HomeMy WebLinkAbout619 Paseo - 239127302011 - 0753ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N® 0753
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 & Leslie Newberry Telephone: 963-3264
Address: P . 0. Box 192 - Aspen, CO 81612
System Location: 0619 Paseo Street - Aspen Mesa Estates
Licensed Installer: Tom Wi 1 ker 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 10 Minutes
Absorption area per bedroom Sq. Ft.
Number of Bedrooms 3 X 266 Sq. Ft. minimum requirement per bedroom -
equals 7 98 Total Sq. Ft. minimum requirement
Special Requirements: f1tjvaa r rya �cu�a man cn� r vain `rr, cv/—�r�r,Fx�-►��-
Date: 7/14/86 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: 00 SQ. FT.
.j INSTALLED SEPTIC TANK:.r,���a= GALLONS; DEGREES;
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEM: !�:Dm 1 uca PHONE:.
FEET
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES` NO
PROPER MATERIALS AND ASSEMBLY: YES v NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YES O
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES _i/ NO
COMMENTS:
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.)
66
DATE (Final Approval) - ENVIRONMENTAL HEALTH OFFICER: -
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS
Name of Applicant: Don & Leslie Newbury Name of Owner: Same
PERMIT
Amount Paid:�$200, 00 Receipt Number: 2045 Date: 6 18 86 Cashier: G. Parker
Check Number: 1082
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APPLICATION FOR I',Di"iD',;AL SE:j
PER`IIT APPT.TC :TTn,,z FF r
NAME OF OWNER:
ADDRESS:
/ DIS?O!;AL PFRv!TT
ENVIRO,'ZIENTAL HEALTH OFFI E - EAGLE COUNTY
BoxP.oBox 350 03
Eagle, Colorado 81631 NO.
8150.00 328-7311 PF.RCOL-MO 1 TEST FEE: S50.00
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTDI (if applicable):
ADDRESS:
PCtciviv t:i.:�a Ui'L' INSTALLATION OF SYSTEM:
Licensed Installer (see attached list).
ADDRESS: 1531 V ,(/
PHONE:
PHONE:
YES u NO
PERMIT APPLICATION IS FOR: (� New Installation
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address: ev
Lot Size: �� >
Legal Description: f yj j i
BUILDING OR SERVICE TYPE (check applicable cateaorv_):
OQ Residential - Single Family
( ) Residential - Duplex
( ) Residential - Tr_oles
NUMBER OF PERSONS:
WASTE TYPES (check aoolicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
( ) Garbage Disposal
(}Q Automatic Washer
( ) Other
TYPE OF INDIVIDUAL SET'AGE DISPOSAL SYSTE:•I PROPOSED:
OQ Septic Tank ( ) Composting Toilet
( ) Vault Privy ( ) Greywater
( ) Pit Privy ( ) Aeration Plant
( ) Other
PH0."E :
( ) Alteration ( ) Repair
( ) Residential Quadolex
( ) Con-ercial (state usage)
NUMBER OF BEDROOMS:
( ) Dwelling
( ) Transient Use
00 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 (1
IS SYSTEH DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES
(k) NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES
( ) NO ()
(I6 yes, see attached was .-Lecc,2tet Sf-ciu .tedUCtion methods)
NOTE: The EnvZLorunentitaZ Heae-th OSS.teeAL mail -teduce ;die-,LegUZted abso,tpti.on atea upon
app,tovae o6 an adequate was-iewatet 5-(..c'ty 1Led c_tCon p"Zan.
SOURCE AND TYPE OF WATER SUPPLY: (k) Well ( ) Spring
( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied b mmunity water, give name of supplier:
D
SIGN'A------------
��
- - - - ------ - - - - - -DATE_
INFORMATION BELOW TO BE FILLED OUT BY EN IONMENTAL HEALTH OFFICER:
-- - - --
GROUND CONDITIONS: PeACent Gtowzd Slope 6 - 3
Depth to Bedto eh (pen 8' Pno S-tee Ho.2e) -7 i
Depth to Gnoundccate,'c Tabte "7
SOIL PERCOLATION TEST RESULTS:. 1iMilzu't ,s peA .6LCh in
HoZe n 1
Afi Minutes peA inch to
Hote # 2
14iiai to S pe,L iiEciL to
Hot e # 3
FINAL. DISPOSAL BY: I-
( V Abs o.7p tZor1 T tench, Bed o.-. Pit ( ) Evapot ans piAa do n
( ) Above GAcund D.tspM5a.2 ( ) Sand Fittct
( ) Unde 'Lg,7ourid DZs pe/ sa L ( j WaS.tcica.ti2.t
Pond
Arnvuitt Pac d: SQ040 Reeet Ncunbe.'c
Dade,:/gl
--------------------- - - - - -- / -----------------
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
Date: November 7, 1986
Don Newberry
P.O. Box 192
Aspen, CO 81612
RE: Final of ISDS Permit # 753
This letter is to inform you that the above referenced ISDS
Permit has been inspected and finalized. Enclosed is a copy
to retain for your records.
