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Home My WebLink About265 Fawn Dr - 239127202012 - 0877ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT . 0877 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: Thompson Creek Ranch (Bob Sewell) Telephone: Address: 6333 Highway 133 Carbondale, CO 81623 963-3387 System --Location: Red Table Acres #2 Lot 11 .81 Acres XENMW Installer: Bob Sewell, owner License Number:. N/A - owner Conditional installation approval is hereby granted for the following: Minimum requirements: 00_ Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 30 Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms 3 X Sq. Ft. minimum requirement per bedroom equals O if Total Sq. Ft. minimum requirement Special Requirements: 1000 Gallon septic tank; 975 square feet with ripped bottom; maintain f Date: 9-27-88 Environmental Health Officer: 51 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: I O 20 SQ. FT. INSTALLED SEPTIC TANK: GALLONS; 230 DEGREES; -22 FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: `_� 'Sewe PHONE:. 6 �� 3F7 SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES O PROPER MATERIALS AND ASSEMBLY: YES O COMPLIANCE WITH PERMIT REQUIREMENTS: YES :�;;O 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.) n DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER: !P DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Thompson Creek Ranch/Bob Sewel Name of Owner Same Amount Paid: $275.00 Receipt Number: 511 Date: 9-27-88 Cashier: A. Rusch Check # 4350 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No.��-i,� P. 0. BOX 179 EAGLE, COLORADO '81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00 NAME OF OWNER: MAILING ADDRESS: NAME OF APPLICANT (If different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED .INSTALLER: ( �01 YES (��0_3633 ,i 13ADDRESS: f,M,,.E n w nC 1� PHONE: PHONE: PHONE: '%PHONE: PERMIT APPLICATION IS FOR: (vj NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: / Lot Size: Legal Description: e-10 r Gi-es A&. 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 ( UJ'Dishwasher (} Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF IND 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 (1;'rNO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( ) YES (1,--'NO WATER CONSERVATION PLAN: ( ) YES (fi)' NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water onservatio ^� Ce /1Tu/717� SOURCE AND TYPE OF WATER SUPPLY: Well Spring ) Creek/Stream Give depth of all wells within 200 feet of system: /(l Qka— If supplWb Knity water, g've name of supplier: SIGANTURE: �DATE:�� INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slopeLw7-C, Depth to Bedrock (Per 8'' profile hole Depth to Groundwater table. `7 SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1 L� Minutes per i nch i n . Hol e #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: (1: Absorption Trench, Bed or Pit ( ) Evapotranspiration ( } Above Ground Dispersal ( ) Sand Filter ( } Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: - ZM. no RECEIPT NUMBER o 435D DATE: Cj -27- NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. (Environmental Health Dept. - Rev. 4/88) PERCOLATION 1-EST ENVIRONIME"ITAL HEALTH DEPARTMENT Eagle Count;/ /i� FEE: $125.00 ISDS APPLICATION NO. OWNER: LEGAL DESCRIPTION: RURAL ADDRESS: TYPE OF DL•JELLING: , NUMBER OF BEDRG^u,•1S: DATE OF PERCOLATION TEST:'' 2 Z O TYPE OF SOIL:'rl J TEST HOLES PRE-SOAKED: YES NO TIC•• �'E it 1•lAT_R DEPTH II I�;CHES OF FALL RATE 2 3 I II I I li I I �I II I I II I I li I II I ll I I it PERCOLATION RATE: RECO; MENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOt•IMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIENED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer Date COMMENTS: C07'/l- f1ULO J211-7 k�-_Pee ----------------- Rev. 5/31/84 ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Bob Sewe11 ib �r ,�x anch Name - 1 �� p_J w� �Z Application 115 No. Date Routed t j t Re T(*Ie, 2 s 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: !3 .", COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE YFC Nn RFIITFIJFn RY nATF JOB NAME Dd291 -77:� 1 JOB NO. LOCATION BILL TO STARTED I DATE DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR PERMIT # 877 f r�� irn i � INSURANCE OWNER: Thempeaft-tree-Rsaeh;-sae------}1ehe-P--seEae�� Larry W. and Carolyn M. Banyash SALES TAX KeAA COAAS41+04 925-1160 LOCATION: 0265 Fawn Drive, El Jebel 81628 MISC. COSTS Lot 11, Red Table Acres, Filing #2 INSTALLER: Robert P. Sewell SIZE OF TANK: LQQD-Gallons DWELLING: 3 Bedroom residence PERC RATE: 30 MPI ABSORPTION AREA: ' 02,@- Square feet ��, S�r��, TOTAL JOB COST PARCEL NO.: 2391-272-02-012 SCHEDULE NO.: 0026973 GROSS PROFIT. LESS OVERHEAD COSTS FINALIZED: 11-30-88 BY: Sid For, % OF SELLING PRICE j,�(Af NET PROFIT VLDER Printed in U.S.A. j 4-& 1 08, S,t� Lwu 7"a i � GrG9 2n 6Is G Via, F + 10o C IcVcjT,00j