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Home My WebLink About1224 McLaughlin Ln - 247106307008INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N2 0856 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: Gary C. Moore Telephone: 925-5075 Address: P. 0. Box 9468 Aspen, CO 81612 System Location: Lot 33 Reudi Shores Suhdi vi 0on Filing #1 Licensed Installer: Gary C. Moore - owner License Number: - N/A Conditional installation approval is hereby granted for the following: Minimum requirements: 1.000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 15 Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms 2 X Sq. Ft. minimum requirement per bedroom equals I qO Tota. Ft. minimum requirement Special Requirements: _ Maintain at least 150 feet between the Reudi Shores well and the leach field and at least 50 feet between the well and the septic tank. 140 of 10 feet of inch SB 2 pipe. Date: Jul y 15, 1988 Environmental Health Officer: S `t ",`� 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. 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: (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: Gary C. Moore Name of Owner: Gary C. Moore Amount Paid: 1275,00 Receipt Number: 21 Date: 6-24-88 Cashier: E. Huenick Check # 1595 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 �21� EAGLE, COLORADO 81631 A/0•----- 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 1 PERCOLATION TEST FEE $125.00 NAME OF OWNER: C141ly 0" P1 eflrcF- c30-k- c7w e ,A$PJF'z1 00 ve 2_ MAILING ADDRESS: ( CEar2/w2lll C_ ft-T-oas.6lu PHONE: `-?.� qkd7_5- NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Q_ LICENSED INSTALLER: ( ) YES (e-'NO ADDRESS: Q GI -)-SS /A 42,PEA! c. i p NS&. t'� /fq-3 PHONE: PERMIT APPLICATION IS FOR: (,NQ-NEW INSTALLATION LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: QW11 - 0&3 - 07- P08 Lot S Legal Description: 33 aox,ti1 5#04 ALTERATION ( ) REPAIR ze: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential- Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: 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 INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use ( ) Other (3 - P1fig ( ) 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: (_Nl' Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: W)L. r e-4 L.(.-- If supplied b c mmunity water, give name of supplier: .2,AI'DACRT SIGANTURE: DATE: e2 3 INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope 0 SOIL PERCOLATION Depth to Bedrock (Per 8' profile hole Depth to Groundwater table `7 TEST RESULTS: a, Nli iiu Les per i rich i n Hole #1 Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: \ �' Absorption Trench, Bed or Pit ( ) Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other c, AMOUNT PAID: RECENT UMBER ( ) Evapotranspiration Sand Filter ( ) Wastewater Pond NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. DATE: 61/��Wpd' (Environmental Health Dept. - Rev. 4/88) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: 550.00 ISDS APPLICATION NO. OWNER: LEGAL DESCRIPTION: CUT _j F/ RURAL. ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOIMS: DATE OF PERCOLATION TEST: TEST HOLES PRE-SOAKED: YES TYPE OF SOIL: Ci//h /UG M NO t TIME II WATER DEPTH I! H F _ INCHES 0, FALL RATE 2 3 i 1 2 3 q 1 1 � 1 u Rom+ PERCOLATION RATE: /-Y- 1117 p T RECOMMENDED MINIMUM SEPTIC TANK SIZE: /oc),:j i io-j RECOMMENDED ,MINIMUM LEACH FIELD SIZE: 00 RECOMMENDED (MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIEIHED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer Date COMMENTS: �i°1� F��Jv 4 i � leAS7ke /�® � ' + ^�. !�(-► ' A)peo-i Apo 7 i°C j V0 �e� c) Rev. 5/31/84 ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE GARY C. MOOR E ' Name -29 -88 32114 Date Routed E U DI 5 On 5F-5 Fit W 4* I LDT33 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:. COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE FN\/T PnmmFNTAI �PFAI TN • rmmnl i or, wi i-h - YFC RCVTrhirf) RY nATE7 1 114 v 6 a r so; /s - s %/// " ; ^ C�d 4/16 j CIA411--/-Z--_ a:�► �o/a a3 J v 31 (An KeE(� ��r� d��Y 0 00 1 K 856-88 TxPrcl#2471-063-07-008 1VIE Lot 3:Reudi Shores Subdivision Filing 1 — JOB CIA 4013 NCB. . Gary C. Moore JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED r c JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX M I SC. 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