Loading...
HomeMy WebLinkAbout525 Paseo - 239127302009 - 0948ISINDIVIDUAL 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. 948 Please call for final inspection before covering any portion of installed system. OWNER: Robert Sewell _ PHONE: 963-3387 MAILING ADDRESS: 6333 Hwy. 133, Carbondale, CO 81623 AGENT: PHONE: SYSTEM LOCATION: Lot 12, Filing I, Aspen Mesa Estates LICENSED INSTALLER: owner _ LICENSE NO. DESIGN ENGINEER OF SYSTEM: 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: 800 sq. ft. drain field ENVIRONMENTAL HEALTH OFFICER: DATE: _ i 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: I� SQUARE FEET. INSTALLED SEPTIC TANK: {))(�— GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALSAND ASSEMBLY �/ YES NO COMPLIANCE WITH COUNTYISTATE 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: w DATE: ENVIRONMENTAL HEALTH OFFICE — ? _ ENVIRONMENTAL HEALTH OFFICER: _ DATE: (RE -INSPECTION ECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT C-2`�� ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATIONd TEST FEE $125.00 n NAME OF OWNER: MAILING ADDRESS: to 33 141vsd1 0 tbi2KtFCPeONE: & 3 - NA14E OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLAT OF SYSTEM: LICENSED XNSTALLFmV1 ( YES ( ) NO ADDRESS: 0 1 ) W / PHONE: PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: 7- Lot ize: Legal Description: (I JN0nn M 4-"A w 19>A LA ®__ BUILDING 05,1�_ERVICE TYPE (Check applicable category). Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: 7 WASTE TYPES Check applicable categories). Commercial or Institutional ( nwelling ( ) on -Domestic Wastes ( ) Transient Use ( arbage Disposal ( ) Dishwasher ( automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF I UAL 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: ( ) YES ( ) NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water co ervation plan. SOURCE AND TYPE OF WATER SUPPLY: ( ll ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by communit water ive name of supplier: SIGNATURE: y4d�z-1 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 (6 2� d3� 1 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 q AMOUNT PAID: 'Z7 5—, 6)C) RECEIPT NUMBER r,Z` DATE: 1 7/ /^IIr PI/ ♦11 I..n rn !'�. / i nnf`IITrn_ 11111. Q NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. RECEIVED E ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) S F P 2 7 1989 FA cl E. C.10JUNTY EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: April 16, 1990 Robert Sewell 6333 Hwy 133 Carbondale, CO 81623 Re: Final of ISDS Permit No. 948 This letter is to inform you that the above referenced ISDS Permit has been inspected and finalized. Enclosed is a copy to retain for your records. Also enclosed are informational sheets regarding the care of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Officer, P.O. Box 179, Eagle Colorado 81631. Or we can be reached from Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle area 328-7311, indicate extension 530 after reaching the County Operator. Sincerely, l� S Raymo,P. Merry, RS Environmental Health Of i`er encl: Information Sheets -- ISDS Permit xc: ISDS File No. BP File Chrono File Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICEL'� �-•i l 1 1 Name .Date Routed t O� Application No. (Location) 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: COMMENTS• BUILDING: Complies with - YES NO REVIEWED BY Building Permit Applied For: Buildina Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Fl_oodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: DATE YES NO REVIEWED BY DATE YES NO 3EVIEWED BY DATE- vJ. 2A b b000l C-, c 948 Sewell Lot 12 Filing 2 JOB NAME_ Aspen Mesa Estates JOB NO. 2391-273-02-00915a5 pir5o Dkivg JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE PERMIT # 948IWO OWNER: Robert -Sewell S�Z Hgt t�- LOCATION: Lot 12, Filing I,Aspen Mesa Estates INSTALLER: self SIZE OF TANK: 1000 gal. 0TS2S%c-i--0 DWELLING: 3 bedroom PERC RATE: 20 mpi ABSORTION AREA: 1000 sq. ft. FINALIZED: 4/16/90 PARCEL #: BP# 4202 ' T(1TA r IL A A-- -.... - i B COST PROFIT — COSTS ING PRICE PROFIT JOB Fair /l22su �S/� ��S �!c' Printed in. U.S.A. 1 . f F t i i y � i 7 Js a ro ol i 1 i ��. j� � try • !i • ��I r '� - - - 1 Pr, t DECEIVED S E P 2 7 1989 EAGLE COUNTY COIF"; MU II T Y DEVELOPMENT �• = 1 `� i , t e pt a fti 4