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HomeMy WebLinkAbout207 Oak Rd - 246909205001INDIVIDUAL 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 O 6-4 Please call for final inspection before covering any portion of installed system. OWNER: Sam &Evelyn KOules PHONE:708-579-9569 MAILING ADDRESS: 320 N Park, T.a Qngnga, TT 60525 AGENT: PHONE: SYSTEM LOCATION: T.nt R, Paarhhlow PI,TT) LICENSED INSTALLER: (Licensed installer required) LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT, DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 1320square feet per engineer design. Inspection portals in system. 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. INSTALLED ABSORPTION OR DISPERSAL AREA: /3SQUARE FEET. Ylci INSTALLED SEPTIC TANK: IDDO GALLONS DEGREES FEET wl f000 9cLffor dose faa1k SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS ANDASSEMBLY YES NO COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS: YES NO ANY ITEM CHECKED NOR QUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: Ln-5 11 AS per F eew- Zeizo.K - 7TBe-4 10-/6-9/ ENVIRONMENTAL HEALTH OFFICER: 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: P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail. 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATION) TEST FEE $125.00 NAME OF OWNER:�� MAILING ADDRESS: 3 0APv l %k. TL S_ PHONE: —/0 s /-5°% - NA14E OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: CyGe ZAWP LIC NSED NSTALLER: X )YES ( ) NO ADDRESS: ��� � A,7q1U3a1JjDiqCD PHONE: PERMIT APPLICATION IS FOR: ("�) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: � ,�,a- grs.efU (U Physical Address: oA f�AS L� T 0D Parcel Number: Lot Size: a�1 C��Q 9 �_tl Legal Description: Ip 8 �0iC3t-0C.-) F'v C) i . BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: O"Ll NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories Commercial or Institutional (?<) Dwelling ( ) Non -Domestic Wastes ( Transient Use ( ) Garbage Disposal ( Dishwasher (C) 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: (5<1 Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supp]ied by community water, give name of supplier: 92 ft j3 SIGNATURE: DATE: Uo�°c. /.�; / fg0 INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope S — /® 7 tA,� Depth to Bedrock (Per 8' profile hole) f' Depth to Groundwater table > f SOIL PERCOLATION TEST RESULTS: ll% Minutes per inch in Hole #1 Minutes per inch in Hole #2 � Minutes per inch in Hole #3 FINAL DISPOSAL BY. )5ftq 09 Absorption TrenIs Beta or Pit ( ) Evapotranspiration Above Ground Dispersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastewater Pond Other AMOUNT PAID: ZRECEIPT NUMBER DATE: NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". (Environmental Health -Dept. - Rev. 4/88) October 16, 1991 RECEIVED OCT 17 1991 EAGLE COUNTY COMMUNITY DEVELOPMENT Eagle County Community Development P.O. Box 179 Eagle, CO 81631 Attn : Roger Boyd RE: Lot 8, Peachblow P.U.D., Koules Residence I.S.D.S.I" HCE Job No 90055.001 Dear Roger: On October 10, 1991, High Country Engineering, Inc. personnel observed the visible construction of the individual sewage disposal system at the Koules residence. The construction appeared to be in conformance with the intent of the design. If you have any questions or need additional information, please give us a call. Sincerely, HIGH COUNTRY ENGINEERING, INC. Tim�tty P. Beck, P.E. pal Engineer TPB:rjm 923 Cooper Avenue Glenwood Springs, CO 81601 Telephone: 303-945-8676 303-920-3669 • FAX: 303-945-2555 t1W Job Tit lee�_f�SGl F s Job No. 9ey,15,15 by ate -��� ck'd by date Subject Z 142 5 page � of �;' 7A 923 Cooper Avenue Glenwood Springs, CO 81601 Telephone: 303-945-8676 303-920-3669 FAX: 303-945-2555 • 1 - Job Tide Job No. 96,055 by date ck'd by date Subject page ?