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HomeMy WebLinkAbout201 Wapiti Wy - 247106302005INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N2 0889 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: Roberta.Allen and William Wesson Telephone: 920-1234 Address: 601 East Hyman Street, Aspen, Colorado 81612 P.—O. Box 8093 Aspen, CO 81612 System Location: 0201 Elk Run : Lot 21, Block 2, Ruedi Shores Subdivision, Filing 1 Licensed Installer$ utherl and Construction Co., Carbondale License Number: Conditional installation approval is hereby granted for the following: Minimum requirements: 7 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate:_ Inch in 0_ Minutes Absorption area per bedroom Sq. Ft. Number of Bedrooms 2 X S� Sq. Ft. minimum requirement per bedroom -. equals 3 40 Total Sq. Ft. minimum requirement % � ° Special Requirements: aq", Wj�O� /zo of Io" S r3 Z. Date: 10-28-88 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: 1000 GALLONS; (2 DEGREES; Z FEET DESIGN ENGINEER OF SYSTEM: 110A INSTALLER OF SYSTEM: Meow Sj4ke&Iatj o PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR / AERATED ACCESS PORTS ABOVE GRADE: YES ✓ O PROPER MATERIALS AND ASSEMBLY: YES NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES—L,::::'-NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES k:!�NO COMMENTS: l�2 ieJs.���-Ii uN or Ae lenc_4 41mtsc,4 )cr- Qu,`,eez,0-- 69/G— (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval) -Z-f3l9 ENVIRONMENTAL HEALTH OFFICER: S/U DATE (Re-Inspection)IL6-4—f ENVIRONMENTAL HEALTH OFFICER: S/2 RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Allen/Wesson Name of Owner: Same Amount Paid:, $275. 00 Receipt Number: 694 Date: 10-24-88 Cashier: E1 Jebel /AR Check # 2372 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No. 32.52. 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: MAILING ADDRESS: (6,0 1 EEZ NAME OF APPLICANT (If different from owner):r- ADDRESS: DESIGN ENGINEER OF SYSTEM (If applicable): )_ L, PHONE: /v Aspen 1 bi2- PHONE: ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: &) i H-QRWiN LICEN ED I STALL ( )/; S ( ) 0 ADDRESS:. �,��,� ��-, ( � ��C t PHONE: PERMIT APPLICATION IS FOR: (�EW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: — R D ED l S m), r S 0201 ELK 'Uhl Parcel Number: 2y'11- h3' Z-005 Lot Size: I, U aLl Legal Description: C2j BUILDING OR_SERVICE TYPE (Check applicable category): File n 1 Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: 1_�2_ NUMBER OF BEDROOMS: ( z� WASTE TYPES Check applicable categories): k,,�L��� Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( TransientUse�G?ccv�7 ( ) Garbage Disposal ( ) 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 Usle 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,conser tion plan. 7 0- z P73t,� --Si -k--,,, SOURCE AND TYPE OF WATER SUPPLY: (t ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system:--cj--- If suppJA­eb community water,, give nam�e� of supplier: �t?r SIGANTURE: �,:�i'%/(//� ,�, li�� DATE: Off? /sCY INFORMATION BELOW.TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope S% Depth to Bedrock (Per 8' profile hole -29 � Depth to Groundwater table -7 C9 SOIL PERCOLATION TEST RESULTS: , Minutes per inch in Hole #1 Minutes per inch in Hole #2 Vi It Minutes per inch in Hole #3 FINAL DISPOSAL` BY: ( Absorpti.en Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater P nd ( ) Othere � •(� AMOUNT PAID: RECEIPT NUMBER DATE: NOTE: DETAILED SITE PLAN MUST BE ATTACIIEDTO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO:'"EAGLE COUNTY TREASURER" (Environmental Health Dept. - Rev. 4/88) 4' t EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 March 22, 1989 Great Western Mortgage Company 8671 Wolff Court Suite 210 Westminster, Colorado 80030 Dear Yvonne, I have attached a copy of Eagle County Individual Sewage Disposal System Permit # 0889. This permit is being mailed to you at the request of Roberta Allen. If you have any questions, please give me a call. Sincerely, S FO-L BAR. Sid Fox Environmental Health Officer Oar Encl 1 xc: Roberta Allen Files 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 PERCOLATION! PEST ENVIRONiMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION N0. OWNER:l�22 t �1?iye, LEGAL DESCRIPTION:JT RURAL ADDRESS: TYPE OF DWELLING:. NUMBER OF BEDROOIMS: ,r r DATE OF PERCOLATION TEST: ,a°� - A, -7--9� TYPE OF SOIL: > a=�" r, . TEST HOLES PRE-SOAKED: YES NO , f zL TIN•'E l 2 3 II WATER DEPTH II l 2 II 3 'I INCHES OF FALL RATE 1 ! 2 1 3 II 1 2 �s7 U�. 3c��/ I I I it I II I ( I li II ' I I q I I II PERCOLATION RATE: II I U II I I If RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOiMMENDED MINIMUM LEACH FIELD SIZE: 3U a e `o wi RECO1,11MENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 16 S0-1 SITE HAS BEEN REVIE!•JED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer COMMENTS: i..)t� r 12 U � ems- 4' Rev. 5/31/84 Date ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE IW(". 6son Name 3262. Date Routed E Ku n di Application No. Loc tion 2-4-71- 0(03 -02- 005 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® �6 Q37 COMMENTS: BUILDING: Complies with - Building Permit Applied For: Buildina 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 VrC r,1A nMITM.lrn nV nA Tr ILJ I-�V/ 1\LY1L['\LV VI ViIIL V 889 Aiien Lot 2.1 Big 2 Rued, v6V7 Shores 0201 Elk Run JOB NAME 2471-063-02-005 JOB NO. — JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT # 889 OWNER: Roberta Allen and William Wesson LOCATION: 0201 Elk Run - Lot 21, Block 2, Ruedi Shores Subdivision, Filing #1 INSTALLER: Sutherland Construction SIZE OF TANK: 750 Gallon Septic tank DWELLING: 2 Bedroom residence PERC RATE: 6 to 10 MPI FINALIZED: 11-9-88 BY: Sid Fox PARCEL NUMBER: 2471-063-02-005 JOB FOLDER Product 278 jEgg�0 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 TF4