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HomeMy WebLinkAbout91 Arlian Rd - 239133404001 - 0952ISINDIVIDUAL 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. 9 52 Please call for final inspection before covering any portion of installed system. OWNER: George Ware PHONE: 927-3601 MAILING ADDRESS: 309H Hwy. 92 #61 , Basalt, CO 81621 AGENT: PHONE: SYSTEM LOCATION: 0091 Arlian Road, Carbondale, Arlian Ranh Subdivision LICENSED INSTALLER: owner LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: / dXQ GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: _;;��C) SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Condition: Installation as per Engineer Design. ENVIRONMENTAL HEALTH OFFICE �� JJ / ' cP DATE: CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMEN 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 1//, 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: ��T� SQUARE FEET. INSTALLED SEPTIC TANK: .0..r0 GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALSANDASSEMBLY_ 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: ynEi7�4'✓— �i$fiG CL��iGi�PS �-s/��"� ca ar..t 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 Number:_33q4 P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail. 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION) FEE $150.00 PE'RCOLATION TEST FEE S125.00 NAME OF OWNER: 6)A-,eC MAILING ADDRESS: .��g� AL).y $a 4 6 /-,619SqLT PHONE: 9a 7- t / NA14E OF APPLICANT (If different from owner): Co.vsT S'IIcS ADDRESS: Qp3 ; SILT PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: (S GC LICENSED INSTALLER: ( ) YES (X) NO ADDRESS: 3G `3 , #to Y '82 # 6 / - CT,15,12-7-- PHONE: PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: 00(9/ i u qA,,( leb. - C1.e,6QAJ;J191_F Parcel Number: Lo7 2 Lot Size: 3 Legal Description: 4jgLjAAj eA.Ajcc4 ,Sic, 3� BUILDING OR SERVICE TYPE (Check applicable category): (x) Residential - Single Family ( ) Residential - Fourplex Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: WASTE TYPES Check a licable categories Commercial or Institutional ( Dwelling ( ) Non -Domestic Wastes ( Transient Use (X) Garbage Disposal (><) 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 ( ) 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 conservation plan. SOURCE AND TYPE OF WATER SUPPLY: CX\) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: ,�00 Fi- If ed by community water, give name of supplier: SIGNATURE:s .. DATE: 2Lu& I INFORM ION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:f� GROUND CONDITIONS: Percent ground slope -0-- Depth to Bedrock (Per 8' profile hole Depth to Groundwater table 4C -a� ' SOIL PERCOLATION TEST RESULTS: N, , Minutes per inch in Hole #1 Minutes per inch in Hole #2 — Minutes per inch in Hole #3 FINAL DISPOSAL BY' Absorption Trench, de,11 or Pit ( Evapotranspiration ( ) Above Ground Dispersal (✓� Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other ¢ AMOUNT PAID: 0-5- OZ) RECEIPT NUMBER O� J DATE: NOTE:` SITE PLAN.MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAY"ABLE TO "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) a5j v EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 September 26, 1989 George Ware 3096 Hwy. 82, #61 Basalt, CO 81621 RE: Individual Sewage Disposal System Lot 2, 0091 Arlian Rd., Arlian Ranch Subdivision Please be advised that the Individual Sewage Disposal System for this lot must be designed by a registered. Professional Engineer. Please make arrangements for a site review and design by a registered Professional Engineer. Upon receipt of an engineer design system for this lot, a permit can be issued. No further building permits can