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)
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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
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