complies.with - Roads: Grading: Drainage: Recommend Approval: YES NO REVIEWED BY DATE COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval:�`t YES yo REVIEWED BY DATE COMMENTS: PERCOLATION TEST FEE: S50 I.S.D.S. APP. r OWNER:. LEGAL DESCRIPTION: 0 3 `74 O U OQ 3 RURAL ADDRESS: TYPE OF DUELLING: # OF BEDROOMS: 1 2s�'s•�..C.r'`fzw� DATE OF PERCOLATION TEST: 3 TYPE OF SOIL: TEST HOLES PRESOAKED? Yes No FIE IME IMEMEN IMI . ,�,I ,. - ®M® MOINES IMEMEN MIMMER =111001n PERCOLATION RATE: Q RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested for percolation rate. -1/'- /2 --6 3 - Q Date Environmental Health Oticer COMMENTS: 20 5 �� 6; z �� 1 . � � o 606-83 TxPrcl#2467-034-00-003 JOB NAME — 00169 Toner Creek Road -Basalt Dallas Day N W.8, JOB 'NO. 02,11LI—_ JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED n m-cr ra o JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT It DER Printed in U.S.A. 41 i O/zc, F To t;;-c li� F) ri I C_ "M A,� 0 t-4 ff;aoj in5,2 tit= It-4T -2 :::.0 t--47 u Z I::-. 49 IF Flu Q c7l . . . .........— - �' •�" -ram {=i.'�.� ��-- � _ - - _ �-` , - _ _ - - i ( � _ - _ � ' � _ '''r r- � _ \ -- - ►, �1 L.OvSkl LOP e. 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