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HomeMy WebLinkAbout1315 Ruedi Creek Rd - 246901100009/. , EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway INSPECTION BEFORE COVERING Eagle, Colorado 81631 ANY PORTION OF INSTALLED SYSTEM N ° 63 2. 328-7311 or 949-5257 or 927-3823 PERMIT NO. PERMIT MUST BE POSTED AT INSTALLATION SITE OWNER: James Cotherman ADDRESS:.P.O. Box 1177 - Basalt, CO 81621 SYSTEM LOCATION: XH%%X890XKXRXXXX)4XXX Ruedi Creek Road LICENSED INSTALLER: Owner 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 30 minutes. Absorption Area per Bedroom 250 sq. ft. No. of Bedrooms 1 x 250 sq. ft. minimum requirement per bedroom = 500 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: 8/10/83 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: gallons. Degrees: Feet: Design Engineer of System: Installer of System: 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: TNSPFCTTnN nATF- TNSPrrTnP- �. APPLICATIONS FOR 1ND`71Di AL SE.. AGE DISPOSAL SYST-,---\I PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY c. P.O. Box 850 Eagle, Colorado 81631 No. CA PERMIT APPLICATION FEE: 8150.00 328-7311 PERCOLATION TEST FEE: $50.00 NAME OF OFNAR: -N4NtfF6 e'0T1.I5-::;---F14N f•V k--�v � 11 / / � 1�IPf*�-1 �"/(o G� lb/� J . }�i�a'- ►.�[.-Vo ADDRESS :— R�_ Tl_>�AyPer IL 610 3.� PHONE: NONP6 NAME OF APPLICANT (if different from owner): ADDRESS: 7L;-_?,®)(r PHONE: DESIGN ENGINEER OF SYSTEM (if applicable): )V/A ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:']�(�� Licensed Installer (see attached list): YES NO ADDRESS: A001/E—:_- PHONE: PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: Lot Size: Legal Description: —jgAGT gg Sar_, j , T-g , ga5kq' 4 6,1­4P L,'GOUK/l-, e6 BUILDING OR SERVICE TYPE (check applicable category): O 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 (�Q Automatic Washer ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( )Q Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other NUMBER OF BEDROOMS: (x) 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 (X ) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO (VQ (14 Ye/s, see attached wa6teavatex 4tow tceduction methods) NOTE: The Env.itronmewtat Health 044ice)L may tceduce the %equi ted abzonpti.on area upon apptcovae o4 an adequate wa6tavateA stow tLeducti.on ptan.- SOURCE AND TYPE OF WATER SUPPLY: (Y) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: AfflNrs If supplied by/ommunity�ter,XVme of supplier: SIGNATURE: DATE: •7 26-03 - - - - - - - - XCONDITT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATIONOW T B PILLED OUT BY ENVIROMMENTAL HEALTH OFFICER: GROUND S: PeAcent Guund Stope /fj"2o Depth to Bedno ck (puL 8' Pno 4ite Hote ) / p Depth to Gnoundwaten Tabte �2 16 1� SOIL PERCOLATION TEST RESULTS: .cM "nwtets pets inch in Hote #1 Minute/5 pen inch to Hote #2 M-inuta pen inch to Hote #3 FINAL DISPOSAL BY: ( p� ) Ab/s �npti.on Tneneh., Bed on Pit ( ) Evano;tAaws piAati.on ( ) Above Gnound Dispeu a2 ( ) Sand FiLten ( ) UndeAgtLound DZ5 pvusae ( ) Wastavaten Pond ( ) OthCA Amount Paid: 213 6 4b 6 Receipt Nwnbe,'t �"1,� � Date: 8.020 (Env. Health Department - Rev. 4-07-83) PERCOLATION TEST FEE: S50 —r I.S.D.S. APP. ,. 01-INER: LEGAL D RURAL ADDRESS: TYPE OF D14ELLING: # OF BEDROOMS: ` I? to DATE OF PERCOLATION TEST: 0. 8.3 TYPE OF SOIL: TEST HOLES PRESOAKED? Yes_ No uNd�`�`N u•''^ G-- /glee TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 A i PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: ((Y'Sn C=PA RECOMMENDED MINIMUM LEACH FIELD SIZE: �-0 O RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: �, U Site as been reviewed.and tested for percolation rate. Da Env mental' Healtff Officer — Q 0, 4, .'�—O " r EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 November 14, 1986 M E M O R A N D U M TO: PROPERTY OWNERS FROM: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE RE: EXPIRED INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITS Our records indicate that your Permit 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 a EAGLE COUNTY ENVI ONMENTAL HEALTH QFFICE (Name). Date Routed + 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 'REVIE D BY DATE Subdivision Regulations: Zoning Regulations: Recommend Approval: COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: w COMMENTS: YES NO REVIEWED BY DATE ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: YES NO REVIEWED BY DATE N IN COMMENTS: ENVIRONMENTAL HEALTH: . Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YES NO REWEWED BY DATE COMMENTS: / 60, - So I, PAROs U632 Cotherman RL*et�. Creek Rd IIB NA I � � � � . JoP HO� JOB LOCATION oA r--- BILL TO _. DATE STARTED DATE COMPLETED DATE BILLED 2o5 (� a 'goodql�)D 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 JOB FOLDER Product 276 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER .Printed in US.A, DRIVE WEMENT TO RUIDI F.. McLAU(-,4UN r'zy'N - S m rT C.2oss C-1 s� 00Iace oN 1zt-E— e-s, CAUPTldhJ 1,2 YYN _S etioss z��,�` DRAWN BY: LINDA SWAVON FREEPORT, IL. MAY/ 1983 NOTES -ALL LAND WOODED, PAZ AND A$PCN AS 1NDICATGO, TUIBU CLEARED 10-'-15' FROM - �R DRIVE. AND TRU5 (OTU[ nAN DF I rNl(r SALE: 1" = 100'