HomeMy WebLinkAbout55 Fulford Ct - 210904102007EAGLE 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
328-7311 or 949-5257 or 927-3823 PERMIT NO. N ° 6 3
PERMIT MUST BE POSTED
AT INSTALLATION SITE
DON
OWNER: Steve/Linda Flick ADDRESS: P.O. Box 1376 - Avon, CO 81620
SYSTEM LOCATION: Lot 57 - Upper Kaibab - Eagle, Colorado
LICENSED INSTALLER: Les Frimml 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 20 minutes.
Absorption Area per Bedroom 260 sq. ft.
No. of Bedrooms 3 x 260 sq. ft. minimum requirement per bedroom
780 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS:
DATE: 8/26/83 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: 1 Z-5- O gallons. Degrees: Feet:
Design Engineer of System:
Installer of System: L-- 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
A
COMMENTS:
C-1
No
(Any item ch)kcled "No" requires correction before final approval of system is made.
Arrange a re-inspe tion when work is complet ,
DATE: g 3 INSPECTOR:
RE-INSPECTI N DA : INSPECTOR:
AP?Li%ATT�ti FOR T':D1"IDUAL S .AGE 'DISPOSAL SYST M PER_`IIT
E:."V,IRO�?IEtiT_tL HEALTH OFFICE - EAGLE COUNT,'
P.O. Box 850
Eagle, Colorado 81631 `40.
PMIT APPLICATION FEE: 8150.00 328-7311 PERCOLATION TEST FEE: $50.00
NAME OF OWNER: Se.V e l �..� N A \
ADDRESS: X'%�Oi`b
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTEM (if applicable
ADDRESS:
In\. 74v o N
PHONE: C\�� tn'-v.')6 p
PHONE:
F z.
PERSON RESPON IBLE F R INST TIO OF SYSTEM:
Licensed Installer (see attached list): YES NO
ADDRESS: 1�\� �A�.�.Q �v� PHONE:
PERMIT APPLICATION IS FOR: (X) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address: C.yvc`"y
Lot Size:
Legal Description: Van
BUILDING OR SERVICE TYPE (check applicable category):
Residential — Single Family
( ) Residential - Duplex
( ) Residential - Triplex
NUMBER OF PERSONS:
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
( ) Garbage Disposal
(7k) Automatic Washer
( ) Other
TYPE OF INDIVIDUAL SEWAGE DISPOSAL -SYSTEM PROPOSED:
( ) Residential - Quadplex
( ) Commercial (state usage)
NUMBER OF BEDROOMS:
Dwelling
( ) Transient Use
( ) Dishwasher
( ) Spa Tub
Qa-
Septic Tank
(
) Composting Toilet
(
)
Incineration Toilet
(
)
Vault Privy
(
) Greywater
(
)
Chemical Toilet
(
)
Pit -Privy
(
) Aeration Plant
(
)
Recycling, Potable Use
(
)
Other
(
)
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 ( )
(Ij yes, see attached worst vateA 4tow tceducti.on methods)
NOTE: The Envi&onmentat Heat tk Oj4.iceA may tceduce the &egui ted abso&p;tion atcea upon
appnovat o4 an adequate wastewater 6tow tceducti.on plan. -
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supp d by community water, give name of supplier: _w, p3 =�. Ac¢ t
Aj
SIGNATURE: DATE: D A% -Vs
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent Ground Stope
Depth to Be&Lock (pus 8' Pro 4ite Hote)
Depth. to GtoundwateA Table
SOIL PERCOLATION TEST RESULTS: OW MknuM IpM Lnch in Hote # i
() M inuta peA finch to Hote # 2
M inute/s pert inch. to Hote # 3
FINAL DISPOSAL , By: - '
K) Absorption Ttcench, Bed or Pit ( ) Evapottuutisp.ivcation
( ) Above Ground DLspeuaE ( ) Sand Fi,QteA
( ) Unde aground Diz peki a.2 ( ) Wa s,tecva te& Pond
( ) OtheA
Amount Paid: ao 0 • 0
Receipt Nctmbe.t b d 0 L
Date:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
NOTE i P a s. aac{hto app%on F .9' `ems` r ° j
(Env. Health Department - Rev. 4-07-83) \2's0 (�(
-EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
o
0 �- � C,
Name
I t-� 170,
Date Routed
�" Application No.
