HomeMy WebLinkAbout503 Toner Creek Rd - 246703400008INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0833
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:
Newl
Address: P
System Location: 0096 Toner Creek Road, Basalt, CO 81621
Telephone: 925-4129
Licensed Installer: 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 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 A minimum of 5' x 8' deep drywel l .
Special Requirements: This sewage disposal system is restricted to service for the existing cabin.
Date: -' 2--RR 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. FT. a - o(Zl w;E 1 l $
INSTALLED SEPTIC TANK: GALLONS; DEGREES;
DESIGN ENGINEER OF SYSTEM:
INSTALLER OF SYSTEM: Pri ptzA rGy< PHONE:
FEET
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: YESy NO
COMMENTS: -rNSP'F TfdN ray 606 �U11�2
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.)
DATE (Final Approvai)'5"z� ENVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: 1 f v -Di -hrr n i Name of Owner: J 1V �-
Amount Paid: � I5n - GO'
Receipt Number: 4 82 Date .45-R Cashier: F �I
U. -4t3
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APDT IC:1Z` OR .v'1••r.1_ :�r.�:�Cr DTI-. ..C'1L .S ^r 7T-L..,r T...
f ENVIRO:: IE'NTAL RIEALTii OFFTCT - EAGLE CC'•C:'n-
�.. Eagle, Colorado 81631 ::o. G j 149
PER:•?IT APPLICATTON FEE: S150.00 328-7311
PFRCOL:ITIO," TEST r F 123OC
NAME OF OWNER: 1Nc>W1er
ADDRESS:
NAME OF APPLIC,VNT (if different from owner):
ADDRESS:.-
DESIGN ENGINEER OF SYSTDI.(if applicable):
ADDRESS:
PIIO::E: qZ4; G '
PHONE: lea-5— !!? �'b '
-- ey'awc
PHONE:
Phn:;v;v L:i;iiV�,J1LuL. IO;; INSIALI-MON OF SYSTEM:
Licensed Installer (see attached list): YES NO
ADDRESS:
- PHONE:
PER`fIT APPLICATION IS FOR: DO New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SET.IAGE DISPOSAL SYSTE'•i:
Street/Rural Address: �'� — c� 7- t lfl�z
Lot Size:
Legal Description:
BUILDI`;G OR SERVICE TYPE (check aoolicable cate^_orv_)-
(k) Residential - Single Family
( ) Residential - Duolex
( ) Residential - Tr_olex
NUMBER OF PERSONS:
WASTE TYPES (check aoolicable cate;ories):
( ) Com-mercial or Institutional
( ) Non -Domestic Wastes
( ) Garbage Disposal
( ) Automatic Washer
( ) Other
"ME OF I*IDZVIDIIAT. SE? -:AGE DISPOSAL SYSTE:-I PROPOSED:
( ) Residential Quadolex
( ) Co=.ercial (state usage)
NrMBER OF BEDROO IS :
(N6 Dwelling
( ) Transient Use
( ) Dishwasher
( ) Spa Tub
l.x) beptic 'Dann ( ) Composting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant l
( ) Other / / ( ) Recycling, Potable Use
��' �i%�i eGP ii0� vh!`f l ( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTL`i INTO T.•.'ATERS OF THE STATE: YES ( ) NO (X)
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (k) NO ( )
WASTE:•?ATER FLOW REDUCTION PLAN: YES ( ) NO ( )
(16 Yes, see attached LicLs.t ex Lte-t S.ec•tu .teduction me it teas)
NOTE: The EnvZ-Lo;une;Lta.e Heae- L 0 ' .ic&-L marl 'educe tL e •'Leou i.t_d ab.s o,LptLcn a, -Lea upon
app,Lovae oa an ade0uatte LtiaS i✓l'ai2 5{CUJ .tedLLCtCOiL pea%L.
