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HomeMy WebLinkAbout2912 Hwy 82 - 000000000000* * *REPAIR * * * INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT * * *REPAIR Eagle County Department of Environmental Health PERMIT N® 0781 ". 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: Steve Shelton Address: P.O. Box . 1070 - Basalt. CO 8162 System Location: 2912 Hwy 82 - Basalt Telephone: 92 7- 3893 Licensed Installer: D-Plus Enterori se License Number: Conditional installation approval is hereby granted for the following: Minimum requirements: Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: Inch in Minutes REPAIR PERMIT Absorption area per bedroom Sq. Ft. Number of Bedrooms X Sq. Ft. minimum requirement per bedroom - equals Total Sq. Ft. minimum requirement Inspection of an 8-10 foot deep soil profile hole is required prior to Special Requirements: construction of the drjrwall to cprup the basement Prier to final inspection of the leach field, the applicant must submit a scaled site plan .showing the existing system and both propgsed systeras. You must maintain at least 50' bettieen the leaeh ' e dry well. The new leach field and dry we m stt Re installed at east 100' from the existing well. Date: g .1 _ _ 1 --7 Environments ea. th Of icer: r,.�, 1.4, CONDITIONS: A setback of 10' is required from property lines. 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. INSTALLED SEPTIC TANK: 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 NO PROPER MATERIALS AND ASSEMBLY: YES NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO COMMENTS: (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS Name of Applicant: Steve Shelton I Name of Owner: Same PERMIT Amount Paid: $150.00 Receipt Number: 30.1R Date: 41231,i? Cashier: Gail Parker White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner r nPAIR E:,VIRO"'IENTAL HEALTH OFF :CE - EAGLE CO3U';Ty P.O. Sox. R 5 0 r Esgie, Colorado 51631 No. 51tl)15 PERMIT APPLICAT-TON FEE • S150. 00 328-7311 PF.RCOLATIO`: TFS F =' • 550.07 NAME OF OtdNER: S� .P _e S4 -e f LLo ADDRESS: 20. l ox /o_ ?�_�s'us� E . Go /6Z/ Plio::E: 727- Sir 53 NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN E:iGINEER OF SYSTEM (if applicable): ADDRESS: PHMi E : PHO"E: INS ALL-NTION OF SYSTE:•I: ^_}-�( 1uS cA Licensed Installer (see attached list): YES- N(1 ADDRESS: 1j0'a4/ !•ia�IS c L� , J c,Sc. /E CC) PHONE: PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration M) Repair LOCATION OF PROPOSED INDIVIDUAL SET -AGE DISPOSAL SI STT -I: Street/Rural Address: 21/Z hl _ C22 Lot Size: 200' Legal Description: %a o fir NW%y c -w-// %G,,o STR^-�.-&7W 61-4/9/'7 BUILDING OR SERVICE TYPE (check applicable cate^_orv): (x) Residential - Single Family ( ) Residential - Quad? -"ex ( ) Residential - Duplex ( Residential ( ) Com::ercial (state usage) ) - Tr-p1ex NUMBER OF PERSONS: 5 P.'LMEPER OF BEDROOMS: WASTE TYPES (check apolicable Cate^_ories): ( ) Cormercial or Institutional (�) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use Garbage Disposal (p�) Dishwasher ( �) Automatic Washer ( ) Spa Tub ( ) Other TYPE OF INDIVIDUAL. =,-.AGE DISPOSAL SYSTE_•I PROPOSED: ( Septic Tank ( ) Composting Toilet ( ) Incineration Toiler ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISC:i.VRGED DIRECTLY INTO ?'ATt-'RS OF THE STATE: YES ( ) NO (_C) IS SYSTEM DESIGNED FOR LESS TH-A-N 2,000 GALLONS P 7 R DAY: YES 6() IN ( } WASTE:'ATER FLOW REDUCTION PLAN: YES ( ) NO (�() 16 Yes , See attached ccas-te.,mte, S-ecto Leduc tCon mevcods ) NOTE: The EnvZtoinnejztaZ HeaevE O'�iceL matt .seduce the •'zeaui.:2d ab.so%option a.`cea upon app,YovaZ o' an adequate t as.t zra.t e 5zcw .tedwctc on pZa;z. SOURCE AND TYPE OF WATER SUPPLY: ( A well ( ) Spring ( ) Creek/Stream Give depth of all wells within_200 feet of system: 170 � If supplied by community water, give name of supplier: SIGNATURE :5 ��� �� DATE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFOZIATION BELOW TO BE FILLED OUT BY ENVIRON•'VJIfAL HEALTH OFFICER: GROUND CONDITIONS: Peneent G,tound S-Zope r Depth ,to Bedtoch (pet 8' P7oo'zee Hote) Depth to G,,cou3zddva tet Tab& SOIL PERCOLATION TEST RESULTS:. Mi;uLtc5 pe,'c-,Lnc.i .Zn Ho,.e * 1 ntijiutcS peA -inch .to Ho.Ee 42 14-6,u,t e's pe'-, •i'Eck t v Hoze # 3 FINAL DISPOSAL BY: - ( ) Ab�so.tp,tZoA Tne►Ech, Bed o .