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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 Printed in U.S,A. $ �' S9 DLO i `ice �f �Y CoRb cd ole'FA� 1 14#Aclie`( 40 �,xpr t copy tpoR dRa" c•Hocip.N fo FAWN *bk , N Me o IsO3c�rc s _ S:c ot. 1 �: 20 CO rn Y� r� m rn 0o m vC: C co m