= of 2- 923 Cooper Avenue Glenwood Springs, CO 81601 Telephone: 303-945-8676 303-920-3669 - FAX: 303-945-2555 EAGLE COUNTY 551 Broadway Eagle,Colorado 81631 (303) 328 7311 June 26, 1990 Sam and Evelyn Kowles 320 W. Park La Grange, IL 60525 Dear Mr. and Mrs. Kowles: On June 18, 1990, Ray Merry and I performed a percolation test on Lot 8, Peachblow P.U.D. in Eagle County. The results of that test and site investigation indicated that an engineer designed septic system will be required. Our main concern is the depth to bedrock. We do require that engineered drawings be submitted to this department for approval prior to issuance of your septic permit. If you have any questions, please feel free to contact me at 328-8730. Thank you. Sincerely, Roger Hosea Assistant Environmental Health Officer EAGLE COUNTY COMMUNITY DEVELOPMENT RH: ks xc: Chrono file 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 PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO. OWNER: LEGAL DESCRIPTION: G RURAL ADDRESS: r TYPE OF DWELLING: c ..-sIV NUMBER OF BEDROOMS: �02 DATE OF PERCOLATION TEST: b�c%G TYPE OF SOIL: f- TEST HOLES PRE-SOAKED: YES NO ! TIME I WATER DEPTH II INCHES OF FALL RATE 1 2 3 II 1 2 3 II 1 1 2 3 1 2 3 tv J / Z S '� r�'� yo L -/o L ; 1 / .j -h-31-,�pr PERCOLATION RATE: G(Je Iv),,OJ , RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: & 21-41 SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environments Health e /Date COMMENTS:�Cil.��✓ Rev. 5/31/84 I fit ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Jam f:v&/Une 19 Q �A6AH6 Al Name to , outed �09� ��Ci�' o °� Application No. Location Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form the the Environmental Health Office. PLANNING: Complies with - YES NO REVIEWED BY DATE Subdivision Regulations: Zoning Regulations: Recommend Approval: COMMENTS: 3UILDING: Complies with - Building Permit Applied For: Buildina Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIRONMENTALA FALTH: Complies with - YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE Peachblow PUD Septic Records Lot # Parcel # Address Year Built ISDS # 1 246909101001 Vacant N/A N/A 2 246909101002 112 Ash Rd. 1983 IS-0569 _ 3 246909101003 125 Ash Rd. 1986 IS-0745 ZC�79 4 246909102001 134 Ash Rd. 1983 IS-0629 5 246909102003 397 Oak Rd. 1990 IS-0923 6 246909102004 Vacant N/A N/A 7 246909102005 321 Oak Rd. 1986 IS-0744 8 246909205001 207 Oak Rd. 1991 IS-1064-91* 9 246909205002 113 Oak Rd. 1985 IS-0661 10 246909203001 Vacant N/A N/A 11 246909203002 Vacant N/A N/A 12 246909203003 142 Spruce Rd. 1983 Unknown 13 246909203004 Vacant N/A N/A Common 246909102002 Common N/A N/A Ttiectronic record missing 1064-91 JOB NA11JIE, , 320 Joe, ma gP-o0-35 BILL TO k DATE STARTED DATE COMPLETED DATE BILLED �C J' 10 SUMMARY ELCOST LLING PRICE ///g/fv L IR 'E 1X fS 'AL JOB COST aROSS PROFIT S OVERHEAD COSTS OF SELLING PRICE NET PROFIT fiJOB FOLDER Product.278 ®® NEW ENGIAND BUSINESS SERVICE, INC., GROTON, MA 01471 - ( e(h %VUJ j JC Printed in U.S.A. 1064-91 JOB NAME: , 32-0 Da LTq-35 1. C2.f6W60 JOB NO. F...�.. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED �C C'� I f l J Q k. COST SUMMARY ELLING PRICE AL DR JCE FAX .. -..1 IL STS OTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB POLDER Product.278 &M?® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER printed in U.S.A