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,
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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
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1 ;z l
J(,
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3 ' -3i
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P�2C
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.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
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an
17-7
le APPROVED ❑ DISAPPROVED REINSPECT
❑ Upon the Following Corrections:
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DATE: TIME:121
INSPECTOR
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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
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