HomeMy WebLinkAbout332 Elk Range Dr - 239127101004 - 0814ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0814
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: Brian & Mary Robertson Telephone:927-402R
Address: P.O. Box 892 Basalt, CO
System Location: 0112 Elk Ranges Dr C'arhnnrlala
Licensed Installer: Owner License Number:
Conditional installation approval is hereby granted for the following:
Minimum requirements: 1250 Gallon Septic Tank or Aerated Treatment unit
Absorption area of dispersal area computed as follows:
Percolation rate: 2n Inch in 1 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: 400 lineal feet of 2 foot wide trench or 360 lineal a1 f eet of f oot w; d
trench if a diversion valve is installed. Equals (2) trenchs each 180 feet long
Date: 10-9-87 Environmental Health Officer: Sid Fox
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.
0
INSTALLED ABSORPTION OR DISPERSAL AREA: J D40 SQ. FT.
INSTALLED SEPTIC TANK: 1.2 ",- —' GALLONS; DEGREES; FEET
DESIGN ENGINEER OF SY
INSTALLER OF SYSTEM: -A
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE:
PROPER MATERIALS AND ASSEMBLY:
COMPLIANCE WITH PERMIT REQUIREMENTS:
COMPLIANCE WIT- COUNTY / STATE REGULATION, REQ
COMMENTS:
PHONE:
YES NO
YES 4
NO
YES�10
rS: YES tt7�7 NO
` 1 A li �0--
(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 PERMIT
Name of Applicant: Brain & Mary Robertson Name of Owner: Same
Amount Paid: $279-00 Receipt Number: 199n Date: A-2'1-R7 Cashier:_ P_ Martin
Check 11365
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
vT 1 --�• R r T -*AL Sr.%:;(;- DI S:;L S- T
AP _ CA, _ _ F(� C:--n ter.^•.�
C
l ENVIRON"ENTAL HEALTH OFF:CE - EAGLE COUNT':
P.O. pox 350
i Eagle, Colorado 81631 `:o.Iri /D/
PER`1IT APPLIC:.TIOS FEE • S150. ll0 328-733 7 PF.aCOL:;TIO`: TEST F= $ I25.r00
NAME OF MINER: B?rian Mary Robertson
ADDRESS: P. 0. Fox 892 Basalt, Colo . PHo :E: 927-4028
NAME OF APPLICANT (if different from owner): Same
ADDRESS:
DESIGN ENGINEER OF SYSTDI.(if applicable):
ADDRESS:
PHONE:
P HO: E :
Pnn,v,v t<i:iVNJlUuL. INS AL1_NTION OF SYSTEM: Brian Robertson
Licensed Installer (see attached list): YES- NO
ADDRESS:
• PHONE:
PEKIIT APPLICATION IS FOR: (X) New Installation ( ) alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SE?•'AGE DISPOSAL SYSTF-4:
Street/Rural Address: Q Elk Range Dr. Carbondale
Lot Size: 3 acres
Legal Description: —_Mot 6 Cblorado ontry's Red Table Acres
BUILDING OR SERVICE TYPE (check applicable cateaorv)•
( ) Residential - Single Family ( ) Residential - Quadplev
( ) Residential - Duplex ( ) Co.••-::ercial (state ssage)
( ) Residential - Tr_ole:c
NUMBER OF PERSONS: 4
WASTE TYPES (check applicable cate^ories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
( ) Garbage Disposal
(X;) Automatic Washer
( ) Other
TYPE OF INDIVIDUAL SET -.AGE DISPOSAL SYSTE'-I PROPOSED:
NU IBER OF BEDR00:•1S : 4
( X) Dwelling
( ) Transient Use
( X) Dishwasher
( ) Spa Tub
(X)
Septic Tank
(
)
Composting Toilet
(
)
Incineration Toilet
(
) Vault Privy
(
)
Greywater
(
)
Chemical Toilet
(
) Pit Privy
(
)
Aeration Plant
(
)
Recycling, Potable Use
(
) Other
(
)
Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO ?'ATERS OF THE
STATE: YES ( ) NO (X )
•
IS SYSTE`1 DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY:
YES ( ) NO ( X)
WASTE?•?ATER FLOW REDUCTION' PLAN:
YES ( ) NO (X )
(IS yes, See attached CtiZS iQlC Ltet Stew .,LedLtct on me~;dtcds )
NOTE: The EnvZ,,o;une;zta.Z Heae ih 0'6.ic&—, mail .educe
the-teclu,i,ted ab.so-,ptt on G,•cea upon
apprcova.Z o5 an adequate Ccas.-,zxa�t2`. 3zety •tedu ti.o;L p.Za;i.
SOURCE AND TYPE OF [dATER SUPPLY: ( X) Well (
) Spring { ) Creek/Stream
Give depth of all wells within 200 feet of system:
_ Yone
If supplied by community wate , give name of supplier: Red Table Aeras
SIGNATURE:
• - - - - - - - - - - - - - - - -
-- --
DATE: Z�
- - - - - - - - - - - - - - - - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT BY ENVIRON'.fENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent G.•Lou;id Slope 3 ��
Dept, IL to Bed -Lock (pen &' P-ta Si Ze Nate) g
Depth to G1LOundaca,tct Tab& f
SOIL PERCOLATION TEST RESULTS: 1 a-; tcs
pit .(_;tcz c;i Hoye1
r� p� hLZ;n ,tcs
CJ C
pelt inclL .to Note # 2
�i;u.0 C,5
pz:L i Eck to Ho.Le 03
FINAL DISPOSAL BY: -
(X ) Abso.tp.tc o;l Trench, Bed on Pit ( )
Evapotta;tsPikation
( ) Above Gncu;zd D.LspensaZ ( )
Sa;zd FiUct
( ) Undetg,tou;zd Dispe-' a.E ( )
Was.t cwa.tc.,L Pond
( ) Othelt
Amou;z.t Paid: ' Recccpt Ncanbc.t G�`JC DcLt2: -
---------------------i,---------------------
NOTE: Site Plan must be attached to'application.
(Env. Health Department - Rev. 4-07-33)
EAGLE COUNTY
551 Broadway
Eagle,Colorado 81631
(303) 328 7311
Date: October 13, 1987
Brian & Mary Robertson
P.O. Box 892
Basalt, CO 81621
RE: Issuance of Individual Sewage Disposal System Permit # 814
Enclosed is your ISDS Permit # 814 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,
Sid Fox V�V(
Eagle County Community Development
Environmental Health Office
/gp
i
L
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
b14 Koberbson GJ3$. Elk Kange
Dr.
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INDICATES FOUND REBAR &CAST`
MARKED L.S. 9iSI4
O INDICATES FIELATIVE ELEVPTIORS /
4 ountc in tag 6�ionc Purveying coot _
"4064. hyiand scifurs, suits s•1
wood spring$, 01orsdo 81601
945.2045 :
pREPA . FD FOR:
NOTICE: According to Colorado law, you must commence any legal action _
based upon any defect in this survey within six (G) years after you. _ BRIARO$f=FZTSo►J
discover such defect. In no event may any action based upon any de- R-rIsioNs:
feet in this survey_ be commenced more than ten (10) years from the DRN. BY K. J. CKD. BYE $. J
date of the certification shown hereon.
' to - S - 87 .JOB NO. SHEET NO. �; 4F �.
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