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HomeMy WebLinkAbout4283 Hwy 82 - 246512300014INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N2 0729 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner: Don Hose Telephone: 925-1035 Address: P.O. Box 4931. - Aspen, CO 81612 9,2 7 �4/4lB System Location: 4283 State Hwy 82 Licensed Installer: Owner Installed License Number: - Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 15 Minutes Absorption area per bedroom 200 Sq. Ft. Number of Bedrooms I X 200 Sq. Ft. minimum requirement per bedroom - equals 600 Total Sq. Ft. minimum requirement Special Requirements: Date: November 15, 1985 Environmental Health Officer: Sid Fox CONDITIONS: 1. All installations must comply with all requirements of the Eagle 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 zoning and building 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 system is approved prior to covering any portion of the system. INSTALLED ABSORPTION OR DISPERSAL AREA: SQ. FT. L)2i/ WC 1 / `f Gaey ujA -z, INSTALLED SEPTIC TANK: 1000 GALLONS;DEGREES; FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: 44 W ' O(I)PE PHONE:. SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES NO PROPER MATERIALS AND ASSEMBLY: YES NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO COMMENTS: z2fPi2AT1 6"w & AAQ ST AM/Z ZZ64 &J-4 ) (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval) f NVIRONMENTAL HEALTH OFFICER: 3�7 DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Donald Hose I Name of Owner: Same Amount Paid: $200.00 Receipt Number: C0393 Date: 11/7/85 Cashier: Gail Parker White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR I`;DI`:InT-'AL Sr.�AGF DTS?QSAL SYS-=-1 PERMIT \ PERMIT APPLICATION FEE: NAME OF OWNER: ADDRESS: ENVIRONMENTAL HEALTH OPFICr - EAGLE COUNT`:' P.U. Boy: .550 Eagle, Colorado 81631 No. ) 8150.00 328-7311 PERCOLATION TEST FEE: S50.00 NAME OF APPLICANT (if different from owJer): ADDRESS: DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: P LICJ VL`I 1\LJl ViVJ lUuli ili t\ INSTALLATION OF SYSTEM: Licensed Installer (see attached list). - ADDRESS: PHONE: PERMIT APPLICATION IS FOR: O New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SE�dAGE,DISPOSA SYSTEM: Street/Rural AddreGG _ ij 1 G? c , 4 : i .... V7 `I PHONE: C12 S - i() 3�;- - PHONE: Lot Size: Legal Description: PHONE: CI'mca rig Sc �'A t� YES NO._ . BUILDING OR SERVICE TYPE (check applicable cateRorv): ( Residential - Sirgle Family ( ) Residential - Quadplex ( ) Residential - Duplex Commercial (state usage) ( ) Residential - Trioles NUMBER OF PERSONS: N `MBER OF BEDROOMS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional 00 Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal Dishwasher () Automatic Washer ( ) Spa Tub ( ) Other 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 O IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (j() NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES NO ( ) (I6 Yes, see attached tuas.- c ate-`c 6totu .teduction met'tcds ) NOTE: The EnvZtowentatt HeaLt't O"'.icv-L matt :-.educe the -tequited absotpti.on atea upon appnovaQ o 6 an adequate tuas-t ecatet 6Zotu Leduc tioa ptau. SOURCE AND TYPE OF WATER SUPPLY: O Well ( ) Springy Give depth of all wells within feet of system: b ( ) Creek/Stream P � `�L,l� If supplied by mmunity water, give name of supplier: �T �o C 4--%, SIGNATURE-------- -J----------------DATE_------- INFORMATION BELOW TO BE FILLED OUT BY ENVIRON!.1ENTAL HEALTH OFFICER: GROUND CONDITIONS: Peneent GAound Slope Depth .to Bedto ek (pvL 8' Pu 6ZZe Hole) Depth .to Guundtua,tet Tabte SOIL PERCOLATION TEST RESULTS:- At,ututes pet inch in HoZe PI M inu tea pen inch to Hof.e # 2 I�wYLii.i L�,s jt)e L. i-,ICIt- Z0 .fill �? # i FINAL DISPOSAL BY: ( ) Absanpti.oil Taeneh, Bed o,t Pit ( ) Evapottaitspitation ( ) Above Gttound D,i.,speuaE ( ) Sand FiZt&t ( ) Undvtg-tound DZspvusae ( ) Was-tctcate't Pond Oltil eft Amount Paid: ����, p�j Receipt Ntanbe.t e,Z�8' Date,: . 7 85' NOTE: Site Plan must be attached to -application. (Env. Health Department - Rev. 4-07-83) APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM -PERMIT PERMIT APPLICATION FEE: NAME OF OWNER: ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 Eagle, Colorado 81631 No. �I 150.00 PERCOT.ATTnN TEST FFR- ADDRESS: P.6. 93 NAME OF APPLICANT (if different from o er): ADDRESS: PHONE: '?2s'- Id -I S- PHONE: DESIGN ENGINEER OF SYSTEM (if applicable): v (%w ;yg2 ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF_SYSTEM:_�w�g�_ Licensed Installer (see attached list): YES NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( kjl� New.Installation -( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: 7R . 66 Ssc /;Z Tffs R 3? Itj Lot Size: S sZ.stM Z{/`i Z7 t 3Z •Ll Legal Description: _BUILDI2 OR SERVICE TYPE (check applicable category): (P✓) Residential - Single Family ( ) Residential.