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Home My WebLink About438 Sierra Vista - 239127301002 - 0968IS (2)INDIVIDUAL 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. 968 Please call for final inspection before coverina anv Dortion of installed system. OWNER: Ken Braunschmidt PHONE: 963-0284 MAILING ADDRESS: 2941 Dayton Rd Chico, CA-95928 AGENT: PHONE: SYSTEM LOCATION: 438 Sei nna Vista., Aspen Mesa -Estates Lot 38 LICENSED INSTALLER: Joe Zamora, Carbondale, CO LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 1200 SQUARE FEET OF TRENCH BOTTOM. 400' of 10" s b2 SPECIAL REQUIREMENTS: Surface dralnaaP must hp rontrolPd to avoid ahsorntion areaXe-p Iry — piping shallow as possible -minimum 61' cover over piping. Provide inspection portal at the end of each trench. r h th t exceed 100' per trench. ENVIRONMENTAL HEALTH OFFICER: DATE: of CONDITIONS: 1. ALL INSTALLATIONS UST COMPLY WITH ALL REQUIREMENTS OFT AGLE 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: /,00 SQUARE FEET. INSTALLED SEPTIC TANK: 0 GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND 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. I COMMENTS: / •••CL /` !>!RG` r f I OC ENVIRONMENTAL HEALTH OFFICER: ` DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF CESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: ' k CI INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERM ENVIRONMENTAL HEALTH OFFICE - P. 0. BOX 179 ((�� M ,Lt UOU1i�TY EAGLE, COLORADO 8163I 328-7311 Eagle EAGLE COUNTY Number:336 r 0 3qi 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00 NAME OF OWNER: ore .PeLLta) s ck.v% "i el - MAILING ADDRESS: �'� yJ/ ��rdr� R T �,t�. PHONE: NAME OF APPLICANT ( I f different from owner) : ADDRESS; PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYST M: 3'a�,,_ r. a•a !.ICENSED INSTALLER: ( ) YES ( NO ADDRESS: PHONE: 1 02 PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: 143E ,�e 5Q,IA, 111e,�* Parcel Number: L� t .� R' Lot Size: 1� Legal Description: BUILDING OR SERVICE TYPE Residential ( Residential ( ) Residential NUMBER OF PERSONS: (Check applicable - Single Family - Duplex - Triplex category): ( ) Residential ( ) Commercial - Fourplex (Type) NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories): Commercial or Institutional Dwelling ( ) Non -Domestic Wastes ( ) Transient Use O Garbage Disposal Dishwasher () Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: l,Jv 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 ( NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: (C)e) 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: (,,C) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: N If supplied b community water, give name of supplier:',,Pf,�vYT SIGNATURE: DATE: `�-41 --�� INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope s-- 164 7.® Depth to Bedrock (Per 8' profile hole' Depth to Groundwater table > At SOIL PERCOLATION TEST RESULTS:_ Minutes per inch in Hole #1 Minutes per inch in Hole #2 - Minutes per inch in Hole #3 FINA DISPOSAL BY - Absorption r c Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond ( ) Other n AMOUNT PAID: -lS•0-0 RECEIPT NUMBER — �jS53 DATE: NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date • May 18, 1990 3r Ken Braunschmidt 2941 Dayton Rd. Chico, CA 95928 Re: Final of ISDS Permit No. 968 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, Raymo P. Merry, RS Environmental Health O i er encl: Information Sheets ISDS Permit xc: ISDS File No. Board of County Commissioners Assessor P.O. Box 850 P.O. Box 449 Eagle, Colorado 81631 Eagle, Colorado 81631 Clerk and Recorder Sheriff Treasurer P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 e EAGLE ROUTE FORM TY ENVIRONMENTAL HEALTH OFFICE 7 Nam3-7 - Da e , outed �31Y/ Application o. 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: 3 Recommend Approval: COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: YE NO REVIEWED 5Y DATE YES NO REVIEWED BY DATE ENVIRON"RENTAL HEALTH: Complies with vac nin DRY/TrI,irn RV noTR Fl.00dplain Permit Necessary I.S.D.S. Regs. Compliance Recommend Approval COMMENTS: 4, f%Sf OQ 11 V�� / k- - G. vo o 40 i PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. ..� OWNER: _ kek_*1_ LEGAL DESCRIPTION: L a RURAL ADDRESS: 2 ? S r�V ` s TYPE OF DWELLING: s• t V NUMBER OF BEDROOMS• k DATE OF PERCOLATION TEST: S A 10 TYPE OF SOIL: 3 TEST HOLES PRE-SOAKED: YES X NOUp TIME' WATER DEPTH +! INCHES OF FALL 1 1 2 3 RATE 1 2 3 1 2 3 11 1 2 3_ II r of%-- �S"S�16 ij I S 3 -� .�..-. :r 44, � am'. af III '" 7 = y +7 l u va ( !I tA: 1`1rE y,I PERCOLATION RATE: .S r"t101 RECOMMENDED MINIMUM SEPTIC TANK SIZE: /0s 0 RECOMMENDED MINIMUM L-D S 1�0® Zr✓� Gil/Oe�. or S/G`O o Fia''sg� RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 300 1q. Z SITE HAS BEEN REVIE!•!ED AND TESTED FOR PERCOLATION RATE. vironme COMMENTS: Rev. 5/31/84 Date N/ - / 1 t to " cav-e— , v r� t s'0 5A% ><a�z� Ia00"e2 �zxc�e /oo ��r -�,_j a r 4/00' , /( t% A. P -_ J V Ae 968 Braunchmidt Lot 3 Aspen IIIIIIIIIIIIIIIIIFMesa Estates 438 Sienna Vista JOB NAME Mesa JOB NO. OB LOCATION BILL TO DATE STARTED Ale 52 e ( 17�d DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT # 968 -' OWNER: Ken B inschmidt CO, �i Co�' 1i Zo) z _ LOCATION: 438 Sierra Vista Lot 38 Aspen Mesa Estates, INSTALLER: Joe Zamora SIZE OF TANK: 1250 gallons DWELLING: 4 bedrooms PERC RATE: 45 mpi ABSORTION: 1200 sq. ft FINALIZED: 5/f-qqc PARCEL#: BP: 4391 - .. JOB FOLDER ProdU9t 278 �o NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 �� s qYK 4/3 q 5&Vl' kL -5-// 71fz9 64W z