HomeMy WebLinkAbout450 Ruedi Creek Rd - 247106300007INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0775
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:
Jennifer Holton Telephone- 927-3039
Address: P.O. Box 664 - Basalt, CO 81621
System Location: 9429 Frying Pan Road - Basalt
Licensed Installer: Charlie Cole License Number: 007-87-I
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: Inch in Minutes
Absorption area per bedroom 400 Sq. Ft.
Number of Bedrooms 2 X 400 Sq. Ft. minimum requirement per bedroom
equals 800 Total Sq. Ft. minimum requirement
Special Requirements:
inal inspection.
Date: 04/ 13/87 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 andcause 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.
INSTALLED SEPTIC TANK: _ GALLONS; 4 0 e DEGREES; FEET
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEM: N 7`iI P PHONE.Z/ 393q
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES t/ NO
PROPER MATERIALS AND ASSEMBLY: YESy NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO
COMMENTS: -BUJ IS143m pemmit-A 3Z to
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.)
DATE (Final Approval) `fib-8 ENVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: Jennifer Holton Name of Owner: Same
Amount Paid: $200.00 Receipt Number: 2922/2932 Date: 3/19/87 Cashier: Gail Parker
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
E:A'IaO.`IENTAL i?EALTH OFFICE - EAGLE COUNTY
P.O. 30- S50
(� E_�, e, Color'luo SL0.3
PER:•?IT AP?T,ICATT0% FEE: S150.00 V//328-7311 PF.RCOL
NAME OF OWNER: _111e f�/�%/ew )4)4
ADDRESS: 9Z/2 9 .4--,X /w
NAME OF APPLICAiT (if different from oimer):
ADDRESS:
soRo/
No.
�T.IO`: TEST F --: SSO.00
PHO'.E: 32
PHONE:
DESIGN ENGINEER OF SYSTDI (if applicable):
ADDRESS: (' Aj i3� C�,,``}� (; t CAC_ PHO"E:
INS1.*tLLATION OF SYSTEM: /�,�''�� � C/C_1446c 1-
Licensed Installer (see attached list): YES- NO /
ADDRESS: I�C>.� ��� /f .�/j��G?<D.�.�/.2'� PHONE: -7-
PER`fIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SET.- GE DISPOSAL SYSTr'•I:
S.treet/Rural Address: �!%Lt,�� - .�/. rJ,Q.Oidlsi�vll.e°�,r//ir/,d'eN',Q,�,�i�Cf-�'c�•
Lot Size • . 8'8 S ey
Legal Description: ,�f'CjGiQ �"85 - i�4� .7t Aoo.',V
BUILDI?;G
OR SERVICE TYPE (check aoolicablc cateaorv_l:
(
Residential - Sir. -le Family
( )
Residential - Quad:)lex
( )
Residential - Duplex
( )
Co=ercial (state isage)
( )
C
Residential - Tr_olex
NUMBER
OF PERSONS:
drIRER OF 3ED.OO.S . ,2
WASTE TYPES (check apolicable categories):
( )
Commercial or institutional
(✓
Dwelling'
( )
Non -Domestic Wastes
( )
Transient Use
( )
Garbage Disposal
( P/)
Dishwasher
(t.-)
Automatic Washer
(vl)
Spa Tub
( )
Other
" TYPE OF
INDIVIDUAL =...AGE DISPOS_L SY_S=-1 PR_0_?OSED:
(✓S
Septic Tani: (�) `Cor..posting^Toilet
( )
Incineration Toilet
( )
Vault Privy ( ) Greywater
( )
Chemical Toilet
( )
Pit Privy ( ) Aeration Plant
( )
Rec,c_y; l in., Potable Use
( )
Other .GEES ZF-
( )
Recycling, Other Use
WILL EFFLUENT BE DISCHAIRGED DIRECTLY INTO ?'ATERS OF THE
STATE:
YES ( ) NO (Y"'),
IS SYSTcI DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY:
YES (�/f NO ( )
WASTE?:IATER FLO?d REDUCTION PLAN: YES (t/) NO ( )
(I 5 Ye,5 , see attached tca,5.t ex,-Lte:t S.ec•cv Leduc Lion me,t'tcds )
NOTE: The EnvZLo;L?le;LtaL` Hea_'LA O'S.ice mat educe �'te .Lecui,t-d ab.50-tption a,•cea upon
appzova.Z o5 an adequa Le tcas.tzca.t e 6ict', ,reduction pea;t.
