Loading...
HomeMy WebLinkAbout389 Green Mountain Dr - 210904202003INDIVIDUAL 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. 981 Please call for final inspection before covering any portion of installed system. OWNER: GMAC Financing- Martha Wolfe PHONE. 328-1085 MAILING ADDRESS: Eagle AGENT: PHONE: SYSTEM LOCATION: 0`3�8�9Green Mountain Drive, Lot 43, Filing #2 Kaibab Subdivision LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 12SO -. GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 780 SQUARE FEET OF TRENCH BOTTOM. or 260' of 10" S132 SPECIAL REQUIREMENTS: ENVIRONMENTAL HEALTH OFFICER: - e^f DATE: / C/ CONDITIONS: 1. ALL INSTALL4 S MUST COMPLY WITH ALL REQUIRE ENTS 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. p INSTALLED ABSORPTION OR DISPERSAL AREA: 72S O SQUARE FEET. 62(0 J �s INSTALLED SEPTIC TANK: or Q GALe)1LONS DEGREES FEET - 54 SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY X YES NO COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS: X YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: C+- A ENVIRONMENTAL HEALTH OFFICER: DATE: / ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: 1010,14: it AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: _APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT 9 f y ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt P nr�?Cnj_ATTnni TEST FEE a , �� , nr_0 PERMIT APPLICATION FEE $150.00 ! j NAME OF OWNER: &174C`yi,-W7A- ,t GUM, - MAILING ADDRESS:PHONE: NAME OF APPLICANT (I—d4ferent from owner) : U� 5�W-4-1 ADDRESS: &- 6?! fe PHONE: 3 ;' 722v DESIGN ENGINEER OF SYSTEM (If applicable): e_ rp;va2�, ADDRESS: PHONE: 523-732T PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION ( ) ALTERATION {) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: 9 Ow M,7wv. 0/2/VY- Parcel Number: Lot Size: Legal Description: F�11";02 AIIAMW6 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 (X ) 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: 4i A If supplied by community water, give name of supplier: OF y 'e ;� SIGNATURE: DATE: �T 0 ,17 INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope 2 0 SOIL Depth to Bedrock (Per 8' profile hole) Depth to Groundwater table 7X PERCOLATION TEST RESULTS: / o 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 ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( } Under Ground Dispersal ( ) Wastewater Pond ( ) Other o `sue 4 AMOUNT PAID: IPT NUMBER c/ CHECK NUM ER '77 NOTE: SITE PLAN MUST BE ATTACAD TO APPLIC9 ON. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" (Environmental Health Dept. - Rev. 4/88) ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Names��// �� �VI Ro ted ! r-08 ( W-&,. V8). Application 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: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with - YES NO REVIEWED BY DATE Floodplain Permit Necessary:-44 r I.S.D.S. Regs. Compliance: RecommendApproval: COMMENTS: Ao Cl"'�— 790s4'�,�07 r COMMUNITY DEVELOPMENT DEPARTMENT (3031) i28-$'10 EAGLE COUNTY, COLORADO January 14, 1992 Martha Wolfe P. O. Box 554 Eagle, CO 81631 500 BROADWAY P.O. ROX I _19 EAGLE. �:OLORADO 3163 I FAX(,O:i)S-7'07 Re: Water supply and sewage disposal (information/inspection) for property located at: 0389 Green Mountain Drive Lot 43 Filing #2 - Upper Kaibab Subdivision Eagle, CO 81631 Dear Ms. Wolfe: All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, A(7), adopted by the Eagle County Commissioners on October 8, 1985. On January 6, 1992, this department conducted a site inspection of the above referenced property. -The inspection was requested by you for the purpose of evaluating the existing condition of the on -site wastewater disposal and water supply systems. A review of the County records indicates that: On J 5;- 19"JO;W t e -se a disposal system was permitted un r Permit Number 981, i pected and approved in accordance with Coun ewage Disposal Regulations. The system consists of a 1250 gallon septic tank and 780 square feet of absorption area (through utilizing 260 lineal feet of 10" SB2 piping). A visual inspection of the ground surface indicated that the system is apparently functioning satisfactorily at this time. Obviously, this does not guarantee the continued satisfactory performance of the system. The water supply to this