Loading...
HomeMy WebLinkAboutGoldman's Parcel - 000000000000Jtt UKlUMAL NtKlvll I VJb I EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH " 2 CALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED .CIYSPECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT N0. N° 64 8 EMERGENCY REPAIR OWNER: Eagle River 1978 Trust ADDRESS: P.O. Box 1199 - Eagle, Colorado SYSTEM LOCATION: Tract 50 - Caretaker's House - Goltan Residential Parcel LICENSED INSTALLER: Ken Schultz LICENSE NUMBER: 84-01 **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1,250 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: one inch in 30 minutes. (from Permit #351) Absorption Area per Bedroom sq. ft. cS S' �C "V4"7 No. of Bedrooms 3 x 333 sq. ft. minimum requirement per bedroom 1.000 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Need one foot gravel under r6 inches of cover DATE: 1-26-84 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: (OM sq. ft.,Doe L4- Installed Septic Tank:gallons. Degrees: Feet:j Design Engineer of System: Installer of System:c�.�,�_ 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 No (Any item checked "No" requires correction before final approval of system is made. Arrange a re-ins)ection when work is complet DATE: �) � INSPECTOR: RE-INSPECTION'DATE: INSPECTOR: C>�d? e_7 ( 15 0 - "'101 ST/ APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONTMIENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 Eagle, Colorado 81631 No. 1 O 4 8 PERMIT APPLICATION FEE: $150.00 328-7311 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: Ica LZ__ R I VJEP\ ( g 7 r T R L4ST ADDRESS: P© nox I (7 q ,= 4 [ F _ v PHONE: a 3 71 NAME OF APPLICANT (if different from owner) : �.RRILL KA11 Ji-y— ADDRESS: PO13D x )1 qy G.!�gj_p -- (�'� PHONE: 32f- - 6 37 DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Licensed Installer (see attached list): PHONE: L<F-N uLi;_�-_ YES NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (x) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: Lot Size: Legal Description: BUILDING OR SERVICE TYPE (check applicable category): (5CJ Residential - Single Family ( ) Residential = Quadplex ( ) Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex _ NUMBER OF PERSONS: 3 WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes Garbage Disposal S Automatic Washer ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (jQ Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other NUMBER OF BEDROOMS: 3 00 Dwelling ( ) Transient Use 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 (1K) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO (�) (14 Yez , see attached waatewateA 4tow &eduction me tho&s ) NOTE: The Env.itconmentae HeaP,th 044icetc may reduce the )tequiud a.bsotcption ah.ea upon app&ovat o4 an adequate wastewateA 4tow tceduct on p.E?an.- SOURCE AND TYPE OF WATER SUPPLY: (�) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: (JG w r If.supplied by communit water, give name of supplier: SIGNATURE: DATE: INFORMATION B LOW TO BE FILLED OUT y ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent Hound S.E'ope Depth to Bedtcock (pert 8' Pno 4ite Hole) Depth to G&oundwatetL Table SOIL PERCOLATION TEST RESULTS: inute.6 pets inch in Hote i Minutes pen inch to Ho.E? e # 2 Minutes pert inch to- Hote #3 FINAL DI AL BY: ( Abs onption Ttcench, Bed otc Pit t ( ) Above G&ound D,i/spetusat ( ) Undengnound Di6peAzae ( ) Othetc ( ) EvapotAampikation ( ) Sand F,i P te)i ( ) Wastewatep Pond Amount Paid: Receipt NumbeA O Date: l _2-6` P4 (Env. Health Department - Rev. 4-07-83) REPAIR PERMIT APPLICATION ' FOR INDIVID"4L SEWAGE DISPOSAL SYSTEMS A permit fee of $150.00 shall be charged for alteration, enlargement or any repair involving alteration of an existing sewage disposal system. This fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100.00 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $50.00 shall be charged for all new leach fields on repair permits. Percolation testing may be waived at the discretion of the Environmental Health Officer on certain repair cases where prompt action must be taken to prevent a health hazard. IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, A NEW SYSTEM SHALL BE INSTALLED, COMPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEWMALFUNCTION: - �_C' �" f 22 � TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: l DATE PRESENT SYSTEM WAS INSI ALLED: PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT: # SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: OWNER OF SYSTEM: SS ADORE'_. APPLICANT: ADDRESS: DATE: JOB NAME; rB'LOCATION ' BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL -- -- TOTAL LABOR INSURANCE PERMIT #648 EMERGENCY REPAIR PERMIT - See Permit #351 SALES TAX OWNER: Eagle River 1978 Trust (Goldman's) MISC.COSTS P.O. Box 1199 - Eagle, CO LOCATION: Tract 50 - Caretaker's House Goldman's Parcel SIZE, OF TANK: 1,250 Deg. 90' - Due east of front porch TOTAL JOB COST INSTALLER: Ken Schultz 35' DWELLING: Caretaker's House - 3 bedrooms x 333 sq.ft. GROSS PROFIT PERC RATE: one inch/30 minutes (1,000 Sq.ft.) LESS OVERHEAD COSTS % OF SELLING PRICE Finalized: 1/31/84 By: Rick Pylman NET PROFIT In the spring the east end of the field should be protected Printed in USA from vehicle movement by berm or fence. p _DER