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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. •