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76 Elk Range Dr - 239127203004 - 0793IS
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT REPAIR Eagle County Department of Environmental Health PERMIT N2 0793 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: Larry Cowan Telephone: 963-3923 Address: 0076 Elk range Dr. Red Table Acres System Location:_ 0076 Elk Range Drive Licensed Installer: T,ael Hughes License Number: Conditional installation approval is hereby granted for the following: Minimum requirements: j nnn Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: Inch in Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms 3 X Sq. Ft. minimum requirement per bedroom - equals Total Sq. Ft. minimum requirement Special Requirements: Dry Well Date: 6-9-87 Environmental Health Officer:_ Sid fox ! 7` V -' 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. Dry Well INSTALLED SEPTIC TANK: 1000 GALLONS; 345 DEGREES; 15 FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: Lael Hughes SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR PHONE: AERATED ACCESS PORTS ABOVE GRADE: YES x NO PROPER MATERIALS AND ASSEMBLY: YES x NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES x NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS --.-YES x NO (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval)L�'ENVIRONMENTAL HEALTH OFFICER: Sid Fox DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Larry Cowan Name of Owner: Same Amount Paid: 150.00 Receipt Number: 3226 Date: 6-9-87 Cashier: P. Partin Check #2950 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner Rr_%11R ?TTC;--r.FOR F - l ENV IRO: -MENTAL i:EALTii OF -,-:CT - EAGLE COU: : P.O. moo:. S30 r Eagle, Colorado 81631 No. PERMIT APPLICATION FEE: 8150.(?o 328-7311 PFRCOT-MO`: TEST F=F: S50.nr) NAME OF OWNER: �e: { ADDRESS: ©6 749� PIIO::E: NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGISEER OF SYSTDT (if applicable): ADDRESS: Prn:,vty t:L:i v�J1Li+L IOC; INIKA11-NTION OF SYSTEM: Licensed Installer (see attached list): YES - PHONE: PHO::E NO ADDRESS: l/ PHONE: PER`SIT APPLICATION IS FOR: ( ) New Installation ( ) alteration (i_1)_,Repa1r LOCATION OF PROPOSED It'DIVIDUAL SEIJAGt DISPOSAL SYSTE:•I: Street/Rural Address: Lot Size: Legal Description: BUILDING OR SERVICE TYPE (check applicable cate^_orv): Residential - Single Family Residential - Duplex ( ) Residential - Tr_p1ex NUMBER OF PERSONS: WASTE TYPES (check applicable cate^ories): ( ) Co=ercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal ( ) Automatic [dasher ( ) Other -TYPE OF I*7DTVTDUAL SE?•:AGE DISPOSAL SYSTEc l PROPOSED: Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other ( ) Residential - Quadplex ( ) Co.--::ercial (state usage) NUMBER OF BEDROOMS Dwelling Transient Use ( ) Dishwasher ( ) Spa Tub ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO t'ATERS OF THE STATE: YES ( ) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PEP DAY: YES (�) NO WASTE:•?ATER FLOW REDUCTION PLAN: YES ( ) NO (} (16 ides, see atu2ched teas.ie,,mte;t S.QC(U Ledttct cn mev'tods ) NOTE: The Ert:Z,Lo;vne;LtaC Heae_tA O3'6icv1L mail .Leduce the •terjuc,-.ed ab.so-tptco;t atea upon app'tova, o a a;1 a.de0ua t . teas.t c' C'a t e n 3zoty .teduc.tCo;l p.Ea;t. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spra-ng ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATUREDATE - - - -- ——---------------- ------- - - - - -- INFORt{ATION (ICU TO BE PILLED OUT BY ENVIRON!0,FfAL HEALTH OFFICER: GROUND CONDITIONS: Pence;tit Gnou;zd Slope r Depth ,to Bedtoeti (pen 8' Fto'Ue Hole) Dep.dt to Gnoujzddca.te t TabZe SOIL PERCOLATION TEST RESULTS:_ m{.c;Lutes pet inc;l in Ho-.e Af i nu tcs -pen i;2ch to Haee # 2 i:i.i.;tu,tus pet iiLch to HoZe # 3 FINAL DISPOSAL BY: ( ) Abso•tpti.o;l Tneiiek, Bed on Pit ( ) Evapo.t'ul;lsPiAa.ti.on ( ) Above Gncuad D•i,spe/rsaL' ( ) Sa;zd FiUct ( ) U;zdC' t,.tott;td Dispnsae ( ) Wa.s-tcwatct Pond m0 —�-� Amou;tt Paid: /5K) --- Ricci;?t Ntu;;be.t Dttte: 0?9�0 NOTE: Site Plan must be attached to'application. (Env. Health Department - Rev. 4-07-33) EAGLE COUNTY BUILDING DIVISION INSPECTION REQUEST P. O. Box 179 Phone:328-7311 RU11_I)INf; PFRMIT K10 DATE: JOB ,�/� r / /� NAME: �lT`.F T l oC."rw TIME ❑ AM RECEIVED: ❑ PM CALLER: BUILDING COVER PLUMBING MECHANICAL ELECTRICAL ❑ FOOTING ❑ INSULATION ❑ GROUND IRON ❑ VENTILATION ❑ TEMPORARY ❑ FOUNDATION ❑ SHEETROCK ❑ ROUGH ❑ HEATING ❑ ROUGH ❑ FRAMING ❑ VENEER ❑ FINAL ❑ HOODS ❑ FINAL ❑ FINAL ❑ ROOF ❑ ...................... ❑ ........................ ❑ ...................... D PARTIAL ❑ PARTIAL ❑ PARTIAL ❑ PARTIAL ❑ PARTIAL ❑ OTHER: LOCATION: ❑PARTIAL Ready for Inspection: ❑ MONDAY ❑ TUESDAY ❑ WEDNESDAY ❑ THURSDAY ❑ FRIDAY ❑ AM ❑ PM COMMENTS: ❑ APPROVED ❑ DISAPPROVED ❑ REINSPECT ❑ Upon the Following Corrections: �^ ^ 0. C M-00 OUT to-+ A.x• S ARzU(-,-f r -ro DATE: TIME: J INSPECTOR EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 May 27, 1987 Larry Cowan 0076 Elk Range Drive Carbondale, CO 81623 RE: Repair of Individual Sewage Disposal System Dear Mr. Cowan, Our records indicate that you were sent an application for a permit (#3108) to repair the sewage disposal system located at 0076 Elk Range Drive. You were granted permission, over the telephone, to proceed with the -replace- ment of the malfunctioning septic tank because of the obvious need to act quickly. However, the permit requirements were not waived. Section 4.03.03(3) of the Eagle County Land Use Code requires, "A permit fee of $150.00 shall be charged for alteration, enlargement, or any repair involving alteration of an existing sewage disposal system". We have not received a completed application and our records show that the system was installed and inspection on May 15, 1987. Therefore, your action to replace the malfunctioning septic tank without a permit is in violation of Section 4.03.03, Permit Application Requirements. A completed application, site plan and $150.00 permit fee must be sub- mitted to the Eagle County Environmental Health Department within 14 days of receipt of this notice. If you have any questions concerning this matter, please call or write. Sincerely, Sid Fox, Assistant Environmental Health Officer SF/eh xc: Erik Edeen Kevin Lindahl Files Certified Mail P 239 760 452 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 0793 Cowan 0076 Elk Range JOB NAMI Drive 2391-272-03-004 JOB NO. PERMIT #793 LARRY COWEN 0076 Elk Range Dr. INSTALLER: Lael Hughes SIZE OF TANK: 1000 gal. DWELLING: Single Fam. - PERC RATE: Dry Well ABSORPTION AREA: Dry V Lot 13 Red Table Acres