HomeMy WebLinkAbout231 Cedar Ln - 210923403002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0808
P.O. Box 850 - 550 Broadway
Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
.'ELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE
BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM
Owner: R. Marmon & J. Kaechele Telephone: 996-3716_
Address: Box 372 Edwards, CO
System Location:
Licensed Installer: Owner 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 rater_ Inch in 6 Minutes
Absorption area per bedroom ?nQ Sq. Ft.
Number of Bedrooms_ X mg Sq. Ft. minimum requirement per bedroom -
equals 400 Total Sq. Ft. minimum requirement
Special Requirements:
Date: 9/21/87 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: U SQ. FT. `�
INSTALLED SEPTIC TANK: U GALLONS; _C1L_ DEGREES; �_ FEET
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEM: �✓'� �`' -2 `-ti/ PHONE:
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES NO
PROPER MATERIALS AND ASSEMBLY: YES O
COMPLIANCE WITH PERMIT REQUIREMENTS: YES
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO
COMMENTS:
(Any item checked NO requires correction before final approval of system is made. Arran e a re -inspection when
work is completed.)
0 � Z K7
DATE (dal Approval ENVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) &14L/Z2.'4ENVIRONMENTAL HEALTH O
RETAIN WITH RECEIPT RECORDS
Name of Applicant: R- Marmon Name of Owner:
Amount Paid: $275 gg Receipt Number: 3880 Date: 9/ 14/87 Cashier.: E. Huenick
Check ll 1237
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
AP? TCAT7"" ="OR ui• ,7..AL �iF-- AG, 7 DISn'AL
{ E:A'IRO:: MENTAL iMEALTH OFF :CE - EAGLE COC:':`'
P.O. Eo:•; 330
Eagle, Colorado. 81631 No.
PER_%!IT AP?LOCATION FEE: 8150.on 328-7311 PFRCOLITIO`t TEST F- $125.OQ
NAME OF OMJNER:
ADDRESS:
NAME OF APPLICANT (if different frota owner):
ADDRESS:it PHONE:
DESIGN ENGINEER OF SYSTEt (if applicable) : Eny �yC�w� �� �� } ��Q,1 }-•� 0
ADDRESS: _ q 1 I (_ PHO:E:
INSIALLATI&� OF SYSTEM:
` Licensed Installer (see attached list): YES -
ADDRESS: 0 Uj V1 L
PERMIT APPLICATION IS FOR: (("New Installation
LOCATION OF PROPOSED I`;DTVIDUAL SE?•?AGE DISPOSAL SYSTE4:
NO
PHONE:
( ) alteration ( ) Repair
Street/Rural Address: -Tvo_cj�- -T d
Lot Size: l exeg-r- Y
Legal Description: 54 wi t
BUILDI%R OR SERVICE TYPE (check aDolicab e cate^orv):
( ) Residential - Single Family ( ) Residential - Quadolex
( ) Residential - Duplex ( ) Co.--::ercial (state usage)
( ) Residential - Tr_mlex
NUMBER OF PERSONS: NUMBER OF BEDROOMS:
WASTE TYPES (check applicable cate^ories):
( )
Co=ercial or Institutional
(
)
Dwelling
( ✓)
Non -Domestic Wastes
(
)
Transient Use
( )
Garbage Disposal
(
)
Dishwasher
(�
Automatic Washer
(
)
Spa Tub
( )
Other
HYPE OFIDIVIDUAL SE?,AGi DISPOSAL SYSTEI PROPOSED:
(✓)
Septic Tank
(
)
Composting Toilet
(
)
Incineration Toilet
(
)
Vault Privy
(
)
Greywater
(
)
Chemical Toilet
(
)
Pit Privy
(
)
Aeration Plant
(
)
.• �'
li
Recycng, Potable Use
(
)
Other
(
)
Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTL`i INTO ?'A=RS OF THE STATE: YES
(
) NO (i/S
IS SYSTEM DESIGNED FOR LESS —MAN 2,000 GALLONS PER DAY: YES
(
)wo*qC-q NO
14ASTE:1?ATER FLOW REDUCTION PLAN': YES
(
) NO ( )
`16 Yes, See attached tecLS.ie.=Ltet Stow .%edt.LctCen me~;'LCds)
NOTE: The EnvZLo;vneata'_ Heae-tA OS�.i.cc,t may %educe dLe -teclu.i ted ab,so,LptLon
atea Upon
a.pptovae o5 an ade0ua.t tccs.,zxct2 , 3ZCtV Aeduc_tCon pe a;i.
