Loading...
HomeMy WebLinkAbout5587 Trough Rd - 169108200012EAGLE 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 o 64 1 OWNER: William Ellison ADDRESS: 5587 Trough Road - Bond, CO SYSTEM LOCATION: 5587 Trough Road (120 acres) LICENSED INSTALLER: Owner LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1000 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: inch in minutes. Absorption Area per Bedroom sq. ft. No. of Bedrooms x sq. ft. minimum requirement per bedroom _ OQ total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: 1E-A (`,cr'S -]�(ZQM pa i �114 Zoo, I d ca(d � v r �- .. we, CX 1 7Q 0 '�i` JI cAl DATE: g_l3_83 INSPECTOR: �;�neN Fox **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: Design Engineer of System: Installer of System: gallons. Degrees: Feet: 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 COMMENTS: Phone: (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: RETAIN WITH RECEIPT RECORDS PERMIT NO. N! 641 CHARGES Name of Applicant: William Ellison Percolation Test = $50.00 Permit Fee (includes final inspection) _ ALL CHECKS OR MONEY ORDERS ARE TO BE MADE PAYABLE TO: EAGLE COUNTY Name of Owner: William Ellison Amount Paid: $150 (9=7-83) Receipt Number: 0012 Cashier: Rc'd by: Erik Edeen White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner -v.�_�L. D —— :i :.�' ... �i C.' ter. :l —Lam. CL � T't• r1.L,1e, Colo r_:u0 8103� PER.�fIT APP'_ICAT110 7F S150.t,;� _'<q-. .__ FERCOTATIO`' 77ST FEE S50.00 NAME OF O?,7;ER: j `n ADDRESS: �S �� �� ll� f1fCfG� �X 3YJr� (l�l U mm.,Z: NkME OF APPLIC.'\.`.T (if different from owner) : ADDRESS: PHONE: DESIGN ENGINEER OF SYSTE_`t (if applicable): ADDRESS: PERSON RESPONSIBLE FOR INSTALI-NTION OF SYSTEM: Licensed Installer (see attached list) PHONE: YES NO �( ADDRESS: PHONE: PERMIT APPLICATION IS FOR: 94 New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: street/aural Aaaress: Qom- 1 Lot Size: /aQ ' r p 17 J ,'Legal Description: BUILDING OR SERVICE TYPE (check applicable categorv): ( Residential - Single Family ( ) Residential Quadplex ( ) Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex NUMBER OF PERSONS: , NUMBER OF BEDROOMS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher (2<0 Automatic Washer ( ) Spa Tub ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (>G) 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 ( ) WASTE14ATER FLOW REDUCTION PLAN: YES ( ) NO ( j (16 yes, see attached toastewaten 6&tv ..eduction methods) NOTE: The Env,itzonmejita2. Health 04'.ieen may teduee the negwi ted absorption area upon appnovat o6 an adequate wastelvaten 6.tow reduction p-tan.- SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( Spring ( ) Creek/Stream If supplied community water give name of supplier:* SIGNATURE: DATE: _�9�.� _______ INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PVLcevjt Ground S.tope V Depth to Bedtcock (pet &' Pro 6,Ue Ho.te ) Depth to Gnoundwaten Tab.te SOIL PERGOLA TON TEST RESULTS: pe& inch in Hote # At inu to s pen .inch to Ho.te # 2 M inu tcs pen inch to Hate # 3 F114AL DISPOSAL BY: - ( A Absorption Tneack, Bed o,,r. Pit ( ) Evapot,ranlsp.vtatton ( ) Above Ground D.i,speAza.t ( ) Sand FiXteA ( ) UnduLg•7oUnd D.L pe,7,sat ( ) Was tewa ten Pond ( ) O.tY'LC't oa Amount Paid: 1�0 Receip t ,Vcum0 e c ©Q / 9DLzte : 9 —1 45 (Env. Health Department - Rev. 4-07-83) 4 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 August 31, 1983 Bill and Bonnie Ellison 5587 Trough Road Star Route Bond, CO. 80423 Dear Mr. & Mrs. Ellison, This notice is to serve as a reminder of our agreed upon date of September 30th, 1983 to repair or replace your existing malfunctioning individual sewage disposal system. (Septic tank and drain field) Please complete the enclosed application for a per- mit and return it to this office prior to September 30th, 1983. If you have any questions concerning.completion of this application or construction of the septic system, please call. SF:epm cc: File Sincerely, Sid Fox, Environmenta Health COLORADO DEPARTMENT OF HEALTH COUNTY Eagle REQUEST FOR SERVICE PROGRAM Env. Health RECEIVED BY Sid Fox (by phone) DATE 5/23/83 LOCATION _ AbnVe Rancho Del Rio NAME Bill Allison REPORTED BY JOAnn (neighbor) ADDRESS TELEPHONE 653-4422 SERVICE REQUESTED Neighbor called in to report that the septic system on the Bill Allison ranch - a faded blue Gray Trailer (which is 1/4 mile above Rancho Del -Rio), has a septic system malfunction problem. Reported that there are-? children (under the age of 8 years old) who have;irench Mouth, Thrush, Ring Worm, Pink Eye and Impetigo. ACTION REPORT_ sid Fox to visit h Allison Ranch to check out Septic System Mr. Fox called Mama natP¢ (Faale��nty Health Nurse) to report on the health problems of the children ACTION BY DISPOSITION DATE SH-M-71 (4-71-50) 139-ryLq cn-�V�5 ok N'• ma's I RAI 0 J, 6;od j k P10q-1 ,JOB NAME; /& q/ 0 &(Ro Sot, B LOCATION BILL TO DATE STARTED PERMIT N0. 641 OWNER: William Ellison 5587 Trough Road - Bond DATE COMPLETED LOCATION: 5587 Trough Road - Bond (120 acres) INSTALLER: Owner SIZE OF TANK: 1,000 gallons Degrees 100 - 25 feet_ DWELLING: Single Family - 2tbedrooms sorption area PERC RATE: 600 sq.f Finalized: 10-06-83 By: Sid Fox DATE BILLED COUNTY Of EAGLE - DIVISION Az - CORRECTION NOTICE Eagle, Colorado 7 County Courthouse Annex h= Phone (303) 328-7311 Job located at.... I have this day inspected these premises and found the following violations: Afp4 re-r"-r ty) • a 1 aee c f'I t CC) t�� 2 You are hereby notified that no more work shall be done upon these premises until the above violations are corrected. When cor- rections have been made call for inspection. Date.... ...........19....... Butg ff r Phone 328-7311 I / r� � fir` s ,.+ f i ��. -+ # L r �✓ � lri'`'� 1�.3 �. "� i i ; �I-.r,..r may...-. ...a... --- ..�,,.,e...e..w......... .. .. .