residence is from the Town of Eagle, a community water system. The community water system is inspected on a regular -basis by the Colorado Department of „1 m Martha Wolfe January 14, 1992 Page Two Health and to the best of our knowledge complies with current drinking water standards. If you have any further questions concerning this inspection, please feel free to call me at 328-8730 or write. Respectfully Submitted, � toy /�iaY /i/%Grrc/ Zyymrond Merry, R.E.H.S / Environmental Health Officer Department of Community Development xc: Files RM:ld C) i. o n m AS eumn ra Jill 0 SMAN& PIMA ON 6143 Of LeActis4r. kf kiss MOM : ALL Mgft,$Lwe j wUTj._ TAI(WM OM GRome -W (eves. m A 5 1990 EAGLE c��� �pMENT uNly CpM$,�'�t4tlY D tWw C9Y 3 . 3 K 0. db6t PUL. coost. Co. d 10' ROAD & u,r'. L; T `+' EASEMENT s MO�NJS N / / / t�' 29� `' ° GRAVEL ry 2J �� A DRIVE titi' 2 \-, COMMON AREA SET LS 12566 46.6' ro 6� b 3 STORY WOOD i2 FRAME s 28.6' t DECK ENCROACHMEN DECK$(y \ 7,5 A o - LOT 44 I ~` i v 0 o / 4 20 ut 7.5` I / A0 LOT 42 (D I / , w LOT 45 0 \p 0 I / / o 0 ISCALE:I"m 50' O FOUND LS 5933 -1 .� -y \ \ 2 SOTHMAN CIRCLE 50' 7.5' UTILITY EASEMENT CURVE DATA Delta Rad. Arc CB CD Tan Cl 25000'06" 275.00 120.00 N.50006'26"W. 119.05 60.97 '32 101°00'49" 50.00 88.15 S.36036'18"E. 77.17 60.67 VISTENfiid(own Surveying; & 1;ngineeriiig, Lle. PAGE I of 2 .r 90/0 50 0 _ .gyp, \. y• // wee F-I 4 - Ile _ ON- � `�; /�,,/ �'� % !off 57 �� A N' � G• � 64r- / n .� o ki_ — , .. iN CD T Op hr �c D np m -0 EAGLE COUNTY ,JJl Uluauway Eagle, Colorado 81631 May 22, 1990 (303) 328 7311 Mart a Wolfe Box 1221 Eagle, CO 81631 Re: Water supply and sewage disposal inpsection-for property ocated at: 0389 Green Mountain Drive Lot 43-Filing )#2-Upper Kaibab Subdivision Eagle, CO 81631 Dear Ms. Wolfe: All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03, A(7), adopted by the Eagle County Commissioners on October 8, 1985. On May 22, 1990, this department conducted a site inspection of the above referenced property. The inspection was 'requested by you for the purpose of evaluating the existing condition of the on -site wastewater disposal and water supply systems. A review of the County records indicates that on September 21, 1976, the sewage disposal system was permitted under Permit Number 125, inspected and approved in accordance with County Individual Sewage Disposal Regulations. The system consists of a 1250 gallon septic tank and 1000 square feet of aj..)0rPL_LulJ area. H visual inspection of the ground surface indicated that the system is apparently functioning satisfactorily -at this time. -obviously, this inspection does not guarantee the system's continuous satisfactory performance. The water supply to this residence is from the town of Eagle, a community water system. The community water system is inspected on a regular basis by the Colorado Department,of Health and to the best of our knowledge complies with current drinking standards. If you have any further questions concerning this please feel free to call me at 328-7311, Ext. 530, Respectfully Submitted, Ra nd P. Merry, Environmental Heal Officer Board of Co &9nKjsj8jerPF C%WJWITY DEVF&Q1?9WVeoorder P.O. Box 850 P.O. Box 449 P.O. Box 537 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 inspection, or write. Sheriff P.O. Box 359 Eagle, Colorado 81631 Treasurer P.O. Box 479 Eagle, Colorado 81631 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: June 15, 1990 GMAC Financing -Martha Wolfe 0389 Green Mountain Drive. Eagle, CO 81631 Re: Final of ISDS Permit No. 981 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 Of i'er encl: Information Sheets ISDS Permit -- xc: ISDS File No. 