-L Pit ( ) Evapo.tca►zsPiAati,on ( ) Above Gacujzd DZspeAsaZ ( ) Salad F,i..E'tc'c ( ) UndeLg•7ottjtd Dispe,tsaZ ( ) Was -civa.tzt Pond Amoumt Paid: ,(5� - Rececpt Ncunbe'c �q 389 Date: g ------------------------------------------------- NOTE: Site Plan must be attached to•application. (Env. Health Department - Rev. 4-07-83) c4 ?e 14 la 4 a,.r Fe H �- 01 -e-a ePe 07 -e o /0'( 4 S- s— Al" dc RIAR-1111 rCR DIS=OS,',L S'!S'� 'S A permit fee of S150.00 shall be charged for alteration, en i ar ,,ei-,ent or ary r2oai r involving al teraticn of an exlstl n^, disposal system. This zee, is 3Uz^criz-2d by Eagle County Individual Se,:rar;e Disposal System Re,ulations adoted and e=;ect;ve Marc? 27, 1900. For minor repairs of less than S100.00 for maintenance of the individual se,:iaee dis,:osdl 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 Envirn-n:r,ental Health Officer on certain repair cases where prompt action must be taken to prevent a hey, �i, ti,"v.d IF PRESENT SYSTEi•1 IS PRE-EXISTING, NON-C.ONFORNING, A NE'.-! SYSTEM SHALL PE Tl;S-;.LLED COMPLYING WITH ALL . CURRENT REGULATIVIIS _ TF .'! NE:! SYST;-i1 IS RE44'IREG, ,1LL FE=S i�RE APPLICABLE. ` DESCRIPTION OF PROBLEMOMALFUNCTION: low won-M'D M TYPE AND SI ZE OF SYST E1.1 PRESENTLY IN USE:mil, s�L1_�j EI�A 1 DATE PRESENT SYSTEM 111AS INSTALLED: C21 l G '1 L PER; IT NUIMI ER FOR ORIGINAL.. SYSTEi'i, IF A PERMIT WAS ISSUED BY THIS DEPARTiNENT: = ? SITE PLAN BELOW SHO1,4ING PRESEiNT SYSTEI.1 COMPONENTS: LPIIC4 7- C' A" U U f— ,5�����s r R,�S� � F.•t/mac I I i r OUNER OF SYSTE-M: ADDRESS: APPLICANT: ADDRESS: DATE: --/_/5_- 'P7 EAGLE COUNTY BUILDING DIVISION P. O. Box 179 Phone: 328-7311 INSPECTION REQUEST RUILDIN(; PERMIT kin DATE: JOB TIME NAME: PM- CALLER: RECEIVED: ❑ OTHER: LOCATION: ❑ PARTIAL Ready for Inspection: ❑ MONDAY ❑ TUESDAY ❑ WEDNESDAY ❑ THURSDAY ❑ FRIDAY ❑ AM ❑ PM Fj APPROVED DISAPPROVED F] REINSPECT ❑ Upon the Following Corrections: _ ors DATE:p TIME: INSPECTOR EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: April 30, 1987 Steve Shelton P.O. Box 1070 Basalt, CO 81621 RE: Issuance of Individual Sewage Disposal System Permit # 781 Enclosed is your ISDS Permit # 781 This yellow copy of the permit must be posted on the installation site. You must call our office for a 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 ommunity Development Environmental Health Office /gp P.5. ZdAd—, /7�07t� e 94t4UO-J---/, on "z�L& . � o . & 9"! 1�2 � 0--1, ( cJ-2, ~ a oCp eV", _7 - 6 -87r 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 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORA©O October 4, 1990 Dear Applicant: 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 Please be advised that this office will not be conducting percolation tests between November 15, 1990 and March 15, 1991. Additionally, all final inspections on installed systems must be completed prior to December 1. If you have any questions, please call me at 328-8730 or 927-3823 ext. 730 in the Basalt/El Jebel area. Sincerely, Roger Hosea Asst. Environmental Health Officer RH/alm REPAIR PERMIT APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS A permit fee of $150.00 shall be charged for alteration, enlargement or any repair involving alteration of an existing sewage disposal system. This fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100.00 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $125.00 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 health hazard. IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, A NEW SYSTEM SHALL BE INSTALLED COMPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEM/MALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM WAS INSTALLED: PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT: # SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: OWNER OF SYSTEM: ADDRESS: PHONE: APPLICANT: ADDRESS: PHONE: DATE: 2c/app 2/91 I EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE �.l4 Name DatV Rout d . 9�Lo �/�iW g App i ication---No atio Please rev.ie..i the attached Individual Sevtage Disposal System Permit Application and return it with this completed form to the Environmental Health Office. PLANNING: Complies with - YES '—NO -REVIEIVITD BY Subdivision Regulations: Zoning Regulations: Recommend Approval: DATE W-01.: ...... vim. �F' •30- 87 COP�ih,E,dTS : - BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: DATE YES NO REVIE14ED BY ENGINEER: Complies with - YES NO Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENV I PO fi iENTAL HEALTH: Complies with - Floodplain Permit Necessary: N t A I.S.D.S. Regs. Compliance: �'(SN�JiT►��NS Recommend Approval: I REVIEblED BY DATE YES NO REVIE14ED BY DATE a 7 Lim, ' / '/ LL..Q • r-3 r Memorandum Date: May 3, 1991 To: ISDS files 781 and 1037 From: Roger Hosea, Asst. Environmental Health Officer Re: Repair of ISDS Permit # 1037 is a repair permit for the system permitted under #781. Contents of #781 are in 1037. JOB NAME JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 1 M12 1 1� W, :> :. C V V� JOB COST SUMMARY TOTAL SELLING PRICE N �f-,O CA V TOTAL MATERIAL 0�.� b P>ulco TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product.278 n ® NEW ENGLAND BUSINESS SERVICE, INC„ GROTON. MA 01471 JOB FOLDER Printed in U.SA W v O Z z O W cc cc O Q