HomeMy WebLinkAbout135 Fawn Dr - 239127202008 - 0878ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0878
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: Bob` Sewell Telephone: 963-3387
Address: 6333 Highway 133 Carbondale, CO 81623
System Location: Red Table Acres #2 Lot 8
LWamd Installer: Bob Sewell - owner License Number: - N/A
Conditional installation approval is hereby granted for the following:
Minimum requirements: 100,0 Gallon Septic Tank orAerated Treatment unit
Absorption area of dispersal area computed as follows:
Percolation rate: 1 Inch in 30 Minutes (estimate)
Absorption area per bedroom ? Sq. Ft.
Number of Bedrooms_ X 3Z 5 Sq. Ft. minimum requirement per bedroom -
equals % 5" Total Sq. Ft. minimum requirement
Special Requirements: 1000 gallon septic tank; 975 square feet with ripped bottom
Date: q'2 7' 97' Environmental Health Officer: ���%
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:
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE:
PHONE:
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: Bob Sewell Name of Owner: Same
Amount Paid: $275.00 Receipt Number: 500 Date: 9-26,-88 Cashier: A. Rusch
Check # 4347
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No. C'tT 6
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:d�-1',
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: ( ) YES ( NO
ADDRESS:
PHONE:
PHONE: 7-6-2 — 313 lb
PERMIT APPLICATION IS FOR: (1j NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address:
Parcel Number: F. Lot Size: -
Legal Description: _r �ip-y-bLj,a CQ ITA 9:�-2,
BUILDING OR qZRVICE TYPE (Check applicable category):
�- Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential- Triplex t
NUMBER OF PERSONS: NUMBER OF BEDROOMS:
WASTE TYPES Check applicable cateaories :
Commercial or Institutional ( ) Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( ) Garbage Disposal ( ) Dishwasher
( ) Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIKDUAL 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 ( ) 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. COA100 17K
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system: per,
If suppli by co ni water ive name of supplier:
SIGANTURE: DATE:
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
7,ee Ades GROUND CONDITIONS: Percent ground slope '5- lO °7o
3a-t 5044.vc Depth to Bedrock (Per 8' profile hole) G�
�C k4 Depth to Groundwater table 7�
SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1
3� "30 (7� P y Minutes per inch in Hole #2
Minutes per inch in Hole #3
FINAL DISPOSAL BY:
( 714 Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Under Ground Dispersal ( ) Wastewater Pond
( ) Other
AMOUNT PAID: $27S.00 RECEIPT NUMBER500 CbZCji_#U347 DATE: q Z&8S �
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. Cheat h(ck5•
(Environmental Health Dept. - Rev. 4/88)
PERCOLATION1 I -EST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $125.00 ISDS APPLICATION N10. /l G
r--,) c___,
OWNER: fSUh ')ewR e_�
LEGAL DESCRIPTION C r2�S
RURAL_ ADDRESS:
TYPE OF OL•JELLING: �
�N ���" NUMBER OF BEDROOALS:
DATE OF PERCOLATION TEST • ?- 2 TYPE OF SOIL: Sal - Glee,
TEST HOLES PRE-SOAKED: YES NO
TAME WATER DEPTH 11 I",C ?ES OF FALL
2 3 ;I 1 1 9 1-
PERCOLATION) RATE:
RECO, IMEiNDED MINIMUM SEPTIC TANK SIZE: (Oco
RECOIMMENDED MINIMUM LEACH FIELD SIZE: &U
RECO-MMEiNDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 3,7s -
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environmental Health Offic/r %
COMMENTS:.PC���5
Rev. 5/31/84
r
Date
,,-rz7z� fl �C2L S
RATE
MEMORANDUM
Date: October 20, 1989
To: File NO. 878
From: Raymond P. Merry, RS Z�i
Re: Status of ISDS Permit 878/Bo Sewell
A Telephone conversation on October 19, 1989 with Bob Sewell
indicated that he had sold Lot 8, Red Table Acres to the
neighbor Mr. Coleman who wanted a larger lot only. Mr. Sewell
indicated that building would not take place on that lot,
therefore the file should be closed.
ROUTE FORA
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
Robert :5eWit j t
Name Ej
Date Routed ReA Table Acion.8 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: �t
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
ENVIRONMENTAL HEALTH: Complies with YES NO REVIEWED BY DATE
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
COMMENTS:
-7-
JOB NAME.,
878 Sewell Lot 8 #2 Red Table
Acres
ILY-7`5
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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 Z�RE?® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER
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