HomeMy WebLinkAbout5260 Bellyache Ridge Rd - 194134401010EAGLE 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
REPAIR
--
328-7311 or
949-5257 or 927-3823
PERMIT NO.
o
- 650
OWNER:John Spaldin
PERMIT MUST BE POSTED
AT INSTALLATION SITE
ADDRESS: P. Q. Box 1319-Appleton, Wisc. 54912
SYSTEM LOCATION: Lot 66. Bellyache Ridge Subdivision
LICENSED INSTALLER: Donald Davis LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: inch in
Absorption Area per Bedroom
No. of Bedrooms x _
total sq.
SPECIAL REQUIREMENTS:
DATE:
**CONDITIONS:
minutes.
sq. ft.
sq. ft. minimum requirement per bedroom
ft. minimum requirement.
INSPECTOR:
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: gallons. Degrees: Feet:
Design Engineer of System:
Installer of System: 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
COMMENTS:Repair permit - System installed without a final inspection. See
application number 1067 and loan inspection letter dated 1-19-84
(Any item checked "No" requires correction before final approval of system is made.
Arrange a re -inspection when work is completed.
DATE: February 9, 1984 INSPECTOR:
RE -INSPECTION DATE: INSPECTOR:
RETAIN WITH RECEIPT RECORDS PERMIT NO. 6 50
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: John S12alding
Name of Owner: john 9p a.l Ali ng
Amount Paid: $150.00
Receipt Number: 0090
Cashier: Sid Fox
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
APPLICATIO`: FOR INDIVIDUAL SE. AGE DISPOSAL SYSTEM PERMIT
ti
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P.O. Box 850
Eagle, Colorado 81631 No.
PERMIT APPLICATION FEE: 8150.00 328-7311 PERCOLATION TEST FEE: $50.00
NAME OF OWNER:
ADDRESS:
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTEM (if applicable):
3
PHONE:
PHONE:
0
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: �( s
Licensed Installer (see attached list):. YES_ NO
ADDRESS: , //i / �lA P 4��D PHONE: 32�7/a 3
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration ( Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address: C7C
Lot Size: �,,
Legal Description:
BUILDING OR SERVICE TYPE (check applicable category):
( Residential - Single Family
(/) Residential - Duplex
( ) Residential - Triplex
NUMBER OF PERSONS:
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
(7c) Garbage Disposal
( Automatic Washer
( ) Other
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( ) Residential Quadplex
( ) Commercial (state usage)
NUMBER OF BEDROOMS:
(` ) Dwelling
( ) Transient Use
(jC) Dishwasher
( ) Spa Tub
�)
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 (tc)
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (7h NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( )
(I6 Yes, s ee attached wasteavate& 6 tow neductc.on methods)
NOTE: The EnviAonmenta2 HeaP,th 04j.ieen may neduee the requited abzonption area upon
appnovat o4 an adequate wastewateA 4Zow neduetion ptan.-
SOURCE AND TYPE OF WATER SUPPLY: ()C) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied b munity water, give name of supplier:,
SIGNATURE: DATE:
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Peneent Ground Stope
Depth to Bedno ck (pen 8' Ptco 6iZe Hote)
Depth to Gnoun&vaten Table
SOIL PERCOLATION TEST RESULTS inute/s peA inch in Hote #1
Minutes pen .inch to Hole # 2
M.inute/s pen ,inch to Hote # 3
FINAL DISPOSAL BY:
( ) Absorption Trench, Bed on Pit ( ) EvapotAawspitation
( ) Above Ground DZspmsa2 ( ) Sand Fi P.teJc
( ) Undetgtound Dbsperrsat ( J Wastewater Pond
( ) Other
Amount Paid: 1 a10 .Oy Reecipt Nurmben 00cq 0 Date: A-04
NOTE
(Env. Health Department - Rev. 4-07-83)
T T A T n
REPAIR PER ?I, APPLIC ATi `J
F0- 1'4- 41C- - -Z,, GE DiSPOS, L SYSTE''S
A permit fee of $150.00 shall be charged for alteration, enlargement or any repair
involving alteration of an existing sewane 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,
COMPLYIN(: WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES•ARE
APPLICABLE.