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 TELEPHONE 303/328-7311 Vtxtwzt t'- 17.7 EAGLE COUNTY Board of County Eagle, Colorado 81631 Commissioners Ext 241 Assessor February 7, 1984 Ext 202 Clerk and Recorder Ext 217 Sheriff Eagle: Ext 211 Basalt: 927-3244 Thomas Rau Gilman: 827-5751 389 Green Mountain Drive Eagle,Colorado 81631 Treasurer Ext 201 Administration RE: LOT 45 K I ABAB SUBDIVISION Ext 241 Animal Shelter 949-4292 Dear Mr. Rau, Building Inspection ISDS was inspected by Sid Fox of Eagle County Ext 226 or 229 Environmental Health Office on February 1, 1984. Community Inspection revealed that property is serviced by 'n Developmen exs' system and with no apparent problems with Ext226or22 -eXS1si ng system. System operating properly on e ruary 1, 1984. County Attorney Ext263 If you have any questions reference the above —! please contact the Environmental Health Office. Engineer (328-7311 ext 238 ) Ext 236 Environmental Health Ext 238 Sincerely, Extension Agent Ext 247 Library � Ext 255 Erik Edeen Public Health Environmental Health Officer Eagle: Ext 252 Vail: 476-5844 Personnel EE/gV Ext241 Purchasing Ext 245 Road and Bridge Ext 257 Social Services 328-6328 1 BUILDING PERMIT APPLICATION om. Jurisdiction of-1C��'U _ g O Annlirant to comolete numbered spaces only. JOB ADDR ESS lb -I LEGAL 1 DESCR. LOT NO. � BLK TRACT I ([:]SEE ATTACHED SHEET) OWNER.r.w ,�.+- - MAIL ADDRESS j' (-� ZIP /jj// PPHOO'NE CONTRACTOR MAIL ADDRESS PHONE 3 Ccxj V\ -e V "Z --'- LICENSE NO. ARCHITECT OR DESIGNER - MAIIL ADDRESS PHONE �s4 �� hevti— LICENSE NO. - ENGINEER MAIL ADDRESS - - PHONE 5 _ _ LICENSE NO. LENDER \ (f j((} �r !( MAIL{,AD DRESS BRANCH USE OF BUILDING �'` 7 �- ► �[^ l� l llLLL`° iF +its ,�!✓ �i ii G r (` t; t! GJ ��tr7 j j" i 1 `� 7_ �7 t{%hr t� 8 Class of work: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE ' 9 Describe work: G 1 L1 r _ -' i C /' �'v10 c ' 10 Change of use from Change of use to 11 Valuation of work: $ PLAN CHECK FEE 7 ,) PERMIT FEE SPECIAL CONDITIONS: 'Type of Const. Occu}Sancy Group Division Size of Bldg. (Total) Sq. Ft. No. of Stories Max. Occ. Load Fire Zone Use Zone - Fire Sprinklers Required ❑Yes -]No APPLICATION ACCEPTED BY. PLANS CHECKED BY APPROVED FOR ISSUANCE BY. No. of Dwelling Units OFFSTREET PARKING SPACES: Covered Uncovered NOTICE SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMB- ING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUC- TION AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A' PERMIT DOES NOT PRESUME TO GIVE _AUTHORITY TO VIOLATE OR CANCEL THE PROVI510 S OF ANY OTHER STATE OR LOCAL LAW REGULATING C ION OR THE PERFORM N E OF CONSTRUCTION. l Special Approvals Required Received Not Required ZONING HEALTH DEPT. FIRE DEPT. SOIL REPORT OTHER (Specify) SIGNATURE OF CONTRACTOR OR A THORIZED AGENT (DATE) �° 71 u~ SIGNATURE OF OWNER IF OWNER BUILDER) (DATE) WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT fir': "7 r PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH Formm 100.1. 1-77 - - - J EAGLE COUNTY ENVII;ONMENTAL HEALTH INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE SLIP Name Na- —te .e -er.re Perini L lumbr Location ?lease review the attached application and return it and this completed form to the nvironmental Health office within 6 working days. ?lanning: File Number Yes No Reviewed By Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval- �- Jormnents t 'ounty Engineer: Roads Grading: :Drainage Recommend Approval U ��✓v "l % �- 7� 'omments: 3uilding Department: Set Backs Site Access Other Recommend Approval r 'omments: ENVIRONMENTAL HEALTH'J P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NQ 3 ♦ r, Name of Owner: G C. t_kC'0L-4k4rr Phone: 3 Z8-77z(► Address of Owner: V PPe-e Q # 4 3 ax -13( CA G L E Is facility within boundaries of a city/town or sanitation district? 00 Distance to nearest sewer system: ( h I L-E Location of Prop4 Legal Discription Type of Structure: Single Family Dwelling ( C---YUther: No. Bedrooms b Water Supply: Private Well ( ) Location: Distance From leach field: -7� Size of Lot: Z 101 Public Water Supply:CCat...� An appropriate plat plan must accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS 66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be obtained at the Eagle County sanitarian's office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone 328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final inspection. Name, address, and telephone of person responsible .for design of system: The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: /1 Permit No. Tank Capacity: / DOO gal. (minimum) Fee Receipt: Absorption Area: /. DOD Sq. ft. (minimum) File: REMARKS: APPLICATION IS: APPROVED (X) DENIED ( ) The above individual sewage disposal system was installed by AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date: Sanitarian:% 4�� H'D L E PE1120LPTION TEST Feu: $ -r- 0. 0 0 1PI-)licPtion No. 17"ermit .No. Ovvner: Legal Description:. 