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HomeMy WebLinkAbout155 Strawberry Rd - 246908201004EA GLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH ,CEASE CALL FOR FINAL P.O. Box850 - 550 Broadway "INSPECTION BEFORE COVERING Eagle, Colorado 81631 ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N° 655 PERMIT MUST BE POSTED AT INSTALLATION SITE OWNER: Larry & Pat Kiss ADDRESS: Box 293 - Basalt, CO 81621 SYSTEM LOCATION: Lot 4-_Peachblow Subdivision - 1.06 acres Block 2 - Filing #1 LICENSED INSTALLER: Owner installed LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: __j.nnn gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: Ors inch in 15 minutes. Absorption Area per Bedroom 600 sq. ft. No. of Bedrooms 1 x 260 sq. ft. minimum requirement per bedroom 600 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: 600 so-ft- it minimum - DATE: gjggj" 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: 6 79 sq. ft. Installed Septic Tank: lQ () d gallons. Degrees: / � 0 n Feet: 2 Design Engineer of System: Installer of System: Phone: Septic tank cleanout to within 112" of final gr or aerated access ports above grade? Yes c/ No Proper materials and assembly? Yes No Compliance with permit requirements? Yes No Compliance with County/State regulations requirements? Yes No COMMENTS: (Any item checked "No" requires correction before final approval of system is made. Arrange a re-* s ection,wh en work is completed.) DATE: 6 —�'� 57 INSPECTOR: RE -INSPECTION DATE: INSPECTOR: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 _ Eagle, Colorado 81631 No. ' PERMIT APPLICATION FEE: $150.00 NAME OF OWNER: PERCOLATION TEST FEE: .1 11 ADDRESS: Zf% iC -e_­7 _7 /�% % e- U PHONE: �� 7 —" / _ J NAME OF APPLICANT (if different from owner): F�? ?-/ ADDRESS: DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Licensed Installer (see attached list): YES PHONE: PHONE: NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: Q 7'y Alf/ ytc o Lot Size: d �, C RZ, S Legal Description: j f1 ` j 4 0 C!c Ii BUILDING OR SERVICE TYPE (check applicable category): (� Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: e WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal ( ) Automatic Washer ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other ( ) Residential - Quadplex ( ) Commercial (state usage) NUMBER OF BEDROOMS: (� 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 (� IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (16 yeas, .6ee attached walstewateA 6tow Aeducti.on meh.od/s) NOTE: The Envi tonmentae Health 066iceA may Aeduce the Aeguiud abZoAption aAea upon appAovat o6 an adequate walstewateA 4tow Aeducti.on ptan. SOURCE AND TYPE OF WATER SUPPLY: (Y-) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATURE: �G'----- �'� DATE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent GAound Slope Depth. to Be&tock (peA 8' PAo 4it e Hole) Depth to GAoundwatec Table SOIL PERCOLATION TEST RESULTS: inute peA inch in ore 1 Minute6 peA inch to Hone # 2 Minutes pet inch to Hot e # 3 FINAL DISPOSAL BY: ( ) Absokpti,on TAench, Bed oA Pit ( J Above GAound DizpeAaa2 ( ) UndeAgtound Dizpeuat ( ) OtheA ( ) EvapotAanspvLation ( ) Sand FdlteA ( ) Wa3tewatec Pond Amount Paid: ;LO 0. o o Receipt NumbeA O I �`�� Date: NOTE,,,; Site Plan must be attached :to application. (Env. Health Department - Rev. 4-07-83) PERC(� LATION TEST FEE: Sin I.S.D.S. r.PP. ONNER: LEGAL DESCRIPTION: Lotvw -Z- RURAL ADDRESS: TYPE OF DUELLING: OF BEDPOOMS: DATE OF PERCOLATION TEST: ���- TYPE OF SOIL: �2£� S5 C TEST HOLES PRESOAKED? Yes No - e Lj C u b�2(-S TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 3 0 2-- f Z- 2 j '/ 4 #10 190 I i PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: 1000 RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: (00 Site has been reviewed and tested for percolation r e. 4/)/ of;�4— bafelEnvironme44el Health Offiter COMMENTS: m EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 October 23, 1986 Mr. Larry Kiss Post Office Box 293 Basalt, Colorado 81621 RE: Loan Inspection for property located at 0155 Strawberry Road, Peachblow Dear Mr. Kiss, 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 October 22, 1986 revealed that the septic system appears to be functioning properly. This individual sewage disposal system was permitted and installed under Permit #655. Water is supplied by an on -site well. A bacteriological water sample bottle was left at the residence for sampling and submittal to the Snowmass Laboratory. Enclosed is an invoice for.