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HomeMy WebLinkAbout5 Taylor Hill Rd - 247902300009INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT.® 0866 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: Amy Smith Telephone: (719) 486-2230 Address: P . 0. Box 87 Leadvi l l e, CO 80461 System Location: Taylor Gulch Road, Leadvi l l e, CO 80461 Licensed Installer: License Number: - Conditional installation approval is he6uranted for the following: Minimum requirementX 750 Gallon Septic Tank or 600' Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: l Inch in 52 Minutes /0 / Absorption area per bedroom 300 Sq. Ft. Number of Bedrooms 2 X 3�0 Sq. Ft. minimum requirement per bedroom - equals 600' Total Sq. Ft. minimum requirement Special Requirements: Date: 8-23-88 Environmental Health Officer: CONDITIONS: leach field . Edeen 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. // ��ll INSTALLED SEPTIC TANK: GALLONS; �� DEGREES; FEET DESIGN ENGINEER OF SYST M: 6/e, OUAV7-a. 4,-- INSTALLER OF SYSTEM: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: PROPER MATERIALS AND ASSEMBLY: COMPLIANCE WITH PERMIT REQUIREMENTS: PHONE: -71� COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS COMMENTS: f -4 YES YES YES 12:Z YES NO (Any item checked NO requires rrti9.n before final approval of system is made. Arran e a e-inspection when work is completed.) lam,—j DATE (Final ApprovalENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Amy Smith Name of Owner: Same Amount Paid: $150,00 Receipt Number: 4722 Date: 4-18-88 Cashier: P. Martin Check # 103 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPT T_C:;T-�, 7O AL SF.:::\(: 7 DIc 7 .4--AL .S- fir.^• -IT_ l E::''IRONNE`:TAL i:EALTH OFF TCE - EAGLE P.O. Box 330 ram- Eagle, Colorado 81631 No. \ PER`•IITAPPLICATION FEE. 8150.00 328-7311 PFACOL\TIO`; TrST ' 123,OC NAME OF OWNER: A w S M 1114 ADDRESS: 130X CJI LEAUV I L C0 , PHO::E: 71H `l c�b - 2130 NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTDI, (if applicable) : ADDRESS: INS ALI-NTION OF SYSTEM: PHONE: PHONE Licensed Installer (see attached list). YES NO 7� ADDRESS: ADDRESS : PI 0:'E . ' PERMIT APPLICATION IS FOR: (X,) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INTDIVIDUAL SE?•?aGE DISPOSAL SY STE` - Q Street/Rural Address: "j'CAI 6rk,rLry �"�`s'9a'j)1 Lot Size: P A r R'F 360X / ,57 21 •� Legal Description: NE I/V 0sE qH�Sechon'�S TWP A 5 , PQ-nw 5DW, 6-41 PM BUILDING OR SERVICE TYPE (check apolicable cateaorv_)- ( ) Residential - Single Family ( ) Residential Quadplev ( ) Residential - Duplex � ( ) Co.•--::ercial (state usage) ( ) Residential - Tr -oleic NUMBER OF PERSONS: NL:IBER OF BEDROO:.IS : WASTE TYPES (check apolicable cate^ories): ( ) Commercial or Institutional (X) Duelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher Automatic Washer ( ) Spa Tub ( ) Other -HYPE OF INDZVIDUAt SEWAGE DISPOSAL SYSTE'•I PROPOSED: (.X) Septic Tank ( ) Cor,:posting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, n„ Potable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO ?PATERS OF THE STATE: YES ( ) NO ( ) IS SYSTDI DESIGNED FOR LESS THAN 2,000 GALLOXS PER DAY: YES NO WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (16 Yes, See atitached tLc to:C�Lte t StCIU .'Leduct cn me u'tods ) NOTE: The Envi,'Lo;une►7.ta' Hea't,ut O ".cce•t mat( educe -'te teoui,ted ab.Soltp,tLcn ctea upon appnova-Z o' an adequate tca5.'