HomeMy WebLinkAbout25511 Colorado River Rd - 168513400050INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N® 0778
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:
Randy Schlegel Telephone• 524-7156
Address: P.O. Box 1037 - Eagle, CO 81631
System Location: 25511 Colorado River Road (SW-1, of NE,, of SE,, Sec. 13, T2S)
Licensed Installer: nwnar Tnctalled 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 5 Minutes
Absorption area per bedroom 200 Sq. Ft.
Number of Bedrooms_ X ?00 Sq. Ft. minimum requirement per bedroom -
equals 600 Total Sq. Ft. minimum requirement
Special Requirements:
Date: - 04/30/87 Environmental Health Officer: Erik Edeen �g
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.
10- 0
INSTALLED ABSORPTION OR DISPERSAL AREA: SQ. FT. 6M- LIKAL ice4, i2J' SB,_
INSTALLED SEPTIC TANK: - I CC�Q GALLONS; DEGREES; FEET
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEM:
PHONE:.
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES f O
PROPER MATERIALS AND ASSEMBLY: YESxT
COMPLIANCE WITH PERMIT REQUIREMENTS: YES
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO
COMMENTS: T�� e—lbv W 06 16-- 60-LO m Or-- _tho O vT /10-�` T % 5
A� CA ()0
UP —
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.) _n
DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER: - C -
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: Randy Schlegel Name of Owner: Same
Amount Paid: 1200.00 Receipt Number:__2992 Date: 4/10/87 Cashier: Earlene Huenink
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APPr T_CAT"-" 7O"AL :;r.a:\(;, DIc^^�,- lL T
PER`•1IT-`.P?i.IC:.TION FEE
NAME OF OWNER:
ENVIRON"ENTAL i:EALTii OFFICE - EAGLE COO',:
P.O. 30N A50
Eagle, Colorado 81631 No. 51C-)
8150.00 328-7311 PFRCOL%TI0N TEST 1 r 7: S50.00
NA.`IE OF APPLICXNT (if different fromoirner):
ADDRESS: G/ - L �( ` /& -e / ^116 IZ-�U PHONE:
_ D IP' ENGINEER OF SYSTDI y(if applicable):
J �ADR S G/ CSC i�/ SE'c Z PHONE:
H E
{
Pl;azlv14 INS1,kLIATION OF SYSTEM:
Licensed Installer (see attached list):
c5-z -�/— 7/cS1
OCvh +P.-
YES NO
ADDRESS:
- PHONE:
PER`fIT APPLICATION' IS FOR: ( ) New Installation ( ) alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEf'AGE DISPOSAL SY STr-•i:
Street/Rural AHHrPcc- .,
BUI
(
Lot Size: �Q'c
Legal Description:
ING OR SERVICE TYPE (check apolicable cate^_orv_):
Residential - Single Family
Residential - Duplex ✓
Residential - Tr_oles
NUMBER OF PERSONS:
WASTE TYPES (check apolicable categories):
( ) Cor-nercial or Institutional
( ) Non -Domestic Wastes
Garbage Disposal
W) Automatic Washer
( ) Other
( ) Residential Quadoles
( ) Co.--::ercial (state usage)
NTM:[BER OF BEDROOMS: 2
(AO Dwelling
( ) Transient Use
(�) Dishwasher
( ) Spa Tub
'TYPE
OF
INDIVIDUAL =,-.AGE
DISPOSAL SYSTE'•I PRO20SED:
Septic Tank
( ) Cornposting 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 ?TAT_RS OF THE
STATE:
YES ( ) NO (�)
IS SYSTDI DESIGNED FOR LESS
71-'%N 2,000 GALLONS PER DAY:
YES ak- NO ( )
Ci
WASTEWATER FLOW REDUCTION PLA_y: YES ( ) NO (�)
(16 yes, See attached ccaz texLtet Stc•ro .LedLtCti C';1 medxds)
NOTE: The EnLZ1Lo;vne;LtaL Heae ; '1 O S S.Lec mail reduce the .'Leau,�,ted ab.s e-tpti cn area upon
apptovaE 05 an adequa Lc ccL s LZt'atZ' 6ZCt, Aeduct�o;l ;��a;t.