- Quadplex ( ) Residential - Duplex ( ) Commercial (state usage) ( ) 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: ( Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other NUMBER OF BEDROOMS: ( Dwelling ( ) Transient Use ( ✓j 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 ( V) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (I6 Yeas, � ee attached wastewate% stow Leduc ti_on methods ) NOTE: The Envi tonmentat Health 064iceh. may &educe the Aequ iAed ab�soApti.on 0Aea upon appnova2 06 an adequate wastewateA 4tow Aeduct%on p.2an. SOURCE AND TYPE OF WATER SUPPLY: ( / Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: MN g _ If supplied by ommunit�y®,water, give name of supplier: SIGNATURE: %� /4 DATE: - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT By ENVIRONMENTAL HEALTH OFFICER: - - - - - - - - - - - - - GROUND CONDITIONS: PeAcent GAound Stope Depth to Bedrock (pets 8' Pno4ite Hote) Depth to GAoundwateA Tabte SOIL PERCOLATION TEST RESULTS:. A nutes pets inch in Hote 1 Mdnutez pets inch to Hote #2 Minutes pen .inch. to Hote # 3 FINAL DISPOSAL By: ( ) Ab6onpti.0n TAeneh, Bed on Pit ( ) Evapottransp &anon ( ) Above Gtcound D,c speAza2 ( ) Sand Fitter ( ) UndeAgnound Dtspeua2 ( ) Wa6tewaten Pond ( ) OtheA Amount Paid: a©. o O Receipt NumbeA O 1 Date: • a� ' g NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) 1. 0:•INER: /DU��— LEGAL DESC�IPTI10N: RURAL ADDRESS: TYPE OF DUELLING: �� �(/� �/� 'I OF BEDPOnms: DATE OF PERCOLATION TEST: 2 TYPE OF SOIL: TEST HOLES PRESOAKED? Yes No TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 1 2 3 1 2 3 //; 53 2-0,kL Zu I Gu ' zv� I U3 2 '05 --�L Z 14 L0 I /X- 17', 13 I Z. 1S IZ Z Z =1 Z Z 3��-1-►, 2- I u d II I IT PERCOLATION RATE: 0 0 /19 /tZ7 RECOMMENDED MINIMUM SEPTIC TANK SIZE: 60 � L� RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested for percolation ry, e. Date Environmental Heait t icer COMMENTS: _ -Z 1py/0 Lx-1 lQ tN� 140� G f pod 0-/Op *- 3 0-Y � a Yz- 2 m (2 p _ r Sf2 ')® YN1 P-T- Lu To y-, ret_ kwdl? eoaa-s EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 March 16, 1988 Don Hose P.O. Box 4931 Aspen, CO 81612 RE: Sewage disposal inspection for property located at 4283 Hwy. 82 Dear Mr. Hose, 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. On March 1.6, 1988, this department conducted a site inspection of the above referenced property. The inspection was requested by you, for the purpose of evaluating the existing condition of the on -site wastewater disposal system. A review of the County records indicates that the sewage disposal system was permitted under Permit Number 729, inspected and approved in accordance with County Individual Sewage Disposal Regulations. A visual inspection -of the ground surface indicated that the sewage disposal system was apparently functioning satis- factorily at the time of inspection. If you have an further ,r Y y questions concerning this inspection, please call or write. Respectfully Submitted., Sid Fox f r, Envirnomental Health Officer Department of Community Development xc : Files67 ' y 44 r Py Board of County Commissioners Assessor Clerk and Recorder ; Shenff r r Treasurer F�.� P.O. Box 850 rfh;r P.O. Box 449 P.O. Box 537 `P.O. Box 359 �sg`. P.O. Box 479I al Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle Colorado 81631 , .......:.,.. a. w:. . ;�nika3,c"sa-.a,"a.-:X,�',i . < <a..: ;,.... a a ,.,,✓..rxn ., -: ... ,.sw.'..,#z...�„s-�.•.;'"�attie.. m•aw:.:i;iz �d,,. EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328-7 311 November 14, 1986 MEMORANDUM TO: PROPERTY OWNERS FROM: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE RE: EXPIRED INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITS Our records indicate that your Permit #_Z,,-22 has not had a final inspection of the individual sewage disposal system. If you do not have a current building permit, the above referenced permit has expired. Please contact the Eagle County Environmental.Health Office at the following address and give us the current status of your septic tank system and/or arrange for a final inspection. Eagle County Community Development Environmental Health Office P.O. Box 179 Eagle, Colorado 81631 (303) 328-7311, Ext. 227 Your immediate response to this request will be greatly appreciated. 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 0729 Hose 4283 State Hwy 82 _� aao-eAfttrrL Q'0 -47 JOB NAME � / a4G9 � k� cue c� 6�Q � �- Tea �P� u�r � u A ale 5 l o? 3 c) oo ! - „JOIN !4 .,.�. , JOB LOCATION / BILL TO DATE STARTED DATE COMPLETED DATE BILLED PERMIT #729 OWNER: Donald Hose LOCATION: 4283 State Hwy 82 - Basalt INSTALLER: Owner SIZE OF TANK: 1000 gl. DWELLING: Single Family, 3 bedroom PERC RATE: 1 inch in 15 minutes ABSORPTION AREA: 600 s.f. FINALIZED: 03/17/87 BY: Sid Fox JOB COST SUMMARY TOTAL SELLING PRICE TO'= . `•L 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. a ri �J; -44721 3N 98 AON 191: 0 .I 0e- 4 z 0 00 P T _ 98 AON CIO o� l 0 Z 0 iy f� f