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
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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
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23 13
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14
7go37 18
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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