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Home My WebLink About750 Wapiti Rd - 193932300009INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0834 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: Robert Dullinger Telephone: 328-5455 Address: P.O. Box 155 Eagle CO 81631 System Location: Chamber's Ranch Lot E 0750 Wapiti Road 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 rate:_ Inch in 26 Minutes Absorption area per bedroom 250 Sq. Ft. Number of Bedrooms 2 X 250 Sq. Ft. minimum requirement per bedroom - equals 500 Total Sq. Ft. minimum requirement Special Requirements: setback from irrigation ditch - 50 ft. beam i rri gati on water away from learch area as built site -plan Date: 5-2-88 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. '2 - S-0 -5cy.7- INSTALLED ABSORPTION OR DISPERSAL AREA: SQ. FT. d�J22S�Cr(�l Lj��tj� INSTALLED SEPTIC TANK: 12-S-0 GALLONS; DEGREES; FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: jj. 0111IJ a►XA 1 PHONE: 329— SyS'S SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES V O PROPER MATERIALS AND ASSEMBLY: YES v�O COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES ENO COMMENTS: (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) �� DATE (Final Approval).f�ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Robert Dullinger Name of Owner: Robert Dul l i nger Amount Paid: 1275.00 Receipt Number: 4676 Date: 4-25-819 Cashier: ao Check # 101 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No. P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 I PERCOLATION TEST FEE $125.00 / _ •.�L 0 NAME OF OWNER: MAILING ADDRESS: PHONE:S— NAME OF APPLICANT (If different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (If applicab•le): ADDRESS: �?/ PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: �Si9-� ,ff—�e�!/C LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (-,-rNEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: a-7 0, H/'p =f--r r� Physical Address: r , L o Parcel Number: Size: Legal Description: a'y- e C4 fie Ac17. /9135�3Z3— BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) 'Residential Triplex NUMBER OF PERSONS: / NUMBER OF BEDROOMS: Z WASTE TYPES Check applicable categories): ( ) Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher ( ) Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIV-IDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use ( ) Other ( ) Recycling, Other Use, WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES ( ) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( YES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( ) NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( vY' Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: ;p T'C/ If suppli by community water, give name of supplier: SIGANTURE: `` �� DATE: �z INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope ti AMOUNT SOIL PERCOLATION Depth to Bedrock (Per 8' profile hole)' Depth to Groundwater table 7 8 ' TEST RESULTS: /`ZMinutes per inch in Hole #1 S Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: (X Absorption Trench, Bed or Pit ( ) Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other PAID:RECEIPT NUM ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. DATE: -ate yff (Environmental Health Dept. - Rev. 4/88) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT \"Ls Eagle County FEE: ISDS APPLICATION NO. '316q OWNER: �o��a— Uv LEGAL DESCRIPTION: CAA VW6C RURAL ADDRESS tT! trx. . TYPE OF DWELLING: SItj T �vv � NUMBER OF BEDROOMS: Z DATE OF PERCOLATION TEST: V- 2 G - 6 6 TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO TIME 1 I 2 fl WATER DEPTH 2 3 II INCHES i 1 OF FALL 2 Rh E 3 1 2 SM_�— I II � II I S PERCOLATION RATE: AU , = 3 _ USE a haler, lvd-f 3ZE: RECOMMENDED MINIMUM SEPTIC TANK SI&Ly RECOMMENDED MINIMUM LEACH FIELD SIZE: S60��(x�7Jl�l RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: -,TO SITE CS &e4= U 5 F_ - t HAS BEEN REVIEWED AND TESTED FOR P CER OLATI N RATE. 4-/- - Environmental Health Officer Date COMMENTS: qG/G rCo Rev. 5/31/84 PL I v Ul 0 t GoE5q aaGo1 z re 3 ne,eea emu, 30 95D_ �p �v8 , % I SCE a � 1- �'i�W��G� SPECIFICATIONS FOR PEP.CrLATIO"I TEST HOLES THESE SPECIFICATIONS ARE AUTHORIZED BY THE EAGLE COUPITY INDIVIDUAL SE.-JAGE DISPOSAL SYSTEM REGULATIONS ADOPTED AND EFFECTIVE MARCH 27, 1980: LOCATION: Soil percolation tests shall be performed in at least three (3) test holes in the proposed area in which the absorption system is to be located, spaced uniformly over the proposed site, except there shall be no less than one (1) test hole in any twelve hundred square foot (1200 sq. ft.) area of the proposed absorption system. DIMENSIONS: a. The percolation test holes shall be from 4" to 12" in width or diameter, and shall be 3 feet deep + 6 inches. They .shall be spaced 25' to 30' apart. Use —a post -hole digger, strai.ght-sided shovel, or auger. DO PIOT.use a back -hoe to dig the 3 test holes_ PROCEDURE: b. One (1) soil profile test hole at least eight feet (8') deep or to bedrock, whichever is first reached, must be completed to give an indication of the soil condition in the area includi-ng that soil zone at least 4 feet below the bottom of the proposed absorption system. Roughen the sides of the -three holes and remove loose -dirt/ silt from the bottom. Percolation test holes in soil that is not frozen shal-1 be filled with water to a depth of 14 inches or more at least 8 hours (preferably 24 hours) prior to making the water percolation test, and shall be refilled with water if necessary to a depth of at least 14 inches prior to final measurement. (Fill; let drain; fill again.) Leave 10 gallons of water at the perc holes site for the testing to be done. /.-iceASJn fJG l3Q= r✓ F^ Lt F/ % EJJ PO A'J i a Sr,+CK IN OF r _ A c ��.. . GU/LIE LAVES i+ l- - { � `•..�.�'i;`..f% '�-f! _ '— . � 1, , � �-��''""'.''.�� ; ♦ 1.. The above figure represents a percolation test hole with the measuring stick and board for fixed point of reference used during the test. THESE INSTRUCTIONS PIUST BE FOLLOIIED TO ENSURE ACCU°ATE PERCOLATION TEST RESULTS. IF THE ABOVE PROCEDURE IS NOT FOLLO!-iED, THE PERCOLATION TEST I•IILL NOT BE COMPLETED UNTIL THE HOLES MEET SPECIFICATIMIS. 834 Dullinger LoL h unamner5 Ranch 0750 Wapiti JOB NAME JOB NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL — --------- ---- --------- PERMIT # 834 — OWNER: Robert Dullinger LOCATION: Chambers Ranch Lot E 0750 Wapiti Road INSTALLER: Robert Dullinger SIZE OF TANK: 1250 Gallons DWELLING: 2 BR Single Family PERC RATE: 26 MPI ABSORPTION AREA: 500 SF FINALIZED: 6-16-88 BY: Sid Fox TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT FLR. Printed in U.S.A.