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HomeMy WebLinkAbout150 Kirk Ln - 210904201003EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED INSPECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N ° 69 5 OWNER: Ronald C. Ast ADDRESS: P.O. Box 375, Avon, CO 81620 SYSTEM LOCATION: Lot 26, Kaibab Subdivision, Filing 2 (Kirk Lane) LICENSED INSTALLER: LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1000 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: 1 inch in 6 - 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 13, 1985 INSPECTOR: Sid Fox, Asst. Env. Health Officer **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: 704 sq. ft. Installed Septic Tank: 100GINOW gallons. Degrees: 190 Feet: 90 Design Engineer of System: N/A Installer of System: Ron Ast Phone: Septic tank cleanout to within 12" of final grade or aerated access ports above grade? Yes x No Proper materials and assembly? Yes x No Compliance with permit requirements? Yes x No Compliance with County/State regulations requir)ements? Yes x No COMMENTS: Ron to submit drawings of system. (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: July 17, 1985 INSPECTOR: Sid Fox RE -INSPECTION DATE: INSPECTOR: RETAIN WITH RECEIPT RECORDS CHARGES Percolation Test = $50.00 PERMIT NO. N-_ 6 9 5 Name of Applicant: Ronald r.. Ast Name of Owner: _lamp Permit Fee (includes final inspection) = Amount Paid: $2no.nO ALL CHECKS OR MONEY ORDERS ARE TO BE Receipt Number: C0314 - Ck #2779 MADE PAYABLE TO: EAGLE COUNTY Cashier: Gail Parker White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT 01 ENVIRON'IENTAL HEALTH OFFICE - EAGLE COUNTY rs. P.O. Box 850 : Eagle, Colorado 81631 No. 0%4 PERMIT APPLICATION FEE: $150.00 328-73311 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: �o vL �t 1� CS �s 1 -- X ��5 wo ADDRESS: _�7yC G /'a n v¢, eel,, PHONE: 13 NAME OF APPLICANT (if different from owner): 5,� r+1 ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (if applicable): c ADDRESS: PHONE: rnL.Jviv a:; �i'� ..dIBL� FOR INSTALLATION OF SYSTEM:yYt Licensed Installer (see attached list): YES NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: - Lot Size: et c { Legal Description: 4 z ) ` ��� ���—S I � �a T—� `e �. a Li i i' p` 'J !' L:iv. Y 1 h L7 BUILDING OR SERVICE TYPE (check applicable category): (K) Residential - Single Family ( ) Residential = Quadplex ( ) Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex NUMBER OF PERSONS:_ _L1 NUMBER OF BEDR00114s: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional (X.) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use Garbage Disposal (yc ) Dishwasher' (Y-) Automatic Washer ( ) Spa Tub ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ()C,) 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 ( x ) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (x ) NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO (sc) (Ib yeas, see attached wa6tewaten 6tow teducti.on methods ) NOTE: The Envi onmenta2 Health 064iceA may ceduce the ne'quitted absorption area upon apptovat .o4 an adequate wastewateA 4Zow reduct, on plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well .( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: )�_/j a �- o : ,e ;, d ru 4 If supplied by community water, give name of supplier: EACoc,_- -TOuj" 0 r- SIGNATURE: 'N ��a,,_ - DATE: �� - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -• - - - INFORMATION BELOW TO BE FILLED OUT By ENVIRONX-fENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent Ground Stope Depth to Bed/t.o ck (pen 8' Pno 6.ite Hote ) Depth to Gnoundwaten Tabte SOIL PERCOLATION TEST RESULTS: .cnute/s peA inch in Hote I Minutes pen inch to Hote # 2 Minutes pen inch to HoZe # 3 FINAL DISPOSAL By _ ( ) Absorption Trench, Bed on Pit ( ) EvapotranspiAation ( ) Above Ground Dis pemat ( ) Sand Fitter ( ) Unde ground Dbspetuat ( ) Wastavaten Pond ( ) OtheA Amuukt Pa,c"d: c Receipt Numbet 0_03/�1 Date: -------------------- - - - - -- pb-----------T-�'-- NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 July 17, 1985 Ronald C. Ast P.O. Box 375 Avon, CO 81620 _ RE: ISDS Permit #695 Dear Per. Ast: This is to inform you that your ISDS Permit #695 for property located at Lot 265 Kaibab Subdivision, Filing 2 has been inspected and finalized by Sid Fox on July 17, 1985. I am enclosing a copy of this permit for your records. Sincerely, �(Llf/i a Gail .Parker, Secretary Environmental Health Office EAGLE COUNTY /gp 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 PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. �-� n OWNER: LEGAL DESCRIPTION:�- RURAL ADDRESS: TYPE OF DWELLING: r. NUMBER OF BEDROOMS: -3 DATE OF PERCOLATION TEST: TYPE OF SOIL:1 kALO TEST HOLES PRE-SOAKED: YES �/ NO�Q� TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 ! 2 3 1 2 3 1 2 3 a,q 7.�?l /�Ll PERCOLATION RATE: O �M RECOMMENDED MINIMUM SEPTIC TANK SIZE: O O RECOMMENDED MINIMUM LEACH FIELD SIZE: (0O 0 1 1 RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: a O O SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Envirohmeftal Health fficer Date' /I COMMENTS: Rev. 5/31/84 C' 'So l q K{S.slCOFP 23 13 9• 14 7go37 18 � Q c• . � o � 2 1 � 22 0695 Ast Lot 26Kiabab Sub JOB NAME, _ )5b Kirk Lane JOB NO. � JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE PERMIT #695 OWNER: Ro%i1 d C. Ast LOCATION: Lot 26, Kaibab Subdivision (Kirk Lane) lqD INSTALLER: Self SIZE OF TANK: 1000 gl. DWELLING: Single Family - 3 bedrooms PERC RATE: 1 inch in 6-10 minutes ABSORPTION AREA: 704 s . f. FINALIZED: 7/17/85 BY: Sid Fox TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS CEE OF SELLING PRICE NET PROFIT 01()q - U4 Z - �) � -dc,-3 DER Printed in U.S.A