HomeMy WebLinkAbout113 Oak Rd - 246909205002EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway
INSPECT -ION BEFORE COVERING Eagle, Colorado 81631
ANY OORTION OF INSTALLED SYSTEM
328-7311 or 949-5257 or 927-3823 PERMIT NO. N 0 66
OWNER: Shane & Casey Burton ADDRESS:
SYSTEM LOCATION: Lot 9 - Peachblow PUD
PERMIT MUST BE POSTED
AT INSTALLATION SITE
Box 7622 - Aspen, CO 81612
LICENSED INSTALLER: Owner LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:.
MINIMUM REQUIREMENTS:1,000 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 200 sq. ft.
No. of Bedrooms 3 x 200 sq. ft. minimum requirement per bedroom
= 600 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS:
DATE: May 15; 1984 INSPECTOR:
**CONDITIONS:'
1. All installation must comply with all requirements o 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: *CA) Okfl -
Installer of System: f-W-o-p_ Phone:
Septic tank cleanout to within 12" of final grade or 1 7v Ticy ODEP-
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: ,-'? P/ �-2 S„` , ZX—
(Any item checked "No" requires correction before final approval of system is made%
Arrange a r inspection when work is completed. P
DATE: � � / ' INSPECTOR:
RE -INSPECT ON ATE: INSPECTOR:
RETAIN WITH RECEIPT RECORDS c -
CHARGES
Percolation Test = $50.00
Permit Fee (includes final inspection) _
ALL CHECKS OR MONEY ORDERS ARE TO BE
MADE PAYABLE TO: EAGLE COUNTY
PERMIT N0. N_ 001
Name of Applicant: Shane & Casey Burton
Name of Owner: Shane & Casey Burton
Amount Paid: $200.00 (5-13-84)
Receipt Number: C-0150
Cashier: Lorraine Funke
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
• APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
r` ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P.O. Box 850
Eagle, Colorado 81631 No.
PERMIT APPLICATION FEE: $150.00 PERCOLATION TEST FEE: $50.00
NAME OF OWNER: , 14A SSE (-A-5,E
ADDRESS: Ic_ ®X 762.L Af� 7i/6 1:2 PHONE:
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTEM (if applicable):
ADDRESS:
PERSON RESPONSIBLE FOR INSTALLATION OF -SYSTEM:
Licensed Installer (see attached list):
PHONE:
PHONE:
YES NO
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: New.Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address:
Lot Size: AQ .
Legal Description: L o-r 91 _ 0>fAC{fT,oW At JIK&O 6ilgt [�__-UACnp/VlEi1/%
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
Gj Garbage Disposal
(ij Automatic Washer
( ) Other
( ) Residential.- Quadplex
( ) Commercial (state usage)
NUMBER OF BEDROOMS:
(V,) Dwelling
( ) Transient Use
(� Dishwasher
( ) Spa Tub
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( 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 (�
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (,®) NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES) NO
(I6 yels, see attached wastewater 4tow keducti.on methods)
NOTE The Env.itconmenta2 Health. Ojjicet may reduce the negu,itced absorption area upon
appAovat o6 an adequate waztewateA 6tow reduction plan.
SOURCE AND TYPE OF WATER SUPPLY: (vl) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within.200'feet of..system:
If supplied by community water, give name of supplier: CAC# -9Zacy
SIGNATURE: !Sv
1'46JJ6 � \�t'P� DATE: "
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent Ground Stope b
Depth to BedAock (pets 8' Pro6ite Hote)
Depth to GnoundwateA TabCe l
SOIL PERCOLATION TEST RESULTS:. nutM pets inch in Hote
<S' Ui.nute�s pen .inch to Hote #2
h4i.nutes pen .inch to Hote #3
FINAL D POSAL By:
( Absonpti.on Trench, Bed on Pit
( ) Above Ground Dispeuusat
( ) UndeAgtound DispeAaa.2
( ) Other
! ) EvapotnanzpiAvtion
( ) Sand FitteA
( ) Wa,6tewateA Pond
Amount Paid: Receipt NumbeA C) j 0
Date:
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-83)
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s
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'LEGAL DESC^ IP T ION :
RURAL ADDRESS:
Ci—
TYPE OF DUELLI"IG: 4 OF BEhP(lnims:
DATE OF PERCOLATION TEST: ��` TYPE OF SOIL:�'�� l/
TEST HOLES PRESOAKED? Yes t/ No
TIME
WATER DEPTH
INCHES OF FALL
RATE
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PERCOLATION RATE:
RECOMMENDED MINIMUM SEPTIC TANK SIZE: �w
RECOMMENDED MINIMUM LEACH FIELD SIZE: 6 4��7��
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
Site has been reviewed and tested for percolation rate.
— c
Date o Environmental Health�cer
COMMENTS:
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REQUESTOR: T O,A
LOAN INSPECTION FORM
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INSPECTION INFORMATION:
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INSPECTION DONE BY: C"l DATE: / Z z Z' j
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EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
December 30, 1986
Bankers Mortgage
Post Office Box 7904
Aspen, Colorado 81612
Attention: Marilyn
RE: Loan Inspection for property located at: 0125 Oak Road
Peachblow Subdivision, Lot n9
Dear Marilyn,
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
December 23, 1986 revealed that the septic system appears to
be functioning properly. This individual sewage disposal system
was permitted and installed in accordance with State and County
Regulations. Final approval for Individual Sewage Disposal
Permit Number. 661 was granted on May 17, 1985.
Water is supplied by an on -site well. A water sample bottle
was left with the homeowner with instructions to sample the water
Should you have any further questions regarding this
inspection, please do not hesitate to contact this office.
Sincerely,
Sid Fox, Assistant
Environmental Health Officer
SF/cb
cc: Shane Burton
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
Peachblow PUD Septic Records
Lot # Parcel # Address Year Built ISDS #
1
246909101001
Vacant
N/A
N/A
2
246909101002
112 Ash Rd.
1983
IS-0569 _
3
246909101003
125 Ash Rd.
1986
IS-0745 _ Z(,71
4
246909102001
134 Ash Rd.
1983
IS-0629
5
246909102003
397 Oak Rd.
1990
IS-0923
6
246909102004
Vacant
N/A
N/A
7
246909102005
321 Oak Rd.
1986
IS-0744
8
246909205001
207 Oak Rd.
1991
IS-1064-91*
9
246909205002
113 Oak Rd.
1985
IS-0661
10
246909203001
Vacant
N/A
N/A
11
246909203002
Vacant
N/A
N/A
12
246909203003
142 Spruce Rd.
1983
Unknown
13
246909203004
Vacant
N/A
N/A
Common
246909102002
Common
N/A
N/A
`Electronic record missing
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JOB NAME,
Tea
loLv JOB NO. .
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1
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
-
--
TOTAL MATERIAL
pEF.MIT #661
OWNER: f1 �IU �I���k/
LOCATION: Lot 9, Peachblow PUD - 0125 Oak Road
INSTALLER: Owner
SIZE OF TANK: 1000 gl.
DWELLING: Res. Single Fam. - 3 bedroom
PERC RATE: 1 inch in 10 minutes
ABSORPTION AREA: 600 s.f.
FINALIZED: ;05/17/85 BY: Bob Fuller
JOB FOLDER Product. 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471
JOB FC
9