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HomeMy WebLinkAbout91 Blue Creek Overlook - 239127107007 - 0643ISEAGLE 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 OWNER: J. Scott Smith N° 643 PERMIT NO. PERMIT MUST BE POSTED AT INSTALLATION SITE ADDRESS: 937 Wheel Circle - Carbondale SYSTEM LOCATION: Lot 17 - Mountain Meadows - 2nd Filing 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 7 minutes. Absorption Area per Bedroom sq. ft. No. of Bedrooms 2+ x 300 sq. ft. minimum requirement per bedroom 600 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Z_`),-a,._-17 v DATE: 9-19-83 INSPECTOR: i' **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: 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: Feet: No (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. No 643 CHARGES Percolation Test = $50.00 Name of Applicant: J. Scott Smith Name of Owner: J. Scott Smith Permit Fee (includes final inspection) = Amount Paid: $200.00 ALL CHECKS OR MONEY ORDERS ARE TO BE Receipt Number: 0015 (9-14-83) MADE PAYABLE TO: EAGLE COUNTY Cashier: Lorraine Funke,` White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner APPLiC=0I FOR I`;DIl ID 'aL SE:yAGE DISPOSAL SYSTFM PERMIT i 'In0N`tENTAL uEALTIi OFFICE - EAGLE COU= P.O. Box .350 Eagle,,Colorado 81631 No. 1041 PERMIT APPLICATION FEE: 8150.00 i 328-7311 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: ---7. �Z: ADDRESS l_ ( - ( V1'l�`FO, V� VVl�1s end F?lePHONE: NAME OF APPLICVNT (if different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (if applicable) : ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: GAAI^A"— Licensed Installer (see attached list): YES NO (- ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (.4) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SE14AGE DISPOSAL SYSTEM: Street/Rural Address: I-6T ^I f ( 11 c Lot Size: lq-• 'j9Z ✓C!S Legal Description: So, BUILDING OR SERVICE TYPE (check applicable category): M Residential - Single Family ( ) Residential - Quadplex ( ) Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: ��33 t� f WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( V/ Dwelling ( ) Non -Domestic Wastes ( Transient Use Garbage Disposal ( Dishwasher (d) Automatic Washer ( ) Spa Tub ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (V ) 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 yes , zee attached waztewateA 6tow tLeduction methods) NOTE: The Envitonmentae Heaeth Oj6icen may reduce the negcwted absorption area upon appnovat o4 an adequate waatewaten 4tow reduction plan. SOURCE AND TYPE OF WATER SUPPLY: Give depth of all wells withi If suppercommunity wage, � Well ( ) Spring ( ) Creek/Stream 0 feet of system: �f ive name of supplier: SIGNATURE: ` DATE: lilt INFORMATION BELOW TO BE FILLED OUT By ENVIRONXIENTAL HEALTH OFF,CER: GROUND CONDITIONS: PeAcent Ground Stope J Depth to BedAo ck (pen 8' Pno 4it e Hote) Dept6i to Gnoundwaten Table -OrL PERCOLATION TEJT RESULTS: " inut�s pets. inch in Hote 1 ,tfinutes pets inch to Hote #2 h nu to s pen inch to Ho.ee # 3 FINAL DISPO A S L By• ( ) Ab.sonption Tne►ieh, Bed o,t Pit ( ) EvapotAansp.itration ( ) Above Ground D.is peua.e ( ) Sand FiLteA ( ) Unde,tgnound D i s peAz cLe . ( ) Wa s tewaten Pond ( ) OtheA Amount Paid: ;1-00.D C7 Receip-t Numbe`c 60 �S Date: 9_(q-�2, (Env. Health Department - Rev. 4-07-83) PERCOLATION TEST FEE: $50 I.S.D.S. APP. r OWNER: LEGAL DESCRIPTION: •�✓ ti v RURAL ADDRESS: TYPE OF DWELLING: Gi # OF BEDROOMS: DATE OF PERCOLATION TEST: 3 g� TYPE OF SOIL: TEST HOLES PRESOAKED? Yes No TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 Ito t, /60 1/ 4 00 PERCOLATION RATE: / ;" 1`7 // RECOMMENDED MINIMUM SEPTIC TANK SIZE: L/ l�f(` U,-7 RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested for percolation rate. Date Environmental eat icer COMMENTS: :..a.. ,.... . ;..�, .. ,. �_ .� . � ,. T- LOCATION: REQUESTOR: ca LOAN INSPECTION FORM _W10 & dc) COPIES TO: k �1L 0 -7*- V- BILL TO: ISDS PERMIT # INSPECTION INFORMATION: INSPECTION DONE BY: 7,F EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 July 22, 1986 Aspen Home Mortgage 411 S. Main Aspen, CO 81615 RE: Lot 17, Mountain Meadows, Filing #2 Dear Sir: All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, A(7), adopted by the Eagle County Commissioners on October 8, 1985. An on -site inspection of the sewage disposal system on July 11, 1986 revealed that the septic system appears to be functioning properly. This individual sewage disposal system was permitted and installed in accordance with State and County Regulations. Final approval for individual sewage disposal permit number 643 was granted on September 11, 1984. Water is supplied by an on-sitewell. The water supply was sampled by the owner and delivered to the Snowmass Lab for state certified bacteriological analysis. The water.sample results should be available from the lab or this office in approximately one week. If you have any questions concerning this inspection, please call. Sincerely, - Sid Fox, Assistant Environmental Health Officer SF:pm cc: Scott Smith Files 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 JOB NAME p (t ! tq '�z / glue-, c� �`�' r oo JOB Na 073 9l 02 �'t D --j�-d O JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS 5CoT' S11) 1 r 1 LoT- 1-7 YVlOu.n4a-!o fn taibuj S TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Produot278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA,01471 JOB FOLDER Printed in U.S.A. • 4e>.