L ;u<o�
Locati n
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 REVKWTP BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDI_NG: Complies with -
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
COMMENTS:
YES
REVIEWED BY
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
YES
NO
REVIEWED BY
DATE
1
COMMENTS:
ENVIP.OWMENTAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
COMMENTS:
YES I NO
go
DATE
EAGLE COUNTY memorandum
To: Subject:
Mr. Steve Flick I
ISDS PERMIT #634
From: File No.: Date:
Environmental Health Office September 13, 1983
This is to inform you that your ISDS Permit #634 has been finalized and signed off
by Sidney Fox on August 30, 1983.
I am enclosing a copy of this completed permit for your records.
-- Lorraine Funke, Secretary
Environmental Health Office
Eagle County
/if
Enc.
• PERCOLATION TEST FEE: S50
I.S.D.S. APP.
01-INER:
LEGAL DESCRIPTION: D%. S b4
RURAL ADDRESS: (U u�y1
TYPE OF DWELLING: # OF BEDROOMS:
DATE OF PERCOLATION TEST:` 2� 3 TYPE OF SOIL:
TEST HOLES PRESOAKED? Yes No Y- ,14
INCHES OF FALL
WAMMM®''
ME
PERCOLATION RATE: a) 1
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE: -7XPO
RECOMMENDED MINIMUM SQUARE FOOTAGE`PER BEDROOM:
Site has been reviewed.and tested for nparcolation rate.
12, S�
batej Environm nt
,iTFfealth Offiter
COMMENTS:
0
RAI
EAGLE COUI ffY INVOICE NO.
ENVIRONMENTAL HEALTH DEPT.
EAGLE, CO 81631 C �'
TO Steve/Linda Flick (Paul Hayes)
Box 1376
Avon, Colorado
MAKE CHECK PAYABLE TO: EAGLE COUNTY TREASURER
ACCT.
CODE
ITEM
AMOUNT
413
FOOD SERVICE LICENSE
FROM TO
415
ISDS INSTALLERS LICENSE
FROM TO
415
ISDS CLEANERS LICENSE
FROM TO
417
ISDS PERMIT NO. Application #1050
$150.00
416
FLOOD PLAIN PERMIT NO.
418
OTHER PERMITS & LICENSES
462
BOOKS, MAPS, CODE BOOKS, &'REGULATIONS
465
PE RC TESTS
50.00
465
LOAN INSPECTION
470
PHOTOCOPY FEES
486
OTHER MISC.
�', -7a TOTAL
13
SUSPENSE FUN
A
GRAND TOTAL
200.00
ORIGINAL -CUSTOMER SECOND COPY -DEPARTMENT THIRD COPY -CASHIER
NAME,
JOB r,+40,
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
2a15 C ep ' Ga y �3A
Pa}� C � ` ,zld � ��
- �2-��
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
ov F�
PERMIT No. 634 b"me Br)t-r
OWNER:
P.O. Box 1376 Avon, CO 81620
LOCATION: Lot 57 - Upper Kaibab - Eagle, Colorado
Ful ford Court FA-j�or Cox l�
. 1
INSTALLER: Les Frimml 0
SIZE OF TANK: 1,250 gallons - Degrees: 33o N; Feet: 20'
DWELLING: Single family - 3 -.bedrooms x 260 sq.ft.
PERC RATE: one inch/20 minutes (780 sq.ft.)
Comments: Berm to direct surface drainage away from drain
field.
Finalized: 8/30/83 By: Sidney Fox
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT.
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