SOURCE AND TYPE OF ?dATER SUPPLY: ( ) well ( ) Spring
( ) Creel:/Stream
Give depth of all wells within 200 feet of system:
If suppli by community water, give name of supplier:
I
SIGNATURE:
. - - - - - - - - - - -
DATE:
-
�
- - - - - - A , n� - - - - - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT BY E1VTRON..fEhrTAL HEALTH OFFICER.
- -
- - - - - - - - - -
GROUND CONDITIONS: Peneent G.tourzd Slope S ��
!
/�QQ 9� �
r Dept�i to Bedto eh (pet8' P-to 5 i 2e Hole) l
Depth .to Gnountica.te t TabZe
SOIL PERCOLATION TEST RESULTS: 115- — 1Mi;ULt--S pet .ULCR e►i
Hoxe
n 1
1 ffinu,tes pelt inch .to
Ho,ee
#2 Uo Sc
I:K.iLt tes pe%, •i.iLCG't tiv
FINAL DI SAL By• -
Hoze
#3
dry`
( Abso.tpt%o;l e,i , Bed o.t P.i t
( ) Above Gnetuid DZspnsa.e
( ) Unde tg.totuid Dispvusae
'� c
( ) Evapo.tta;Ls piAcitti.on
( ) Sand FiUct
( ) Wastizica.tct Pond '1061
Arnau;t,t Paid: '? � � Recci;�t NtunbGt �(ya DcLL2:
A
----------------------- - ------------
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-33)
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $50.00 ISDS APPLICATION NO.
OWNER: �o-���� 2 l
ram,
LEGAL DESCRIPTION:
RURAL ADDRESS:
TYPE OF DWELLING: 3j �,; p 117 , 1 NUMBER OF BEDROOMS: �
�1
DATE OF PERCOLATION TEST: S f TYPE OF SOIL:
TEST HOLES PRE-SOAKED: YES
NO
1
TIME
2..
3^
1
WATER DEPTH
2
3
II INCHES
I 1
OF FALL
RATE
2
6 �
l ..---
jr
�-.
z
PERCOLATION RATE:
RECOMMENDED
MINIMUM
SEPTIC TANK SIZE:
RECOMMENDED
MINIMUM
LEACH FIELD SIZE:
RECOMMENDED
MINIMUM
SQUARE FOOTAGE PER BEDROOM:
UU
SITE HAS BEEN REVIE!,lED AND TESTED FOR PERCOLATION RATE.���
70 N J
Environmental Health Officer Date
COMMENTS:
Rev. 5/31/84
EAGLE COUNTY
BUILDING DIVISION
P. 0. Box 179
Phone: 328-7311
3S�
INSPECTION REQUEST
1 ;„— BUILDING PERMIT No
DATE: j I J
V `
JOB '' r7
NAME:
TIME ❑ AM
RECEIVED: ❑PM
CALLER:
BUILDING
❑ FOOTING
❑ FOUNDATION
❑ FRAMING
❑ FINAL
❑ PARTIAL
COVER
❑ INSULATION
❑ DRYWALL
❑ VENEER
❑ ROOF
❑ PARTIAL
PLUMBING
❑ GROUNDIRON
❑ ROUGH
❑ FINAL
❑ PARTIAL
❑ OTHER: LOCATION:
JY Q140 PARTIAL a
Ready for Inspection: ❑ MONDAY ❑ TUESDAY ❑ WEDNESDAY
MECHANICAL
❑ VENTILATION
❑ HEATING
❑ HOODS
❑ PARTIAL
RSDAY K FTIIDAY
ELECTRICAL
❑ TEMPORARY
❑ ROUGH
❑ FINAL
❑ PARTIAL
M ❑ PM
COMMENTS:
r
-�
)ry t
APPROVED DISAPPROVED REINSPECT
❑ Upon the Following Corrections:
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DATE: TIME: _
INSPECTOR
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SEP 141987
EAGLE COUNTY
BUILDING DEPT.