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HomeMy WebLinkAbout1700 Copper Spur Rd - 168904100002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0732 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: Robert Durham/Frank Dougherty Telephone Address: Box 58 R.R. Bond, CO System Location: Parcel 18 - Conner Spur Licensed Installer: Owner Installed License Number: Conditional installation approval is hereby granted for the following: 653-4227 Minimum requirements: 750 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 9n Minutes Absorption area per bedroom 200 Sq. Ft. Number of Bedrooms 2 X 200 Sq. Ft. minimum requirement per bedroom - equals 400 Total Sq. Ft. minimum requirement Special Requirements: Absorption area should be 10' X 40' . Date: 13— 2_4_7� 67 Environmental Health Officer: 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: 400 SQ. FT. INSTALLED SEPTIC TANK: 1000 GALLONS; 165 DEGREES; 12 FEET DESIGN ENGINEER OF SYSTEM: By Owner INSTALLER OF SYSTEM: Owner PHONE: 655-4454 SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: PROPER MATERIALS AND ASSEMBLY: COMPLIANCE WITH PERMIT REQUIREMENTS: YES x NO YES �£ NO YES x NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES x NO COMMENTS: Cover with straw or untreated building paper and cover over. Crown backfill. (Any item checked NO requires correction before final approval of system is made. Arran e a re -inspection when work is completed.) DATE (Final Approval) 4114IS ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Robert Durham/Frank Dougherty Name of Owner: Robert Durham Amount Paid: $200.00 Receipt Number: 1470 Date: 3 10/86 Cashier: Gail Parker White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner i APP ICA T-O' FOR T`;DI'"IDi AL SE:ti:IGE DIS?'nS:1L S'tST�! nFc�r7l E\ti'IRON`IE:;TAL I?EALTH OFFICE - EAGLE COUNTY P.O. Bo:. R50 Ea. -le, Colorado 81631 `;o. PER.`IIT APPLICATION: FEE: $150.00 3L8-7311 PF.RCOL-M ON TEST FEE: 850.00 NAME OF OId DER: ADDRESS: PHONE: NAIME OF APPLICANT (if different from owner): ADDRESS: /�� �j �' ��j �p�� PHONE: DESIGN ENGINEER OF SYSTDI (if applicable) : ADDRESS: PHO:tE: Vo�a% YZ tcjvlV L0i ILiSiALLATION OF SYSTEM: 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: Cp p �o4'Z w C'o Lot Size: Legal Description: BUILDING OR SERVICE TYPE (check aoolicable cate;orv_)- V (� Residential - Sirgle Family ( ) Residential - Quadolex ( ) Residential - Duplex ( ) Co=,:..:ercial (state usage) ( ) Residential - Tri?les _ NUMBER OF PERSONS: NUMBER ` EE •F BEDROOMS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use (7� Garbage Disposal ( ) Dishwasher (ice) Automatic Washer ( ) Spa Tub ( ) Other TYPE OF INDIVIDUAL SETdAGE DISPOSAL SYSTEM PROPOSED: C z-4 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 Y&s, 5ee attached wczs.tewgter Stow tedUC,tion me;i!'uds) NOTE: The EnviiLonmentat9 Heaft`t O "iceA may reduce the -tequi.ted ab.so,tpti.on area upon approval o6 an adequate w,zs te=ter 6Z= reduction ptan. SOURCE AND TYPE OF WATER SUPPLY: C>< Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATURE- - - - - - - - - - ---- - - -- - - - - - - - - - DATE - - -- - - - - - - - INFORIiATION BELOW TO BE FILLED OUT BY ENVIRON!.fENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent Ground Slope Depth ,to Bedtoeh (pen. 8' Pro6.ite Hole) Depth to Groun&ate,'c Table SOIL PERCOLATION TEST RESULTS:. �.ututes pet inch in Hoi.e r1 Ali.nuta peh inch .to HoZe #2 f" _'rcu,t &5 pe:L iiLCtt to Hote 43 FINAL DISPOSAL BY: ( ) Abso.zpti.oi'l Trench, Bed or Pit ( ) Evapo;aunspiAa,ion ( ) Above Ground D.i spe,ma2 ( ) Sa;td Fittct ( ) Unde -Lg-,.ound D.i5pensaE ( ) Was-tcicatet Pond ( ) Othe t Amount Paid: �c'�Q -0 Receipt Nwnbe.'t 1471D Date: NOTE: Site Plan must be attached to -application. (Env. Health Department - Rev. 4-07-83) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. OWNER: 'Rdbpr+ l)Urham/Frank_�n, �o,hOr+t a LEGAL DESCRIPTION: t RURAL ADDRESS: TYPE OF DWELLING: f`ntl�p� NUMBER OF BEDROOMS: ID-1 DATE OF PERCOLATION TEST:`— �/`'— TYPE OF SOIL:��u� TEST HOLES PRE-SOAKED: YES NO TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1_j 2 3 1 2 3 it 13, 2�: Z It 3 1 PERCOLATION RATE: lr RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 200 % f SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. !