SOURCE AND TYPE OF [DATER SUPPLY: ( ) well
(-N Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier:
CC
:ZSIGNATURE------
y-- -
-------------
INFORMATION BELOW TO
-
E FILLED OUT BY ENVIRON!(&J`TAL
- - - - - -DATE_ -
-
HEALTH OFFICER:
GROUND CONDITIONS: Petteertit G.tourid S.('-ope
r Depth ,to Bedtoeh (pen 8' P,to Stine Hole) «,
Depth .to Gttoun&ccutc,t Tab.-e
SOIL PERCOLATION TEST RESULTS:. r/) A utu.tes pe/t -0LCJ1 Tn Ho.-e 4l
/ ® �lklinu tes pelt inch to Hote # 2
FINAL DISPOSAL By: 0 13e
�:````t"`'s lL iitCG'1 do Ho.Ce #3
(�) Abso.tptLoA TiertcA, Bed o.-L Pit ( ) Evapot,=isPitation
( J Above Gttcund DZLpe.isa.('- ( ) Sand FiUct
( ) Undetg.tound Dispnzae ( ) Was.tctc'a.tet Pond
ArnvurLt Pac d: Recec "-'t Nwnbe•t �99� Dct Le:
------- ------ --- r�
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: April 30, 1987
Randy Schlegel
P.O. Box 1037
Eagle, CO 81631
RE: Issuance of Individual Sewage Disposal System. Permit # 778
Enclosed is your ISDS Permit # 778 This yellow copy of the
permit must be posted on the installation site. You must call our
office fora final inspection before covering any portion of the
installed system. We can be reached at 328-7311, Ext. 227.
If you have any questions regarding this permit, please contact
the Eagle County Environmental Health Office.
Sincerely,
Eagle County Community Development
Environmental Health Office
9
i
11 l
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
_/ a9
Date Rou+ed
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
Name -
Location
�3
Application Vo
Please reviela the attached Individual Se:,iage Disposal System Permit Application and return
it with this completed form to the Environmental Health Office.
PLANNING: Complies with - YES '-NO -REVIE;IED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDING: Comp
Building Perm
Building
Reco
COMMENTS:
1 i es with - YES I NO REVI E.•1ED BY DATE
it Applied For:
Permit Issued: I �/
mmend Approval: v-
ENGINEER: Complies with - YES
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
ENV I RO1 1i4Et1TAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.O.S. Regs. Compliance:
Recommend Approval:
COi•,114ENTS :
NO I REVIE'HED BY
DATE
YES NO REVIE14ED BY DATE
4' 0'-
ENGINEER: Complies with - YES
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
ENV I RO1 1i4Et1TAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.O.S. Regs. Compliance:
Recommend Approval:
COi•,114ENTS :
NO I REVIE'HED BY
DATE
YES NO REVIE14ED BY DATE
4' 0'-
_ r
TY
BLM I dt.. 8 L W4 I.. BLN BLM BLM /
�1G8 j.
BLM" BL 1
IB 59-011-00-001 r �'
9 A T 40 (E X E M PT)
0-
3 '
J' ,j BLM 2 BLM BLM. .-.. .. 1. f.... ..
BLM BWy
TRACT 3E
J
�L m
�O BLM f 5
'
\`tt T 39 t
1" 3i T A
LM
IU .
a
q� TRACT `� A.
59
m 10 j=1 \ m /Y RBL
i'
59
eiM
TRACT 60 BLy),
BLM A
r = J l
,C7, 66 ,y TRACT 64
60 ��• �♦„ 1�\ i COLOR400 q TRACT ♦3
-AR. l 111 TRACT mot 4 BW �/ 1 -� J ^\ YEq
BW13 •m1( e
y ' 6 9 14 \ �M
(
d l ( o1r �d ti t O � � \ BW
Ilk-
2 3 i
IACT 67 TRACT' 65 TRACT��4mll•• QI CT 61
63 06 z.e4 m � F ---- aLm 1 014 3 CobradoQrver Rcod OD
_ GOUNT'Y ROAD NO. P- `
017
gW - BW MH
015 O
TRACT TR AC.T, -Y/CT
B W BLM
90 ez 1 B3
r SEE MAP
p 1 r
f 22 ) / 24 \
mud( l eur s;
3 , ,p ►O TRACT
6 8� .22
\ BW BW BLM -
rA
27 / 26 25.
