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HomeMy WebLinkAbout147 Grange Ln - 239115101006 - 0875ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N2 0875 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: Herbert and Janet Weisbard Telephone: 963-2410 Address:__-0147 Grande Lane Carbondale, CO 81623 System Location: 0147 Grange Lane Carbondale, CO 81623 xTs"HwInstaller: Owner License Number: - N/A Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or 780saftAerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate:_ Inch in —15 Minutes Absorption area per bedroom 260 Sq. Ft. Number of Bedrooms X 260 Sq. Ft. minimum requirement per bedroom - equals 780 Total Sq. Ft. minimum requirement Special Requirements: Maintain the following setbacks - At least 10 feet between the leach field and property lines and at least 100 feet between the well and leach field. You must provide an as -built site plan prior to final approval. Date: q-2EL8 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: 600 SQ. FT. INSTALLED SEPTIC TANK: G-50 GA LL ONS;_ __� /n� DEGREES; a5 FEET DESIGN ENGINEER OF SYSTEM: N 1 14 INSTALLER OF SYSTEM: DWOZP, PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: PROPER MATERIALS AND ASSEMBLY: COMPLIANCE WITH PERMIT REQUIREMENTS: YES- O YES - NO YES NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES COMMENTS: NO (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:D DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Herbert Wei sbard Name of Owner: Same Amount Paid: 1 275,00 Receipt Number: 419 Date9-12-88 Cashier: E. Huenink Check # 2908 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner PER:•iIT AP:'i.IC:.TION FEE: NAME OF OUNER: 'HALTii OFFICE - EAGLZ COL•,::•`." P.O. 2,0:: -14:-To) W Es�,-le, Colorado 81631 No. �I S150.00 328-7;1' PFRCOLATIO': T?;ST , FF: $125-.0( ADDRESS: C> C� I\ [., A IV PHO::E: NkME OF APPLIC,VNT (if different From owner): ADDRESS: DESIGN ENGI::EER OF SYSTDI. (if applicable) : ADDRESS: C t.hJ V1V L\LJ1 VitJ1LuL, ili i� INSiALI--MON Or SYSTEM: PHONE: PHONE: Licensed Installer (see attached list): YES NO ADDRESS: • PHONE: PERMIT APPLICATION' IS FOR: () New Installation ( ) alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUALSE?•?AGE DISPOSAL SYST.E.I: Street/Rural Address: Q ,e4947iy o LPG C® Lot Size: 4,C Legal Description: Al W_ A l iff v <-ih%- A t 1, S Ve `.f- r v7 Ali fA P BUT OR SERVICE TYPE (check applicable cate^_orv)• (A) Residential - Single Family ( ) Residential - Duplex ( ) Residential - Tr_olex NUMBER OF PERSONS: WASTE TYPES (check applicable cate^_ories): ( ) Co«,.;:ercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal ( ) Automatic Washer ( ) Other r + tvi. ( ) Residential - QuadDle:i: ( ) Co.--::ercial (state usacre) P.'L:iBER OF BEDR00_`,S: � ) Dwelling ( ) Transient Use (, `} Dishwasher ( ) Spa Tub -TYPE OF INrDIVIDUAL =.