HomeMy WebLinkAbout5493 Upper Cattle Creek Rd - 239115101003 - 0825ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT REPAIR
Eagle County Department of Environmental Health PERMIT N® 0825
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: Richard Kane Telephone: 9.61-13.45
Address: 5493 Upper Cattle Ck. Road CarhondalP, CO R1623
System Lo4ation: 5493 Upper Cattle Ck. Road
Licensed Installer: ShacK ya ien 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
Absorption area per bedroom Sq. Ft.
Number of Bedrooms_ X Sq. Ft. minimum requirement per bedroom -
equals Total Sq. Ft. minimum requirement
Special Requirements:
d fvocle �s`on
lo
0.1 a AwktrJ Cam he n r,,�kd ol1w Aw
Date: 1.2-22-87 Environmental Health Officer: S.1 R-• -n -T "-+
CONDITIONS: A d j f2eS5 4 sib P10", g2 eL e j uc'6 /-7 Y-,9(9 � f
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. FT.
INSTALLED SEPTIC TANK: GALLONS; DEGREES; FEET
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEM: PHONE:.
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES NO
PROPER MATERIALS AND ASSEMBLY: YES NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO
COMMENTS: 11hL1 repair of this system was initiated without . a permit. The septic tank wa,
not replaced, according to the owner, the new drain field consists of 3-60 foot trencie
and was net inspeeted prier to eeyer. -
Any stem 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 0825
Name of Applicant: _R_irhard Kane Name of Owner: Samo
Amount Paid: $.150 nn Receipt Number: 4207 Date: 12 21 -2 7 Cashier: _ a . Broph:.
Check # Cashiers Chleck#36559
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APpr T_CA;I FOR ...D.'.' ,_*AL SF.:A(_, DTcZnrne',T
C
PER'•IIT APPi.IC:.TiON FEE
FNVIRONNENTAL IIEALTH OFFICE - EAGLE —..
P.O. 2ON S50
Eagle, Colorado 81631 :o. SIM
S150.00 3'8-7;1-' PF.RCOL:\TIC`• .FS T F $125..,00
NAME OF OTFNER: LlC� qsi , W L
ADDRESS: 5L�Ct i U'?PtR C ffi-
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTDI- (if applicable) :
ADDRESS:
INS ALL;1TION OF SYSTEM:
Licensed Installer (see attached list).
ADDRESS:
PIIO':E: 1_4h< -
PHONE:
PM7E :
14d9 GIs t_� L)HT) 0kv
YES - _ NO
PHONE:
PER`IIT APPLICATION IS FOR: 6�( New Installation ( ) Alteration
LOCATION OF PROPOSED INDIVIDUAL SE'•?AGE DISPOSAL SYSTE-4:
Street/Rural Address:
Lot Size:
Legal Description:
BUILDI';G OR SERVICE TYPE (check aDolicabie cateaorv_):
Residential - Single Family
( ) Residential - Duplex
( ) Residential - Tr_olex
C NUMBER OF PERSONS:
WASTE TYPES (check aoplicable categories):
( ) Comumercial or Institutional
( ) Non -Domestic Wastes
O Garbage Disposal
(YQ Automatic Washer
( ) Other
"TYPE OF INDIVIDUAL, =.-.AGE DISPOSAL SYSTEM PROPOSED:
( Repai
( ) Residential Quadolev
( ) Co.--::::ercial (state usage)
NUMBER OF BEDR00'•IS :
( ) Dwelling
( ) Transient Use
( �() Dishwasher
( ) Spa Tub
())
Septic Tank
(
) Corposting Toilet
(
)
Incineration Toilet
( )
Vault Privy
(
) Greywater
(
)
Chemical Toilet
( )
Pit Privy
(
) Aeration Plant
(
)
Recycling, Potable Use
( )
Other
(
)
g
Recycling, Other Use
WILL EFFLUENT BE DISCH.IRGED DIRECTL`i INTO ?'AT=RS OF THE STATE: YES ( ) NO (-Y )
IS SYSTDI DESIGNED FOR LESS 71TA1,1 2,000 GALLO S PER DAY: YES NO
WASTE?dATER FLOW REDUCTION PLAN: YES (x) NO
(IS yes, see attached tcas.texLtet Stew .Leduction me,t,'teds)
NOTE: The EnvZto,,uneiztaZ. Heae-ut 0 ' '.i cct mau educe �'te teotu,t2d ab•s o'Lptii cn area upon
Qppnovae o6 ai2 adequate ttias.t—ca.te.% 5-Z= teductCon pZan.
SOURCE AND TYPE OF [dATER SUPPLY: 1
(,�) kell ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by o anity wa r, give name of supplier:
SIGNATURE--- -
--- - - - - - - - - - - - - - - - - -- DATE_ - -
-g o=------
INFOZIATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Pencelzt G.tou►td Slope 2-3°10
Depth .to Bedtoeh (pen 8' ProS_i.ee Hote) ? � '
Depth to Gtounckc to t Tabte _7"01
SOIL PERCOLATION TEST RESULTS: M4_jtu,t,,s pet .c FEL t t Ho Ee T 1
Minutes pen inch .to Ho.ee #2
i u fcti,tes pen iiEck tv Hote 113
FINAL DISPOSAL BY: -
( p() AbsotptZo►'l Trench, Bed of Pit ( ) Evapo,t'cansPiAczti,on
( ) Above Gtctuid D.i,s pv sa.2 ( ) Sand FZUc t
( ) Unde,�g.tound D.i.spetsaE ( ) Was•tcxc tee Pond
( ) O.the t
Amoumt Pacd: j� ,nn Rececpt Ntonbe-t
NOTE: Site Plan must be attached to'application.
(Env. Health Department - Rev. 4-07-83)
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
December 15, 1987
Richard Kane
P.O. Box 108
Basalt, CO OU1621
RE: 5493 Upper Cattle Creek Road
Dear Mr. Kane,
This letter is in response to our recent telephone conversation concerning
the illegal repair of the individual sewage disposal system located at 5493
Upper Cattle Creek Road. Repair of an individual sewage disposal system without
a permit is a violation of section 4.03.03 of the Eagle County Individual':Sewage
Disposal Regulations,. -which states, "Prior to commencement of installation,
alteration, or repair of a system a written application therefor to the
Environmental Health Department shall be made providing, as a minimum, the
information called for on the application form, and a permit shall have been
issued by the Environmental. Health Department. A permit fee of $150.00 shall
be charged for alteration, enlargement, or any repair involving alteration
of an existing sewage disposal system."
Eagle County records indicate that you are in receipt of application #3170.
Please submit the application and fee's•within thirty (30) days receipt
of this notice. If we do not hear from you within thirty (30) days receipt of
this notice, this case will be turned over to the County Attorney.
If you have any questions concerning this matter, please contact me.
Sincerely,
S i d Fox�
Environmental Health Officer
SF/jb
xc: Jim Fritze, County Attorney
Files
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
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825 Kane 5493 Upper Cattle
JOB NAMI Creek eJOB NO. UUU U S
JOB LOCATION
BILL TO
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
JOB FOLDER Product 278 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Printed in U.S.A.
JOB FOLDER
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