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HomeMy WebLinkAbout533 McLaughlin Ln - 247106306009INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT Nn 0756 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: John & Ann Morris Telephone: 927-3209 Address: P • 0. Box 446 - Basalt, CO 81628 System Location: Lot 6, Ruedi Shores, Filing #1 Licensed Installer: Self License Number: - 003-86-I Conditional installation approval is hereby granted for the following: Minimum requirements: 750 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 400 Sq. Ft. Number of Bedrooms 1 X 400 Sq. Ft. minimum requirement per bedroom - equals 400 Total Sq. Ft. minimum requirement Special Requirements: Owner will install ADS SB2 gravel ess system, 6-20' lengths pipe Date: S 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: ! D , Q FT.. Z INSTALLED SEPTIC TANK: 1000 GALLONS; DEGREES; FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: ) FtN ftae( S 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 REGULATIO REQUIREMENTS: YES NO COMMENTS: 6y0' C*0'1n b", (Any item checked NO requires correction before, final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval) r7 ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: John & Ann Morris Name of Owner: Same Amount Paid: $200,00 Receipt Number: 2161 Date: 7/18/86Cashier: E. Huenink Check #2529 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner �DT TC:ii Tr... ;'QR T•.0 ­77"_'AL C? E`:VIROZNNENTAL HEALTH UEFICE - EAGLE C0U',-7:' . • P.O. Bo:: 350 D� Eagle, Colorado 81631 No. PEP -MIT APPLICATION FEE: 8150.oO 328-7311 PERCOL:\TION1 TFST FEE: 550.00 NAME OF OWNER: -ACiAPO vv\OZS Ri1 ADDRESS: P-C) ° i�o X t+q 6 i A L-i Q0 PHO'.E: Cf Z 7- -5ZO % NA.'1E OF APPLICANT (if different From owner): ADDRESS: DESIGN ENGINEER OF SYSTDI (if applicable): ADDRESS: PHONE: P HO: E : INSIALLATION OF SYSTEM: Lk#,I vVI all(S 30 ©Cow Licensed Installer (see attached list): ADDRESS: P. n o R.v Lill( - D-A.-r.,.-. 1 A�YES O_ - N `o, PHONE: l- PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SE?JAGE DISPOSAL SYSTEM: Street/Rural Address: Lot Size: Legal Description: eiDi S}4C+12�S SUi?, - 1y ► �-( fs�- A06- BUILDING OR SERVICE TYPE (check aoolicable catezorv): (jC) R esiaentzal - Single Family ( ) Residential Quadolev ( ) Residential - Duplex ( ) Co=ercial (State usage) ( ) Residential - Tr=?lex NUMBER OF PERSONS: 2 N[.,HRER OF BEDROOMS: WASTE TYPES (check aoolicable cate;ories): ( ) Co«:mercial or Institutional (ate) Duelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) ( ) Automatic Washer ( ) Spaastier Spa T Tub ( ) Other l :TYPE OF INDIVIDUAL =-7AGE DISPOSAL SYSTE_•1 PROPOSED: (X) 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 DISCiAZGED DIRECTLY INNTO WATERS OF THE STATE: YES ( ) NO (X ) IS SYSTEM DESIGNED FOR LESS 71AN 2.000 GALLONS PER DAY: YES (X NO ( ) WASTE%TATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (I S Yes, see a tLached S.ec•zu tedUc tton me, Lcds ) NOTE: The Env.c to;anenta.e Heae-tA OSS.LeeA matt «educe the-teau"Lted abso,LLp(_0n atea upon appnoVQe US an adeGuaL� CtiaSLCC'C.te%L SLOCV t2dLiCtCOii ,'?ea;?. SOURCE AND TYPE OF WATER SUPPLY: ( X) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: _ Sc�t3 - �Iv , If supplied by commtmity water, give name of supplier: �����1 ►aa c'c \c7uV1 C n i12 u- �� SIGNATURE- DATE- - -- - --- - - - - - INFORMATION BB ICU TO BE FILLED OUT BY ENVIRON!•(ENTAL HEALTH OFFICER: GROUND CONDITIONS: Peneent G.tou;zd Slope Depth ,to Bedtoeh ( pen 8' Pno Stiee Hole) Depth .to Gnoundzcate,t Tab& .SOIL PERCOLATION TEST RESULTS:. ,Mk;zu,tcs pe,t ,cncit in Hoi-e i�1 Atnutes pen inch to Hone #2 i:u;tCi i &s peA. iiich to HoZe 43 FINAL DISPOSAL BY: ( ) Abso•tptc o;l Tne;zeh, Bed on Pit ( ) Evapo.ttanspiAatc:on ( ) Above Gncuizd DZspM5a,e ( ) Sand F,tf-tct ( ) Unde;tg,t0und Dis pens Sze ( ) Was -cwc tc t Pond ( ) O t h C t CA& A;nOLL;Lt PaLd: �OD RCCCC�?t NCUnbe•t 1119lly/ Date: y ---------------------��sa9------------------ 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: c �„ �'Z �J 7f- LEGAL DESCRIPTION: ��,�//r RURAL ADDRESS: TYPE OF DWELLING: C- A / j/r NUMBER OF BEDROOMS: S DATE OF PERCOLATION TEST: TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO ��_R WATERNE PERCOLATION RATE: Z, RECOMMENDED MINIMUM SEPTIC TANK SIZE:�� RECOMMENDED MINIMUM LEACH FIELD SIZE:�� RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Envi n ent ea icer Date 01 COMMENTS: / Rev. 5/31/84 s j L G n > G C) �z a v- m O o O coa� JOB NAME orl-ls Lo4 ^cuedr 5;0re 3 �1����c � � ( ., r JOB NO. PERMIT #756 OWNER: John and Ann Morris LOCATION: Lot 6, Ruedi Shores, Filing #1 INSTALLER: Owner SIZE OF TANK: 759 gallon DWELLING: Res. Single Fam. 1 bdrm PERC RATE: 1 inch in 10 minutes ABSORPTION AREA: 400 Sq. ft. FINALIZED: 9/4/87 BY: Sid Fox DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL j I NSI SAI M ISC 0"604322043 ,LAR010®2 j6tw m oAF,t s 1I 4- 9 7 —604322043 POLAROIDO2 jotm koxx.4 s 9- 4-.v i o16O4322043 POLAROIQc2 Joys w(PAR-is q-4-g? 01604322043 1-1LAR010®2 - b U 4 j C L u 4 j r U L AMU I U— G u16O432204;' POLARO1002 jow Koxie-45 1-441 q-4-g?