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HomeMy WebLinkAbout27206 Hwy 6 - 194115400022INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0767 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner: George Jouflas Keith Pearson Telephone: 926-3663 Address: 27206 Hwy 6 & 24 System Location: Licensed Installer: License Number: - Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 10 Minutes Absorption area per bedroom 200 Sq. Ft. Number of Bedrooms 3 X 200 Sq. Ft. minimum requirement per bedroom - equals 600 Total Sq. Ft. minimum requirement Special Requirements: Date: la Environmental Health Officer: tZ_.Z - 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 III, 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: No system shall be deemed to be in compliance 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: SQ. FT. 7 INSTALLED SEPTIC TANK: d 0 GALLON DEGREES; ) FEET DESIGN ENGINEER OF SYSTEM: ��d✓ INSTALLER OF SYSTEM: 4S -�—sO4l-- PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES�NO PROPER MATERIALS AND ASSEMBLY: YES (O , NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES 10 COMPLIANCE WITH COUNTY /STATE REGULATION REQUIREMENTS: YES NO COMMENTS: (Any item checked NO requires correction before final approval of system is made. Arrange a r -inspection when work is completed.) ������{{,,,, DATE (Final Approval)t��(=ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Keith Pearson Name of Owner: George Joufl as Amount Paid: 200.00 Receipt Number: 2360 Date: 9/15/86 Cashier: E. Huenink Check #169 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICA,".' FOR DIS?�SAL S';S' ?F':-`TT E VIRO,'ME.NTAL HEALTH OFFICE - EAGLE C0U::T' P.O. Box 850 �- Eagle, Colorado 81631 No. t PE21IT APPLICATION' FEE: 8150.00 328-7311 PERCOLATION TEST FE 550.00 NAME OF OWNER: 11 'e� t---AD-DRESS : `d- 2--s'I- PHO::E: ME OF APPLICANT (if different from owner); ��(.•-�° m �� �,� ADDRESS: "'1' a fl 12r) ok: y PHONE: DESIGN ENGINEER OF SYSTEM (if applicable). - ADDRESS: PHONE: Ptn�V1V I\1_01 ViYJliiIJL :": '% INS A.LLATION OF SYSTEM: Licensed Installer (see attached list): YES- No - ADDRESS: _ %.c PHONE: PERMIT APPLICATION IS FOR: (New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED I`yDIVIDUAL SEG;AGE DISPOSAL SYSTE':1: Street/Rural Address: Lot Size: Legal Description: BUILDING OR SERVICE TYPE (check aoplicable cate2ory): ( Residential - Single Family ( ) Residential - Duplex ( ) Residential - Tr_ole:c NUMBER OF PERSONS: WASTE TYPES (check aDollicable cate^ories): ( ) Commiercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal (� Automatic Washer ( ) Other =E OF INDIVIDUAL SEI:AGE DISPOSAL SYSTEM PROPOSED: ( J,` Septic Tank _ ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other ( ) Residential Quadples ( ) Co.-•-::ercial (state usage) P.rYBER OF BEDROOMS: ( Dwelling ( ) Transient Use ( ) Dishwasher ( ) Spa Tub ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO ?'ATERS OF THE STATE: YES ( ) NO ( y� IS SYSTE:H DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (v)— NO ( ) 14ASTET 7ATER FLOW REDUCTION PLAN: YES ( ) NO (�--�-- (I5 yes, see at_tached was.t ercate t Stc•ev ,`LedLtC,ti.e,i me;dLeds ) NOTE: The EnvZ'Lo,unenta.(" Heae vi O"ice�t may reduce the •`LeoLu,.ed ab,so,-Lpti.on a -tea upon app,,Lovae o' an ade0ua.ta ccas.te:c.'a t e%L 6&,tv `Leduc tCon pZa;i. SOURCE AND TYPE OF WATER SUPPLY: ( 4-1-�Wel1 ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATURE: DATE:-'� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT BY ENVIROM� IENrAL NE�LTI( OEEICER: GROUND CONDITIONS: Penee)st Ground Slope �!