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Home My WebLink About131 Fawn Dr - 239127202007 - 0879ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0879 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 Address:__ 6333 Highway 133 Carbondale, CO 81623 Telephone: 96 3- 3387 System Location: Red Table Acres #2 Lot 7 I<acoe xxd Installer: Rnh SPwPI l - ownar License Number: N/A Conditional installation approval is hereby granted for the following: Minimum requirements: 1W Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 30 Minutes (estimate) Absorption area per bedroom 2 S^ Sq. Ft. Number of Bedrooms 3 X 3;�5_ Sq. Ft. minimum requirement per bedroom equals 75 Total Sq. Ft. minimum requirement Special Requirements: 1000 gallon septic tank; 975 square feet with ripped bottom Date: 9-27-88 Environmental Health Officer: 5 TP 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 andcause 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: f OU SQ. FT. INSTALLED SEPTIC TANK:() GALLONS; 3srn 6 DEGREES; FEET DESIGN ENGINEER OF SYSTEM:is INSTALLER OF SYSTEM: _ 60 _4 S &- C' -e _/� PHONE:. y63 3 SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES �NO PROPER MATERIALS AND ASSEMBLY: YES ENO COMPLIANCE WITH PERMIT REQUIREMENTS: YES_f"e-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)` 7y 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: 501 Date: 9-26-88 Cashier: A. Rusch Check # 4346 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No. J1 7 P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE S150.00 PERCOLATION TEST FEE $125.00 NAME OF OWNER: MAILING ADDRESS: NA14E OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ftz� ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:�eiin LICENSED I STALLER: ( ) YES ( ) NO ADDRESS: ffy,_Q PHONE: PERMIT APPLICATION IS FOR: ("`r ) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: _�& Lot Size: e Legal Description: .,in Mal") cam 0.'�- BUILDING OR 3Z4MCE 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 ( ) Dishwasher ( ) Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INQKi DUAL 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 IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YYES ES WATER CONSERVATION PLAN: NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. ( d>M j SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( Creek/Stream Give depth of all wells within 2 0 feet of system: If supp M ouniwater ive name of supplier: SIGANTURE:�° DATE: ck INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope qo Depth to Bedrock (Per 8' profile hole Depth to Groundwater table p�L SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1 U 5� 130w+ (3� M nutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: (7�) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: $275.00 RECEIPT NUMBER'#501 C" 434(o DATE: - bLL7V,_ NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. (Environmental Health Dept. - Rev. 4/88) ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE t (Name)III Date Routedd A 10 t � Application o. 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: ct 6 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 r1:C Nn DMITCWCn RV nATC 7- PERCOLATION! TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County , FEE: $125.00 ISDS APPLICATION NO�I� � OWNER: A� We LEGAL DESCRIPTION: LOT RURAL. ADDRESS: TYPE OF DWELLING: ° NUMBER OFBEDROON•1S: DATE OF PERCOLATION TEST: 10- 4,Z.- ` TEST HOLES PRE-SOAKED: YES TIME WATER DEPTH 2 3 II 1 PERCOLATION RATE: 55u ov Z 0) rn P L TYPE OF SOIL: J�� doh , II INlCFS OF FALL RATE 2 3 II 1 9 RECOMMENDED MINIMUM SEPTIC TANK SIZE: 000 Calk ttc) ,w RECOMMENDED MINIMUM LEACH FIELD SIZE: 9 7 S 1j i 2; pPfa bo-rr-a,,�, RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: sit, 3a S: SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. --�"rwilt Environmental Health Otf-ficer COMMENTS: �. ) Date ------------ Rev. 5/31184 879 Sewell Lot 7 #2 Red Table JOB NAM Acres JOB NO.f,�,- JOB FOLDER P10dWt 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER ob a 14 zI d 4- '� j�r,�j� +ram• � w ..IWO o� r a -r %J w ti rr. ti r cV ° � RECEIVED SEP 121988 EAGLE COUNTY BUILDING DEPT. K1 k 0 ks. .ri t F aao PeilLl Colox llop CtoSaale OFFICE COPY,. 0