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HomeMy WebLinkAbout71 Deer Trail Ave - 239127102002 - 0915ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH c� P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Tele phone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 915 Please call for final inspection before covering any portion of installed system. OWNER: Robert P. Sewell PHONE: 963-3387 MAILING ADDRESS: 6333 Highway 133, Carbondale, Colorado 81623 AGENT: Splf PHONE: SYSTEM LOCATION: Lot 23 Red Table Acres 0071 Deer Trail Avenue LICENSED INSTALLER: Robert Sewell LICENSE NO. 011-89-I DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Leach field must not be installed within the 15' easement. 1000 gallon minimum septic tank, 600� minimum leach field ENVIRONMENTAL HEALTH OFFICER: ��� Erik W. Edeen DATE: June 8, 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 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: (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: �� SQUARE FEET. INSTALLED SEPTIC TANK: / ;� � (L GALLONS _ DEGREES Z-0 FEET SEPTIC TANK CLEANOUT TO WITH_ IN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY Y NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: t ::::YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: ENVIRONMENTAL HEALTH OFFICER: �l16'. -�/ DATE: ENVIRONMENTAL HEALTH OFFICER: ATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT/AGENT: Robert P. Sewell AMOUNT PAID: $ 275.00 RECEIPT #: 1167 PERMIT OWNER: Same CHECK#: 4682 CASHIER: April RUsch APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 1 PERCOLATION TEST FEE $125.00 NAME OF OWNER: MAILING ADDRESS: NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: PHONE: PHONE: PERMIT APPLICATION IS FOR: ( f),,NE-VrINSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAE SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: Le ,3 Lot Size: Legal Description: O'njo R ig4f) (` „ t yY.I IQe le'-A04_ BUILDING OR ERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential- Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: 3 WASTE TYPES Check applicable categories): Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher ( ) Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF IN9X(IDUAL 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 (,�PJO WATER CONSERVATION PLAN: ( ) YES ( ) NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water nservation plan. SOURCE AND TYPE OF WATER SUPPLY: (Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied nby�community wat/ ive name of supplier: SIGANTURE: Y� DATE: % . RV 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 FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) ,Above Ground Dispersal ( ) Sand Filter ( } Under Ground Dispersal ( ) Wastewater Pond ( ) Other AMOUNT PAID: lt,2,15 RECEIPT NUMBER (% 07 DATE: NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. (Environmental Health Dept. - Rev. 4/88) COLORADO DEPARTfIENT OF HEALTH ACCOMMODATIONS INSPECTION REPORT la�re Co. Eagle County Acct. No. Category No. .ocation 71 Deer Trail, Red Table Acres Zip Iwner Address Zip Iperator Address Zip Inits Capacity Male Female Juv. later, Source -Type Red Table Acres Sewage, Type -Method Septic Food Source iwimming Pool 1n inspect'.on of the above noted facility on this date reveals the violations and deficiencies Listed below which you are hereby ordered to correct: Inspection at septic system on May 19, 1989, 11:15 a.m., excavation for drain field, tank and field not ready for final inspection. Please call when ready. Erik Edeen 927-3823, extension 530 5-19-89 Datr3 Rocoiv@d By ES:M D:E! (5--75-10) Erik Edeen -.,ted By 5vO 0 COLORADO DEPARTMENT OF HEALTH ACCOMMODATIONS INSPECTION REPORT dame _ Co.Acct. No. Category No. _ocation 7l /jde� �P 7 �G`'�-� Zip ]wner Address Zip 3perator Address Zip Jnits Capacity Male Female Juv. dater, Source-Typeet-Olta4e AcrL5 Sewage Type -Method Food Source Swimming Pool Rn inspection of the above noted facility on this date reveals the violations and deficiencies listed below which you are hereby ordered to correct: er,--4 S3 b Date CPS:57 (5-75-10) Received By Inspected By core PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County^ FEE: $125.00 ISDS APPLICATION NO. 2 3 OWNER: en.� t;2 LEGAL DESCRIPTION: RURAL ADDRESS: TYPE OF DWELLING: /-., �_ NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: `7- ZLr— % q TYPE OF SOIL TEST HOLES PRE-SOAKED: YES k_ NO TIME I WATER DEPTH ,I INCHES OF FALL RATE 11 2 3 1 2 3 1 2 3 1 2 3 It ,'3S G v r Z l PERCOLATION RATE: / _s- RECOMMENDED MINIMUM SEPTIC TANK SIZE: ri 61�1611 U RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 0c SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer COMMENTS: Rev. 5/31/84 z s"- E � Date EAGLE COUNTY BUILDING DIVISION P. O. Box 179 Phone: 328-7311 INSPECTION. REQUESTsJs'" BUILDING PERMIT NO. DATE: JOB NAME: TIME ❑ AMt CALLER: RECEIVED: ❑ PM ❑ OTHER: LOCATION: ❑ PARTIAL r . Ave - Ready for Inspection: ❑ MONDAY ❑ TUESDAY ❑ WEDNESDAY ❑ THURSDAY N�IFRIDAY ❑ AM ❑ PM COMMENTS: a 0� APPROVED DISAPPROVED REINSPECT fivupon the Following Corrections: j� moo,. DATE: TIME iZ s hm ✓' f� �,i €a 1? f INSPECTOR x i ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Name Date Routed 1 1, Application No. (Location) ins— -f-r,-, L Aj-c-- , 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: iC_ iC3 COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainaae: Recommend Approval: COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Apy roval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE ame Date Routed 6j-123 Application No. kLOca p on) 0071 Deer 7r t 1 40L 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: OE Recommend Annroval: -5 fa G COMMENTS: BUILDING: Complies with - Building Permit Applied For: Buildina Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: YFS Nn RFVTFbJFn RY nATF G-- ( 11k YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with - YES NO REVIEWED BY DATE Floodplain Permit Necessary: X I.S.D.S. Regs. Compliance: Recommend Approval: x COMMENTS: JOB NAME Lo-F -;,3 Af,,e� -00r�t im��tJOB NO. q15 ;JOB LOCATIQN BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR PERMIT # 915 INSURANCE OWNER: Robert P Sewell SALES TAX LOCATION: Lot 23, Red Table Acres MISC.COSTS 0071 Deer Trail Ave. INSTALLER: SELF SIZE OF TANK: 1000 gal. DWELLING: 3 BEDROOMS PERC RATE: 15 MPI ABSORPTION AREA: 600 sq. ft. TOTAL JOB COST FINALIZED: 8-18-89 BY: Mike Whitaker GROSS PROFIT parcel #: 002-02-271-2391 LESS OVERHEAD COSTS OF SELLING PRICE NET PROFIT ✓LQGR Printed in U.S.A. R.