_ r Deptft to Bed'coeh (pen 8' F'co �tiee Ho ee) - � Depth .to GAounckatet Tab.ee � SOIL PERCOLATION TEST RESULTS: c,cut_-S pe7 .uLch cn Hoee n1 Atinutes pelt inch to [Rote #2 FINAL DI S AL BY: - ( Abso.,LptioAT e,i Bed o-� Pit ( ) Evapot'ca,tspi�rat<cn ( ) Above Gkcu,t tispetsa.e ( ) Sand F,i,Uct ( ) Unde yLound Dispnsae ( ) Wast-cwa.tct Pond ( ) O.th et Amvu,tt Paid: Receipt Ncunbe.'t DcLt, ---------------- - - - - -L--- --=_--- -- - - - - - - - - - - - - - - - - NOTE: Site Plan must be attached to'application. (Env. Health Department - Rev. 4-07-83) PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. OWNER: S LEGAL DESCRIPTION: RURAL ADDRESS: 9 7 Z p TYPE OF DWELLING:1iNUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO TIME 1 2 3 WATER DEPTH 1 2 3 _T_ INCHES OF FALL 1 2 3 RATE 1 2 3 S PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE:f'' RECOMMENDED MINIMUM LEACH FIELD SIZE: �� /�Q X 2- RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: ,;�o� SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer Date COMMENTS: 4?_40iTisz�� Rev. 5/31/84 EAGLE COUNTYY�ENVIRONMENTAL HEALTH OFFICE Name . Da e Routed �O App i i cati on -14o Location Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form to the Environmental Health Office. PLANNING: Complies with - YES NO RFVTF111CM RY MA-rr Subdivision Regulations: Zoning Regulations: Recommend Approval: ,. M COtih,E,dTS � BUILDING: Complies Building Permit Ap Building Perm Recommend COMMENTS: with - plied For: it Issued: Approval: YES I NO REVIE!- .Q BY DATE �^ ' ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: YES I NO I REVIEIVlED BY DATE ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YES NO REVIEWED BY DATE / 0 - S i p EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: November 7, 1986 George Jouflas P.O. Box 206 Avon, CO 81620 RE: Final of ISDS Permit # 767 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. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Office, P.O. Box 179, Eagle, Colorado 81631. Phone: (303) 328-7311, Ext. 227. Sincerely, Eagle County Community Development Environmental Health Office /gP 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 0767 Jouflas JOB NAN JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED S .�Q(17Iai�61 a I V Ci 01 �rsl Ls ,1 1 loov ^ � ck� CZE, rk JOB COST SUMMARY TOTAL SELLING PRICE PERMIT #767 OWNER: George Jouflas / Keith Pearson LOCATION: 27206 HWY INSTALLER: Pearson SIZE OF TANK: 1000 91. DWELLING: Res. Single Fam. MH PERC RATE: 1 inch in 10 minutes 3 bedroom ABSORPTION AREA: 600 s.f. FINALIZFn• "'' ""' O° BY: Erik Edeen JOB I Printer! in USA 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. 1013 Please call for final inspection before covering any portion of installed system. OWNER: George P. Jouflas PHONE: 926-3663 MAILING ADDRESS: P.O. Box 10, Wolcott, CO 81655 AGENT: PHONE: SYSTEM LOCATION: 27206 Hwy 6, Wolcott, CO 81655 LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: loon GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 427 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 140 1 ft _ SR9, Tngn.-pcti on Portal ; at each end of line, ENVIRONMENTAL HEALTH OFFICER: ��� DATE: v ^ /� �O 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 I11, 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. ;- iv ctt� INSTALLED ABSORPTION OR DISPERSAL AREA: SJc-10 L v6AE�FEET. J Z_ INSTALLED SEPTIC TANK: ` oeaALLONS qO DEGREES �_o FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS ANDASSEMBLY 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 IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAG ENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT I ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: j V/949-5257 P. 0. BOX 179 EAGLE, COLORADO 81631 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE 150.00 nr_}?Cnl nTrnnt TEST FEE NAME OF OWNER: -r- d Ja A - MAILING ADDRESS: El'7d'x 0 L-eU , �'�, �1&6 y— PHONE: j/ 9,2 � .ems 3 (tom NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: ' DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: i PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: er LICENSED INSTALLER: ( ) YES ( ) NO r ADDRESS: `, -Lei ins t PHONE: 3 PERMIT APPLICATION IS FOR: (') NEW INSTALLATION ( ) ALTERAT-ION ( ),REPAIR LOCATION OF�PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: & Parcel Number: Iq 44 (�0 -(� Lot Size: Legal Description: J�dIA.)NA 5ilI4e 4� 5 !?a=4- e- 9�3 i BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: '3 WASTE TYPES Check applicable categories : Commercial or Institutional ( ?) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use Garbage Disposal O Dishwasher ( Automatic Washer ( ) Spa Tub (x ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank [;omposting 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 (JO Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If suppl i ell by community_ water, 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) Depth to Groundwater table SOIL PERCOLATION TEST RESULTS: 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 ( ) Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other O ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond AMOUNT PAID: i J U RECEIPT NUMBER � 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 30, 1990 RE: Issuance of Individual Sewage Disposal System Permit No. 1013 Enclosed is your ISDS Permit No. This co py of permit must be posted on the installation site. You must he 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, Roger Hosea Asst. Environmental Health Officer Community Development cc: ISDS file RH/alm 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 COMMUNITY DEVELOPMENT DEPARTMENT . (303) 328.8730 EAGLE COUNTY, COLORADO !Date: September 18, 1990 George P. Jouflas P.O. Box 10 Wolcott, CO !81655 Re: Final: of ISDS Permit No. 1013 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/Avonl949-5257; Basalt/El Jebel 927-3823; Eagle Area 328-8730. Sincerely, llyZ- Roger C. Hosea Assitant Environmental Health Officer Community Development Enclosures: Informational Sheets Final ISDS Permit cc: Chrono file ISDS file# Building Permit file# S' ,� �ri+1 ;!1! "rf JrJif � f`• r �'i,'i i'� 7.r t : ci++.r� r,. -er i ���� r i i� � r 1�.6��r t-� rFlY; , r.�r � � /� 1 1 •',��� 1 �r r � � _: `' �ri+1 ;!1! "rf JrJif � f`• r �'i,'i i'� 7.r t : ci++.r� r,. -er i ���� r i i� � r 1�.6��r t-� rFlY; , r.�r � � /� 1 1 •',��� 1 �r r � � _: `' INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, CO 81631 Telephone: (970) 328-8755 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. ALTERATION PERMIT # 1961-00, ORIGINAL PERMIT # 1013-90 OWNER: GEORGE JOUFLAS PHONE: 970-926-3402 MAILING ADDRESS: P.O. BOX 10, WOLCOTT, CO 81655 APPLICANT: SCOTT DAVIS PHONE: 970-471-3306 SYSTEM LOCATION: 27206 HWY 6, WOLCOTT, CO TAX PARCEL NO 1941-153-00-017 LICENSED INSTALLER: DAVIS EXCAVATING, SCOTT DAVIS LICENSE NO. 24-00 PHONE: 970-471-3306 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 3 BEDROOM RESIDENCE EXISTING 1000 GALLON SEPTIC TANK, 1125 SQUARE FEET OF ABSORPTION AREA VIA 37 INFILTRATOR UNITS AS REQUESTED BY INSTALLER. SPECIAL REQUIREMENTS: INSTALL NEW LEACH FIELD IN SERIAL DISTRIBUTION IN TRENCHES WITH CLEAN OUTS IN EACH TRENCH. FENCE OFF AREA TO PREVENT LIVESTOCK FROM GRAZING