$25.00, the fee for this inspection. If you have any questions, please do not hesitate to call. Sincerely, Sid Fox, Assistant Environmental Health Officer SF/cb ENC: cc: Bankers Mortgage Corp. 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 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO Mr. Terry Griggs Snowmass Real Estate P.O.Box 5000 Snowmass Village, CO 81615 -- 725 CHAMBERS AVE. P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 February 20, 1991 RE: Water supply and sewage disposal information for property located at: 0155 Strawberry Rd. Lot 4 Blk 2 Fing.1 Peachblow Subdivision Basalt, CO Dear Mr. Griggs: All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.08.03, B(7), adopted by the Eagle County Commissioners on October 8, 1985. A review of the County records indicates that In June of 1984, the sewage disposal system was permitted under Permit Number 655, inspected and approved in accordance with Eagle County Individual Sewage Disposal System Regulations. The system consists of a 1000 gallon septic tank and 600 square feet of absorption area. This, however, does not guarantee the continued satisfactory performance of the system. The water supply to this property is from an on -site well. The water is to be sampled by the property owner and sent to a, State Certified Laboratory for bacteriological analysis. A report of this test should be provided by the property owner. If you have any questions concerning this inspection, please call me at (303) 328-8730. Respectfully Submitted, Roger Hosea ASSt. Environmental Health Officer 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 EAGLECOLII`ITY Eagle, Colorado 81631 June 27, 1984 Mr. Larry Kiss Box 293 Basalt, Colorado 81621 Dear Mr. Kiss: This is to inform you that your ISDS Permit #655 has been finalized and signed off by Erik Edeen, Environmental Health Officer for Eagle County, on Wednesday, June 27, 1984. I am enclosing a copy of this permit for your records. Sincerely, Lorraine Funke, Secretary Environmental Health Office EAGLE COUNTY /if LOAN INSPECTION FORM LOCATION: REQUESTOR. COPIES TO: BILL TO: ISDS PERMIT # INSPECTION INFORMATION; i.0'r p o �L Z_ e rr; 4 �. ; emA s � A INSPECTION DONE BY: 1 D DATE: ?2�? LOAN INSPECTION FORM LOCATION: REQUESTOR: COPIES TO: BILL TO Z S. i z-i _ '-q --� 0 -t rl?---i - ci t - -- ► ISDS PERMIT # INSPECTION INFORMATION; Jo 2-�2, \1 INSPECTION DONE BY: r% did• .., ' . DATE: EAGLE COUNTY ENVIRONMENTAL HEALTH ROUTE FORM in{r�t I O DATE ROUTED Lo„{„ `�����^ APPLIC. NO. LOCATION Please review the attached Individual Sewage Disposal System Permit Application and return it and this completed form to the Environmental Health Office. PLANNING: Complies with: YES NO REVIEWED BY DATE Subdivision Regulations: Zoning Regulations: r Recommend Approval: COMMENTS: BUILDING: Building Permit Applied For: Building Permit Issued: Recommend Approval: " COMMENTS: ENGINEER: Complies with: Roads: Grading: Drainage: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY i DATE ENVIRONMENTAL HEALTH: YES NO REVIEWED BY DATE Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: 4 y 0655 -R-i--�s.. Lot 4 Peachblow Sub - JOB NAME CX�p i �� C' nul - �tol� ► ui5 i,Joe o --. JOB' LOCATION BILL TO DATE STARTED DATE COMPLETED 000 41t 4 2-4 6q— 01- (.11), r ..PERMIT NUMBER: 655 OWNER: I Box 293 - Basalt, CO 81621 V !.2 LOCATION: Lot 4 - Peacblow Subdivision Block 2 - Filing #1 (1.06 acres) wv I3S srTUW6�zY Rai INSTALLER: Owner SIZE OF TANK: 1,000 gallons 180 degrees; 25 feet DWELLING: Single Family - 1 bedroom PERC RATE: one inch/15 minutes - 600 sq. ft. leach field Finalized: 6/26/84 By: Erik Edeen 1, be ATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING; PRICE NET PROFIT LDER Printed in U.S.A. f T _ . _ - -_as*SABA_ -- — - - — - - - _-IT l -_ _ _ -- - __ o _ �' - - CQM N - -- �-� - - _-8MEET F-. DATE: - _= D FIW BY CK BY z_ - . �- -OF 21 - - - = _ _-