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Home My WebLink About33 Escalante - 239127302007 - 0975ISINDIVIDUAL 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. PERMITNO. 975 Please call for final inspection before covering any portion of installed system. (� OWNER: Jack Morse PHONE: 963-1760 MAILING ADDRESS: P.O. Box 1513, Basalt, CO 81621 AGENT: PHONE: SYSTEM LOCATION: hot 9, Aspen Mesa Estates, 0033 Escalante LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 01�0 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 600 SQUARE FEET OF TRENCH BOTTOM. or 2001 of S132 1011 SPECIAL REQUIREMENTS: Place, i TICperti nn portals at the Pnd of each trench or in the seepage b ENVIRONMENTAL HEALTH OFFICER: DATE: CONDITIONS: 1. AL-,,.-,- MUST COMPLY WITH ALL REQUIRE ENT�TEAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GR NT , C.R.S. 1973, AS AMENDED. 2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STR CTU ES 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. /'fj� f® INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET. el INSTALLED SEPTIC TANK: R-Z GALLONS DEGREES FEET - S"jam SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: / PROPER MATERIALSAND ASSEMBLY YES 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 I CES ) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Ss V"I E.NVIRO[IMENTAL,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 � PERCOLATION) TEST FEE S125.00 NAME OF OWNER: _-�1 C,lL �1% S� MAILING ADDRESS: = f,S % �f -5 PHONE: �y ✓ NA14E OF APPLICANT (If different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: `PERSON RESPONSIBLE FOR INSTALLATION . LICENSED INSTALLER: ( ) YES ADDRESS: OF SYSTEM: (,,-) NO PHONE: PHONE: PHONE: PERMIT APPLICATION IS FOR: (./S NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: Legal Description: Size: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: 2- NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories): Commercial or Institutional Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( --j 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: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by c munity water, give name of supplier: s Kv 'f - SIGNATURE: i,4 DATE: INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope � -5-- Depth to Bedrock (Per 8'y profile hole) Depth to Groundwater table 7r- r SOIL PERCOLATION TEST RESULTS: jC1 Minutes per inch in Hole #1 Minutes per inch in Hole #2 / d Minutes p'er inch in Hole #3 FINAL DISPOSAL BY: Absorption Trench, Bed or Pit O Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other AMOUNT PAID: �� RECEIPT NUMBER CHFCK NIIMRFR ( ) Evapotranspiration Sand Filter Wastewater Pond NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) DATE: s rncurco. ROUTE FORM �qLJ EAGLE COUNTY ENVIRONMEUTAL HEALTH OFFICE Y (Name) 5.sg4 D to R uted -ZY5 Applicati n 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: * Td - BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: Y S NO REVIEWED BY DATE YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with - YES NO REVIEW,_. Y DATE Floodpiain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. OWNER: LEGAL DESCRIPTION: RURAL ADDRESS: 0033 TYPE OF DWELLING: 161-1 NUMBER OF BEDROOMS: -3 DATE OF PERCOLATION TEST: S/.S"�QQ -TYPE OF SOIL: Q` 0 --7 i /'l4l /S ,S'e .✓ C. /e9 r! fir✓ �1"r . TEST HOLES PRE-SOAKED: YES _ NO a - y c Xy TIME I WATER DEPTH 1I INCHES OF FALL RATE 1 2 3 Ii 1 2 3 II 1 I 2 3 1 2 3 j) q D / ; q/ i, Y,2 / `/° 9 s . 1 / 8 yr/ / " i a " srr o/ 90r1/a/ 3. 3,ms 1 y..lr l P 9 II 4 /5 I:r I� d ri41 IV ' ]OtnP/ n s �, r �, s- ,� s " 3 a: oS .7:ob 07 / $ 3 " ya ` s /a 811,01 yv .P 3.3rp as y 6 �,�,�1 a �•,� �,cr d - a.ti�' h"s ` - (fAl 41/ - /Q Mp/ gAo ^A ! e� / PERCOLATION RATE: /S /" 1 P f RECOMMENDED MINIMUM SEPTIC TANK SIZE: /000 4.41 RECOMMENDED MINIMUM LEACH FIELD SIZE: % S D,, a00,1'f RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: a bC3 ��d�°d - w o� aaoP SITE HAS BEEN REVIEIWED AND-ILL_TED FOR PERCOLATION RATE. Environmel Health Of COMMENTS: s,rete- , _A "lace r Rev. 5/31/84 i c Date' Or 975 Aorse Lod; 9 Aspen $iesao vioB NAME - Estates 0033 Escalante JOB NO. —9f JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE 'TOTAL MATERIAL SCf, iv)o I� ��' �c1 G /ilk PERMIT# 975 OWNER: Jack Morse 2-0 LOCATION: 0033 Escalante Aspen Mesa Estates Lv� INSTALLER: Size of tank: 1000 gal. C00033 F,6CA Te x DWELLING: 3 bedrooms PERC RATE: 15 mpi ABSORTION: 600 sq. ft. FINALIZED: 6/6/90 PARCEL# BP# 4492 F,. IR :E q x/ •g AL JOB COST ROSS PROFIT OVERHEAD COSTS OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 ®p NEW ENGLAND BUSINE -r: Printed h U.S.A. _ N ` I . INDEX TO D 11 r`/1V A.1 Main Level. Floor Plan 1.2 Basement Level Floor Plan/Schedules ,2.1 Exterior Elevation 2.2 Exterior Elevations ,3.1 Building Sections ;1.1 Main Level Electrical Plan . �2.2 Upper Level Electrical Plan 1.1 Foundation Plan 1.2 Structural Notes., LEGA-L DESCRIPTION- -1/ BUILDING SUMMARY. L eyr comic � E - �� F- %r-w it-r1-A 1 - K 1^' rr7n 1. 'Building footprint to be located by a certified surveyor. �.- Any discrepancies found that exist on this plan must be brought to the attention of the Architect before the commencement of any %�ork_ ♦ indicates points to locate prior to final staking for Architects approval of building location. 'Locate all utilities with representatives of each individual utility company. 57. Verify size and location of existing utility lines with appropriate Utility Company. All utilities are to be buried. -u1t-fin- �ov�be� naJ 616us , F Fo OLuLL , -V) f1r \ W Q ` co U E O (� N _ C W. Q { W = F - _ CO ® /� 3 f _ c REVISIONS r- All des'gns, . ideas, arrangements and plans indicated by these drawings and specifications are the property and copyright of the Architect and shall neither be used on any other work nor _ t be used by any other person for any use what- soever without written permission. Written _ dimensions shall take precedence over scaled dimensions and shall be verified at the job site. Any dimensional discrepancy shall be brought to the attention of the Architect prior to com- mencement of work. _ PROJECT NO. DRAWN BY: .. - .., - _ CHECKED BY: _ ISSUE DATE: