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HomeMy WebLinkAbout15433 Hwy 6 - 210906200032SEE K91/ 625E � i INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT REPAIR PERMIT Eagle County Department of Environmental Health PERMIT N2 0796 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: J • Rex Fleming Telephone: 328-7195 Address: 15435 Hwy 6, Eagle System Location: 15435 Hwy 6 Licensed Installer: Ted Reynolds 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 0A,r 0 Absorption area per bedroom Sq. Ft. ®n Number of Bedrooms X Sq. Ft. minimum requirement per bedroom - equals Total Sq. Ft. minimum requirement Special Requirements: Date: 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. P 2, INSTALLED SEPTIC TANK GALLONS;. DEGREES; f% f EE'I n DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YESy NO PROPER MATERIALS AND ASSEMBLY: YES NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES—„G�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.) ­61 .` � -;;? DATE (Final Approval) —ENVIRONMENTAL HEALTH OFFICER:. DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Ted Reynolds Name of Owner: J . Rex Fleming Amount Paid: 150.00 Receipt Number: 3445 Date: 8/4/87 Cashier: E. Huenink Check #21.36 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPT ICA77 FOR " AL :iF.'�.\(;.. DTc, �:�I. :S P77"T7 E:,VIRO;NENTAL E:E:;LTH OFF .CE — EAGLE COU:::�' P.O. Bu:: 330 Eagie, Colorado 81631 PERMIT AP':.ICATTON FEE: 8150.00 328-7311 PERCOL;TIO:: TrST - $19" Do - NAME OF OV:,ER'�§ ADDRESS: NAME OF APPLICANT (I'VE diffz ent From owner): ADDRESS: DESIGN ENGI::EER OF SYST6i/(,if applicable) ADDRESS: WWAIMM Pi;tnwi' '-' V�I 16i L ;::;.; INKALLATION OF SYSTEM: Licensed Installer (see attached list): ADDRESS: PIIO::E: 7;2-�— ;? �� PHONE: , 2tf��,.� PHO':E : Za YES Z____. NO PER`IIT APPLICATION IS FOR: ( ) New Installation LOCATION OF PROPOSED INDIVIDUAL SE'•'?,GE DISPOSAL S1 S=--.[: Street/Rural Address: Lot Size:L Legal Description: BUILDING OR SERVICE TYPE (check apolicable cate2orv_)• (Pj) Residential - Single Family ( ) Residential - Duplex ( ) Residential - Tr_olec NUMBER OF PERSONS: WASTE TYPES (check applicable cate^ories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal ( ) Automatic Washer ( ) Other PHO:;E: ( ) alteration (^ Repair ( ) Residential - Quadolev ( ) Co.--::ercial (state usage) NUIBER OF BEDR00';S : (� Dwelling ( ) Transient Use ( ) Dishwasher ( ) Spa Tub -TYPE OF INDIVIDUAL SET -.AGE DISPOSAL SYST"r_•I PROPOSED: (,Septic Tank ( ) Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recyc_iPotable, Potable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO !-'AT='RS OF THE STATE: YES ( ) 1;0 (� IS SYSTEM DESIGNED FOR LESS T _-)LN 2,000 GALLONS PER DAY: YES ( ) NO WASTE:,TaTER FLOW REDUCTION PLAN: YES ( ) NO ( ) (16 Yes, see attached tcas.t e,c Ltet 5Zcw .'teductc:on medLods ) NOTE: The EnvZtoiuneiLtae Heae-t-A 03'3'.i.cc"L may Leduce ;i�ze teou-i..cd ab.so.Lpti.on c tea upon app,tovae U' an adeGUat� Ltias.tZ;�'ai2 SCCUJ ,`L2dUCtCOii pta;t. SOURCE AND TYPE OF WATER SUPPLY: (� Well ( ) Spring ( ) Creek/Stream Give depth of all well within 200 feet of system: If supplied,'"OMMu water, give name of supplier: / /( ) /, f SIGNATURE: INFORMATION BE -- DATE. V-------------------- �--- - - - - -- TO BE FILLED OUT B-NVIRON,'IEMFAL HEALTH OFFICER: GROUND CONDITIONS: Pencent Gnouizd Scope 3 Depth to Bedtock (pen 8' PAo3'tiee Note) Depth to Gnouizc ca tet Tabte SOIL PERCOLATION TEST RESULTS: 2-0 iM-t;L ,tcs pe,'c -bLcjt wit HoEe i�I 0-0 Minutes pen inch to Hate #2 i ` ML_6[U.i e s pe't •i Lck to froze 43 FINAL DISPOSAL RV: ( Abso.tp,tio;l Tne,tch, Bed on P,c t ( ) Above Gttcuad D.i spv sa.e ( ) Uitd,Lgnouitd DistJe-tisae S�jz ( ) Evapo-ttans piAa Lion ( ) Saizd F,i?_te'c ( ) Was.t exa_tct Pond Amouitt Paid: �5a °�= Reccc;�t Ntunbc.`c - - - - - - - - - - - - - - - - - - - - - - � �/34�- - - - - - - - - - - - - - - - - - - - NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-33) I EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328-7311 LOAN INSPECTION REQUEST FORD September 1, 1989 Highline Mortgage 3801 East Florida _ Suite 107 Denver, CO 80210 RE: Water supply and sewage disposal inspection for property located at: 15435 Highway 6, Eagle, CO Tract 46A & 51; Section 6; Township 5 South Range 84 West Dear Sir: All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, A (7), adopted by the Eagle County Commissioners on October 8, 1985. On September 1, 1989, this department conducted a site inspection of the above referenced property. The inspection was requested by Highline Mortgage for the purpose of evaluating the existing condition of the on -site wastewater disposal and water supply systems. A review of the County records indicates that: The sewage disposal system was permitted under Permit Number 796, inspected and approved in accordance with County Individual Sewage Disposal Regulations. A visual inspection of the ground surface indicated that the sewage disposal