SOURCE AND TYPE OF WATER SUPPLY: (>r) well
( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system: �
If supplied by community water, give name of supplier:
c
SIGNATURE: DATE:
--'----------- - - - --DATE_
-- - -- - - --� -
INFORMATION BELOW TO BE FILLED OUT BY ENVIROM,fENiAL HEALTH OFFICER:
GROUND CONDITIONS: Peneent G.tou;Ld Slope
r Dept.L to Bed -Lock (pest 8' Pto'iee Hoee)
Dep.dL to GAoun&c te;t Tabte
SOIL PERCOLATION TEST RESULTS: 1-ututcs pet .melt -C;L Ho.ee *1
Atinuta pet .inch .to Ho.ee # 2
I'rLA( iLU tL S pet jjEC I L tv 1110t e # 3
FINAL DISPOSAL BY:
( ) Abso.tptio;l TtencA, Bed o,t P.i t ( ) Fvapottanspi tati_on
( ) Above Gnound D.ispeLsa.e ( ) Sand F.ie_tct
( ) Undetg.tound D.ispetsae ( ) Was ,Lvatct Pond
( ) O-tr'L et
U
Amou;Lt Paid: Recei;Jt Ncunbc.t 2 DcLte.: —
---------------------- -cAc-`=------------------
NOTE: Site Plan must be attached to'application.
(Env. Health Department - Rev. 4-07-83)
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EXHIBIT A
TO
1'7ARWTY DEED
PARCEL -42
A Tract of land situated in Lot 13, Section 3, Township 8 South, Range 86
Vsst••of the 6th P.H., described as beginning at a point in the centerlins
of Toner Creek, said point being also the Northeast corner of the lands
described in Document No. 107583 in the records of the Clark and Recorder
of Eagle County, Colorado, whence Angle Point No. 2 of Tract 52 in Sections
2, 3, 10 and 11 in above Township and Range bears: S.31.53'32" E. a
of 21690.46 feet; distance
thence Nest a distance of 368.38 feet along the North lint to the Northwest
corner of the lands described in said Document NO. 107583;
thence North 226.24 feet; thence East a distance of 286.91 feet to the .
centerline of Toner Creek; thence S.04.40156" E, a distance of 130.96 feet
Along the centerline of Toner Creek;•thence S. 36*28157" E. a distance of 119.04
fast to the point of Beginning.
PARCEL 14
A Tract of land situated in the NW}SEJ and Lot 131 Section 3, Township 8
South,
Range 86 West of the 6th P.M., described as beginning at a point whence Angle Point
No. 2 of Tract 52 in Sections 2, 31 10 and 11, Township 8 South, Range 86 West
Of the 6th P.M. bears: S. 35.24'42" East s distance of 2,228.
Vest a distance of 498.475 feet; to Antis Point No. 545 test; thence
468.03 feet to Angle Point No. g 1; thence North a distance of.
g 2, thence East a distance of 368.38 feet to the
Conterline of U nerCreek to Anglp� Point No. 3; thence S. •
of 111.10 Paet along the centerl/ins of Toner Creek to Angle Point allo. st a4; thetntce
S. 160 42' East a distance of 192.58 feet along the centerline of Toner Creak
to Angle Point No.,5; thence S. 25' 26' East a distance of 50.99 fast &long
centerline of Toner Creek to Angle Point No. 6; thence S. , ast ai st the
Of 144.50 feet along the centerline of Toner Creek to Angle Point No.ance
7;.thence
Vest a distance of 22.675 feet to the Point of Beginning.
COUNTY OF EAGLE
STATE OF COLORADO
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
,NrMV C�. (& I iy Di+fmo r) Names
y 28-8S EJ - inS
Date Routed 00q(o -Toner CK. Rd, 0 60501f Application No.
Location
Please review the attached Individual Sewage Disposal System Permit Application and
return it with this completed form the the Environmental Health Office.
PLANNING: Complies with - YES NO REVIEWED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:,
I✓
COMMENTS: Leg .&CRUsy xen,,o�,dti a..-� in.Q .� �„� H,Kc C4-ce.r dafcd
2-/'-r:2 .
BUILDING: Complies with -
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
ENVIRONMENTAL HEALTH: Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs..Compliance:
Recommend Approval:
COMMENTS:
YES NO REVIEWED BY DATE
I
YES NO REVIEWED BY DATE
VCC hi DC\/TCIJ[n DV nATr
FILE MEMO
Site inspection by Erik Edeen during the week of April 11, 1988.
Perc test waived due to restricted site conditions, i. e.; no
options for alternative on site disposal system.
833 0096 Toner Creek Rd
JOB NAME.,
JOB NO.
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 Prodwt 278 j5j�j?® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER
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