HomeMy WebLinkAbout9758 County Rd 113 - 239104101001 - 0640IS/ EAGLE 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
328-7311 or 949-5257 or 927-3823 PERMIT NO. N 640
OWNER: Bill Welcher ADDRESS: 0900 E1 Jebel Road
SYSTEM LOCATION: Cottonwood Estates Lot #1 - 40 acres - T7S - R87W - 6th pm - Sec. #4 -
LICENSED INSTALLER: LICENSE NUMBER: o
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: fa_� gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: .-I inch in ',)LO minutes.
Absorption Area per Bedroom -sq. ft.
No. of Bedrooms_ xl, sq. ft. minimum requirement per bedroom
000 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: 546km - o.=, 4o or k - +jo d
DATE: 9-13-83
**CONDITIONS: �---� I , of �(�ve�. ra.�l Woo PIK ri C"" v
1
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: 1�c0 U sq. ft.
Installed Septic Tank: /Z;t (> ® gallons. Degrees: 3,S'0° Feet: �(3
Design Engineer of System:��
Installer of System: Phone:
Septic tank cleanout to within 12" of final ade or
aerated access ports above grade? Yes No
Proper materials and assembly? Yes No Aj <� o,.c)o (
Compliance with permit requirements? Yes l/ No
Compliance with County/State regulations requirements? Yes 4/ No _
COMMENTS: 14e /y5 `d��,� 01..7
(Any item checked "No" requires correction before final a p val of system is made.
Arrange a re -inspection when work is complete
DATE: rC�—J3 � INSPECTOR: �-
RE -INSPECTION DATE: INSPECTOR:
RETAIN WITH RECEIPT RECORDS PERMIT NO. N? 6 4C
CHARGES
Percolation Test = $50.00
Permit Fee (includes final inspection) _
ALL CHECKS OR MONEY ORDERS ARE TO BE
MADE PAYABLE TO: EAGLE COUNTY
Name of Applicant:
Name of Owner: Bill Welcher
Amount Paid: $150 (9-2-83) $50:00
Receipt Number: 0011 0020
Cashier: Lorraine Funke
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
APPLICATION FOR I.;D"771Di:AL SE.:AGE DISPOSAL SYSTEMPER_MT7
E VTRO` ME` TAL HEALTH OFFICE -
EAGLE COUNTY
P.O. Bo:{ 850
...
Eagle, Colorado 81631
No.
,
PER.NSIT APPLICATION FEE':'/ $150.00 328-7311
PERCOLATION TEST FEE: $50.00
NAME OF
OWNER:
ADDRESS:
2 jiV
PHONE:
N&ME OF
APPLICANT
(if different f��rom owner): i���T� �G
/,55 / it &.
ADDRESS:
� `��
klxjj l &qZ �"rr�fEiAo0jJ?Z'' 5
PHONE: W-5 - Q/ %
DESIGN ENGINEER OF SYSTEM (if applicable) : AfA
ADDRESS:
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
Licensed Installer (see attached list):
YES tZQ Co. NO
ADDRESS:
PHONE:
PERMIT APPLICATION IS FOR: New
Installation
( ) Alteration
( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE
DISPOSAL SYSTEM:
Street/Rural Address: ---0770yi✓oob
Lot Size: �2
Legal Description: TocvNSNiil' 7
PM ' 'gten'0'j
BUILDING OR SERVICE TYPE (check applicable
category):
00 Residential - Single Family
syS� 5Vvv5
( ) Residential -
Quadplex
(�) Residential - Duplex
.( hlfS
( ) Commercial (state usage)
( ) Residential - Triplex
ff5/E�
NUMBER OF PERSONS: 6
NUMBER OF BEDROOMS:
WASTE TYPES (check applicable categories):
( )
Commercial or Institutional
( )
Dwelling
( )
Non -Domestic Wastes
( )
Transient Use
(
Garbage Disposal 'a
(K
Dishwasher
( )
Automatic Washer a
(X)
Spa Tub
( )
Other
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( X)
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 ( )
(16 Ya , .6ee attached wastewater 6tow keduc Lion methods)
NOTE: The Envi tonmentaP. Heatth Oj6.icet may reduce the neguited absottption area upon
appttovat o6 an adequate waateoatett 6Zow tteduction ptan.-
SOURCE AND TYPE OF WATER SUPPLY: (x) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier:
