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HomeMy WebLinkAbout232 Escalante - 239127206001 - 0904ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 904 Please call for final inspection before covering any portion of installed system. OWNER: Dan and Diane Haberman PHONE: 945-2/72 MAILING ADDRESS: P. 0• Box 84 Glenwood Springs, CO AGENT: Jay Halliday - Bighorn Construction PHONE: SYSTEM LOCATION: 232 Escalante El Jebel, CO 81628 xlIA¢OF,ExINSTALLER: Bighorn Construction LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: Z� GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: ©` SQUARE FEET OF SEEPAGE BED 800 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 1250 Gallon Septic Tank 500' :Leach Field or 260' S132 - 10 inch ENVIRONMENTAL HEALTH OFFICER: Erik Edeen DATE: May 2, 1989 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 Ill, 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: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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: v SQUARE FEET. INSTALLED SEPTIC TANK) �,L GALLONS DEGREES �_ FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: f_/ PROPER MATERIALS ANDASSEMBLY Y[;8 NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: (/ YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: i ENVIRONMENTAL HEALTH OFFICER: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: Jay Halliday OWNER: Dan and Diane Haberman AMOUNT PAID: $275. 00 RECEIPT #: 1371 CHECK #: 2464 CASHIER: J. Brophy APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PER ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY A P. 0. BOX 179 EAGLE, COLORADO 81631 No. 2orn ol,d 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00 NAME OF OWNER: � � l��AN E �+Ai3���'IAN MAILING ADDRESS: X ��E-. (;LEc.�tivcx�� S?i.,,.y_-P.5ONE: q4-!E�-- 2- -7 NAME OF APPLICANT (If different from owner): i�tc�. t-k02 t,� 0o,.,sT-i�cjc-rt<n tI .ADDRESS: 514p 3 100 C�,� 3oN bAc= Cc, PHONE: qG_S- 3�k-�- DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION LICENSED INSTALLER: ( ) YES ADDRESS: OF SYSTEM: ( ) NO Tay tl� 11 Giay PHONE: PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: 232 6.SC 1 LPNTE EL JE6LL 31b25 Parcel Number: 2,3q( 00 001 Lot Size: I A Legal Description: Lv—► kS ti -r F%L_,v._iG AsPE� c:5A BUILDING 0 SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential- Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: 3 aE�e�aa-�S WASTE TYPES Check applicable categories : Commercial or Institutional ( Vf Dwelling ( ) Non -Domestic Wastes ( Transient Use ( ✓)' Garbage Disposal (✓� Dishwasher ( ✓f 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 Us 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 conservation plan. SOURCE AND TYPE OF WATER.SUPPLY: (✓) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied b comm ni ty water, give name of supplier: r,4 SIGANTURE: DATE:--7-� INFORMATION BELOW T5 BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: AMOUNT GROUND CONDITIONS: Percent ground slope SOIL PERCOLATION Depth to Bedrock (Per 8' profile hole Depth to Groundwater table TEST RESULTS: Minutes per inch in Hole #1 Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL`` BY ( ) Absorption Trench, Bed or Pit ( ) ( ) Above Ground Dispersal ( ) ( ) Under Ground Dispersal ( ) ( ) Ottye r , a RAID. 75• RECEIPT NUMBER NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. (Environmental Health Dept. - Rev. 4/88) Evapotranspiration Sand Filter Wastewater Pond DATE: PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. Z g OWNER:���v / LEGAL DESCRIPTION: Z`; 1 z SC(Q` ,, �� 7` /-S RURAL ADDRESS: 2-'-1 Z tS"cam ['�� �� U �� 1 TYPE OF DWELLING: NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: Lf z 6— Z % TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO TIME I WATER DEPTH 1( INCHES OF FALL RATE 11 2 3 1 2 3 1 2 3 1 2 3 Yv /; r c 9 t Z r / i 2--C) / l '(t t 11rcZ 3 �� I - PERCOLATION RATE: L RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: d SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. SC�d Environmental Health Officer COMMENTS: Rev. 5/31/84 7 Date I i Scale : I,= 50' f Curlre oaf' LJ = 30° 44' 55" e= e05.00' T= 61. e7' Cb.