be issued until an Individual Sewage Disposal Permit is approved. If you have any questions, please call 328-7311, ext. 530. Sincerely, Erik Edeen Environmental Health Officer Community Development xc: G Best File EE/tt 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 Fog - EAGLE --COUNTY ENVIRONMENTAL HEALTH OFFICE �. Name � Date Routed i ncn 6kCA-a'-) b App ication No. (Location) Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form the the E mental Health ffice. PLANNING: Complies with - Y NO REVI D B DATE Subdivision Regulations: Zoning Regulations: Recommend Approval: • •,• - ' -'� -,�V BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE M�-��J��11' YES NU REVIEWED BY UA1E ENVIRONMENTAL HEALTH: Complies with - YES N REVIEhIED BY DOTE Fl.00dpiain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: 0 jj� COMMENTS: (wd rtl�(M fry C 0 31 Uj oc� c u-I'd M rC.A %v oF/t1 C1 fv n i2jtflr jj� COMMENTS: (wd rtl�(M fry C 0 31 Uj oc� c u-I'd M rC.A %v oF/t1 C1 fv n i2jtflr s L DESIGN FOR AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM PREPARED FOR JIM MECKLEY PREPARED BY HIGH COUNTRY ENGINEERING, INC. JOB NUMBER 9065.001 ���,�1;111NI I1lllllNzv�/ .'§x0 OQ REG/S�%%,% PA!/i®FrAF 2�630 :== .cam, rrr��"16SIONi��\������ 118 W. 6th Street • Suite 205 • Glenwood Springs, CO 81601 Telephone 303-945-8676 •90�5.00l /0 3 89 �� ►� IS oil N C'Sr� s7 Cl�S/ C �cJr!r/yi P ...0�,t j . _/ - 6-ewro pl*7 _X/Oces'� l lJ�'OGthGL Wa GPr �� 6le CC w �� -Z.L74 m 3 "0 . COG, f,, jO P/i Zles Z` .S% n c /%� f' t / GGv% j /.YiProl �`b. QUe. � ,JLI��O.0c SYS Z�F�,►�r_ 9 rc� ria Q _ h4s�a�ea�ol, / /O GAJ 4 fir, 2 AsoV 4 o / _ .... -�--- Jr / �. 6..50 •Aay a�Y<l�v U n FloLJ - A.5r X CAut) - !! 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ETA- 9,Ec&,MPAt71DA-cioA)5, Qk q CP 8 0 O v � Q h Qr N � r a� Os o \ 0�0 IZ © � + Q V l7 CIC o 41 x o LO 68 Q1 i s 0 Z5 `1 ILK I� ., m 02 .,; lL _ W .; z UjW U a >> aaa J O 4 J a 1-- J O W a LU =0 i a Q U z til a a U � 1 Q 1 w '® Y(9 Inlet from Saolie lank E-L6fG, - GJq, � Cr�%GlGli���il L L�&LC, �AiR Vtd/'T sl�Pc !�l✓iS' y 1 yr" or 2" Feeder Line Slope i A(OQ/it) "Alarm" p� Weight Q ••OII•• DOSING TANK ARRANGEMENT (NOT TO SCALE) MANHOLE SHALL BE OF WATERTIGHT CONSTRUCTION. 4��6.IJ 0A1 GoPECV D `C22'7 C1fI U EAGLE COUNTY _ BUILDING DIVISION INSPECTION EQUEST -z --� P. O. Box 179 Phone: 328-7311 BUILDING PERMIT NO. DATE: j JOB Dg NAME: TIME f vj �f � _❑ MI CALLER: ///f7J-A RECEIVED: a COMMENTS: APPROVED DISAPPROVED REINSPECT Upon the Following Corrections: ' -AZC DATE: TIME: INSPECTOR November 15, 1989 Eagle County Environmental Health P.O. Box 850 Eagle, CO 81631 Attn: Sid Fox RE: Meckley/ISDS HCE Job No. 9065.001 Dear Sid: On November 2, 1989, High Country Engineering, Inc. personnel observed the visible construction of the individual sewage disposal system at Arlian Ranch, Lot 2. At the time of the observation the septic and dosing chambers and all the sand fill -base, rock bed and all pipelines, including manifolds and laterals, were in place. The construction appeared to be in general conformance with the design. If you have any questions or need additional information, please give us a call. Sincerely yours, HIGH COUNTRY ENGINEERING, INC. Yancy Nichol, E.I.T. Project Engineer YN: rjm RECEIVE® EAGLE COUNTY COMMUNITY DEVELOPMENT 118 W. 6th Street • Suite 205 • Glenwood Springs, CO 81601 Telephone 303-945-8676 952 Ware 0091 Arlian Road JOB NAMIE JOB NO.-qS2-, OB LOCATION BILL TO DATE STARTED .IOE DATE COMPLETED I DATE BILLED GROTON, MA 01471 jo JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE YD S' TIMES 1� fll �./a PATE s _ A r F �' . • FOR�`/� 400 -roes � Printed in U.S.A.