SIGNATURE: DATE: / -��
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
INEORMATION BELOW TO BE FILLED OUT BY ENVIROMIJENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent Gtt.ound Slope -5— lb
Depth to Bedkock (pets 8' Pro6ite Hole) �,�5� cy lens Cvc�a�%
Depth to Gtcoundwatetc TabZe
SOIL PERCOLATION TEST RESULTS:.-.nute.5 peA_ _ inch in Hote #1
p M.inute/s pen .inch to HoZe # 2
M.inu tees pets inch. to HoZe # 3
FINAL DISPOSAL By: -
( Absonptt:on TtcenchI ed tt. Pit ( ) Evapottut.mp.ittation
( ) Above Gttound Di/spm Sand FiZtetc
( ) Undc,Lgtcound DZ5peuae. ( ) Wastewatetc Pond
( ) OtheA
Amount Paid: 150 .0 a Rece,ipt Nwnbe,t 00 1 1 Date:
NOTE: WWI
a' t. =e a NO1 cai®
(Env. Health Department - Rev. 4-07-83) �jP� a� �C�
01-INERT
LEGAL DESCRIPTION:
RURAL ADDRESS:
TYPE OF D'.lELLING:
PERCnLATIO"J TEST FEE: SSA w �
I.S.�.S. APP.
Permit
- OF BEDRnnms-
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
DATE OF PERCOLATION TEST: (a' TYPE OF SOIL: fry
TEST HOLES PRESOAKED? Yes No
`INCHES
OFIFALL.,
PERCOLATION RATE: 20
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE:
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM': -
Site has been reviewed and tested for percolation rate.
Date Environmental Health Offlcer
COMMENTS:
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
EAGLE COUNTY
Eagle, Colorado 61631
April 2, 1984
Mr. Bill Welcher
0900 El Jebel Road
E1 Jebel, Colorado 81628
Dear Mr. Welcher:
Re: Water and Sewer Inspection for Property located
Administration at 0900 E1 Jebel Road (Lot 1 - Cottonwood Estates)
Ext 241
All water and sewage disposal system loan inspections are done
9 AnimalShelterunder the authority of the Eagle County Building Regulations,
49-4292 Section 10, sub -paragraph 3-A, adopted by the Eagle County
Building Commissioners, September 20, 1982.
Inspection
Ext 226or229 An on -site inspection on Friday, March 30, 1984 of the above
referenced property revealed that the septic system appears to be
Community functioning properly with no apparent problems. The original
Development individual sewage disposal system, Permit #640, was approved in
Ext 226 or 229 October of 1983 in accordance wi th a 14 ' bl C t d S
pp ca a oun y an tate
regulations concerning such installations.
County Attorney
Ext 263
This department recommends that the septic tank be pumped every
Engineer
three or four years.
Ext 236
You will be responsible for the testing of the water (a State
Environmental
water sample bottle was left for use).
Health
Ext23s
If you have any further questions concerning this matter, please
Extension Agent
contact our office.
Ext 247
Sincerely,
Library
Ext 255
Public Health
Erik W. Edeen
Eagle: Ext 252
Envi ronmental Health Officer
Vail: 476-5844
EAGLE COUNTY
Personnel
/ 1 f
Ext 241
Purchasing
P.S. I am enclosing an invoice in the amount of $25.00, fee
Ext245
for the above loan inspection._
Road and Bridge
Ext 257
Social Services
328-6328
JOB NAME.
lq?S 15
a r%11A1r1r%M
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
PERMIT #640
4 r'
OWNER: -9t" Welcher
0900 El Jebel Road El Jebel, CO
LOCATION: Lot #1 - Cottonwood Estates - Lot #1
40 acres T7S - R87W - Sec. #4
INSTALLER: Norm Gould - Structure Associates
SIZE OF TANK: 1,250 gallons - 3500 degrees - 40 feet
DWELLING: Single Family - 4 bedrooms x 250 sq.ft.
PERC RATE: one inch/20 minutes
1,400 sq.ft. leach field
Finalized: 10-13-83 By: Erik Edeen
I -AL LABOR
INSURANCE
SALES TAX
41SC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product.276 �@ NEW Printed in U.Sk
6