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HomeMy WebLinkAbout150 Taylor Hill Rd - Vance's Cabin - 247902100036INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT Nf 0888 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: Tennessee Pass Mountain Resort Company Telephone: 527-7829 or 328-5274 Address: 1851 Cooley Mesa Gypsum, Colorado 81657 System Location: Will County Lode - Tennessee Pass Licensed Installer: Owners License Number: - N/A Conditional installation approval is hereby granted for the following: Minimum requirements: Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: Inch in 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: 7 Cj ,-? Date: 10-28-88 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 WSRPTION ORDISPERSAL AREA: � SQ. FT. INSTALLEDTANK: GALLONS; DEGREES; ZO FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: -el-'- PHONE: TANK CLEANOUT TO HIN 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.) /,i-1_ - DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Davi d Fal kenbera Name of Owner: Tennessee Pass Mountain Resort Co. Amount Paid:$150.00 Receipt Number: 717 Date:10-28-88 Cashier: A. Rusch Check # 1008 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner e949-5257 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No. 325 �0 P. 0. BOX 179 EAGLE, COLORADO 81631 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00 NAME OF OWNER: ,_re1lnl:655�5,Z__ Joa/')2&/Uta1 �J R ef�b2;t C,5MQ0_4 U MAILING ADDRESS: IS51 Cen(ev (rlesa 2A. Cz»psT/6P�i� NE: 57a7-71-72 orz 3�8"saiy NAME OF APPLICANT (If different from owner): . S' PrfnE ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): b W N e- rS ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: bra N C rS LICENSED INSTALLER: ( ) YES (X) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( x) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: W;11 &u,ns`%( ,Lode, TeNNessEe- pA-Ss U.S,m,S_Ra-re� Number: / (o`%A-I Lot Size: 42 Legal Description:6WA- ,TBS, �3a Lj BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex Commercial (Type) Waj- - ( ) 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 ( X) Other (Specify) : to i le-+ OpAv TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank Composting Toilet ( ) Incineration Toilet ( x) 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: O 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. SOURCE AND TYPE OF WATER SUPPLY: (X) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: as 6 If supplied by commun'ty water, give name of supplier: — SIGANTURE�f � Zfvi�� PY�st �s„7` DATE: 7— S� INFORMATION BELOW TO BE FILLED`OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope Depth to Bedrock (Per Depth to Groundwater SOIL PERCOLATION TEST RESULTS: FINAL DISPOSAL'BY: 8' profile hole table Minutes per inch in Hole #1 Minutes per inch in Hole #2 Minutes per inch in Hole #3 ( Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( )` 0 her AMOUNT PAID: 415Q.00 RECEIPT NUMBER'jj� 0-r 10 DATE: 10-29)-(55 �1 Y K, l NOTE: DETAILED SITE PLAN MUST BE ATTACHEDITO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO:1"EAGLE COUNTY TREASURER" (Environmental Health Dept. - Rev. 4/88) 888 Will County Lode Al JOB NAME JOB NO. - 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 LI) JOB FOLDER Product 278 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed inU.S•A. t y _ to-. ,4, r, A PER I i i j� f td7 - a► �I �o 1 t . y _ �y /-= �.� �aFLUPI N� r �/ DEL K FIEtb i 4 I i t S i - t S i 1 t i i -1 1 1! AL Cam" VMCF5 C� � BE-RGA� F.1-44- �LV-EMRLP\ N NCB �TE- P�AF� RA N� _ C�� > , L� i- LIL �� 2 ► C)&tom } e WN I— I I 04 zi k I CA N "--Lr FIfLb 3oO VA we ER G bENCF- 7E-NN ,ENRLR -IS Li LV _E S ATE. P�AN G _ 3Q' - _ p; rA Ili o"rcS EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALLFOR P. 0. Box 850 550 Broad. PERMIT MUST BE POSTED INSPEC+3ON`BEFOR- way FINAL E COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION,OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT N0. N2 57 2 OWNER: Berga/`Faulkenberg ADDRESS: P.O. Box 61 - Avon, Colorado 81620 SYSTEM LOCATION: U.S. Mineral Survey #16722 - Eagle River District LICENSED INSTALLER: owner LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1000 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: I inch in minutes. Absorption Area per Bedroom sq. ft. No. of Bedrooms x sq. ft. minimum requirement per bedroom total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: C ,G,,, DATE: Z13 IV INSPECTOR: **CONDITIONS: 1. All installation must comply with all requirements of the 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 building and zoning 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 installed system is approved prior to covering any part. IL 1Ct� a Installed Absorption or Dispersal Area: - /teiC q. ft. ' Installed Septic Tank: ( 000 gallons. r ii3t2&eAt� oho / /" Zcy Design Engineer of System: /i I A Z�c7 Installer of System: 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 Countv/State regulations requirements? Yes is No (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is complete DATE: y INSPECTOR: RE -INSPECTION DATE: INSPECTOR: A i LLA�L KE.