HomeMy WebLinkAbout49 Grange Ln - 239115101005 - 0800ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0800
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: Kim L. and Merri S. Schoon
Address: P. 0. Box 1348, Basalt, CO 81621
System Location:_ 0049 Grange Lane - Lot 5, Homestead Acres
Telephone:
927-4639
Licensed Installer: _Grant Rrothers Construction License Number:. 019-87-T
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: One Inch in 30-40 Minutes
Absorption area per bedroom Sq. Ft.
Number of Bedrooms X Sq. Ft. minimum requirement per bedroom -
equals Total Sq. Ft. minimum requirement
Special Requirements: Leach field to be installed in the gravel lager - below the clay,
approximately 6 feet deep
Date:' I 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 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
INSTALLED SEPTIC TANK: ,� t-'C=L--` GALLONS;.
_ SQ. FT. goo, /'9 S'3 2
DEGREES;,�� FEET jj0fZ.Uje0_'S6 CD
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEMIC r,jZE}N PHONE:
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES
PROPER MATERIALS AND ASSEMBLY: YES -
COMPLIANCE WITH PERMIT REQUIREMENTS: YES NQ
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO
COMMENTS: . N�f4llSe
(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: -�`a �%-
iJ
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: Kim L. Schoon Name of Owner: Kim & Merri Schoon
Amount Paid: 200 On Receipt Number: 3414 Date: 7 24 87 Cashier:
Check #3529
E. Huenink
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
J�9,00C9 -
JT Tl:ii"",' p .r..
FOR •r.AL :SF.- :AG.. OTS-,..S: L :S- ?7T'-'T
ENVIRO." LENTAL I-EALT11 OFF T.CE - EAGLE CCU';-"
P.O. 20'.: �30
Eagle-, Colorado 81631 No. 342 /
PER TT `.P?i.ICATTON FEE: 151-on 328-7311 PF.RCOLi7I0N TEST F=- �50.00
NAME OF M.,NER: _k� L V 6 S SChQON
ADDRESS: 13�� . SR�T loa/ P110,: E :
NAME OF APPLICANT (if different from owner):
ADDRESS: PHONE: -1
DESIGN ENGINEER OF SYSTE.`I (if applicable) : _gkl i ARDS. &25T.P�/G770/�/V
ADDRESS: _]Sjo.? PHM"E:
Pt,rC ;LV c:i:,. V�.J1LuL I�;,: INSiAiIATION OF SYSTEU/ J=1: ��/kos 6/)s1w c4io1V
. Licensed Installer (see attached list): YES _ NO -
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: (*/) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SE?•'AGE DISPOSAL SYSTE4:
Street/Rural Address: 1204? _ QJ9AJ19£J-RAC4J
Lot Size:
Legal Description:
BUILDING OR SERVICE TYPE (check applicable cate^_orv):
( ) Residential - Single Family
( ) Residential - Duplex
( ) Residential - Tr_-
C NUMBER OF PERSONS:
WASTE TYPES (check applicable categories):
( ) Co«mercial or Institutional
( ) Non -Domestic Wastes
( ) Garbage Disposal
( ✓5 Automatic Washer
( ) Other
'ryPE OF P-I'DIVIDIIAL =AGE DISPOSAL SYSTE'-I PROPOSED:
(VO
Septic Tank
(
) Composting Toilet
(
)
Vault Privy
(
) Greywater
(
)
Pit Privy
(
) Aeration Plant
(
)
Other
( ) Residential - Quadolev
( ) Co=.ercial (state usage)
NrHBER OF BEDROOMS:
( ✓) Dwelling
( ) Transient Use
( ✓) Dishwasher
( ) Spa Tub
3
( ) Incineration Toilet
( ) Chemical Toilet
( ) Recycling, Potable Use
( ) Recycling, Other Use /
WILL EFFLUENT BE DISCA1RGED DIRECTLY INTO ??ATERS OF THE
STATE: YES ( NO ( )
IS SYSTEH DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY:
YES ( ) NO
WASTE?•'ATER FLOW REDUCTION PLAN:
YES ( ) N,0 ( )
(I S Yes, See attached tcas.t exa,'Let S.Ec•ro .tedLtCti•on me;'cods )
NOTE: The EnvZ'Lo;unelLtaL" Heafut O' a.i c-_IL mat .teduce
.the-'LeOui.t2d ab.s a,LptZon a, -Lea upon
apptovaZ oS an adequate teas t e:5,F-oty .Leduct�on ;.i.Za;7.
SOURCE AND TYPE OF IdATER SUPPLY: (V/) Well (
) Spring( ) Creek/Stream
Give depth of all wells within 200 feet of system:
, -nph(,
If supplied by community water, biv mane of supplier:
SIGNATURE:
DATE: 7 oI6L2
INFORMATION BELOW TO BE FILLED OUT BY ENVIRON.'V TAL HEALTH OFFICER:
GROUND CONDITIONS: Percent G.tou;td S.2ope 41 51a
Depth to Becttoeh (pen 8' P,toS'Zee Hole)
Depth to Gnounct�cca '-uL Tab& /
SOIL PERCOLATION TEST RESULTS: M.ut(,Itc,s
pelt .Cnca .cn Hoe.e �11
S) �J�_ kT IS• vn PT: hL<.nwtcs
Pere inch .to Hote #2
ML-6LU,ti',s
rye't hick do Hate #3
FINAL DISPOSAL BY: -
( JQ Ah o.tp-ti o;l Trench, Bed o.t Pit ( )
Evapo,ttans PZka t on
( ) Above Gnou;td DZspenaL' ( )
Sa;td FiLtGt
( ) Undetg.totutd Dispe-tsae ( )
Was tetra.tct Pend
( ) vthCft
Amuu;Lt Pa'd: O0 °`� Recei;�t Ncunbe.t S1,1171Dctt2:
--------------- - - - - -- �`�-- �3�5029----------------
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-33)
J
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTINENT
Eagle County
FEE: $50.00 ISDS APPLICATION NO. a /
OWNER: _ L`) I i'►°l /" reej <�Lh..,tJ
LEGAL DESCRIPTION: /-4T
RURAL ADDRESS:
TYPE OF DWELLING:
Wd
NUMBER OF BEDROOMS:
DATE OF PERCOLATION TEST: 8 - 6 -e -7 TYPE OF SOIL:
TEST HOLES PRE-SOAKED:
TIME
3
YES
14ATER DEPTH
EST
PERCOLATION RATE: ? U- y o
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE:
NO
10," 7vP.-, - ;1- s% N-
600z CI AI ej 5ui f
sj 14 IOU,,,,
Qave o_4 G .
INCHES OF FALL
RATE
PA` m o_411 � — � 2
I oon (S X kl f) AJ C���, SoT� s
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Z
_ �"-� 2 a Uels.
SITE HAS BEEN REVIEI4ED AND TESTED FOR PERCOLATION RATE.
Enviq�ental Hea th Officer Date
1
COMMENTS: . _ _`3�' Y %j� t��t�d,
Rev. 5/31/84
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JOB NAME t
0800 Schoon Lot 5 Homestead
Acres 0049 Grange Lane
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JOB NO.
JOB LOCATION
L 0T
BILL TO
Csr� Eric �. &4e-r-lvle,
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
"
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
OF SELLING PRICE
NET PROFIT
., GROTON, MA 07471
JOB FOLDER Printed in USA
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REVISIONS