HomeMy WebLinkAbout95 Hooks Spur Ln - 246503300006 - 0656ISEAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PLEASE ,GALL FOR FINAL P. 0. Box 850 - 550 Broadway
IRSVECTION 4E'FORE COVERING Eagle, Colorado 81631
ANY PORTION OF INSTALLED SYSTEM
328-7311 or 949-5257 or 927-3823 PERMIT NO. N ° 65 6
PERMIT MUST BE POSTED
AT INSTALLATION SITE
OWNER: Oscar & Aime Diemioz ADDRESS: 095 Hooks Lane - Route 1 - Carbondale
SYSTEM LOCATION: 0210 Hooks Spur Lane - Cw,6111h la I-e- �
LICENSED INSTALLER: Owner/LeRoy Duroux LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 750 gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: one inch in 10 minutes.
Absorption Area per Bedroom 300 sq. ft.
No. of Bedrooms 2 x 300 sq. ft. minimum requirement per bedroom
= 600 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: Drainfield has to be 100 feet from well - Septic Tank has
to be 50 feet from well.
DATE: 4/27/84 INSPECTOR:
**CONDITIONS:
Erik Edeen (by L. Funke)
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: 110 0 sq. ft.
Installed Septic Tank: ` O O U gallons. Degrees: no Feet:
Design Engineer of System:
Installer of.System:
1.1��
.-d
Septic tank cleanout to within 12" of final gya&e or
aerated access ports above grade? Yes No
Proper materials and assembly? Yes No
Compliance with permit requirements? Yes v No
Compliance with County/State regulations requirements? Yes
COMMENTS: ,
I
J
Phone:
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. N! 651
CHARGES Name of Applicant: Oscar Diemioz
Percolation Test = $50.00 Name of Owner: Oscar Diemioz
Permit Fee (includes final inspection) =
ALL CHECKS OR MONEY ORDERS ARE TO BE
MADE PAYABLE TO: EAGLE COUNTY
Amount Paid: $200.00 (4-24-84)
Receipt Number: 0141
Cashier: Lorraine Funke
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
}.° APPLICATION FOR INDIVIDUAL SE14AGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P.O. Box 850
Eagle, Colorado 81631
PERMIT APPT.TCATTnN FFF
NAME OF OWNER:
ir1n nn
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTEM (if applicable):
ADDRESS:
PHONE:
No. 1 (58) (o
T FEE: $50.00
PERSON RESPONSIBLE FOR INSTALLATION OF -SYSTEM:
Licensed'Installer (see attached li_st): YES NO
ADDRESS:
PHONE:
PERMIT APPLICATION IS FOR: (, ) 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):
( Residential - Single Family
( Residential - Duplex
( ) Residential - Triplex
NUMBER OF PERSONS: --
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
( ) Garbage Disposal
(> Automatic Washer
( ) Other
TYPE
OF
INDIVIDUAL SEWAGE
DISPOSAL SYSTEM PROPOSED:
(b4, 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 (r)
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES.[j� NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( )
(I6 yeas , see attached waztewateA 4tow reduction methods)
NOTE: The Envitonmentae. Heatth 04jicen may reduce the requited ab'sorpti.on area upon
app&ova2 o6 an adequate wa3teivatetc 6tow neductti.on plan.
SOURCE AND TYPE OF WATER SUPPLY: (Xa Well ( ) Spring ( ) Creek/Stream
Give depth of all wells wit in 200 feet of system:
, ommunity wa
If supplied �er, give name of supplier:
SIGNATURE:=�L���/�ilX���
INFOZfATION BELOW TO BE FILLED OUT BY ENVf
DATE:
NTAL HEALTH OFFICER: - - - - - - - - - -
GROUND CONDITIONS: PeAcent Ground Stope
Depth to Bed/cock (peA 8' Pro jite Hole)
Depth to Groundwateh Tabte
SOIL PERCOLATION TEST RESULTS:. ZO Afinute.6 peA tnch tin Hoe #F
f D Minutes peA inch to Hot e # 2
FINAL DISPOSAL BY:Minute/5 pen inch to Hote # 3
( ) Absonption Trench, Bed o& Pit ( ) EvapotAanspct ati,on
( ) Above Ground D.u6peAza.2 ( ) Sand FitteA
( ) UndeAground Di6peA6at ( ) Wa6tewateA Pond
( ) OtheA
'Amount Paid: Receipt NumbeA Q L J l Date: ' -' 7``'�
NOTE: Site Plan must be attached to Application.
z;
(Env. Health Department - Rev. 4-07-83)
QQ
LEGAL DES07'1PT10N: �`'�� �� /-7,— "Oe dy
RURAL ADDRESS: //yam e✓ /mod<� 7� J�i��� 6Z� iS � 60J
TYPE OF DUELLING: ` rJ�s'(�,t�c 5����� `C2 4 OF BEnpnnms:
DATE OF PERCOLATION TEST: Z�— TYPE OF SOIL: CI�G
TEST HOLES PRESOAKED? Yes No
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
2
3
1
2
3
1
2
3
34
;3Sz
4
r
U
s
1 �
I
PERCOLATION RATE: ./ 0��
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE: 6 O
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: ,�o
Site has been reviewed and tested for percolation rate.
Date Environmental Health Officer
COMMENTS:
Date Routed
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
dSca�4t
; \ems Z
Name
-
Location
l o S(o
Application No.
Please review the attached Individual Sewage;Disposal System Permit Application and return
it with this completed form to the Environmeftal Health Office. -
PLANNING: Complies with YES 'REVIEt,IED BY DATE
Subdivis.ion Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS: 0%r. C V�t/IV,OnynpY,I�ec��� i�jper= C —
r` � i S� 5 �-Q w� 'he, �j d f ✓t —CA,. fSS� �nv%� �D"/{�...1� Ann�.I iv:..cL `�.n �. i�t✓h.►[.,1 �s znr.�a
BUILDING: Complies with -
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
YES
NO
REVIEVIED BY
DATE.'
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
YES
NO
REVIEWED Y
DATE
COMMENTS:
a
ENS/IRONi'4ENTAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
YE
NO
REVIE14ED BY
DATE
a5 �fV
COMMENTS:
v
6-s— ell',
[0(
JOB NAME,�� �
t,
s'u ,
jopNo, .. ..
JOB LOCATION
BILL TO
DATE STARTED DATE COMPLETED DATE BILLED
PERMIT No. 656
NAME: Oscar & Aime Diemioz
0210 Hooks Spur Lane - Carbondale
LOCATION: 0210 Hooks Spur Lane
INSTALLER: LeRoy Duroux
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
F,, j
SIZE OF TANK:1,000 gallons 0 degrees - 15 feet TOTAL JOB COST
DWELLING: Single Family - 2 bedrooms
PERC RATE: one inch/10 minutes = 900 sq.ft. GROSS PROFIT
LESS OVERHEAD COSTS
Finalized: 5/10/84 By: Erik Edeen Rio OF SELLING PRICE
NET PROFIT
LDER Printed in U.S.A.
L) � o �