DESCRIPTION OF PROBLEM MALFUNCTION: /
TYPE AND SIZE OF SYSTEM PRESENTLY IN USE:
DATE PRESENT SYSTEM WAS INSTALLED:
PERMIT NUMBER FOR ORIGINAL SYSTEM, IF VPERMIT WAS ISSUED BY THIS DEPARTMENT: # 3 3
SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS:
d
%%sue PGaT OIL- h0 �s g
OWNER OF SY
ADD
APPLICANT:
ADDRESS:
DATE:
�70, ZS z�
TELEPHONE 303/328-7311 EAGLE E COUNTY
Board of County Eagle, Colorado 81631
Commissioners
Ext 241 January 19, 1984
Assessor
Ext 202
Ms. Sandy Hahn
Clerk and First Western Mortgage Corporation
Recorder P.O. Box 1237
Ext 217 Vail, Colorado 81658
Sheriff Re :
Eagle: Ext 211
Basalt: 927-3244
Gilman: 827-5751
INDIVIDUAL SEWAGE DISPOSAL SYSTEM INSPE,,,4,,,,
Located on Lot 66 - Filing #2 - Bellyache Ridge
Dear Ms. Hahn:
Treasurer
Ext201
All water and sewage disposal system loan inspections are done under
Administration
the authority of the Eagle County Building Regulations, Section 10,
Ext241
sub -paragraph 3-A, adopted by the Eagle County Commissioners, Sep-
tember 20, 1982.
Animal Shelter
949-4292
An on -site inspection on Wednesday, January 18, 1984 of the above
referenced property revealed that major repair work had recently been
Building
Inspection
finsihed on the Individual Sewage Disposal System (ISDS) serving the
Ext 226or229
older portion of the home. According to Eagle County's ISDS regulations,
all major repair work requires a permit. The repair work was initiated
Community
without the required County permit although an application has been applied
Development
for by the contractor, Mr. Donald Davis. This office cannot confirm that
Ext 226or229
the repair work was accomplished in accordance with .the appropriate stan-
dards and regulations since an inspection was not done prior to covering
County Attorney
the system (although Mr. Davis is a licensed installer (No.016-83) in
Ext263
Eagle County and is knowledgeable of such installations). A $150.00
Engineer
ISDS repair permit fee is required prior to issuance of a permit for the
Ext 236
above described repairs (invoice attached).
Environmental There is a separate individual sewage disposal system serving the newer
Health portion/addition to the residence. This system appears to be functioning
Ext238 properly. This system was approved in October of 1981 and Permit No. 533
was issued, in accordance with applicable County regulations governing such
Extension Agent installations. This department recommends that the septic tank be pumped
Ext 247 every four years.
Library Potable water is supplied i ed b the community water supply Ridge).'
.
Ext 255 Pp Y y pp y (Bellyache Rid e
This water supply is inspected annually and tested by the Colorado Depart -
Public Health ment of Health on a routine basis.
Eagle: Ext 252
Vail: 476-5844 _ If you have any further questions concerning this matter, please contact
our office.
Personnel
Ext 241 Sincerely,
Purchasing ID t
Ext 245
Sidney N. Fox
Road and Bridge Assistant Environmental Health Officer
Ext 257 EAGLE COUNTY
Social Services SN F/ 1 f
328-6328 Encs .
cc:` Donald Davis
JOB NAME; Spy L�IIUC� LoT b� a o
!I h I JOB Na .
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
-. -.. - -
L(;1SC_Cl!11� `Y _f -j r-- --- -- -- --- -----
PERMI`T # 650 (Repair Permit) ---Also see Permit #533
NAME:
B 1319'��'� �� I I1����
App1 WI 54912 -
LOCATION: Lot 66., Bellyache Ride SubdiA'sion
C"DS-lCb "51'22 Bellyache Ridge��Aa-s
INSTALLER: Donald DAvis H\ �� �r
SIZE OF TANK: REPAIR PERMIT
NO FINAL INSPECTION - system installed without final inspection
1941-344-01-010
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
OF SELLING PRICE
NET PROFIT
JOB FOWEI 194. 4 Printed in U.S.A.
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