-xat`.e.t Stcw- .Ledu_tLon pta;t. SOURCE AND TYPE OF WATER SUPPLY:) well ( ) Spr,ng - ( ) Creek/Stream Give depth of all wells within 200 feet of system: na Au CA Vr'fi If supplied by communitly water, give name of supplier: SIGNATURE: (�( DATE - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO E FILLED OUT BY ENVIRON &.rrAL HEALTH OFFICER: GROUND CONDITIONS: Peneent G.toucid Stope r Dept't to Bedtoeh (pen 8' Pto3'tiee Hotel Depth to Gnoundccc.Let Tabte SOIL PERCOLATION TEST RESULTS:. ;?. w A-ututcS pelt ,tneit in Ho,.e * 1 c 17i� --ve.,,,,.g _ ? ttinutcs pen inch .to Hote #2 4-: F•u-;.w'es pe%.. ,c.:tu't .to Hite # 3 FINAL DISPOSAL By: - ( ) Abso•tptc o;$ Tnenck, Bed on Pit ( ) Evapo.ttansp-iAati-on ( ) Above Gncund D.i..SpeA,5a.2 ( ) Sand F.LQ,tct ( J Undetgnound Vispetsa.E ( ) Was J[;Lca,tc-t Pond ( ) Othe,t Amount Paid: /S©. oC) Receipt Ntwibe.t yC7a 2 Dczte: !y�— �, 1. • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NOTE: Site Plan must be attached to'appiication.` (Env. Health Department - Rev. 4-07-83) r4; ` ROUTE FORM I f .. ti EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Name 4-I9-88 3177 Date Routed TaAJfDr Cau&& goad., �y..,L& 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. w PLANNING: Complies with - YES NO REVIEWED BY. DATE Subdivision Regulations: Zoning Regulations: Recommend Approval:. COMMENTS: n I Al n .eJz�2 � — ..�•n BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: .z Wzt. YES NO REVIEWED BY DATE � - S (ES , NO REVIEWED BY nATF ENVIRONMENTAL HEALTH: Complies with -- YES Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: tie�lw�Si,, NO REVIEWED BY TE 41-a6--5f Inter -Mountain RECEIVE cry eG,f of Comas. � "V. August 15, 1988 Amy Smith P') n't Box 87 Leadville, CO 80461 ✓� Re: Individual sewage disposal system Percolation test results Dear Amy: On August 1 and 2, 1988, a representative of our office conducted percolation tests on your one -acre tract on Taylor Gulch Road. These tests were conducted in according with Eagle County Individual Sewage Disposal System Regulations. The tests were performed in four holes excavated and pre -saturated by you. The legal description of your property was provided by you and is attached as Exhibit A. The rate of infiltration for the four test holes in the sandy silt with cobbles was as follows: Test Hole Infiltration (MPI) 1 27 2 58 3 79 4 43 The average rate of infiltration is 52 minutes per inch. The result complies with Eagle County percolation test requirements. If we can be of any further assistance, please call. Sincerely, �? • �i{i�lrrrr � �� �� C A r _ )/J�ef ery Spanel P.E. a s P esa ent ��'73o-_~ Jh1S:cJn 4 cy cc: Erik Ed een eil 111 it i:`�• ?ex No. 973 1420 Vance Street Avon. Colorado 81620 Lakewood. Colorado 80215 949-5072 Denver 893.1531 Phone: 232-0158 EXIP BIT ."A" Beginning at earner #3 of the Evening Star Lode Mining Claim, #5950 situated in Mitchell M.ini.ng District; thence N 110 W 300 ft. to corner #4 of the above mentioned mining claim; N 810 E 165.2 feet along the north side line; thence S 110 E 300 ft to it paint on the south side line; thence S 810 W 165.2 feet to a point . of beginning except for a 20 foot road right of way running across the above tract. This tract contains one acre more or less. r PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. ,> OWNER: waoj LEGAL DESCRIPTION: RURAL ADDRESS: TYPE OF DWELLING: C°r? f%-" NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 N PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE:0-0000 RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: ' SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.gtolt �_ �. Environmental Health Officer Date COMMENTS: Rev. 5/31/84 C�cz i-2`4- &au-L 6-j 4, ka r A Post-it'"routing request pad 7664 ROUTING - REQUEST g �� Please ❑ READ To �ht ❑ HANDLE 12, APPROVE Jig ii and ❑ FORWARD EJ/RETURN ❑ KEEP OR DISCARD ❑ REVIEW WITH ME Date (51.