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HomeMy WebLinkAbout21000 Hwy 6 - 193925203002INDIVIDUAL 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. 917 Please call for final inspection before covering anv Dortion of installed system. OWNER:_ Todd H Rucker PHONE: 82/ -5360 MAILING ADDRESS: P. 0. Box 2424 Vail, ail Colorado 81658 7 AGENT: Self PHONE: 82/-5360 SYSTEM LOCATION: Lot 1 Filing 2, Red Mountain, 21000 Highway 6 LICENSED INSTALLER: Randy Hill LICENSE NO. 013-89-1 DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: ® GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED n SQUARE FEET OF TRENCH BOTTOM. C% \ /AV SPECIAL REQUIREMENTS: 1000 Gallon septic tank ` 'V ENVIRONMENTAL HEALTH OFFICER: DATE: June 14, 1989 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: ` 2-/ SQUARE FEET. INSTALLED SEPTIC TANK: GALLONS Z70DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY 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: ENVIRONMENTAL HEALTH OFFICER: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT/AGENT: Todd H. Ruc OWNER: PERMIT Todd H. Rucker AMOUNTPAID:$125 and $150 RECEIPT#: 1754 and 1777 CHECK#: 5443 and 6103 CASHIER: Jo/April APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: 3311 P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00,, PERCOLATION TEST FEE $125.00 NAME OF OWNER:-- 1-,)k h ?c, r MAILING ADDRESS: - NAME OF APPLICANT (If different from owner): PHONE: ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( -j'NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE,DISPOSAL SYSTEM: Physical Address: Parcel Number: o&I Legal Description: ze: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: _ NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories): Commercial or Institutional Dwelling Non -Domestic Wastes ( ) Transient Use (-� 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 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: ( Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: f�i�-tt If supplied community water, give name of supplier: SIGNATURE DATE: l -' —E :l INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope Depth to Bedrock (Per 8' profile hole DeP th 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: RECEIPT NUMBER Evapotranspiration Sand Filter Wastewater Pond /777 DATE:0-2-$cf Lo'8-Pso 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 Tbid ISDS APPLICATION NO. L �� OWNER: I Qdd RUC .Kpr LEGAL DESCRIPTION: Lot I Ft f l nQ 2 - Red Mtn. RURAL ADDRESS: Z i 000 TYPE OF DWELLING: 3irdefinfri Ise ((?6iden e NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: �'— 3 TYPE OF SOIL TEST HOLES PRE-SOAKED: YES _ NO TIME WATER DEPTH 1� INCHES OF FALL ` RATE 1 2 3 1 2 3 II 1 I 2 3 1 1 2 3 /,63 l ���' �`SC� 23 >- 1 Z -2- �. �,� � -Z_ -a- ?; 7 EGG 2 f p 2S v! l r ! iz �' / 3 4' L/ 2 � PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: ri s RECOMMENDED MINIMUM LEACH FIELD SIZE: "o, 20 RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: ijtf SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer COMMENTS: Rev. 5/31/84 6-s`s2 Date yel t r u.T 11-1 1 1 app. 3311 /01 pe L n COLORADO DEPARTMENT OF HEALTH ACCOMMODATIONS INSPECTION REPORT C Name Acct. No. �(/"!Co. "v Category No. Location �/ �� Zip Owner Address Zip Operator Address Zip Units Capacity Male Female Juv. Water, Source -Type Sewage, Type -Method /F000d Source Swimming Pool � 615ee" C",4 ct,5 An inspection of the above noted facility on this date reveals the violations and deficiencies listed below which you are hereby ordered to correct: 2-1 z 53 �v l r ©.' 2-s-i 2 03 L 2g _A Date Received By Inspected By Sco= CPS:57 (5-75-10) 4[7 �7 JO B NAME ens o JOB NO. _IAR 1 !1f`�TIr1N BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE PERMIT #: 917 OWNER: TODD RUCKER LOCATION: Lot 1, Filing 2, Red Mountain 21000 Hwy. 6 INSTALLER: Randy Hill SIZE OF TANK: 1000 DWELLING: 3 Bedrooms PERC RATE: 7 MPI ABSORPTION AREA: 120 sq. ft. FINALIZED: 09-05-89 PARCEL #: 1939-252-03-002 BY: EE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT :)L DER w Printed iA U.S.A.