SOURCE AND TYPE OF WATER SUPPLY: (✓S Well
( ) Spring (Vf Give depth or all wells within 200 feet of system: ^/p�4 �f -�ysr CreeL/Strek/SLream
If supplied by col ity/pwater, give nar::e of supplier:
SIGNATURE:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT By ENVIRCN!0.7AL HEALTH OFFICER:
GROUND CONDITIONS: Peneent G.tound Slope /o 07c,
r Dep t,'i to Be Ito eh ( pet 8' P,to S.iee Hole)
Depth to GAoundtca,te t TabZe cd
SOIL PERCOLATION TEST RESULTS: .t;tu,tcs pe,t .c;tc;t .t,n Ho-.e 1
Ali nutcs pert .inch .to Hote # 2
peg% d.'tck "to Ho.ee #j
FINAL DISPOSAL By:
( ) Abso-tptio;l Tnench, Bed o,t Pit ( ) Evapo.tta;t5PiAatti.on
( ) Above Gncuad DZ5pe.r,5ae ( ) Sand F,ittct
( ) Unde,ty•tound Di5petsae ( ) Was.t cwa,tct Pond
Amount Paid: $tape 50 °� Receipt Nta:;bet 39,-L,2, DcLte: 3�/4%$%
--------Ge0ooI-------- -- - % �a#G auJS,7 '
-- - - ------------------
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-83)
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46,4aq- 291.52'
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16O DQ' \\ 4
�! 8p°43_, .� 93 00 % 12A(
A tract of �e9a1 p O
land in escrlption 2>.gnn0 R.35.,, .
6th Principal Meridian NW%SW% of Sec _','On �~ a 'e
Section on 6�093a 9�
8e9innin9 at , .Eagle County, Coloradownhip 8 South` s
'.Nect ion 6, then be ass cap found scribed Range 84 � \
a„ �, thence S found in Place as fandollows, West Of
y 1 41. 96 feet a then .92 Oeet E toe .25 feet along properly marked he
arY line of said NNW/,S Ce N 00.16'., once N 63°55' „the for the j3
to the W�, thence 21, W 330 22 00 E 689,23r1Y boundar Corner of said...
Point e N o feet to Y line
_ of beginning,
20+46" W 667.23 f f on�the Nor N 89
9, containi a Point 28said i
n9. 7.885 acres along said Norther y bound_
more or less, they Y bound-
r
4,54 R(
Q
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $50.00 &n99
ISDS APPLICATION NO.
-------------
OWNER: p1�n� /, �� J �i!C� OY� -7
LEGAL DESCRIPTfON:
v v
RURAL. ADDRESS:
TYPE OF DWELLING: Y49Z NUMBER OF BEDROOMS:
DATE OF PL'ITL'O'LT`C EST : GI 6 -6 -7
TEST HOLES PRE-SOAKED: YES
NO
TYPE OF SOIL:
TIME
l 2
3
'I
1
WATER DEPTH
2
3
II INCHES
1
OF FALL
2 3
RATE
1
2
PERCOLATION RATE:
RECOMMENDED MINIMUM SEPTIC TANK SIZE: l006 (f-Ar VQ)
RECOMMENDED MINIMUM LEACH FIELD SIZE: [ O0 02
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environmental HealtN Offi er
COMMENTS:
Rev. 5/31/84
Date
B
EAGLE COUNTY
FAX COVER SHEET
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPARTMENT
P.O. BOX 1799, EAGLE, CO 81631
970-328-8755 970-328-8788 FAX
FAX #:
FROM:
NO. OF PAGES INCLUDING COVER SHEET: (Q
REGARDING:
# 07 7 s- ?
If you do not received all pages please call our office (970) 328-8755
u I I� 0775----n Taxis 2471-062-0-vv
Road 0925 McLaughlin Lane HOLTON
JOB NAME Basalt. CO
dam'
BILL TO
DATE STARTED DATE COMPLETED DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
PERMIT ��775 _ _ _ . _
SALES TAX
OWNER: Jennifer Holton
MISC. COSTS
LOCATION: 9429 Frying Pan Road - Basalt
INSTALLER: Charlie Cole
SIZE OF TANK: 1000 Gal.
DWELLING: Res. Single Fam. 2 bedroom
PERC RATE: TOTAL JOB COST
ABSORPTION: 800 s.f.
GROSS PROFIT
FINALIZED: 6/16/87 BY: Sid Fox LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
_DER Printed in U.S.A.
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