� ✓I / L�� En ronmental Health Officer Date COMMENTS: Rev. 5/31/84 I-, V . - EAGLE COUNTY ENVIROi1,MENTAL HEALTH OFFICE r-i- 1�urlrn,K - f Dat R uted - S U� Application Pl Loc �on Please review the attached Individual Se:•rage Disposal System Permit Application and return it with this completed form; to the Environ.;,ental Health Office. PL 4,�1llrCc g= e i the T—_--y=Y` YES NO RE�rIE„ED BY DATE Subdivision Regulations: Zoning Regulations: (y- Recommend Approval: L/ C0MI",ENTS: ' 3-t-� BUILD'I; fG T°'Compin� es wi th- Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ,ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: Comp f i es tii th - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: CO,',MEi fTS : YES I NO I REj.?j�--'•1ED BY DA T E YES NO I REYIE:•;ED BY I DATE YES--- NO t REVIE?•!ED BY I DATE M, EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 March 24, 1986 Robert Durham/Frank Dougherty Box 58, Rural Route Bond, CO 80423 RE: ISDS Permit #732 Dear Sirs: — Enclosed is your ISDS Permit #732 for property located at Parcel 18, Copper Spur, Bond, -CO. The information on the permit application indicates that the system will be owner/agent installed. Therefore, you will be responsible for the installation of the system. The yellow copy of the permit that is enclosed must be posted on the installation site. You must call our office for final inspection before covering any portion of the installed system. We can be reached at 328-7311, Ext. 238. If you have any questions, please contact our office. Respectfully, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY / gp Enc. 1 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 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 April 17, 1986 Robert Durham/Frank Dougherty P.O. Box 58, Rural Route Bond, CO 80423 RE:. ISDS Permit #732 Dear Sirs: This is to inform you that your ISDS Permit #732 for property located.at 1800 Copper Spur Road,. Parcel 18 - Copper Spur Subdivision, has been inspected and finalized by Erik Edeen.on.April 14, 1986. I am enclosing a copy of this finalized permit for your records. If you have any questions concerning this permit, please contact our office. Respectfully, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY /gp Enc. Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer 11 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 COLORADO DEPARTMENT OF HEALTH s ACCOMMODATIONS INSPECTION REPORT Name Co. Acct. No. Category No. Location - Zip Owner Address Zip Operator Address Zip Units Capacity .Male. Female Juv. Water, Source -Type Sewage; Type -Method Food Source Swimming Pool An inspection of the above noted facility.on this date reveals the violations and deficiencies listed below which you are hereby ordered to correct: fu l I k/ Ah/ D-Z- CPS:57 (5-75-10) =NT 08 DLM �• 00 / 7 J • - Lot 26 • '00p1J !LN taLM • - Q • &LM DLM 7 J } \\41 70 - o,Qs O z _ P de a o Q 9 \�N - .1689-032-00-004 .. ENT w - co e o O .. o pp6 4 a 0 m p z 0 !\e, c a 59 - J O A g S6Q m 0 • e o `' Lot 22 - OLm■ L CLM Adjoining 168 9-04• 1689-041 xf T2S., R83W., SGC.4 NE 1/4 NAI 0732 Durham Parcel 18 Copper Spur { ,JOB NCI . BILL TO DATE STARTED DATE COMPLETED DATE BILLED 168���I��-04� JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT #732 'i �)Dmc( OWNER: LOCATION: Parcel 18, Copper Spur - Bond, CO INSTALLER: Owner 00+�� vt(s1. SIZE OF TANK: 1000 gl. DWELLING: Res. Single Fam. - 2 Bedroom MH PERC RATE: 1 inch in 20 minutes ABSORPTION AREA: 400 s.f. FINALIZED: 04/14/86 BY: Erik Edeen TOTAL LABOR INSURANCE SALES TAX M ISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 Q0 1629- Out I 'Lm" -60 e Printed in USA