HomeMy WebLinkAbout178 Caballo - 239127305006 - IS-1006-90INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway 9 Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE, PERMIT NO. 1006,
Please call for final inspection before covering any portion of installed system.
OWNER: David and Linda Baggerman PHONE: 963-2248
MAILING ADDRESS: P-0- Box 28246 , E1jebel , CO 81628
AGENT:
PHONE:
SYSTEM LOCATION: lot 61, Aspen Mesa Estates
LICENSED INSTALLER: LICENSE NO.
DESIGN ENGINEER OF SYSTEM -
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1 Z '�V GALLON SEPTIC TANK OR 120 GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED 570 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: S132 200 if S132 per owner's request. Inspection portals at end of
each line.
ENVIRONMENTAL HEALTH OFFICER: DATE: - ?'7- 462
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: Zed FEET. �a 3 er�
,,
INSTALLED SEPTIC TANK: �SP���GALLONS Z_ DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS AND ASSEMBLY 10 YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: A: /% YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHENWORKIS COMPLETED.
COMMENTS: r' o'a>%7f S��Gfi�®YI (lUVI2 h�i G`�r✓l/ ��i% �i7Gc-`Y�j=�19 $ tylrl.��,
ENVIRONMENTAL HEALTH OFFICER: 4/j DATE: �!
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
E
E DISPOSAL SYSTEM PERMIT
[CE - EAGLE COUNTY Number: �)
79 0,, P �y
81631
NAME OF OWNER:
T
gle 927-3823 Basalt
PERCOLATION) TEST FEE $125.00
MAILING ADDRESS: .:3� � `f r 1J c- is PHONE: 963
- NAME OF APPLICANT (If different from owner): Iv,gz>wv sL &V
ADDRESS: �.��. �' 3 V�a2�u c -(� Ca, 1&2 , PHONE: 9&;Z, I7,6 Z_
DESIGN ENGINEER OF SYSTEM (If applicable):
ADDRESS:
PERSON RESPONSIBLE FOR INSTALLATION
LICENSED INSTALLER: ( ) Y S
ADDRESS: PO -' aW 322_ <'�L1
PHONE:
OF SYSTEM: 3A14 IVI11.Kay,CN1, _ 1A'&v11Q aN
NO
;vJc�A�� iA �/"2- PHONE: 9&3-- I-7&`2
PERMIT APPLICATION IS FOR: (i--.) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address: _•4
Parcel Number: ,(®-r G/. Lot Size: z &# y"
Legal Description: /or cl
BUILDING OR SERVICE TYPE (Check applicable category):
.- Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential - Triplex
NUMBER OF PERSONS: p NUMBER OF BEDROOMS: 3
WASTE TYPES Check applicable ategories :
Commercial or Institutional (-- Dwelling
( ) Non -Domestic Wastes ( ) Transient Use
( ) Garbage Disposal ( L4 Dishwasher
(a )• 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: Vow i=.
If sup lied by community =wder,a name of supplier: Ncr•��y:t,.,�� asso� _
SIGNATURE: = DATE: Aq O
INFORMATION BLOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope
SOIL
Depth to Bedrock (Per 8' profile hole) ,�Ig�
Depth to Groundwater table°!
PERCOLATION TEST RESULTS: 10' Minutes per inch in Hole #1
16 Minutes per inch in Hole #2
to Minutes per inch in Hole #3
FINAL DISPOSAL BY:
Absorption Trench, Bed or Pit
( ) Above Ground Dispersal
( ) Under Ground Dispersal
( ) Other
AMOUNT PAID: „ , RECEIPT NUMBER
( ) Evapotranspiration
( ) Sand Filter
( ) Wastewater Pond
c �:5 DATE: " Q/
i CASHTFR r67i`,
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: August 22, 1990
RE: Issuance of Individual Sewage Disposal System Permit No. 1006
Enclosed is your ISDS Permit No. 1006 This copy of the
permit must be posted on the installation site. You must
call our office for final inspection before covering any
portion of the installed system. If you have and questions,
please feel free to contact us at the following numbers for
your calling area: Vail/Avon 949-5257; Basalt/El Jebel
927-3823; Eagle area 328-8730.
Sincerely,
� o'-e-e-c
Roger Hosea
Asst. Environmental Health Officer
Community Development
cc: ISDS file
RH/alm
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
i
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
Date: October 1, 1990
David A Linda Baggerman
P.O. Box 28246
E1 Jebel, CO 81628
Re: Final of ISDS Permit No. 1006
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#'
A
ISDS aiRMTT # -3 `/ //
PERCOLATION TEST ev"a
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: 0avE`e�+tG�'
LEGAL DESCRIPTION:
MAILING ADDRESS: is 0, rjV ZK
TYPE OF DWELLING: NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED:
TTMV
YES NO_
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PERC RATE:
MINIMUM
SEPTIC ,TANK
SIZE:
MINIMUM LEACH FIELD SIZE:
5-7 0
/S 5-
COMMENTS: S /3 2_ 00
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PERC TEST DONE BY:
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Environmental Health Officer
rev. 6/90ks
JOB NAME.
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JOB FOLDER Product 278 �a NEW ENGLAND BUSINESS SERVICE, INC GROTON, MA 01471 Printed in U.S.A.
JOB FONDER