OVER THE FIELD. RAKE ALL TRENCH SURFACES TO PREVENT SMEARING OF SOILS, DO NOT BACK FILL WITH ANY ROCKS LARGER THAN 8 INCHES IN DIAMETER. AND DO NOT INSTALL IN WET WEATHER. CALL EAGLE COUNTY ENVIRONMENT- AL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PORTION OF THE INSTALLATION, OR WITH QUESTIONS REGARDING THE INSTALLATION. ENVIRONMENTAL HEALTH APPROVAL: IJAI AT : MARCH 29, 2000 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, 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 WILL RESULT IN BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT. 3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED. FINAL APPROVAL OF SYSTEM (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE 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: 1125 SQUARE FEET (VIA 37 INFILTRATOR UNITS ) -fIS-T*L+--EB EXISTING POLY TANK:. 1000 GALLONS IS LOCATED 104 DEGREES AND 85 FEET INCHES FROM THE TANK STUB COMMENTS: FINAL INSPECTION OF THE REPLACEMENT LEACH FIELD DONE BY HEATHER SAVALOX ON 3-29-00. THE FIELD WAS MOVED TO ACCOMMODATE A NEW WATER LINE BEING INSTALLED ON THE PROPERTY. ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. / I Q� ENVIRONMENTAL HEALTH APPROVAL 7 �w /� DATE: 3 12 F�y /% 6 O Community Development Department (970)328-8730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com March 30, 2000 George Jouflas P.O. Box 10 Wolcott, CO 81655 EAGLE COUNTY, COLORADO Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Alteration Permit # 1961A-00, Tax Parcel #1941-153-00-017. Property location: 27206 Highway 6, Wolcott, CO. Dear Mr. Jouflas: 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. This permit does not indicate compliance with any other Eagle County requirements. Also enclosed is a brochure regarding the care of your septic system. Be aware that later changes to your building may require appropriate alterations of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division at (970) 328-8755. Sincerely, Janet Kohl Environmental Health Department Eagle County Community Development ENCL: Informational Brochure Final ISDS Permit cc: files ISDS Permit # lfI 11-06 Inspector Date-3 ISDS Final Inspection Completeness Form ✓ Tank is J006 gal. Tank Material at,�l�a� V Tank is located 9S ft. and Irdegrees from hl- s h (permanent landmark) Tank is located ft. and degrees from (permanent landmark) Tank set level. Tank lids within 8" of finished grade. -- l h 5 �A llrd Vrt,V i 07v �-t r ✓ Size of field fO 3-7 units . lineal ft. Technology i n A-1 1Y-A t t/ Cleanout is installed in between tank and house(+ 1/100ft). _ /V "T" that goes down 14 inches in the inlet and outlet of the tank. Effluent filter on outlet- Yes or No 0 Inlet and outlet is sealed with tar tape, rubber gasket etc. — &V r.<h V Tank has two compartments with the larger compartment closest to the house. ✓ Measure distance and relative direction to field. _V Depth of field q ft. '�. Soil interface raked. ✓Inspection portals at the end of each trench. Proper distance to setbacks. Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) vl Splash plate(s) installed at least in first trench inlet. Type of pipe used for building sewer line ±2V L, leach field Other _ Inspection meets requirements. Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 ISDS PERMIT # / EL - 6 o PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEATLH V W N LK: -PHSYSICAL AD RESS: 02 �/ -"6 W6 160 co LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: Y. S • NUMBER OF BEDROOMS: 3 TEST HOLES PRE-SOAKED: YES 1/ NO 5e wit ra�w raulG , SOIL TIME WATER DEPTH INCHES OF FALLRATE PROFILE I 2- 3 r- nt 35' l'� '�y 3�� 'iy ice/ ��8 �iU zo L1 U t 2 10 Llo — to 3' qs- 5/F 3 ��� — '� '� — Vo y o 4' � /'g'� yo �v C5' 3,,H '',�'? s� �� �� �� y y o 65 1 �- F�'Y d"4,�'� IlkIlk qo ��� �1y — -Y-L(j o ;v q� 1 nJ4 TIME TO DROP LAST INCH: PERC RATE: '/0 _ 5y11 l MINIMUM LEACH FIELD SIZE: /) a S MINIMUM SEPTIC TANK SIZE: ADD ��� e o',0i- . COMMENTS:I4/10a �/. m k 01 ENVIRONMENTAL HEALTH SPECIALIST ATE . s Usk LT,4k Community Development Department (970) 328-8730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com DATE: March 29, 2000 EAGLE COUNTY, COLORADO TO: Davis Excavating FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Alteration Permit #1961-OOA, Tax Parcel #1941-153-00-017. Property Location: 27206 Hwy 6, Wolcott, CO., Jouflas residence. Enclosed is your ISDS Alteration Permit No. 1961A-00. It is valid for 120 days. The enclosed copy of the permit must be posted at the installation site. Any changes in plans or specifications invalidates the permit unless otherwise approved. If you have not been contracted to install this system please contact Eagle County Environmental Health. Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. Do not back fill any part of the installation until it has been inspected. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Please call our office well in advance to allow for scheduling of final inspection. Your building permit TCO will not be issued until final approval has been given for the ISDS Permit. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328- 8755. cc: files Enclosures: ISDS permit # 1961A-00; ISDS Final Inspection Completeness Form Incomplete -Applications Will NOT Be Accepted (Siie Flan MUST be attached) ISDS Permit I Building Permit APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE. --EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * MAKE ALL REMITTANCE PAYABLE'.TTO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: MAILING ADDRESS: �a I d L c/ d G� / / APPLICANT/CONTACT-PERSON: LICENSED SYSTEMS CONTRACTOR: COMPANY/DBA: ADDRESS: PHONE: 31D PHONE: 3 D (� PHONE: D PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION (\,4 ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: 6 Zl � S/6 Tax Parcel Number: l��/ l /�� ,� ®® ©l7 Lot Size:f Physical Address: BUILDING TYPE:. (Check applicable category) Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well (A Spring ( ) Surface ( ) Public Name of Supplier: Number of Bedrooms _ Number of Bedrooms Type *These systems a ire des' y a Registered Professional Engineer SIGNATURE: - Date: �� D AMOUNT PAID: 35D RECEIPT #: O DATE: CHECK #: CASHIER: 1013-90 Tx Prcl#/9-//-/53-00--0f') SOB NAME-. � 27206 Hwy 6, Wolcott/ George P. Jouflas 1961A-00 Tax #1941-153-00-017 27206 Hwy 6, Wolcott JOUFLAS JOB .!40i JOB FOLDER Product.278 Q ® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. 1013-90 Tx Prcl#/9'/7-/5?-00-'0/9 1961A-00 Tax #1941-153-00-017 JOB NAME — 27206 Hwy 6, Wolcott/ 27206 Hwy 6, Wolcott JOUFLAS George P. Jouflas JOB PIC' BILL TCA DATE STARTED DATE COMPLETED DATE BILLED 3 a ob - 3 z8 ,4 s. 2�d 6alcd oh L TA 6, <IIra 14ry- u --A had Aey kca iA �;� ash-.h��' . HIT a d�llQa. �74� ol�. P-I Ld JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL7/7 _... PERMIT # 1013 - OWNER: George P. Jouflas LOCATION: 27206 Hwy 6, Wolcott INSTALLER: Keith Pierson SIZE OF TANK: 1000 gallons DWELLING: 3 bedrooms PERC RATE: ABSORPTION AREA: 427 sq.ft. FINALIZED: Sept. 18, 1990 BY: Roger Hosea BUILDING PERMIT# JOB FOLDER Product.276 . nj ® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 nted in U.S.A. td (T Jf— J?Cr,-tc4s k/e� ilN r I��!-do ��,,.� Hs �/�/�o� /�'�i-a G Gtr�� � 3 �a- l /0 6 �_ L F