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HomeMy WebLinkAbout479 Escalante - 239127205003 - 0926-1ISCAJI/ C71 /v1—C.J0 vU1-5 Nil INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT °� `e� 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. 926 Please call for final inspection before covering any portion of installed system. OWNER: Robert Lowe PHONE: 923-4377 MAILING ADDRESS: Box 543, Snowmass, CO 81654 AGENT: PHONE: SYSTEM LOCATION: Lot 3, Filing I Aspen Mesa Estates, Eagle, CO LICENSED INSTALLER: Black Dog Excavation , 7094 Hwy 82, Glenwood Springs LICENSE NO. DESIGN ENGINEER OF SYSTEM: N/A INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: _ SQUARE FEET OF SEEPAGE BED _ SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 600 square feet of standard leach field area or 100 lineal feet of 10 inch SB2 ENVIRONMENTAL HEALTH OFFICER: � " ' / � � DATE: 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: SQUARE FEET. INSTALLED SEPTIC TANK: I Z S U GALLONS DEGREES FEET I SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALSAND ASSEMBLY 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: 1 E �C� CO U E 0-&rJ OUG2 b �U,p t �c��,.�ad, ����� �' �� �IAc�C tDo� �xc�J A� i ti►�, _+Us �n �2 r ENVIRONMENTAL HEALTH OFFICER: '— DATE: ENVIRONMENTAL HEALTH OFFICER: _ Post -if Fax Note M71 Date , �! �- pages To iGh f /l � From Co./Dept. l Co. APPLICANT/AGENT: Phone # 9/ Phone # a p.7��k_ �7J AMOUNT PAID: Fax # J ll Fax # / _ CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: P. 0. BOX 179 3-9 Co EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.0 �' PERCOLATION TEST FEE $125.00� NAME OF OWNER: L Q u_� f- Z- MAILING ADDRESS: _k ox q*',2, C-o PHONE: -'-} '7 NA11E OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: Pc� _ PERSON RESPONSIBLE FOR INSTA L TION OF SYSTEM: LIC�INER: ) ( 0 . _ � 2. ADDRESS: PHONE: %� PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: I_a4v 3 V: U, - � �� �• Parcel Number: LotSize: .3.0-7 A, ou, Legal Description: BUILDING OR SERVICE TYPE (Check applicable category): Residential'- Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: 57- (o NUMBER OF BEDROOMS: WASTE TAPES Check applicable categories Commercial or Institutional (h) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ()K 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 (K ) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: (19) YES ( 7) NO WATER CONSERVATION PLAN: ( ) YES (X) 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: (A) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: tz If suppl' by community water, give name of supplier: SIGNATURE: DATE: Lt�,/� 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 Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other AMOUNT PAID: Q ) RECEIPT NUMBER .�4 . i . _ "����5i CHECK NUMRFR Evapotranspiration Sand Filter Wastewater Pond DATE: 71 f s"— rACUTCD. NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. O Roberi Lowe! • ! 1./1.' Ali► _ • ■ ­1 - V I-fts). RURAL ADDRESS: Comer of m EscalantL 4 Siam U[sta TYPE OF DWEL` "- NUMBER OF BEDROOMS: DATE OF PERC( 52 TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO TIME WATER DEPTH it INCHES OF FALL RATE 1 1 2 3 II 1 2 1 3 it 1 1 2 3 1 2 3 vy /z 3/ 1 2 2 4/ rr , n g f /-7 -1/7 pr ; 20 1 i z '.� 3 z 3 z 0 l II 1 PERCOLATION RATE: /O RECOMMENDED MINIMUM SEPTIC TANK SIZE: i RECOMMENDED MINIMUM LEACH FIELD SIZE: /(5-o s ,47�- RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.C! 0z, /,► 5,6�. Environmental Healt Officer _1J Date COMMENTS: &00 sk , � w',"U l zJ� Rev. 5/31/84 r • E'AGLE COUNTY BUILDING DIVISION P. O. Box 179 INSPECTION REQUEST Phone: 328-7311 ISDE BUILDING PERMIT NO DATE: / JOB 'l NAME: TIME ❑ AM, CALLER: RECEIVED: ❑ PM ❑ OTHER: LOCATION: ❑ PARTIAL Ready for Inspection: ❑ MONDAY ❑ TUESDAY ❑ WEDNESDAY ❑ THURSDAY ❑ FRIDAY ❑ AM ❑ PM COMMENTS: WE APPROVED DISAPPROVED REINSPECT ❑ Upon the Following Corrections: 10: 43 LEI,it u 1/ !t t5r 1'73 a 21 pp ��� f�IZr' t2 �(Ot�rr 17`� rq� it DATE: TIME: INSPECTOR nnllrr rnMA EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE 07�— y me V " '(Na Q �,,� // o� �9 Date Routed /X) 9 i / Application No. Locati 60-� 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: 2 a Y COMMENTS: BUILDING: Complies with - Building Permit Applied For: Buildina Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE EAGLE:,COUN"TY `.' BUILDING DIUISIQN." Box 179 INS,PECThO��N eEQU E ':Dh no• 47f1711i PERMIT,NO. COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO January 28, 1991 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 Bruce Sarner 0479 Escalante Carbondale, CO 81623 RE: Water supply and sewage disposal information for property located at: Lot 3, Aspen Mesa Estates 0479 Escalante Dear Mr. Sarner: All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, A(7), adopted by the Eagle County Commissioners on October 8, 1985. A review of the County records indicates that: In September 1989, the sewage disposal system was permitted under Permit Number 926, inspected and approved in accordance with County Individual Sewage Disposal Regulations. The system consists of a 1000 gallon septic tank and 600 square feet of absorption area. However, this does not guarantee the continued satisfactory performance of the system. The water supply to this residence is from Aspen Mesa Estates, a community water system. The community water system is inspected on a regular basis by the Colorado Department of Health and to the best of our knowledge complies with current drinking water standards. If you have any further questions concerning this inspection, please feel free to call me at 328-8730 or write. Respectfully Submitted, Roger C. Hosea Asst. Environmental Health Officer cc: Files RH/alm TODAY'S PRIORITIES Date Issued By 1 3 /J % _ (% 5 6 7 8 10 11 12 13 14 15 16 17 18 COMPLIMENTS OF SKI COUNTRY PRINTING Eagle/Gypsum 328-6656 Avon/Vail 949-1650 926. Lot 3 Filing 1 Aspen JOB NA11A Mesa states'3,39 - a7aa-06`-t JOB NO. -!?—Le LOCATION BILL TO DATE STARTED 1 DATE PERMIT: 926 zo12- OWNER: ROBS LOWEG,�R, LOCATION: lot 3, filing I Aspen Mesa EstatesCk cal to installer: BLACK DOG EXCAVATION, JESS MYERS SIZE OF TANK: 1000 GAL. DWELLING: 3 BEDROOMS PERC RATE: 10 MPI ABSORPTION AREA: 600 sq. ft. FINALIZED: 09-06-89 BY: SF PARCEL #: 2391-272-05-003 )LDER 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 Printed in U.S.A. s