[Un;v IriIS PORTION WITH YOiIR SITE PLAN ANU 1 EES323-7311 v _ 927-3823 ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE Q$j75 PERCOLATION TEST FEE $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT 39 .ro , At-L-- / LA(- q?-(. - 3904 NO. NAME OF OWNER: ADDRESS: ozo C���� PHO�lE NAME OF,APPLICANT (IF DIFFERENT FROM OWNER): S ADDRESS: DESIGN ENGINEER.OF SYSTEM (IF APPLICABLE). ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ADDRESS: _�� J., � �,,; `; Vo V PHONE: A, PHONE: PHONE PERMIT APPLICATION IS FOR: ( X) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County kC=.L_t- ,, Lot Size F ' City or Town, if within City or Town Limits A10 , ? LEGAL. DESCRIPTION:/ ���' trig! '�x_ n ' - �, :t• fC%. _, s %, ej : STREET (RURAL) ADDRESS: y ` / :S64— Z_ %95 ?o W , IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (y) Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) (;>\') Residential - Single-family dwelling ( ) Residential - Duplex ( ) Commercial - State usage # Persons _ # Bedrooms , Residential - Triplex Residential - Quadplex WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional () Dwelling ( ) Garbage Grinder ( ) Non -domestic wastes ( ) Transient Use ( ) Dishwasher ( ) Other ( ) Automatic Washer SOURCE AIND TYPE OF WATER SUPPLY: (K) Well ( ) Spring ( ) Creek or Stream Give depth of all wells within 200 feet of the system: If supplied by community water, give name of supplier: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: O Septic Tank ( ) Aeration Plant ( ) Chemical Toilet ( ) Vault Privy, O Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ;) Greywater, ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (4,) No Si gnat INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: Depth to Bedrock (per 8' Profile Hole): SOIL PERCOLATION TEST RESULTS: Z G 0 Date _ Depth to Groundwater Table: Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 Z (� Minutes per inch in Hole No. 3 FINAL DISPOSAL BY: ( Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Underground Dispersal ( ) 'Wastewater Pond ( ) Other Frio rr -# IA,5tf �`' "-/ i - .411e v PERCOLATION TEST FEE: $50 886 �1�Gi�i��-. �Ja, c�,� �_,�: a,,.'� I.S.D.S. P.PP. # OWNER: David Faulkenberg LEGAL DESCRIPTION: U.S. Mineral Survey #16722, Eagle River District RURAL ADDRESS: Sw sec 2; T8S; R8o"`w Sucker Lobe TYPE OF DWELLING: Residential singl —f mi U # OF BEDROOMS: � DATE OF PERCOLATION TEST: Co i % TYPE OF SOIL: TEST HOLES PRESOAKED? Yes No WATER DEPTHi INCHES OF FALL., MIN �MIN MINI® '111MEN PERCOLATION RATE: _ ►�1 RECOMMENDED. MINIMUM SEPTIC TANK SIZE: ZWiiJ7,-, RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested for percol tion�a Date Envi nmenta a icer COMMENTS: �T'e� C,es J Date Route ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Name 008( Application No. o :- Please review the attached In ividual Sewage Disposal System Permit Application and return it with this completed form to the Environmental Health Office. PLANNING: Complies with - . YES NO REVIEWED BY DATE Subdivision Regulations: Zoning'Regulations: Recommend Approval: 7 COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: YES NO REVIEWED BY Oh DATE ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: YES NO REVIEWED BY DATE - Z COMMENTS �, k h o�A i �. v.�_ -- x n -E c^ 6, e �Q{ ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YES NO REVIEWED BY DATE 1 L S 2 COMMENTS: 0572 Faulkenberg U.S. Mineral "y " ,JOB NAME Survey # 16 7 2 2JOB NO. JOB LOCATION BILL. TO DATE STARTED DATE COMPLETED DATE BILLED -11231= L�DO v - I". -3,00-R 4 1600 —A&-" 2�-200a 500 53 -hOx- too, 4o,.k, AML �san ill I �Mss ! ��)CO j JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT NO. 572 OWNER: Berg r9 So3�'�S C�I� P.O. Box 61 Avon, CO 81620 LOCATION: Tennessee PassUI��� U.S. Mineral Survey #16772 (Sucker Lode) INSTALLER: Owner Deg: 190 SW SIZE OF TANK: 1,000 gallons - fiberglass Feet: 20' from DWELLING: log house - one bedroom Structure PERC RATE: one inch/23 minutes (2 - 50' trenches comments: 4" risers'installed at end of each trench Finalized: 7-14-83 By: Sidney N. Fox JOB FOLDER PrOduct.278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Joe