Loading...
HomeMy WebLinkAbout110 Eagle Ct - 211106402001EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED INSPECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM N2 631 328-7311 or 949-5257 or 927-3823 PERMIT NO. OWNER: PL/1 Hayes/Mike Simonds ADDRESS: P.O. Box 10 - Eagle, CO SYSTEM LOCATION: Lot #1 - Slaughter Subdivision - One acre- Cedar Court - Gypsum LICENSED INSTALLER: Frimml Excavation LICENSE NUMBER: 004-83 **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 5 minutes. Absorption Area per Bedroom sq. ft. No. of Bedrooms x sq. ft. minimum requirement per bedroom total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: space problems - close to road cut to the north Perc trench 4' wide - 45' long - 4' qravel under pipe DATE: 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 "he 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. Degrees: Feet: 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- APPLICATION FOR ! DI`vIDUy Ste'. AGE DISPOSAL SYSTE•t PERMIT L:A'IRONXIENTAL :'.E'ALTH OFFI - * E n' CE- EAGL COUN C _ P.O. Box 850 Eagle, Colorado 81631 No. ` 731I PERMIT APPLICATION FEE: 5150.00 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: ADDRESS: NAME OF APPLI V\TT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTE:`i (if applicable): ADDRESS: PHONE: PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Licensed Installer (see attached list): YES NO ADDRESS: PHO.�E: PERMIT APPLICATION IS FOR: '( New Installation ( ) Alteration ( ) Repair i LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: C1_k1;1'1 c,, I.N1 Lot Size: Legal Description: BUILDING OR SERVICE TYPE (check applicable category): Residential - Single Family ( ) Residential Quadplex ( ) Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex NUMBER OF PERSONS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal Automatic Washer ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other NUMBER OF BEDROOMS: Dwelling ( ) Transient Use ( ) Dishwasher ( ) Spa Tub ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (�) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (I6 Yes, see attached waStewateh 4tow neducti.on methods) NOTE: The Envitovimentat He(. Uh 046icen may &educe the neguited abzonption area upon app&ovat o4 an adequate wastewater itow teducti.on ptan.- SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: J SIGNATURE: C��� DATE: 0 '� - - - - - - - - - - - - - - - - - Q- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Pe)LCent Ground Slope Depth to Bedrock (pet 8' P&o4i& Hote) Depth to G&oundwaten TabZe SOIL PERCOLATION TEST RESULTS: Minuta pex inch in Hote #1 Minute s pen inch to Hote # 2 Minutes peel inch to Hote # 3 FINAL DISPOSAL BY: ( ) Ab.s o&ption T&eneh, Bed on Pit ( ) Evapot&ans piAati..on ( ) Above Ground DLspehsa,t ( ) Sand FiLteA ( ) Unde`Lgtound Dbspeuat ( ) Wastetvate�L Pond ( ) OtheA Amount Paid: Rece,Lpt Numbet Date: NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) PERC�'LATjo:j TEST FEE: SS') y - I.S.7.J. ''.PP. - OWNER: LEGAL DESCRIPTION: RURAL ADDRESS: _ TYPE OF D,JELLING: f ' » OF BEDROOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: TEST HOLES PRESOAKED? Yes /� LNo "''L-. TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 r5� ! 6 : 2,(l 4-1 0 6! 6 i PERCOLATION RATE:��� RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: EAGLE COUx NTY memorandum To: Subject: Paul Hayes/Mike Simonds ISDS Permit #631 From: � Environmental Health Office File No.: Date: August 5, 1983 This is to inform you that your ISDS Permit #631 has been finalized and signed off by Erik Edeen on August 4, 1983. I am enclosing a copy of this permit for your records. -- Lorraine'Funke, Secretary Environmental Health Office EAGLE COUNTY /if ffl 0631 Hayes/Simonds Lot 1 JOB NAMEf Slaughter Sub Cedar Court JOB LOCATION BILL TO ... DATE STARTED DATE COMPLETED DATE BILLED ass a oco 0 l prwi , ZL ( V 064 -OZ- 00 l ���.�. , w; -4i Je PERMIT, # 631 1 � � A, EiCA OWNER: GjyrOAI\ P.O. Box 10 - Eagle, CO 81631 LOCATION: Lot #1 - Slaughter Subdivisio 00011C) �2C� i, 010 INSTALLER: Frimml Excavation Co. SIZE OF TANK: 1,600 gallons (absorption 54' x 4') Degrees: 360' Feet: 35' DWELLING: Single Family (# bedrooms not listed) PERC RATE: one inch/5 minutes Comments: Space problems - close to road cut to the north. Recommend trench 4' wide x 45' long (4' gravel under pipe) 1T Finalized: August 4, 1983 By: Erik Eileen o -� 1 LDER 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 Printed in U.S.A. M 77 0631 Hayes/Simonds Lot 1 08 NAME, Slaughter Sub Cedar Court OT JOB, JOB LOCATION BILL TO DATE STARTED oc)[r DATE COMPLETED PERMIT, # 631 OWNER: GyrL)Al\ P.O. Box 10 - Eagle, CO 81631 LOCATION: Lot #1 - Slaughter Subdivisio c�o���o 9�2C� i, 01Dop— INSTALLER: Frimml Excavation Co. SIZE OF TANK: 1,600 gallons (absorption 54' x 4') Degrees: 360' Feet: 35' DWELLING: Single Family (# bedrooms not listed) PERC RATE: one inch/5 minutes Comments: Space problems - close to road cut to the north. Recommend trench 4' wide x 45' long (4' gravel under pipe) 1 Finalized: August 4, 1983 By: Erik Eileen LDER BILLED 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 Printed in U.S.A.