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HomeMy WebLinkAbout3630 Salt Creek Rd - 210729100052INDIVIDUAL 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. 960 Please call for final inspection before covering any portion of installed system. OWNER: Dale Beauchamp PHONE: 926-3806 MAILING ADDRESS: P - 0 - Rox 1212, Fdwa rd s , CO 81632 AGENT: PHONE: SYSTEM LOCATION: __Parcel 2, Sutton Rural Homesite, Salt Creek Road, Eagle Owner LICENSED INSTALLER: 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 660 SQUARE FEET OF TRENCH BOTTOM. or 220 1 . f . of 10" SB2 SPECIAL REQUIREMENTS: Sizing field for 3 bedroom house.If building sewer goes under driveway, it must be cast-iron. Note setbacks. ENVIRONMENTAL HEALTH OFFICE DATE: CONDITIONS: 1. ALL INSTALL ONS MUST COMPLY WITH ALL REQUI E NT THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORIT D 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: �j �j ry� SQUARE FEET. A�7 !I.�oX / O V kp,�� X ` / INSTALLED SEPTIC TANK: �Q0 GA'LLONS DEk EES / to FEET"(-- c�C —0­ SEPTIC TANK CLEANOUT 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 F PROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: ENVIRONMENTAL HEALTH OFFICE DATE: i' ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS P�EyRMIIITr 0APPLICANT/AGENT: OWNER: //t.C�rX 4LCsC'',�/G(sl/C�rL1 AMOUNT PAID: 9:: /� Jr RECEIPT #: :2 CHECK #:614Q CASHIER: / O�Pp INDIVIDUAL SEWAGE DISPOSAL SYSTEM P ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, COLORADO 81631 Number: 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00 NAME OF OWNER: MAILING ADDRESS: al88 EbWAROS Co PHONE: L70) NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES ( A NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( V) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: 'SALT CREEK RD Parcel Number: 2 Lot Size: Legal Description: �V-Mw POPAC HWCSITE BUILDING OR'SERVICE TYPE ( ✓) Residential ( ) Residential ( ) Residential NUMBER OF PERSONS: (Check applicable - Single Family - Duplex - Triplex category): ( ) Residential - Fourplex ( ) Commercial (Type) NUMBER OF BEDROOMS: 3 WASTE TYPES Check applicable categories): Commercial or Institutional O 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 Usk WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES (UM) 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: ( ) Well (V) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATURE: 1�_ DATE: 3 /y 9 INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope ly 7 SOIL PERCOLATION Depth to Bedrock (Per 8' profile hole) ? x Depth to Groundwater table 7 8° TEST RESULTS: an Minutes per inch in Hole #1 a o Minutes per inch in Hole #2 r20 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 AMOUNT PAID: a�`�,D� RECEIPT NUMBER �jS� (Q DATE: CHECK NUMBER 1 __ CASH1 NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" (Enviromental Health Dept. - Rev. 4/88) \ �D \ 10 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: March 17, 1990 Dale Beauchamp P.O. Box 1212 Edwards, CO 81632 Re: Issuance of Individual Sewage Disposal System Permit No. 960 Enclosed is Your ISDS -Permit No. 960 This yellow copy of the permit must be posted on the installation site. You must call our office for a final inspection before covering any portion of the installed system. If you have any questions, don't hesitate calling. From Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle area 328-7311, indicate extension 530 after reaching the County Operator. Sincerely,.. R and P. Merry, Environmental Heal .E'er Of f icer 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 PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ✓ ISDS APPLICATION NO. -R-3 6--5— OWNER:1. 13 Pa"_ c_�e� �,,�,•a LEGAL DESCRIPTION: Lo a SiAA,o-_ jewl-0,1 RURAL ADDRESS: TYPE OF DWELLING: / / NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: 3 A o 1qQ TYPE OF SOIL: ��o ��v so " - /W /'deAf TEST HOLES PRE-SOAKED: YES NO ka G ® 9 TIME I WATER DEPTH II INCHES OF FALL RATE 1 2/� 3 I 1 2 1 3 it 1 J 2 3 1 2 3 o s o a : S © .s- d I •(�' ' i 99 '') O� sJr r?� O� ai - I .i %.� / ...J� i / —4 7e S/ .10— d CJ 3 v 3,0 r /( ' I a —'- 1 ,201"a 7.lel� err ao ' `4 mAr aoA%l 3. r 3 / 7�%S_4a 75/7,111 �� 1 3: / S 3 ; f�' 3� rl- 6 7 L �?0 1' all M4r ao Il o20 3 ,,.2o 3Sao 3,a0 s _' eer o2®MOZ PERCOLATION RATE: 2 0 /` 1 /�r RECOMMENDED MINIMUM SEPTIC TANK SIZE: zjQ 00 �/ � ` RECOMMENDED MINIMUM LEACH FIELD SIZE: vG� /moo /�On tr�r.2d RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 2 ® / SITE HAS UPi-KVIEWED AND TESTED FOR PERCOLATION RATE. Enviro�fiental Hea COMMENTS: 4 Rev. 5/31/84 "e--f to 4% CV t/VL& a 1` f ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE �D ^ Name) Date Routed � �.SL` k SV��S� pp ication 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 - 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: R commend Approval: COMMENTS: A,,/;.,H � Uz,' / YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE YES NO REVIEWED -BY 16 DATE , I I I i i ` I I I I , � - SUTi'�N� RURAL I I-1611iE S 1iE : I r � PR:CCh Z i Z., 8S0 : I I I i ; I ' I I I , 7� � GAR 6 i � , I : ; DKK Pr I '.. : , : I i rFIALD 21 i i a r i I I i fed : : �r I ESE ► l ; CTR to I , i 960 Beauchamp Sutton Rural JOB NAME_. 2107-291-00-052 JOB NO LOCATION BILL TO DATE STARTED I DATE COM PERMIT # 960 OWNER: Dale Beauchamp LOCATION: Parcel 25 Sutton Rural HOmesite, Salt Creek Rd. Eagle INSTALLER: owner SIZE OF TANK: 1000 gal. DWELLING: 3 bedrooms PERC RATE: 20 mpi ABSORPTION AREA: 660 sq. ft. FINALIZED: 4/3/90 PARCEL #: 2107-291-052 BP# 4381 DATE BILLED JOB COST SUMMARY TOTAL SELLING PR10E TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS OF SELLING PRICE NET PROFIT IDER Printed in- U.S.A. im ;r 1. ' a. lQ� Gel � � ,�,% �✓v�r�� gal