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
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DATE: TIME:
INSPECTOR
nnllrr rnMA
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
07�— y me V " '(Na
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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
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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.
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