��. (EXE MPT) ^..•• _ / ,'., r'1 -
34 35 36 e
I
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $50.00 ISDS APPLICATION NO. 5101
OWNER: -/�- �71,5 CO
LEGAL DESCRIPTION: �f� ��� /& T ��
T
RURAL ADDRESS:
TYPE OF DWELLING: �'j�/��`�NUMBER OF BEDROOMS: �-
S,4 ,
DATE EST: TYPE OF SOIL: S01rfl loin
TEST LES PRE-SOAKED:. YES NO
TIME (� WATER DEPTH �� INCHES OF FALL
1 2 3 1 2 3 1 2
RATE
vC ) , �� � z'),
PERCOLATION RATE. a.� ,z
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE: 0 5
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environmental Health Officer
COMMENTS: �- 4,7--
T�- 1.A--a
Date
T R.4ri• 39
�i •^ j J 1/ TRACT 60 \ •'�...\�f� \�� l
eLM
IF
44
AC T'` 66 TRACT 64 t'' c ;lMAP
\\ .• m \) \\ G H �...
t COLORA00 q TRACT 43
FAR �.EFEE MA\1\_TRACT BWS % A
-
!'/ ^ .�• -� .� -\ rEq 3
./ /.• 5./ p�62 14 ( 13
•W BW
m BW
,1 168 -15 3 -: 1685-14 _ �`
m BW
TACT 67 A `� TR_AC.T 65 '•. TRACT 11• 61
OD
G•O{yCL�OQi VCf Road \ (�
r� EAGLE COUNTY RO AO RO.
cp
r
BW — BW MH 4C
BW B TRACT TR ICST 0MH
36•Y RA CT / �• .� ��` Q
BW •W to - •Y - 1 4
3
S E •E--), M A P
o r• _
22 ) 1
sW � ( 1 2a \m \
3 � l eW xr
1 I
3 i\yp 'p TR
O ACT
�
6 8 22 m
yP ly (J\ 1 •W BW W B�..�
r � St ) J � � .� � �. •.`
t l \
NOS � � .•' \
27 Y6 25
35 3a , m
1
% pJ
BW �•
9
1685
T 2S..R.85W.
D'
Fv? I'�OL':IC .=' S=:i` f�S:'E'''c
i SP l %L S!S i-
A permit fee of S150.00 shall be charted for alteration, enlaryer:ent or ar.y repair
involving alteration or an existin^, se,:race dis,osal system. This :ee,,is au-noriced
by Eagle County Individual Se:rane Disposal System Requiations adopted and e='`cti:z
March 27, 19000.
For minor- repairs of less than S100.00 for maintenance of the individual se,, -race
dis,:os-al 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 Environmental
Health Officer on certain repair cases where prompt action must be taken to prevent
a hea, +;, 6 "-a
IF PRESENT SYSTEi•1 IS PRE-E\ISTING NON -CONFORMING, A NE!�l SYSTEM SHALL RE I:1S7-.LLEO,
COiNPL'! I11G llI T H ALL CURRENT REGULATIONS.. IF A NE;1 SYSTEIM IS REQUIRED, ALL FEES ARE
APPLICABLE.
DESCRIPTION OF PRO BLEMWIALFUNCTION:
Vk
.TYPE AND SILL OF.SYSTE;M PRESENTLY Ii`1 USE:
DATE PRESENT SYSTEM IJAS II1S T ALLED:
PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTNEi1T:
SITE PLAN BELO1,4 SHOTWING PRESEr1T SYSTEM COMPONENTS:
OWNER OF SYSTE-M:
ADDRESS:
APPL ICANT:
ADDRESS:
DATE:
U7 8 SChle e4 --
g �5511 Colorado
j0jB NA1V River Rd 1685-134-00-052
JOB, Na �9
JOB LOCATION
BILL TO
DATE STARTED DATE COMPLETED DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
------------ — ----- --- -- ------ TOTAL LABOR
INSURANCE
SALES TAX
PERMIT #778
MISC. COSTS
OWNER: Randy Schlegel
LOCATION: 25511 Colorado River Road
INSTALLER: Owner
SIZE OF TANK: 1000 Gal TOTAL JOB COST
DWELLING: Res. Single Fam. M.H. 2 bedroom
PERC RATE: linch in 5 minutes GROSS PROFIT
ABSORPTION: 120 lineal ft. 12 inchs Sb2
LESS OVERHEAD COSTS
FINALIZED: 7/6/87 BY: Sid Fox % OF SELLING PRICE
NET PROFIT
DER Printed in U.S.A.