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HomeMy WebLinkAbout212 Vaquero - 239127303017 - 1014-90ISINDIVIDUAL 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. 1014 Please call for final inspection before covering any portion of installed system. OWNER: Alvin J. Rakowski PHONE: 927-9193 MAILING ADDRESS: P.O. Box 28278, El Jebel, CO 81628 AGENT: PHONE: SYSTEM LOCATION: 0212 Vaquero, Lot 18, Aspen Mesa Estates LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: Scott Leslie, Larry Doble, 0188 Paseo Rd. El Jebel, CO 81628 INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 570 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 200 1 ft S132 Place inspection portals 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 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: (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: Z D © 1 r 3e=M FEET. IO 1 ` S 2— INSTALLED SEPTIC TANK: 1 ZJ 0 GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY T YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: _9 YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: as Rizi-0-5 .5yA4'r`1°C1 bi/ 1"dSAf, 1 e.4! ENVIRONMENTAL HEALTH OFFICER: zn5i�f� DATE: 40 —b? 0 ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: INDIVIDUAL SEWAGE DISPOSAL SYSTEM P ENVIRONMENTAL HEALTH OFFICE - EAGLE C( P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 32.8-7311 Eagle PERMIT APPLICATION FEE $150.00 NAME OF OWNER: MAILING ADDRESS: ?to, Wo o Number: / A0�d PERCOLATION TEST FEE 61Wi,A 01nO PHONE: NAME OF APPLICANT (If different from owner): $125.00 1-41M H -s- s�i3 w ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ~�7L��, LAW -if DDB ADDRESS: 0 I t t j?ft15JEV V-V. 5J *Lj O(,DMV PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: AL41 N d, ?Apo I� LICE ,F,FD STALLEj?: ) YES ( ��, NO ADDRESS: �1C?'V� �••( w • �G� PHONE: QZi �� {�I3 PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDU L SEWAGE DISPOSAL SYSTEM: Physical Address: Parcel Number: �a 6 a r - 3- of Size: f W Legal Description: l�7 V BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Tri le NUMBER OF PERSONS: ; 1�'4�MAD- 140UMBER OF BEDROOMS: - WASTE TYPES Check applicable categories): Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use (.) Garbage Disposal Dishwasher (4.) 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 U e 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: ()4,) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: +-�-- If supplied by community water, give name of supplier:'p6ntj SIGNATURE: AIM", "i wit-4� DATE: 0'�'�n INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope 20 010 Depth to Bedrock (Per 8' profile hole)U ' V Depth to Groundwater table /Wol_t, W1 CIA SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1 Minutes per inch in Hole #2 V" Minutes per inch in Hole #3 FINAL DISPOSAL BY: Absorption Trench, Bed or Pit ( ) Evapotranspiration ( Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal l ) Wastewater Pond { ) Other —C��-�5 `�_5 AMOUNT PAID: �SRECEIPT NUMBERA AF5V DATE: riirr^v •"n,finrn d//i/ (/ /1 rACUTCD. 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 31, 1990 RE: Issuance of Individual Sewage Disposal System Permit No. 1014 Enclosed is your ISDS Permit No. 1014 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, Roger Hosea Asst. Environmental Health Officer Community Development cc: ISDS file RH/alm Board of County Commissioners Assessor Clerk and Recorder P.O. Box 850 P.O. Box 449 P.O. Box 537 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO Date: October 19, 1990 Alvin J. Rakowski P.O. Box 28278 E1 Jebel, CO 81628 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 Re: Final of ISDS Permit No. 1014 -- -- 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, klel-4 Gyp Roger C. Hosea Assitant Environmental Health Officer Community Development Enclosures: Informational Sheets Final ISDS Permit cc: Chrono file ISDS file# Building Permit file# INTEGRATED ENGINEERING CONSULTANTS , Ltd. 411 East Main Street Suite zo6 Aspen,Colorado 8161, (3o3) 9zS.59i3 August 29, 1990 Eagle County Environmental Healt �+�` I P.O. Box 179 QtJ Eagle, Colorado 81631 Attn: Roger Hosea Q`�6 Re: Rakowski Residence t t��" 0212 Vaquero, Lot 18 � _ Aspen Mesa Estates, Eagle Co ty Dear Roger: On August 8, 1990 percolation testing was performed at the above residence. Three holes running in an east - west direction, spaced approximately 30' plus/minus apart and 2'-10" deep were observed. The holes were dug using a post hole digger and were 8" in diameter. The holes were filled with water 24 hours prior to the testing, and were refilled with water to a depth of 18" prior to final measurement. The following is a result of that testing. HOLE #1 (EAST 8:32 p.m. --- 8:37 p.m. 3/4" 8:42 p.m. 5/8" 8:47 p.m. 5/8" 8:52 p.m. 3/4" t 2 3/4"(.229" a 11/16" (. 057" HOLE #2 (MIDDLE 8:31 p.m. --- 8:36 p.m. 1" 8:41 p.m. 5/8" 8:46 p.m. 5/8" 8.51 p.m. 5/8" t 2 7/8"(.240" a 11/16"(.060" HOLES 1 & 2 11 16" _ .138" = 7.27 min./inch 5 min. min. HOLE 3 3 8" _ .075" = 13.3 mina/inch 5 min. min. HOLE #3 (WEST) 8:30 p.m. --- 8:35 p.m. 1/2" 8:40 P.M. 3/8" 8:45 P.M. 3/8" 8.50 p.m. 1/4" t.1 1/2"(.12511) a 3/8"(.03111) If you have any questions regarding this report, or if we can be of any further service, please contact us. Sincerely, INTEGRATED ENGINEERING CONSULTANTS, LTD. Lawrence A. Doble, PE President RECEIVED n U 1 Q lqqn EAGLE AUiNl'lY Cow-HIZUP-11TY AVELOPMENT 0 1014-90 TxPrcl#2391-273-03-017 JOB NAME Lot 18, Aspen Mesa Estates gju4c ' 0212 Vaquero/Alvin J. Rakowski ''c r79710N _ 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 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.SA •01— _ s may.,• •+\r •' w . kv w DEG05=�� �t / vr��/I by r vey� N. 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