HomeMy WebLinkAbout2580 Hwy 82 - 000000000000 - 0777IS�T e - C�
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0777
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
Address:
System Location:
Linda Nelson
2580 Hwy 82 - Carbondale, CO 81623
Same
Telephone: 927-3400
Licensed Installer: Ed Dreager (D-Plus Enterprises) License Number: 004-87-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: i2•�
9 X 9 X 9 DRY WELL
Percolation rate: Inch in Minutes +++++++++++++++++++++ �L=
i -C
Absorption area per bedroom Sq. Ft.
Number of Bedrooms X Sq. Ft. minimum requirement per bedroom -
equals Total Sq. Ft. minimum requirement
Special Requirements:
Date: 1%XXXX11& 04/ 16/87 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: SQ. FT. 9 X 9 X 9 DRY WELL
INSTALLED SEPTIC TANK: 1000 GALLONS; DEGREES; FEET
DESIGN ENGINEER OF SYSTEM: D-Plus Ent.
INSTALLER OF SYSTEM: Same PHONE:
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES l� O
PROPER MATERIALS AND ASSEMBLY: YES v NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YES_1N
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES _I� NO
COMMENTS: T_(i Aol tnr-�o-e jt_m � b `�f j C"r—
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.)
DATE (Final Approval) 04/10/8tNVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: Linda Nelson Name of Owner: Same
Amount Paid: $150.00 Receipt Number: 3016 Date: 4 16 87 Cashier: Gai 1 Parker
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APar ICa-' FOR
ENVIRONMENTAL i:EALTii OFFICE - EAGLE COUN.7'
Eagle, Colorado 81631 No. 5/O10
\ PER`SIT AP?LICATION FEE: S150. (�O 328-7317
PFp(OL 1TI0N rr. ST 50. 00
NAME OF O NER:
ADDRESS:
NAME OF APPLICA\;T (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTDI (if applicable):
:E:� �Q
PHONE:
ADDRESS:
PHONE:
INSTALLATION
OF
SYSTEM:
�cj�'L�'�j�
_ Licensed Installer (see
attached
list): YES
NO
ADDRESS:
Ap&)
�j S Zi�k
PHONE:
PERMIT APPLICATION IS FOR:
( ) New
Installation ( )
Alteration Repair
LOCATION OF PROPOSED INDIVIDUAL SE? :AGE
DISPOSAL SYSTE I:
Street/Rural Address:
U
O L eb, ?/16 J
Lot Size:
Legal Description:
BUILDR.G OR SERVICE TYPE (check aoolicable cate^o rv)•
(
Residential - Single Family
( )
Residential - Quadolex
( )
(
Residential - Duplex
Residential
( )
Co.,- ercial (state usage)
)
- Tr_oleY
NUMBER
OF PERSONS:
DIT IBER OF BEDROOMS:
WASTE TYPES (check applicable categories):
( )
Commercial or Institutional
( )
'
IhaellznC,
( )
Non -Domestic Wastes
( )
Transient Use
( )
Garbage Disposal
( )
(
Automatic Washer
( )
Spaastier
Pa T
Tub
( )
Other
TYPE OF
I?]DIVIDUAL S-M.AGE SAL 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 DIRECTL`i INTO ?.'ATERS OF THE
STATE:
YES ( ) NO (�j
IS SYSTEM DESIGNED FOR LESS —MAN 2,000 GALLONS PER DAY:
YES (X) NO
WASTE ,7ATER FLO:d REDUCTION PLAN: YES ( ) NO ( )
(I6 Yes, see attached ccas.tctcate-. Stow ,tedcc,.ti0jT me.thcds )
NOTE: The Fnv.c tojunejttaL" Heal_-th 06 �.i.ect mail reduce the-1Lequ&:Zd ab.so,Lpti on a,tea upon
approvae o' an adequate ccas.-ea.te 5Zccc reductc oa pZa;z.
SOURCE AND TYPE OF 1-7ATER SUPPLY: ( ) well () Spring ( ) Creek/Stream
Give depth of t7i%
11 wells within 200 feet of system -
If suppliecomnuniw��, give name of supplier:
SIGNATURE:
INFORMATId
DATE: ?.—
/- - - - -le - - - - - - - - - - - - - - - - - - - - - - - - -
W TO BE F1LLF OUT BY ENVIRON.'(ENTAL HEALTH OFFICER:
GROUND CONDITIONS: Peteejvt G.touad Slope
r Depth ,to Bed`co ch (pet 8' Pto 0'Z&.e Hot e )
Depth to Gtoujzdxatet Tabte
SOIL PERCOLATION TEST RESULTS: A cicu t�s pe.Y -cnejc -ji Ho'.e �,1
Ali nu tcs pets inch to Ho.ee # 2
i•i (jtu to s pe%� -i.iicG'C .t u HoZe 43
FINAL DISPOSAL BY:
( J Abso•7p-tZoA Trench, Bed of Pit ( ) Evapo.t'cansPiAatc:on
( J Above Gtcund D.i,spena.e ( ) Saad FiUct
( J Undetg.7owid D.Lspnsae ( J Was.tctcatzt Pond
Ajnau;Lt Pwi,d: ,z,C? -- Recci;?t Nwnbe'c `�/fp DcLter --��
- - - - - - - - - - - - - - - - - - - - - - - - - -4,o - - - - - - - - - - - - - - - - -
NOTE: Site Plan must be attached to'application.