74- Tyne of Dwelling: No. of Bedrooms: Date of Test: Denth of Holes: Diameter: — / 2 f7 Tyne of Soil: Location of TeS't Holes: Test hole Nvas Dresoaked from: Time Dot - To: Time Date TIME WATER DEPTH j INCHES OF FALL �RATB 2 3 1 2 2 3' Z4 7( f2s <3 6- 343� Percol . aLion Rate:• 4�2... J*,rpi l000 �7�1 �/ Site h P. s been reviev,--ed, aid t�es- (I for peTco VIC ion rate.-- 7� We recommend: I 11-PR-0 W L DISIPPROV/4- IL MOTE: ov f Ke- Erik Ili. I,, d e c a, R, _P . S. Enviroi.-mientol Eagle County Y dal 5u TELEPHONE 303/328-7311 Board of County Commissioners Ext 241 Assessor Ext 202 Clerk and Recorder Ext 217 Sheriff Eagle: Ext 211 Basalt: 927-3244 Gilman: 827-5751 Treasurer Ext 201 Administration Ext 241 Animal Shelter 949-4292 Building Inspection Ext 226 or 229 Community Development Ext 226 or 229 County Attorney Ext 263 Engineer Ext 236 Environmental Health Ext 238 Extension Agent Ext 247 Library Ext 255 Public Health Eagle: Ext 252 Vail: 476-5844 Personnel Ext 241 Purchasing Ext 245 Road and Bridge Ext 257 Social Services 328-6328 EAGLE COUNTY Eagle, Colorado 81631 February 1, 1984 SUBJECT: Sewer System Inspection for Property located at 0389 Green Mountain Drive - Eagle, Colorado TO WHOM IT MAY CONCERN: All water and sewage disposal system loan inspections are done under the authority of the Eagle County Building Regulations, Section 10, sub -paragraph 3-A, adopted by the Eagle County Commissioners, September 20, 1982. An on -site inspection on Monday, February 1, 1984 of the above referenced property revealed that the septic system appears to be functioning properly with no apparent problems. The original individual sewage disposal system permit #125 was approved in Septemberlof 1976 in accordance with applicable County and State regulations concerning such installations. This department recommends that the septic tank be pumped every three or four years. Potable water is supplied by the community water supply (Town of Eagle). This water supply is inspected annually and tested by the Colorado Department of Health on a routine basis. If you have any further questions concerning this matter, please contact our office. Sincerely, Sidney N. Assistant Environmental Health Officer EAGLE COUNTY SNF/lf EAGLE,4'"�.UNTY DEPARTMENT OF ENVIRONN�TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT NO 125 (this does not constitute a building or use permit) Owner G• Clint Brookhart System Location Upper Kaibab - Lot # 43 - Filing # 2 Licensed Contractor * Conditional Construction approval is hereby granted for a 1, 000 gallon XX Septic Tank or Aerated treatment unit. Yv S \r 5 yr. u Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 10 minutes 11000 sq. ft. absorption area per bedroom # of bedrooms x sq. ft. minimum requirement May we suggest 1, 000 sq. ft, of drainage field Date Inspector FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. Adequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date 9- a/- 7 Inspector �� �i Yam. o�� ) RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 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 structures not approved by the building and Zoning office shall automatically be a violation of a requirement of the permit and cause for both legal action and revocation of the permit. 3. Section III, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or both. o.........• ••....•.....•..........•..•.........................•....•..............•..•••.•........................•...._ CHARGES Percolation Test $50.00 (includes final inspection) Permit Processing Fee $25.00 Check (no cash) XXXX IVloney Order Permit N? 125 Name of Applicant Brookhart, G. Clint Amount Paid $75.00 Date Paid 9-1-76 Receipt # 253 Cashier Sharon Miller ALL CHECKS ARE TO BE MADE PAYABLE TO EAGLE COUNTY Eagle Cty. — White Copy Applicant — Green Copy Dept. — Pinic Copy 4000 J4 Fah., 9-2/-76 Zoe ul�]Bf' /)ati b a�j 106 (_7 6A Y 4ve, T.l A i 981 Martha Wolf Lot 43 Green I JOB NAME Mnt. Drive 0389 Green Mountain l J� Dr. JOB NO. JnR I nCAT1nN BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE 'TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 �® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER' Printed in U.$.A. --✓7 T r ' " - , - . I .vFl -T -- b-lq-qo (k?eq 6- raewl m'7-n lor