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.