If you have any questions regarding this permit, please contact
the Eagle County Environmental Health Office, P.O. Box 179,
Eagle, Colorado 81631. Phone: (303) 328-7311, Ext. 227.
Sincerely,
-Eagle County Community Development
Environmental Health Office
/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
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
July 16, 1986
Don & Leslie Newbury
P. 0. Box 192
Aspen, CO 81612
RE: ISDS Permit #753 for property located at 0619 Paseo Street
Dear Mr. & Mrs. Newbury,
Enclosed is your ISDS permit #753 for property located at 0619 Paseo
Street, Aspen Mesa Estate.
The yellow copy of the ISDS permit 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 927-3823, extension
227 or 228.
If you have any questions regarding this septic permit, please contact
our office.
Respectfully,
r
S1 ox,
Environmental Health Officer
Assistant
SF/eh
cc: Files
Enclosure
Board of County Commissioners -Assessor Clerk and Recorder
P.O. Box 850 P.O. Box 449 P.O. Box 537
Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631
Sheriff Treasurer
P.O. Box 359 P.O. Box 479
Eagle, Colorado 81631 Eagle, Colorado 81631
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
% % /,1?,o
Date Routed
Name
303 _
Appl i cation-44o.
Please rev.ie:v the attached Individual Sewage Disposal System Permit Application -and return
it with this completed form to the Environmental Health Office.
PLANNING: Complies with - YES "'NO -REVIEIIED BY
DATE
Subdivision Regulations: c
Zoning Regulations:
Recommend Approval:
COMMENTS: '
BUILDING:
Building
Buil
COMMENTS:
Complies with - YES I NO REVIE'.,IED BY DATE
Permit Applied For:
d
R
ing Permit Issued:
ecommend Approval: ( T
,ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
YES I NO ( REVIEI-IED BY
DATE
ENVIRO?!MEINTAL HEALTH:
Complies with - YES NO REVIE14ED BY DATE
Floodplain Permit Necessary:
I.S.O.S. Regs. Compliance:
Recommend Approval:
.2.W a b i 01 fir.
,ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
YES I NO ( REVIEI-IED BY
DATE
ENVIRO?!MEINTAL HEALTH:
Complies with - YES NO REVIE14ED BY DATE
Floodplain Permit Necessary:
I.S.O.S. Regs. Compliance:
Recommend Approval:
.2.W a b i 01 fir.
.2.W a b i 01 fir.
EAGLE COUNTY INVOICE NO.
N° 2045
DATE: 1 '
TO:
Make Check Payable to: Send Pavm nt to_
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $50.00 ISDS APPLICATION NO.
OWNER:
LEGAL D
.RURAL A
TYPE OF DWELLING:
Sir1G NUMBER OF BEDROOMS:
DATE OF PERCOLATION TEST: l� '�i�- TYPE OF SOIL: Lim
TEST HOLES PRE-SOAKED: 7 YES NO
TIME WATER DEPTH II INCHES OF FALL N RATE
1 2 3 1 2 3 1 2 3 1 2
i /Z 8 / / 3
0 PP
L.2z�lL,.-- f\a.w1r
PERCOLATION
RATE:
�T
- l 49 P L
gyp: y5
RECOMMENDED
MINIMUM
SEPTIC
TANK SIZE: 1006
RECOMMENDED
MINIMUM
LEACH FIELD SIZE: 600
RECOMMENDED
MINIMUM
SQUARE
FOOTAGE PER BEDROOM: Z
SITE HAS BEEN REVIEWED AND
TESTED FOR PERCOLATION RATE.
Environmental Healt Offi er Date a 7
COMMENTS: I
Rev. 5/31/84
0753 Newberry Aspen Mesa
,JOB NAM Estates Lot 14 0619 Paseo
Street
JnR 1 nCATMN -
,rota No
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
_
PERMIT #753
C Cap l�, Iq�e cctr e C
1 � Sj �IqSE
OWNER: Do 1 _es 7e
LOCATION: 0619 P p le y
i
ase0 t / Lot
INSTALLER: Tom Wilker Qf04 Aspen Mesa Est. F1
SIZE OF TANK:
DWELLING; RATE: 1250 gl. 3,3Edj
PERC Res. Single Ta�h
1 inch in 10 minutbedroom
e
ABSORPTION AREA: 800 s.f.S
FINALIZED: 08/13/86
BY: Sid Fox
3%-
TOTAL SELLING PRICE
TOTAL MATERIAL
' �-� . � V.
JOB FOLDER Proaum -- _
Printed in U.S.A
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