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HomeMy WebLinkAbout423 Escalante - 239127205004 - 1024-90ISINDIVIDUAL 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. 1 '0 2 4 Please call for final inspection before covering any portion of installed system. OWNER: Ron Staerkel 625-5338 PHONE: MAILING ADDRESS: 98 County Rd. 132, Glenwood Spqs, Co 81601 AGENT: PHONE: SYSTEM LOCATION: 423 Escalante, Aspen Mesa Estates LICENSED INSTALLER: 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 805 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 162 6 lineal feetT26 units) of infiltrator system per owners request 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 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. 5 1 SQ6 P z6 !cn I SM 61 INSTALLED ABSORPTION OR DISPERSAL AREA: 1 6 L , 5 setfiaRe FEET. C �lV �I-rw�rrY I INSTALLED S EPTICTANK: I'2-b 0 GALLONS ?-7C7 DEGREES / FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: / PROPER MATERIALS ANDASSEMBLY Yl YES NO COMPLIANCE WITH COUNTYISTATE 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: kin GOL_. 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 - EAGLE COUNTY Number: � Z� P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATTON TEST FEE t125.�O NAME OF OWNER: o►J S Fo-r-r2t'f- L, b 7, MAILING ADDRESS: t} NAME OF APPLICANT,(If different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: vO HONE: - - G 12 160 PHO E: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: PHONE: W 0 E K PHONE: PERMIT APPLICATION IS FOR: (N NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: LA?13 0 S6A_C w 1 E Parcel Number: t-( Lot Size: ` ,0 Legal Description: Lo 4i tC.t,vg, BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) .Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: Ae WASTE TYPES Check applicable categories): Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal Dishwasher ( ) 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 ( X) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: O 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 community water, give name of supplier: E ?J /n 064- T�47 S SIGNATURE: �� DATE: 90 INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope SOIL PERCOLATION Depth to Bedrock (Per Depth to Groundwater TEST RESULTS: FINAL DISPOSAL BY: _ (_ ')Absorption Trenr, Bed oir P i t Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other AMOUNT PAID: 017560 RECEIPT NUMBER 8' profile hole table NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. Minutes per inch in Hole #1 Minutes per inch in Hole#2 Minutes per inch in Hole #3 Evapotranspiration Sand Filter Wastewater Pond �q2_ DATE: q—POc`, MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health Dept. - Rev. 4/88) COMMUNITY DEVELOPMENT DEPARTMENT P03) 328.8730 EAGLE COUNTY, COLORADO Date : December 3, 1990 Ron Staerkel 98 County Rd 132 Glenwood Springs, CO 81601 —.- 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 3207107 RE: Final of ISDS Permit No. 1024 This letter is to inform you that the above referenced ISDS Permit has been inspected and finalized. Enclosed is a copy to retain for ycur records. Also enclosed are informational sheets regarding the care cf Your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Officer, P.O. Bon 179, Eagle, Coiorac'c 816ol. :1e can also be reached depending on ycur calling area at the following _lumbers: Eagle Valley 323-6730; Basalt/El Jebel 927-3S23, Sincerely, van P.o er C. Hosea Asst. Environmental Health Officer encl: informational Sheets Final ISDS Permit cc: Chrcno file 1SDS file Building Permit file RH/alm COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 Date: October 31, 1990 Ron Staerkel 98 County Rd. 132 Glenwood Spgs, CO 81601 RE: Issuance of Individual Sewage Disposal System Permit No. Enclosed is your ISDS Permit No. 1024 The enclosed copy of the permit must be posted at the installation site. You must call our office for final inspection before covering any portion of the installed system; the deadline for final inspections is December 1. If you have any questions, please feel free to contact us at the following numbers for your calling area: Basalt/El Jebel 927-3823 ext. 730; Eagle Valley 328-8730. Sincerely, Roger Hosea Asst. Environmental Health Officer Community Development cc: ISDS file encl. RH/alm 1024 MEMORANDUM DATE: October 31, 1990 TO: ISDS file #1024 FROM: Roger Hosea -x- RE: Percolation test On October 23, 1990, a percolation test was scheduled at lot 4 filing I, Aspen Mesa Estates. Upon arrival, I discovered the percolation holes to be prepared incorrectly (dug with a backhoe). Since lots on both sides of this property were built on, the slowest perc rate (20 minutes per inch) was used to determine the leach field area required on lot 4. The calculations show that 805 square feet of leach field was required. The owner will be using the infiltrator system, which will require 26 units (162.5 lineal feet). Oxford® 0 ESSELTE MADE IN U.S.A. • • NO. R 752 1/3 15� JOB NAME 1024-90 TxPrcl# 2 3q l- a7-)-65 -" Lot 4, Filing I, 423 Escalante Aspen Mesa Estates ROa_S_t-aerke-L_ JOB 1,14t . JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED lmoc l—a7a— U60 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.S.H. - r- to vf. ITI�l poi LI5fr Mesa EfS l'Zayl • r 34�. C0 EI,S�ncNt v t �.� �.... •+ �� �.+ �� �. -. s .ram �� �" - �..r �� '�� .!/ �� ter► �� �� - %� I .,D / 1 1 / t o -�' CN Ou - 56Pfic7aNk � a __ �i / tt , G A� i EL 9 I 1 � f ' 1 ti� f I � J I P� I / 5ET bAc L � l co ow-4 d f as'e" j i -- — lft .wo� Jo� "--% softAr � I 4 t � t