HomeMy WebLinkAbout927 Fender Ln - 239127205007 - 0927ISINDIVIDUAL 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. 927
Please call for final inspection before covering any portion of installed system.
OWNER: Gerd Zeller ��%��Z�iCJC°>9G1� PHONE: 9234377
MAILING ADDRESS: PO Box 37 , Aspen, CO 81612
AGENT: �d/ PHONE:
SYSTEM LOCATION: 0904 Fender Lane, Aspen /Mesa Estates t, o 7-7 %7
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LICENSED INSTALLER: �� / `��L% r� LICENSE NO.
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 1000 gallon septic tank with 4 trenches each being 60' long
ENVIRONMENTAL HEALTH OFFICER: DATE: J
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/,'
6 GALLONS DEGREES FEET
SEPTIC TANK CLEANO/TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND 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:
I/ di L
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ENVIRONMENTAL HEALTH OFFICER: DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No.
P. 0. BOX 179
EAGLE, COLORADO 81631
949-5257 Vail 328-7311 Eagle 927-3823 Basalt
PERMITAPPLICATION FEE $150.00, PERCOLATION TEST FEE $125.001
NAME OF OWNER: Gerd Zeller
MAILING ADDRESS: P.O. Box 37 Aspen, Co. 81612 PHONE: 923-4377
NAME OF APPLICANT ( I f different from owner) : same as above Trfry K'w 7r_L
ADDRESS: PHONE: qL1—33S)
DESIGN ENGINEER OF SYSTEM (If applicable): N/A
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Owner
LICENSED INSTALLER: ( ) YES (x ) NO
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: ( x) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address: ngn4 'F'Pmg, T.anP Aspen Mesa F.states
Parcel Number: 7A Lot Size: 4.43 acres
Legal Description:
BUILDING OR SERVICE TYPE (Check applicable category):
x Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential- Triplex
NUMBER OF PERSONS: 4 NUMBER OF BEDROOMS:
WASTE TYPES Check applicable categories :
( ) Commercial or Institutional ( ) Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( x) Garbage Disposal ( x) Dishwasher
( x) Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
x 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 (x) NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ('x) 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: ( ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier:
SIGANTURE:
—T�q 1 DATE: 7/1 4/89
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope � I
Depth to Bedrock (Per 8' profile hole)
Depth to Groundwater table
SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1
5-or, fiT4cN_rD Minutes per inch in Hole #2
Minutes per inch in Hole #3
FINAL DISPOSAL
( L; AbsorptioBY Trenc , Bed or Pit
( ) Above Ground Dispersal
( ) Under Ground Dispersal
( ) Other
AMOUNT PAID:aw RECEIPT NAM
( ) Evapotranspiration
( ) Sand Filter
( ) Wastewater Pond
R 10 90 DATE: �•�� �- ���
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NOTE: SITE PLAN MUST BE ATTACHEDTOAPPLICATION.
(Environmental Health Dept. - Rev. 4/88)
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EAGLE COUNTY
BUILDING DIVISION �
P o Box 179'
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Phone 3287311 f} - ;awn
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EAGLE COUNTY
BUILDING DIVISION INSPECTION REQUEST lS�S 3
P. O. Box 179
Phone: 328-7311 BUILDINb PERMIT NO."
❑ OTHER: LOCATION:
❑ PARTIAL 'i L
Ready for inspection: ❑ MONDAY ❑ TUESDAY ❑ WEDNESDAY ❑ THURSDAY ❑ FRIDAY ❑ AM ❑ PM !
COMMENTS:
APPROVED
DISAPPROVED REINSPECT
❑ Upon the Following Corrections:
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DATE: TIME:
INSPECTOR
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C��� Cam.. (J,W • .
Zeiler -
Name
Date Routed Application No.
Location
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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: r Sg
COMMENTS:
DIIT1 nTAI(_'.
COMMENTS:
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
Complies with -
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
YES NO REVIEWED BY DATE
YES NO REVIEWED BY DATE
ENVIRONMENTAL HEALTH: Complies with - - YES NO REVIEWED BY DATE
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
COMMENTS: _�� �. - <I,
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TRANSMISSION REPORT
THIS DOCUMENT WAS CONFIRMED
(REDUCED SAMPLE ABOVE - SEE DETAILS BELOW)
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COMPLIMENTS OF
SKI COUNTRY PRINTING
5
Eagle/Gypsum 328-6656 Avon/Vail 949-1650
927 Zeller Lot 7A 0904 Fender
JOB NAME -Lane 2391-272-05-007 JOB NO.
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JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
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
JOB FOLDER Product 278 &E7® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.$.A.
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