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
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