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Home My WebLink About2243 Upper Cattle Creek Rd - 239127402005INDIVIDUAL 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. 9 1 8. Please call for final inspection before covering any portion of installed system. OWNER: Dan W. Smith PHONE: 920-4615 MAILING ADDRESS: P. 0. Box 11991 Aspen, Colorado 81612 (1 AGENT: Self PHONE: 920-4615 SYSTEM LOCATION: 22433 E1 Jebel Road (Lot 7, Los Pinones Estates) L%`<MM INSTALLER: Self LICENSE N0. DESIGN ENGINEER OF SYSTEM, INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1 ° ;-0 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DIS�PERRySA,LL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: ENVIRONMENTAL HEALTH OFFICER: it liv DATE: —June 14, 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. y - INSTALLED ABSORPTION OR DISPERSAL AREA: 11) 0(2 SQUARE FEET. INSTALLED SEPTIC TANK: oz o GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALSAND ASSEMBLY t�r YES 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: / ee Go`" -,.aC. �` F / 17 N.2 rN �V, -- rK vr... ✓ .F C L ENVIRONMENTAL HEALTH OFFICER: DATE: �� ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) APPLICANTIAGENT: Dan W. Smit RETAIN WITH RECEIPT RECORDS PERMIT OWNER: Dan W. Smith AMOUNT PAID: $125 and $150.00 RECEIPT 1: 1717 and 1834 CHECK, 309 and 333 CASHIER: Lori/April APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, COLORADO 81631 No. 3J 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 NAME OF OWNER: MAILING ADDRESS: �Icls NAME OF APPLICANT (If different from owner): ADDRESS: 1 PERCOLATION TEST FEE $125.00 PHONE: CG'�o q G PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): _4 l ADDRESS: PHONE: PERSON RESPONSIBLE FOR'INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES (,--�_NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: (vj'NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: ji,)UneS 3 El c7ebel Road Parcel Number: a3qj _ b 2 - Lot Size: a ,qcf- Legal Description: 1 ,' "- � � glk BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential- Triplex NUMBER OF PERSONS: 5 NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( y) 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 (--� NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( ) YES (--�_NO WATER CONSERVATION PLAN: ( t,4"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: (--r Well ( ) Spring ( ) Creek/Stream Give depth of all wel s within 200 feet of system: )RO If su7ied by co/mmun wger, ive name of supplier: SIGANTURE:c / /�� e / DATE: �/- INFORMATION BELOW TO 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 rINAL DISPOSAL B'r': " ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: 5 RECEIPT NUMBE� 1riDATE: S NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. (Environmental Health Dept. - Rev. 4/88) vin 49 i1 •J� f '- � � ''I ' �' N In8 � - Za vl 'TIT'y ... _� , � m •;r;% ice'!,' :L'SOI• O Cn'tiJi _-.- -O'CO2-_—... '_.2C[✓'•-:!. ,2t 9.or.GCLIUN c� - T W trS�lY I ._ U9 0 �h co r 1 Rl s• 9 tom, �• .a -- �9 N >4 t OA c+ � 9 1 1 i, IN S�1 E LiP EN 1 � 1 ..EAGLE COUNTY BUILDING DIVISION P. O. Box 179 Phone:328-73�Y DATE: INSPECTION REQUEST JOB TIME L/ — "E3'AM CAL ER: /�� RECEIVED: ❑ Pm-��/ COMMENTS: Ur x l BUILDING PERMIT NO. APPROVED DISAPPROVED F-1 REINSPECT ❑ Upon the Following Corrections: ry ro r a f DATE: TIME: ( / j� ! V� �`.lr ✓.+., INSPECTOR a -'EAiGLE COUNTY BUILDING DIVISION P. 0. Box 179 Phone:328.7311 , INSPECTION REQUEST BUILDING PERMIT NO. Ready for Inspection: ❑ MONDAY ❑ TUESDAY _- EDNESDAY ElTHURSDAY IFRIDAY AM ❑ PM COMMENTS: APPROVED DISAPPROVED 0 REINSPECT ❑ Upon the Following Corrections: L (_ lc J 1$ 'µ DATE TIME it ;V , F is INSPECTOR EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 XC: ISDS File No. Board of County Commissioners Assessor Clerk and Recorder Sheriff P.O. Box 850 P.O. Box 449 P.O. Box 537 Treasurer Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, OColo ado 81631 Eagle, Colorado 81631 PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 - PAID ISDS APPLICATION NO. 3304 OWNER: Dan W. Smith Phony, qZp_ �bl5 LEGAL DESCRIPTION: Lot 7, Los Pinones Estates RURAL ADDRESS: 2243 E1 Jebel Road, El Jebel, Colorado TYPE OF DWELLING: Single Family Residence NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: TEST HOLES PRE-SOAKED: YES NO TYPE OF SOIL: TIME WATER DEPTH J INCHES OF FALL RATE 1 2 3 1 2 3 1 1 2 3 1 2 3 PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: ( 2 Sao RECOMMENDED MINIMUM LEACH FIELD SIZE: too e� RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Envir ental Health/Officer 1 COMMENTS: �)Ac' — �01� Rev. 5/31/84 Date r 1� 03 JOB NAME. aa43 4.:i �, L ,4, -7 &s Pw,� JOB NO. CN JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL - - -_-- - PERMIT # 918 OWNER: Dan W. Smith LOCATION: 2243 E1 Jebel Road 2238 Upper Cattle Creek Lot 7, Los Pinones Estates INSTALLER: Owner, Dan Smith SIZE OF TANK: 1250 Gallons DWELLING: Residential PERC RATE: Waived FINALED: 6-30-89 BY: Bob Fuller, Building Dept. TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT )LDER Printed in U.$.A.