The URL can be used to link to this page

Home My WebLink About39 Sierra Vista - 239127205001 - 0885ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT P.O. Box 850 - 550 Broadway N® 0885 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: Terry and Cindy Corn Thompson Telephone: - 927-4275 Address: P. 0. Box 28237 E1 Jebel CO 81628 System Location: 0039 Sierra Vista - Aspen Mesa Estates - Lot 1 Licensed Installer: Lael Hughes License Number: _ 018-88-T Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or-. Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 37 Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms_ X Sq. Ft. minimum requirement per bedroom - equals Total Sq. Ft. minimum requirement Special Requirements: 1000 Gallon septic tank; 1000 square foot seepage bed with a ripped bottom Date: 10-11-88 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: SQ. FT. INSTALLED SEPTIC TANK:v GALLONS; o DEGREES;—'g�o FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: LACI U542 PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: 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),a &.1 - ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Terry and Cindy Thompson Name of Owner: Same Amount Paid: $275.00 Receipt Number: 480 Date: 9-22-88 Cashier: Rusch Check # 331 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EA-GLE COUNTY P. 0. BOX 179 No. 3�i3 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: 1-49K tag zb 7 �� .jgoa-c CIE, PHONE: 'P17—Of-Z-7 NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: G.v LICENSED INSTALLER: (vj YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (,1j' NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: 0039 51�,4 yo/7l. Parcel Number: t Size:ff- Legal Description:Wff5w � BUILDING Og SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential Triplex NUMBER OF PERSONS: 4, NUMBER OF BEDROOMS: 3 WASTE TYPES Check applicable categories : Commercial or Institutional 0,/T Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( f) Garbage Disposal (v,) Dishwasher Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL 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 ( ✓f NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of 'all wells within 200 feet of system: If supplied by co ni ty water, give name of supplier: ,Ve5;,f.��w� ey SIGANTURE:c DATE: INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope '-elD do Depth to Bedrock (Per 8' profile hole)vo Depth to Groundwater table i SOIL PERCOLATION TEST RESULTS: Minutes p r inch in Hole #1 Minutes per .inch in Hole #2 �J Minutes per inch it Hole #3 FINAL DISPOSAL BY: ^^ ( Absorption rend Bed or Pit ( ) Evapotranspiration Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: $275.00 RECEIPT NUMBER480 CK.44331 „DATE: 9 �z-8S NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. (Environmental Health Dept. - Rev. 4/88) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 - Paid 9-22-88 Ck.#331 Rcpt.480 ISDS APPLICATION NO. 3213 OWNER: Terry and Cindy Corn Thompson LEGAL DESCRIPTION: Lot 1 Filing Aspen Mesa Estates RURAL ADDRESS: 0039 Sierra Vista TYPE OF DWELLING: Residential NUMBER OF BEDROOMS: 3 DATE OF PERCOLATION TEST: j o - - PS TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO TIME WATER DEPTH 1! INCHES OF FALL RATE _ 1 2 3 1 2 3 II 1 2 3 1 2 3 " PFprni ATTnN RATE: mp'- 6 t., �l s RECOMMENDED MINIMUM SEPTIC TANK SIZE: 000 RECOMMENDED MINIMUM LEACH FIELD SIZE: �'000 •-� � ��A-�� RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIE;•1ED AND TESTED FOR PERCOLATION RATE. Sid Fox Environmental Health Officer COMMENTS: Rev. 5/31/84 /0 _- Date ROUTE FORM 4/ Ce EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE ,fe,r 'CindqThomoson g 22• $8 Naffie Date Routed 003( Q Application No. Aspen M ocai�T Please review the attached Individual Sewage TDisposal 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: 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: voo v.-- I I A. �'7 S- zz -87 YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE VCC N(1 DC1/T CI.I CIS DV rlATC EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 September 13, 1988 Terry and Cindy Corn Thompson P. 0. Box 28237 E1 Jebel,.Colorado 81628 Dear Terry and Cindy, Enclosed is the site plan we received with your application for Individual Sewage Disposal System. We need to have a detailed site plan of the septic system/leach field before we can begin processing your application for permit. Also enclosed is your $275.00 check. Please return a new check made payable to "EAGLE COUNTY TREASURER". If you have any questions, please feel free to call our office. Sincerely, Erik Edeen Eagle County Environmental Health Officer EE/ar Encl: 2 xc: file Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 885 Thompson Lot 1 Aspen Mesa Fr JOB NAME Estates 0039 Sierra Vista JOB NO. 6�c JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 Qe NEW .ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 J ` B FOLDER Printed ip 1.1.$.A. LOT I ,