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