Loading...
HomeMy WebLinkAbout14553 Hwy 6 - 211101100009Y 0IDUAL SEWAGE DISPOSAL SYSTEM PERMIT Pwl EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 4- Telephone: 328-7311 or 949.5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT.NO. 99 / Please call for final inspection before covering any portion of installed system. OWNER: Richard E. Gilbert PHONE: 328-6209 MAILING ADDRESS: Box 575, Eagle, CO 81631 AGENT: PHONE: SYSTEM LOCATION: 14553 Hwy 6, Parcel 9 of Eagle Ranch LICENSED INSTALLER: Inter -Mountain Engineering Ltd. 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 509 SQUARE FEET OF TRENCH BOTTOM.or 160 If of S132 . SPECIAL REQUIREMENTS: per owner nl are i nCner'ti on portal-, at end of each line - ENVIRONMENTAL HEALTH OFFICER: DATE: 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: _ I C�gO//r��I�� 6�}*RE FEET. le I� S INSTALLED SEPTIC TANK: 1 � Sy GALLONS �7� DEGREES -7b FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: ((% PROPER MATERIALS AND ASSEMBLY /- YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: 0 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: t� DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE F - EAGLE COUNTY Number: P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATIO^! FEE 150.00 PERCOLATION TEST FEE $125.00 NAME OF OWNER: IC,WA iG D _r /L-S&X MAILING ADDRESS: ? (�, 3yX S75 , g . gLC 81631 PHONE: SZ.6 - Tazd6 NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN,ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: [Owywec LICENSED INSTALLER: ( ) YES (%J NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: q Lot Size: e . Legal Description: I /1.rrAe1+Tcf - SfI-&:231e- BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: & NUMBER OF BEDROOMS: ,� W WASTE TYPES Check applicable categories). —� Commercial or Institutional Dwelling ( ) Non -Domestic Wastes ( ) Transient Use Garbage Disposal Dishwasher ( ✓r 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 (✓j 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 hityi9tq, give name of supplier - SIGNATURE: DATE: INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope Depth to Bedrock (Per 8' profile hole >R' Depth to Groundwater table >g( SOIL PERCOLATION TEST RESULTS: i Minutes per inch in Hole #1 'd Minutes per inch in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY: Absorption ren , Bed or Pit ( ) Above Grou ispersal ( ) ( ) Under Ground Dispersal { ) Other AMOUNT PAID: 4,1� RECEIPT NUMBER _ NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. Evapotranspiration Sand Filter Wastewater Pond 7— (o L DATE: ? MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) COMMUNITY DEVELOPMENT DEPARTMENT (303) 329-8-730 EAGLE COUNTY, COLORADO Date: October 29, 1990 Richard E. Gilbert P.O. Box 575 Eagle,CO 81631 Re: Final of ISDS Permit No. 997 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 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. We can also be reached depending on your calling area at the following numbers: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle Area 328-8730. Sincerely, Roger C. Hosea Assitant Environmental Health Officer Community Development Enclosures: Informational Sheets Final ISDS Permit cc: Chrono file ISDS file# Building Permit file# nIntey-Mountain Engineering Ltd. July 20, 1990 Mr. Dick Gilbert P.O. Box 575 Eagle, CO 81631 Re: Percolation Test Results 14553 Highway 6 Eagle County, Colorado Job No. 90326 Dear Dick, Enclosed are the percolation test results from the test conducted on July 18, 1990. The test was conducted in accordance with Eagle County's Individual Sewage Disposal System Regulations. A profile Hole was excavated to determine subsoil conditions. The subsoil conditions consisted of silty sands and sand with silt to the maximum depth explored of 8 feet. The percolation test holes were excavated to a depth of approximately 3 feet. Percolation rates were measured as follows. Hole 1 Hole 2 Hole 3 8 minutes/inch 9 minutes/inch 7 minutes/inch average 8 minutes/inch This result complies with Eagle County's specification of a percolation rate between 5 minutes/inch and 60 minutes/inch. If we can be of any further service, please call. Sinc ly J f f M. Spane 1, RR���}t►eEittt��jo;rrr V ce P , sident SNi13. JMS:aer 2 � 9 so k8 � w°s ry �m ors„©Z: o�,v:� °° NAL " c .�. 40% Box No. 978 • Avon, Colorado 81620 • 949-5072 Denver 893-1531 1420 Vance Street • Lakewood, Colorado 80215 9 Phone: 232-0158 C fSSElTE MADE IN U.SA NO. R 753 N°t - � ,� ,� . �r- - ,T•+. s/t�',•,c,�rr�,..:+.7rea"Ir•r�;:-t'Fte�,;'?5�;+.*�ir:r� :,..•.;Z7.P,+ .,r+fsas . r;.:1,s,;c �.~"rsPvr ,...f�..,. fir:,.:, IIIN�c'�+�.•�Fi 1'gfx,� i�,y;��i4[".1 ��! � `EE Lsi J'• ,/b\1,,;4���.bl r�.�e �•tigti•+-14.. ���.�k1 F h�`k axA3 �l +.C._ Y 13}r�Y%` tit ,;11 it•.=.f! a {J f'�;1 !'�r ; f ii?,?�t4� iyti;rY!!�{ �k���4„x°i �} iQi�.j+irgy�i�,� i i;{ ,�. t i� ... 1i e''. , f �•"' v �4 �;,�r �J;'+',�tla ..,. xf'S% S.�ht'1I 4,��� f � i S�/ 4- :�` �� w `<h �s?�'t�. �' .;° R, F .._•4�: 4. , ?." � 4 JOB NAME, JOB ma JOB LOCATION _. 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 Printed in U.S.A. JOB FOLDER 02045062011 Pm ARmno R --�Dubeli I I Pni Apnino n p e tte 6-, 1- to f 4c -O �Fl�l�B � W I r_D�lA1�t�R RouQli!.►as �� 4 v1b L. L ITC-�sr _ s �_o