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HomeMy WebLinkAbout168 Vaquero - 239127303015 - 0905ISINDIVIDUAL 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. 905 Please call for final inspection before coverin0 anv Dortion of installed system_ OWNER: Mark Hinchliffe PHONE: 923-5287 MAILING ADDRESS: P. O• Box 4086 Aspen, CO 81612 AGENT: Self PHONE: SYSTEM LOCATION: 0168 Vaquero AspenMesaEs//t�aate//s�/��El J�/e/b�el MMXW INSTALLER: Owner !9/ ! l _ / I % Cif7/vU(JJQ/L,x4 LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: r, SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Standard system 2-66a G, i -) c 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. c INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET. 0 (00 � 2e11 0 S \_ to I ( J Z INSTALLED SEPTIC TANK: _1W O GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: / PROPER MATERIALS AND ASSEMBLY v YES NO COMPLIANCEWITH COUNTYISTATE REGULATION REQUIREMENTS: YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE-INSP CTION WHEN WORK IS COMPLETED. COMMENTS: la ENVIRONMENTAL HEALTH OFFICER: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT/AGENT: Mark Hinchliffe AMOUNT PAID: $275 RECEIPT#: 1289 and 1326 OWNER: PERMIT Mark Hinchliffe CHECK#: 2139 and 2148 CASHIER: A. Rusch OAPPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT 32 6 ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: % v� 0),5 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:��k MAILING ADDRESS: ABC '10 8 PHONE: 3_59 7 NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: MO)c 141 ncH 1-(4 LICENSED INSTALLER: ( ) YES ( X) NO ADDRESS :D PHONE: el PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: OiGw yA9UE-ASp/J I'1"1-LS,4 es7*7F—S e- Parcel Number: Lot Size: .® i2£S Legal Description: o7' I c?".2- 4L. A&Q--A) , e&4 5.,,vTr__S BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: 14 NUMBER OF BEDROOMS: 3 WASTE TYPES Check applicable categories): Commercial or Institutional (X) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) 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 Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES (3C) NO 7 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: (X) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied_.4y water, give name of supplier: 7�6lYIer,A 1&wWozuv1e2S SIGNATURE: ��! DATE: x X50 elle,� 68' INFORMATION BELOW.. BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope Depth to Bedrock (Per 8' profile hole Depth to Groundwater table SOIL PERCOLATION 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 ( ) Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other , AMOUNT PAID4126 tGO RECEIPT Pit ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond NUMBER 12Sq / 132Gp DATE: 3J209111 NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (EnvironmentalAealth Dept. - Rev. 4/88) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. 3 a G OWNER: _m em +A 1pc� � ► - 4 F LEGAL DESCRIPTION: LOT"" I (o —0"'1-t- # z As(?F-" (AF'sh Ez; RURAL ADDRESS: O 1(-o 63 IM Q 0 E26 TYPE OF DWELLING: Sitj Fest,ry„ Ia NUMBER OF BEDROOMS: ' DATE OF PERCOLATION TEST: TEST HOLES PRE-SOAKED: UN(u 1 holc YES NO SUITA0.1 r fn_ VV? TYPE OF SOIL: TIME WATER WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 LID VX z 3: os ' i 1 ;z l J(, �_ z ( /(. /- 3 ' -3i /6 3/� ► P�2C �5� .PERCOLATION RATE: � � 1`%'a P.z � 6 `Z RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: SOO RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. i p ,iironmental Realth Officer Date `BENTS: 1/ 84 ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Mark Hinchliffe Name 3/24/89 Date Routed 0168 Vaquero - Aspen Mesa Estates Lot 16 Location Filing #2 3267 Application No. 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 BUILDING: Complies with - YES NO REVIEWED BY Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: YES NO REVIEWED BY DATE DATE COMMENTS: ENVIRONMENTAL HEALTH: Complies with YES NO REVIEWED BY DATE Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: F N C,. 7e3 i ?,E QL3 I 4t Pee EAGLE COUNTY BUILDING DIVISION P. O. Box 179 INSPECTION REQUEST Phone: 328-7311 BUILDING -PERMIT NO. : DATE:%�f.,JOB NAME: TIME 0-AM' CALLER: RECEIVED: Pm 0 OTHER: LOCATION: El PARTIAL Ready for Inspection: 0 MONDAY EITUESDAY ED WEDNESDAY HLIRSDA�El FRIDAY 0 AM PM COMMENTS: F-1 APPROVED DISAPPROVED F-1 REINSPECT 11 Upon the Following Corrections: DATE: TIME: INSPECTOR EAGLE COUNTY BUILDING DIVISION P. O. Box 179 Phone: 328-7311` INSPECTION REQUEST 'T' BUILDING PERMIT NO. DATE: JOB �.., NAME: TIME \(�AMI RECEIVED: A PM CALLER: 1 q J L _ l:'ii•.:I�c, COMMENTS:iv juj an 17-7 le APPROVED ❑ DISAPPROVED REINSPECT ❑ Upon the Following Corrections: ') f� r! r H DATE: TIME:121 INSPECTOR e I OF 905 C �j JOB NAME_ Lot 16 Aspen.Mesa Estates �i S ' JOB NO. 65 BILL TO STARTED DATE COMPLETED PERMIT #: 905 Sca Ed �� � � Fie OWNER: Mark Hinchliffe zI-z- LOCATIA, 0168 Vaquero Aspen Mesa Estates INSTALLER: SELF SIZE OF TANK: 1000 gal. DWELLING: 3 Bedrooms PERC RATE: 22 MPI ABSORPTION AREA: 800 sq. ft. FINALIZED: 8-11-89 BY: SNF PARCEL #: 2391-273-03-1-6&%S DATE BILLED JOB COST SUMMARY eA- �4 e V -- z&0.� N l = 1 000 of I xIF Ito rb XK4 14 t _-.ivn�G ft i J Gam,, 2`i °�i-C ?>►�1�11.3�It�G�11 tiro'' '� 1 LU j i 3 �77 f _ r i f II I _ I - I I i I M � 1 I i 1 i IF i I I y - i I