HomeMy WebLinkAbout1301 McLaughlin Ln - 247106304006INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0874
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: Gideon Kaufman and David Melton
Telephone: 925-2979
Address: 315 East Hyman Aspen, CO 81611
System Location: _ Lot 22, Filing #1, Ruedi Shores Subdivision
)Ngxl Installer: Owner License Number: - N/A
Conditional installation approval is hereby granted for the following:
Minimum requirements: 750 Gallon Septic Tank or Aerated Treatment unit
Absorption area of dispersal area computed as follows:
Percolation rate: I Inch in 40 Minutes
Absorption area per bedroom 275 Sq. Ft.
Number of Bedrooms 2 X 275 Sq. Ft. minimum requirement per bedroom -
equals Total Sq. Ft. minimum requirement
Special Requirements: 180 Lineal feet of 10" SB 2 . Two (2) 60' trenches with 10" SB 2
Date: 9-22-88 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.
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.
work is completed.)
DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
Arrange a re -inspection when
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant:Gi deon Kaufman & David Mel ton Name of Owner: Same
Amount Paid: $275, 00 Receipt Numberx Ri2x& 450 Date: 6-3-88 Cashier: A. Rusch
Checks 5319 and 307 9-19-88
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
w. APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
IIIII�R -- -
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Novae
P. 0. BOX 179 NO
EAGLE, COLORADO 81631
3 2-0-
949-5257 Vail 328-7311 Eagle 927-3823 Basalt
A"IT APPLICATION FEE $150.00 I �RCflLWoo _01M
A7'101 TEST SEE $5 "00
NAME OF OWNER: Gideon Kaufman 'PAU1 o
MAILING ADDRESS: 315 East Hyman Aspen, CO 81611 PHONE: 925-8 6.6
NAME OF APPLICANT (If different from owner):
ADDRESS
DESIGN ENGINEER OF SYSTEM (If applicable):
ADDRESS:
PHONE:
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
LICENSED INSTALLER: ( ) YES ( ) NO
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: ( V) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address:
Parcel Number: Lot Size:
Legal Description: Lot 22...Filing 1,.B�udi~Shores Subdivision
BUILDING OR SERVICE TYPE (Check applicable category):
esidential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential Triplex
NUMBER OF PERSONS: 4 NUMBER OF BEDROOMS:
WASTE TYPES Check applicable categories
Commercial or Institutional ( Dwelling
( ) n-Domestic Wastes ( ) Transient Use
( Garbage Disposal ( ) Dishwasher
( ) Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDI .IDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Septic Tank Composting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use
( ) Other ( ) (ecjcling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: (I --NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: (S ( ) NO
WATER CONSERVATION PLAN: ( ) YES ( o-
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: ( ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If sup li community water, give name of supplier: 4&0u Shores H2O system
S I GANTU RE : DATE :
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: .
GROUND CONDITIONS: Percent ground slope /- - �0
Depth to Bedrock (Per 8' profile hole)7 h
Depth to Groundwater table
__- --- 01L PERCOLATION TEST RESULTS
'fr) Minutes per inch -1"n-Hole #i
minutes per inch in Hole #2
—�T Minutes per inch in Hole #3
FINAL DISPOSAL BY:
Trench, Bed or Pit
( ) Above Ground Dispersal
( ) Under Ground Dispersal
( ) Other
AMOUNT PAID: iiZ5.oU RECEIPT NUMBER
$150 _ GhecK #
( ) Evapotranspiration
( ) Sand Filter
( ) Wastewater Pond
NOTE: :SITE PLAN MUST BE ATTACHED TO APPLICATION.
(Environmental Health Dept. - Rev. 4/88)
DATE:
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $125.00
OWNER:
ISDS APPLICATION NO. 3 Q0
LEGAL DESCRIPTION:
RURAL ADDRESS: % S �r✓S
TYPE OF DWELLING:'S;�� % NUMBER OF BEDROOMS: -
DATE OF PERCOLATION TEST: TYPE OF SOIL:�-
TEST HOLES PRE-SOAKED: YES_ NO
J
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3
1
' 2
3
1
2
3
1
2
3
//.
G
j
C
/
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PERCOLATION RATE: C,/,
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE:
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environmental Health Officer Date
COMMENTS: 7 0 4 3 r .. 'A►� tC .. (l P ,\ / ,
15-4
swd t4
Rev. 5/31/84
MEMORANDUM
Date: October 20, 1989
To: File No. 874
From: Raymond P. Merry, RS
Re: Status of ISDS Permit 874/Gi eon Kaufman, David Melton
An October 18, 1989 site visit to Lot 22, Filing 1, Ruedi
Shores (owner Gideon Kaufman) indicated that the septic system
was installed, covered, and apparently working properly. It
appeared as if the project was recently completed -as no
vegetation was present over what appeared to be the drainfield.
The file shows photos taken 5-25-89 by Erik Edeen. It appears
as if the drainfield was not completed at the time the photos
were taken. There currently is no record of a final inspection
but will check building file for it.
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210 S. GALENA ST.
SEP 011988 P, o:'BOX 2506
ASPEN, COLORADO 1.81612
EAGLE COUNTY (303) 925-3016
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