(Env. Health Department - Rev. 4-07-33)
EAGLE COUNTY BUILDING DIVISION INSPECTION REQUEST
P.0.Box 179
Phone:328-7311 Q BUILDING PERMIT NO.
DATE: 44 _ fO !> 7 NAME: I _ I l�_� ,n V �� SIJl�✓
TIME ❑ AM CALLER:
RECEIVED: ❑ Ply
BUILDING
❑ FOOTING
❑ FOUNDATION
❑ FRAMING
❑ FINAL
❑ INSULATION
❑ SHEETROCK
❑ VENEER
❑ ROOF
PLUMBING
❑ GROUND IRON
❑ ROUGH
❑ FINAL
❑ ......................
MECHANICAL II ELECTRICAL
/ 5 ❑ PARTIAL ❑ PARTIAL ElS ID c�,3fiAlir-P-
PARTIAL �Q p`z % p�
❑ OTHEA:.. LOCATION:
��. C❑PRAL cv-
`-
+ -Feal-
Ready for Inspection: ❑ MONDAY ❑ TUESDAY ❑ WEDNESDAY ANa 4,9- f e- �� c T ufL t z Q � rt•;.
COMMENTS: Ier ? N ; jt-, r-i " !
IJ
APPROVED ❑ DISAPPROVED ❑ REINSPECT
❑ Upon the Following Corrections:
1
�
I
t
1
DATE: TIME:
INSPECTOF
PEP
FOP i'�OI :'IS .:1 c7:iAGE D-SPOS�i''L
i
A permit fee of S150.00 shall be char,ed for alteration, enlar•gel"ent or ar.y reoair•(
involving al teration of an existin^, se°;race dis,,osaI syste-1. This `ee., is au- oriz2,41
by Eagle County Individual Se';"ane Disposal System Re,ulations adopted and ef=`ctive
March 27, 1900.
For minor repairs of less than $100.00 for maintenance of the individual se', -race
dis,:os--1 system, no fee shall be required.
A percolation test fee of $50.00 shall be charged for all new leach fields on repair
permits. Percolation testing may be waived at the discretion of the Environ.rental
Health Officer on certain repair cases where prompt action must be taken to prevent'
a hea, +,, ti�"tea
IF PRESENT SYSTEiM IS PRE-EXISTING, y0I1-CONFORMING, A N'E1;1 SYSTEM SHALL BE I:1STr.LLED,
COIIPLYI"1G tlITH AL CURRE,`1T :cGUL.",TIOI S. IF A �lE l S°t'S1"ciI iS REuliiPED, ALL FEES ARE
APPLICABLE.
DESCRIPTION OF PROBLEIM/
TYPE AND SI I OF SYS T EN PRESE?1TLY Ill USE:
DATA PRESENT SYSTEM :dAS IPIS 7 A LLED: %
PERMIT NUMBER FOR ORIGINAL SYSTEI.1, IF A PEPMIT WAS -ISSUED BY THIS DEPAR— - ^=
SITE PLAN BELOW SHO1,4ING PRESEiNT SYSTEM COMPONENTS:
HrrL11 AH I : /�69t��
ryRram
DATE: z'r 7
0777 Nelson
Carbondale
,JOB NA
2580 HWy 82
joa rya, �22.,2
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
L7,17
TOTAL MATERIAL
PERMIT #777 ] 1`
.TT �F 1 I 7 _
OWNER: Linda Nelson
LOCATION: 2580 H
WS'' 82 Carbondale
INSTALLER Ed Dreager SIZE OF TANK: 1999 (D-Plus Enter
DWELLING: gal. Prise)
PERC Res' Single Fam.
RATE: Dry Well
ABSORPTION: Dry Well
FINALIZED: 4.10-S7
BY: Sid Fox
Nelson
DER Lin • da 82 , CazbOndale 9 CO
OCATION' 25g0 �Iwy
es
D_P1us EnterPris
INSTALLETK: 1000 gl.
SIZE OE
DVV
LING ell
PERCTION AREA 9x9x9 Dry W Y . Sid Fox
DSO B
04/10/87
FINALIZED
d
J