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HomeMy WebLinkAbout13793 Colorado River Rd - 186113401004EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASECALLFOR FINAL P. 0. Box 850 - 550 Broadway INSPECTION BEFORE COVERING Eagle, Colorado 81631 ANY PORTION OF INSTALLED SYSTEM N d 637 328-7311 or 949-5257 or 927-3823 PERMIT NO. PERMIT MUST BE POSTED AT INSTALLATION SITE OWNER: rene Pete►^s ADDRESS: 13793 Colo River Road SYSTEM LOCATION: 13793 Colo. River Rd. LICENSED INSTALLER: owner installed LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1C)()n gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: I inch in IO minutes. Absorption Area per Bedroom 215 sq. ft. No. of Bedrooms 3 x 215 sq. ft. minimum requirement per bedroom 645-- total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Existing dwelling must he remaved- before --the- —new unit Can be :cupied. The on -site septic tank must be coated with a tar compound,must have 2-compartments, ist have Battles or s,and 2 clean out openings. See attached code sped lcatlons. DATE:- 1- A INSPECTOR:(�� **CONDITIONS • � �—ey s-f�el •�'T c, s!/ �� 6e vs�'a( e.� it / F�:�%,l/ rc cs,e �f t 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: �C `r sq. ft. Installed Septic Tank: (C-_1C>C> gallons. Degrees: r Sk& �- Feet: _30 Design Engineer of System: Installer of System: Phone: Septic tank cleanout to within 12" of final e or aerated access ports above grade? Yes No Proper materials and assembly? Yes o Compliance with permit requirements? Yes No Compliance with County/State regulations requirements? Yes No COMMENTS: (Any item checked "No" requires correction befoIfinal a ov 1 of .y tem is made. Arrange a r -in pection when work is completed DATE: i� g I INSPECTOR: RE -INSPECTION DATE: INSPECTOR: • IZJ`.�.E::_.. ;`'FICE - \GLE C:`L`:'Y Csie, Color__ io S153I PERMIT ,?PLT{` IC '': . FE: 5150.:;1 PFRCOT \TtOI: 7rS7 r. ;;n _ nn NAME OF Ot-.7;ER: NAME OF APPLICANT (if different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTF-11 (if applicable): ADDRESS: P HO iIE �25/1L�7 PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Q Lu yr(3 r Licensed Installer (see attached list): YES NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (L,-Y� New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE, DISPOSAL SYSTEM: Street/Rural Address: p v Lot Size: /� ')ed -e5 Legal Description: BUILDING OR SERVICE TYPE (check applicable category): ( Residential - Single Family ( ) Residential - Quadp lax ( ) Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex NUMBER OF PERSONS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes (� Garbage Disposal (vr 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 ( L,,Y 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 (c%j IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (I 6 yes, 6 ee attached wastewater 4 toty .tedue tion methods) NOTE: The Fnviunmentat Health O4bj.%eek may reduce tie AequZ'Led absorption an.ea upon appnovae o6 an adequate wastewater 6Zow reduction ptan.- SOURCE AND TYPE OF WATER SUPPLY: (c"), Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: i g o If supplied by community water, give name of supplier: SIGNATURE: DATE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT By ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent Ground S.tope Depth to Bedrock (pen 8' Pro4ite Hote) Depth to Groundwater Tab& SOIL PERCOLATION TEST RESULTS: binutes pet inch in Ho.Ee 1 /o rn e:Z Minutes per -inch to HoZe #2 M inu tels pen inch. to Hote # 3 FINAL DISPOSAL VU - (�) Absorption Tre► clL, Bed or Pit ( ) Above Ground DispeucQO ( ) UnduLg pound D.ispersae ( ) Othcn Amoumt Paid: C To .0 e) Rece,ip t NUunbC' Evapotransptitation Sand F,itte.t Wastelvatct Pond 0006 Date: � -;L� 4 3 (Env. Health Department - Rev. 4-07-83) TELEPHONE' 303/328;7311 Board of County Commissioners Ext 241 Assessor Ext 202 Clerk and Recorder Ext 217 Sheriff Eagle: Ext 211 Basalt: 927-3244 Gilman: 827-5751 Treasurer Ext 201 Administration Ext 241 Animal Shelter 949-4292 Building Inspection Ext 226 or 229 Community Development Ext 226 or 229 County Attorney Ext 263 Engineer Ext 236 Environmental Health Ext 238 Extension Agent Ext 247 Library Ext 255 Public Health Eagle: Ext 252 Vail: 476-5844 Personnel Ext 241 Purchasing Ext 245 Road and Bridge Ext 257 Social Services 328-6328 EAGLE COUNTY Eagle, Colorado 81631 June 15, 1984 Mr. Gene Peters 13793 Colorado River Road Gypsum, Colorado 81637 Dear Mr. Peters: This is to inform you that your ISDS Permit #637 has been finalized and signed off by Richard Pylman on June 15, 1984. I am enclosing a copy of this permit for your records. Sincerely, Lorraine Funke, Secretary Environmental Health Office EAGLE COUNTY /if Enc. CO/O /zoo 6,9( 0,1( _wn L)eep A IV oa F, 47 EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Name Date Routed �^ p(0 - G���� a f�►� 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 'REVIEWED BY DATE Subdivision Regulations: o m ng Regulations: ... .. . .... ....... Recommend Approval: COMMENTS: C7r,,P- ()hI i5 yw1e& cam-, ,cV^- l. lsk,,,�, In Mh,4 V)sa 4 l ed" BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: . Recommend Approval: YES NO REVIEWED BY DATE COMMENTS: ENGINEER: Complies.with - Roads: Grading: Drainage: Recommend Approval: YES NO REVIEWED BY DATE COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary:*1'Q, I.S.D.S. Regs. Compliance: =oW*'o Recommend Approval: YES NO REVIEWED BY DATE frw %WOW , S; IWO �!d" COMMENTS: PERCOLATION TEST FEE: $sn. I.S.D.S. APP. # OWNER: rn, LEGAL DESCRIPTION: 12 —1 RURAL ADDRESS: TYPE OF DWELLING: !Al # OF BEDROOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: TEST HOLES PRESOAKED? Yes No WATER DEPTH _T T INCHES 4AI:L mffimm�m-mm- 10-15-7 0- PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK S RECOMMENDED MINIMUM LEACH FIELD SIZE: ' RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: --':='—Site has been reviewed and tested for percola on rate. Nate Envi ronrnRntaT--14e V,th Officer COMMENTS: 66B NAME 0MRS CC) L�-OkW�-PWd 1� JOB • JOB LOCATION BILL TO DATE STARTED ASS 0 Ph -®.I # ` IQC'I� 0 DATE COMPLETED -61 PERMIT NO. 637 ! ), q- I m CA NAME OF OWNER: 0 13793 Colorado River Road Gypsum, CO 81637 LOCATION: 13793 Colorado River Road (3 4-�O IORO 00'PIS INSTALLER: Owner SIZE OF TANK: 1,000 gallonDegrees - So 10° s E - 30 Feet DWELLING: Single Family - 3 bedrooms x 215 sq.ft. PERC RATE: one inch/10 minutes - 700 sq. ft. - leach field Finalized: 6/15/84 By: Richard J . P yl man DATE 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 �•x ��Pa t, a, ,DER Printed in USA 11