system was apparently functioning satisfactorily at the time of inspection. The water supply to this.residence is from: A private well. An inspection of this source revealed that it was properly constructed and located. The water was sampled and 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 i forwarded to a State Certified Laboratory for bacteriological analysis. A report of this test is enclosed or will be sent to you when the results are available. If you have any further questions concerning this inspection, please call or write. Respectfully Submitted, ,r- <2 t-, �)' Y- Sid Fox Environmental Health Officer Department of Community Development xc: Files SF/tt LOAN INSPECTION LETTER DATE: NAME: ADDRESS: CITY, STATE, ZIP RE: Water supply and sewage disposal inspection for property located at: Dear 5;0- All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, A (7), adopted by the Eagle County Commissioners on October 8, 1985. On (Glate) 9-/-2?7 , this department conducted a site inspection of the Bove referenced property. The inspection was requested by il-1150/N1 AKIJAK- . for the purpose of evaluating the existing condition of the on -site wastewater disposal and water supply systems. A review of the County records indicates that: The sewage disposal system was permitted under Permit Number /7 6 , inspected and approved in accordance with County Individual Sewage Disposal Regulations. A visual inspection of the ground surface indicated that the sewage disposal system was apparently functioning satisfactorily at the time of inspection. There is no recor�d or permit for, ._the._. sewage di-sposal..s_ystem at this location. A visu'1.-inspbdtlon f the ground rface indica ed-that the ',..sewage_...-d-i-s'oosa system was a arently funct' oning satis�torily at t-e'time of insp tion. This i a pre-existi g, non -conforming sewage disposal syste and upon fa ure, or need f repair, the system ust be improve to comply with current Cou`y standards. LOAN INSPECTION REQUEST FORM LOCATION: f j 7��� 117 /�ff'Gr/�� Cp L-;;qG /c PARCEL NO: %gin-s�5'i o 4 r PROPERTY OWNER: t j ��jC/c=�t fi r✓ C�' �i�i »G� REQUESTOR: �JC�/`�� t�✓C' /L�BiCT� r4 fg r f io-7 DATE RECEIVED: -5o vTf% COPIES TO: x e"6,? / *********************** ISDS PERMIT NO: NO ISDS RECORD FOUND: INSPECTION INFORMATION: OF o' n✓ir 0- VISUAL INSPECTION OF PREMISES: DATE • 9 - /—" NOT FEASIBLE DUE TO WEATHER CONDITIONS: APPARENTLY FUNCTIONING SATISFACTORILY:% NOT FUNCTIONING OR NOT EXPECTED TO FUNCTION SATISFACTORILY AS EVIDENCED BY: EAGLE COUNTY ENVIRON',MENTAL HEALTH OFFICE flame) Date Routed Please review the attache( K it with this completed fog PLANNING: Complies with Subdivision Regulat- Zoning Regulat- Recommend Apprc COINIMEf1TS : ' BUILDIfaG: Complies with - YES I NO Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: App J i cati on--Tdo Permit Application and return e_ 'II Et•!ED BY DATE r REVIE14ED BY DATE YES NO REVIE"IED BY DATE ENVIRON 71PITAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YE$ NO REVIEWED BY DATE %' LOAN INSPECTION REQUEST FORM September 1, 1989 Highline Mortgage 3801 East Florida Suite 107 Denver, CO 80210 RE: Water supply and sewage disposal inspection for property located at: 15435 Highway 6, Eagle, CO Tract 46A & 51; Section 6; Township 5 South Range 84 West Dear Sir: All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, A (7), adopted by the Eagle County Commissioners on October 8, 1985. On September 1, 1989, this department conducted a site inspection of the above referenced property. The inspection was requested by Highline Mortgage for the purpose of evaluating the existing condition of the on -site wastewater disposal and water supply systems. A review of the County records indicates that: The sewage disposal system was permitted under Permit Number 796, inspected and approved in accordance with County Individual Sewage Disposal Regulations. 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Y ''; F .•" _ -��i � _ n -=i� -` '� � < b � �' � �s - �W� �" �$ ;�� / / _ - ._eas:°=�ia�ia� 'taW � 'o "' o .E Y =JJ�i i m` � •'+' - �: E° ° I= z8 = N < 'ei t O • e. - � �/ 3 or 11.f0 H co 0 �-i 1"'l � - - _ < .Y •mil � . � , - - cd Cora G n r-� o •� O -�� ■ "thin a:+'f'� / \ /'3 \ �`J�7 .-/ �,y -.00.ZS.IO S .. F-4� L.J U O O (d I mo '\>/ . 0 m Nit W W p••-1 _J I a' F a s e d 6 •,�, 1�-^-� gig: jb 61 W I � M - �• ss� � tS t ; �S ;r % � co W 3 (/1 cd a / o �2" ►—� _P COj ° co s UUp aa ysi W �YO / 55 `o5q. a o a o T. f 0796 Flemming 15435 Hwy 6 LZTM i JOB NAME _ 1q A f)cirCe 1 # � /0 1'-0 &2 -v ©—U 3--2- 7-- 0 3 JOB NO q J0 t'h OR LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED J t Ns s 3S VLZT JOB COST SUMMARY TOTAL SELLING PRICE ;RMIT #796 4NER: J. Rex Fleming % OCATION: 15435 Hwy 6 91e NSTALLER: Ted Reynolds IZE OF TANK: EXISTING )WELLING: res. single fam. 3 bdrm. 'ERC RATE: N/A ABSORPTION AREA: By: FINALIZED- 8/6/87 Erik Edeen TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT )L.DER Printed in U.S.A.