= //9.3/' Ch_ 5>ry. = iY3/° A/ote Found debar of a// Corners, FXCCP Legal Description: Lot 15, Aspen Mesa Estates Amended, First Filing, Eagle County, Colorado. / I hereby certify that on March 6, 1989 a survey was performed by me on the above described parcel of land. All easements, encroachments and rights -of - way in evidence or known to me are shown. This survey is true and correct to the best of my knowledge and belief. By: 4ye4y7cicbme ad4NIZIL.E 4cO rl4- v 551 Broadway Eragle, Colorado 81�31 (.3o3)28 7311 1969 VJORI.D AI.Y 1NE SKI CEiAMPiGrt�78HTi 6 - .- .. .. 33A%W= Z IrExc3Mv j Jl�1_.%S dC/.^= C� 1pauc iE C3032 3��-7 07 ri�on•. iF � 7C76L d► ,�'f � c.�"�C� �c3l�i� L����`9 'r_ ga��� -to � tr�nsmi�coci, �,aioiucl3.ng tYliea aeaw®r E>a��. '1"SCPS. CaS Dr1C:i3T s . :pR= OFtY°='Y M;®3..ivenr 2rnln,mdin��3•Y D®1iV'a:c w'a�3aix':. 4 iaoitr� A3s4.rm�ea�ez w3.13. y:ic3G up a►$$ralss4mft �['i$1 .3an�1 ina�truc��iaazm or Donne=*-= s 5�19$il'i�t operator z Board Ra!' Couaty Cozorzaioslo:arra ilneaasor Clads. aad Ylaaordar sharin p.0. Sox 860 P.O. Sox 449 p.Cl. Sox 537 A.Ce. Sox 359 Magla, Calorado 81631 aagla, Colorado 81681 Colorado 81631 Eagle, Colorado 81631 TRANSMISSION REPORT THIS DOCUMENT ( REDUCED SAMPLE ABOVE) WAS SENT *** SEND *** '1waasursr p.0. nmm 479 mag1a„ Colorado 01631 NO REMOTE STATION I.D. START TIME DURATION #PAGES COMMENT 1 18254781 10-11-89 13.18 1'25" 2 TOTAL 0:01'25" 2 XEROX TELECOPIER 7020 TM EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 1989 WORLD ALPINE SKI CHAMPIONSHIPS VAIL/BEAVER CREEK . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FACSIMILE TRANSMITTAL BULLETIN DATE: ®�//� � TIME: /�a /� FROM: 11��/U/ �s DEPT. # A 8 FAX # (303) ,3228�-7207 TEL # �4 �J `JCI �c311�V pages to be transmitted, including this cover page. TYPE OF DOCUMENT : PRIORITY: Deliver Immediately Deliver within 4 hours Addressee will pick up Notify addressee Additional instructions or comments: Sending operator: 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 INDIVIDUAL SELVAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 904 Please call for final inspection before coverina anV Dortion of installed system OWNER: Dan and Diane Haberman PHONE: 945-2772 MAILING ADDRESS:- P • 0. Box 84 Glenwood Springs, CO AGENT:_ Jay Halliday - Bighorn Construction PHONE: SYSTEMLOCATION: _ 232 Escalante El Jebel, CO 81628 xljirPMKXINSTALLER: Bighorn Construction LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: Z S GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 800 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 1250 Gallon Septic Tank 500' Leach Field or 260' S132 - 10 inch ENVIRONMENTAL HEALTH OFFICER: Erik Edeen DATE: May 2, 1989 CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GRANTED /N 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 Ill, 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: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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:y SQUARE FEET. / 0 INSTALLED SEPTIC TANK:/� GALLONS_ DEGREES /_ FEET SEPTIC TANK CLEANOUT TO WITHIN B" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY YE4 NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: (//YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS:of i ENVIRONMENTAL HEALTH OFFICER: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: Jay Halliday OWNER: Dan and Diane Haberman AMOUNT PAID: $2/ 5 • 00 RECEIPT N: 1371 CHECK, 2464 CASHIER: J. Brophy ROUTE FORA EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE -D- ,c 1Dj- (lt 14a-he2mcm Name Date Routed 2,32 ESG0-W�tk- , EL JcbcL Application No. Locatio 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: COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: �2ilG. ENGINE[ COMMEN ENVIROI COMMENTS: i p1'i S-Ta ! xi f.} Recommend Approval: ■ CAMM pff"�J=* YES NO REVIEWED BY DATE > NO REVIEWED BY DATE NO REVIEWED BY DATE 904 Havarman 232 Escalante El Jebel 2391-272-06-001 JOB NAME JOB NO. 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 6�70 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. oR. 0 m a c rn � rn � r v (k L n "F Y • fv. V IQ v - 70 O S C o L j b ri ri �. k -� % (TJ 4, Al J