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®
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Aspen Mesa Estates
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