-,AGE DISPOSAL SYS=i PROPOSED: ( ) ( ) ( ) ( ) Incineration Toilet Chemical Toilet Recycling, Potable Use Recycling, Other Use 00 ( ) ( ) ( ) Septic Tank Vault Privy Pit Privy Other ( ) Cor-posting Toilet ( ) Greywater ( ) Aeration Pant WILL EFFLUENT BE DISCHARGED DIRECTLY INTO ? AT='RS OF THE STATE: YES YES (*) NO ( ) IS SYSTcEH DESIGNED FOR LESS TH..N 2.000 GALLONS PER DAY: WASTE:•?ATER FLOW REDUCTION PLAN: YES ( ) NO (�} (IS yes, See atttachea was-texa,'Le-t S.QC(v Leduction me.v'LCd5) NOTE: The EnvZto u?7ejLLaZ HeaetlL OS .�Cca,t );fall teduce -tiLe -teoU.(.ted ab.So,LptitCjt Qtea UpUj1 apptovaE OS an adeGua,iC tea.s.tz:eat'vt StCcV .Ledu—ctio;t pi-a;t, SOURCE AND TYPE OF WATER SUPPLY: ( X Dell ( ) Spr;no ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATURE: DATE: • - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORt{ATION BELOW TO BE FILLED OUT BY ENVIRON'VJFTAL HEALTH OFFICER: - - GROUND CONDITIONS: Pence;tit G.towid S-eope -3- 5-17Q Dept'L .to Bedtoch (pen 8' P,toS'Zee Hotel L Dep.Vt to Gnoujidi atet Tabte v SOIL PERCOLATION TEST RESULTS: A cjtutcS pet inc;L in Ho.ee K1 fYL Mutt tc-5 pet inch to HO.ee # Z 'ri"L-6tult e,S per iiLG'L -t 0 HOZe 03 FI,VAL DISPOS l[ RV: ( ) Abso.tpti.ojl T Lejtcli, Bed of Pit ( ) Evapo.ttanspiAatZon ( ) Above Gnowid DZspetsa.e ( ) Sajtd F,i.,e,tc,t ( ) Undetg.towid Dispetsae ( ) Was tetca.tct Pend ( J O-Me t Amou;t,t Pac d: 176 — Recec;pt Nwnbe-t te: -------------------- y29PS------------- - - - - NOTE: Site Plan must be attached to•application. (Env. Health Department - Rev. 4-07-33) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. 3/6'6 OWNER: LEGAL DESCRIPTION: RURAL ADDRESS: o I q 7 TYPE OF DWELLING: 0 @/ , NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: zz- 8� TYPE OF SOIL: 5 TEST HOLES PRE-SOAKED: YES f- " NO WATER DEPTH ____TTIME INCHES OF FALL RATE 1w 2 3 1 ' 2/ 3 11 2 3 1 2 3 b 2-- ,20 Yv a '/ P p rw ►'(' y.© PERCOLATION RATE: /r 6 m e �z RECOMMENDED MINIMUM SEPTIC TANK SIZE: / bO V pt tk G4 RECOMMENDED MINIMUM LEACH FIELD SIZE: -)So- RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: � 6 SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. b e7 Environmental) Health Officer Date / COMMENTS: E ' 4*P7AW 4110(xU1j1 '� 1' a Ca - /l4 �eAsY ld - ,4- Cj� — 4 e P W cr •- l , d A )f , 0"o a ^ I U Arm ra r, °i )e,�s T / UCH `ec6.0- 4v :e 1j- 4e weu o u(l 6e A J /v im m u l h0aduide plow pizs a a +tj a a Rev. 5/31/84 i Z 1 z - 4: st`'tr I�r/ -fc n 4 N o `Wd �'y,.. �✓ ( } �.;, 4 pxy 1J 60 �` i`� 0 � IVR— t 1' 0 cif i� �, o d.- _Z{Er , -. 1 O air t O ( Qo ILY k ` lj x`N co- o �r y 1 U O O 0 1 co 1� r fco w tom. _il `' i I O m if crs (0999 I � t cz;9t J tE9etj -•£S"S Z r CJ ',� *t ► : 1 m (D (L991) 3nQ0� (LSgt '� ¢�� (D O. �r CO CO o' i ..:1 � i fago r G .0 Or—cli o !* Uta �s f �. 00 ~ c�v ct tE Od 00 N O -� W N w Q `� i° v ^ o\ j rn toto `. It i0 O ('o d: N '.1€-•. J R Cut i� t!l �-5CO - toz_ — — t � t 3 LZ,g0o01; ti cD`d £pt7l£I —z 3,•,< r — Lo 5 U 4" rn 10 Fq BILL TO DATE STARTED DATE COMPLETED DATE BILLED 20N I VC Qa�e' ZS9 k ICI--O�� 6 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 Product 278 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 ^p FOLDER Primes! in P.S.A.