� / s 9 From fkuuress: I • V. UVA Vi Ill-UlAUV I I1 1K, \,V UVYV1 System Location: Taylor Gulch Road. Leadville. CO 80461 Licensed Installer: 9aS tt5FS 7- i d0 b 1(24� License Number: Conditional installation approval is h etyBlranted for the following: Minimum requirement 750 Gallon Septic Tank or 600' Aerated Treatment unit 1 each f 1 el d Absorption area of dispersal area computed as follows: Percolation rater_ Inch in _52 Minutes Absorption area per bedroom 300 Sq. Ft. Number of Bedrooms__ X 300 Sq. Ft. minimum requirement per bedroom - equals 600' Total Sq. Ft. minimum requirement Special Requirements: Date: 8-23-88 Environmental Health Officer: L% ) `�'r� Erik W. Edeen CONDITIONS: 1. All installations must comply with all requirements of the Eagle County Individual Sewage DzsPosaI cn­ 1m Regulations, adopted pursuant to authority granted in 25-10-104 r R - ' 2. This permit is valid only for connection to . Bate 0j, pages► building requirements. Connection to or use with a; post-iC Fax Note 7671 building ng departments shall automatically be a violan To From on and revocation of the permit. �`J co. 3. Section 111, 3.21 requires any person who cc Co./Dept. phone# be the regulations. Phone# 70 _ c �o�� `�� m to `7 ` Fax # RY7c� Fax# ----------- FINAL APPROVAL OF SYSTE -- - - edeemed 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: 600 -SQ. FT. f 0 INSTALLED SEPTIC TANK: Z. ' GALLONS; � DEGREES; FEET DESIGN ENGINEER OF SYST M:l�LL'v'1 INSTALLER OF SYSTEM:: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: PROPER MATERIALS AND ASSEMBLY:. COMPLIANCE WITH PERMIT REQUIREMENTS: PHONE: COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: COMMENTS: /-z YES �� YES O YES YES NO X. 7 (Any item checked NO requires correctign before final approval of system is made. Arrange a xe-inspection when work is completed.) I DATE (Final Approval ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) - ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Amy Smi th Name of Owner: Same Amount Paid: $150.00 Receipt Number: 4722 Date: 4-18-88 Cashier: P. Martin rharp # ini 0866-88 Tax #:2479-023-000-09 Evening Star Mine #5950 ` SMITH JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB NO. J�&. JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR PERMIT: 866 INSURANCE OWNER: Amy Smith SALES TAX LOCATION: Taylor Gulch Road, Leadville MISC. COSTS INSTALLER: Owner SIZE OF TANK: 1000 gallon DWELLING: Residential 2 bedroom PERC RATE: 1 inch in 52 minutes LeAch RId, 600 TOTAL JOB COST Finalized: August 26, 1988 BY: Erik Edeen GROSS PROFIT OVERHEAD COTS 9 1 7 — ri 3 0O O o LE% OF SELLING PRSCE NET PROFIT )L.eDER Printed in U.S.A. ��;�,, ry •t� �. 4�7 ��'f � '�' � � � � �. / s ��.� j F h l k �� � � . i f �� � �j J �-{ �' '��' e '„• ,� f r' r I� f �.. � �� � :� �l ` ,. ��, �' % S . .. � "4\ I......... ........ fV -AND P AT, --I-� c �r- t I0 T L L- WE' MODED -e;c. z _j7 .7E 7E t7! FOREST RV c E __s L 00- LANC CD ;)SE K, 7 G,7 E DOW M_ 4�7 -7; _W0C-DED--- LE C E� tc -PR 0 _W E 1�3 N I 7� 7r 77 1 RV D NO R 17H 2LT IDRAWW BY 15MITH I -A PRAWiNG NUMSEP_