HomeMy WebLinkAbout141 Cactus Ln - 193932301002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 900 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE.
Please call for final inspection before covering any portion of installed system.
PERMIT NO. 1235
OWNER: James & Sally Miller PHONE: 328-2318
MAILING ADDRESS: P.O. Box 605 city: Edwards
slaca: CO zlP: 81632
APPLICANT:_ Sally Miller PHONE: 328-2318
SYSTEM LOCATION: 0141 ('artjs T ^^^ TAX PARCEL NUMBER: 1939-323-01-002
LICENSED INSTALLER: Hobbs Excavation 23-93
LICENSE NO:
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1 000 GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: Needs 60 additional feet Of SB2. (Per owners request)
ortals at end of each trench.
ENVIRONMENTAL HEALTH
DATE:
CONDITIONS:
Install inspection
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. 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. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE 18DEAGLE INDIVIDUAL SEWAGE DISPOSAL SYSTEM R GULATIONS UNTIL TH�YSTEM IS APPROVED
PRIOR TO COVERING ANY PORTION OF THE SYSTEM. �% 6V c
INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET.'(QiC( rc�CS2 7
INSTALLED SEPTIC TANK: �D GALLON DEGREES �C� -�
FEET FROM -00
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLYV�YES —NO
COMPLIANCE WITH COUNTY / STATE REQUIREMENTS: V YES —NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED.
COMMENTS: -*- �j t h � 4y r 1.A ni AILP n A ) v,,n f\ -4)-� -, 1-4, ! i l n n /1 _
ENVIRONMENTAL HEALTH APPROVAL:�"--
"� DATE:
������
ENVIRONMENTAL HEALTH APPROVAL -
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
PPLICANT / AGENT:
=RMIT
PERCOLATION TEST FEE
OWNER:
RECEIPT # CHECK*
RECEIVED ISDS Permit #
MAY 17 V09,3 Building Permit #
APPLICATION FOR �T��AZ SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRQ�i`'FICE- EAGLE COUNTY
tt;; P.O. BOX 179
EAGLE, CO 81631
328-8755/927-3823(B salt)
PERMIT APPLICATION FEE
"PERCOLATION TEST FEE $200.0
************************************ **** * *****************************
PROPERTY OWNER : , T , m ra ,g/yQ
MAILING ADDRESS: ��, PHONE • 3Z g �.3/ 8
APPLICANT/CONTACT PERSON: Sf3�,,G��"!� PHONE:
LICENSED SYSTEMS CONTRACTOR: IyFie L -'C Ai 9431'_
ADDRESS: OSSS .%11G 5 %,Q/vim �-y wry CEO PHONE ae/ 76-0/
**************************************************************************
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION fr ALTERATION Al
REPAI:
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:5141y9fln �A,y,�yy�,q,p�
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Parcel Number: 193 9 - az 3-e7/
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Lot
size:
Physical Address: D/zl/ C'R ?'Gl5
BUILDING TYPE: (Check
(,Y) Residential /
( ) Residential /
( ) Commercial /
TYPE OF WATER SUPPLY:
applicable category)
Single Family Number of Bedrooms 3
Multi -Family* Number of Bedrooms
Industrial* Type
Well( ) Spring ( ) Surface ( )
Public ('X) Name of Supplier: ,FALL_'
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY. TREASURER"
SIGNATURE:
*********A
i� '�-• / DATE:
AMOUNT PAID: RECEIPT#
CHECK #_
DATE:
CASHIER:
.'O.11MM Fl PE`. ELF P%1L\ f
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EAGLE COUNTY, COLORADO
June 18, 1993
300 GFJ \M ->l
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FA6U. ? I o; I
TO: James & Sally Miller
FROM: Eagle County, Environmental Health Division
RE: Final of ISDS Permit No.:1235-93
Parcel #:1939-323-01-002
Property Located at: 0141 Cactus Lane
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. This permit does not indicate
compliance with any other Eagle County requirements. Also
enclosed is a brochure regarding the care of your septic system.
Be aware that later changes to your dwelling may require
appropriate alterations of your septic system.
If you have any questions regarding this permit, please
contact the Eagle County Environmental Health Division at
328-8755.
Sincerely,
Brenda Henderson
Administrative Technician
Environmental Health
/bh/ca
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP# S7q:�-
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 32 8-8 730
EAGLE COUNTY, COLORADO
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328.7207
DATE: June 1, 1993
TO: Merle Hobbs
c
FROM: Eagle County, Environmental Health Division
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1235-93 Parcel #: 1939-323-01-002
Property Located at: 0141 Cactus Lane, Chambers
Ranch, Parcel 11, Lot 2
Enclosed is your ISDS Permit No. 1235-93 valid for 120 days.
The enclosed copy of the permit must be posted at the
installation site. Any changes in plans or specifications
invalidates the permit unless otherwise approved. Please call
our office well in advance for the final inspection. The final
inspection is to be done before any portion of the installed
system is covered. The deadline for the final inspections done
by Eagle County Environmental Health is December 1. Systems
designed by a Registered Professional Engineer must be certified
by the Engineer indicating that the system was installed as
specified. Eagle County does not perform final inspections on
engineer designed systems.
Be aware that the specifications on the permit are minimum
requirements only. Installers should bring this to the attention
of the property owner.
This permit does not indicate conformance with other Eagle
County requirements.
If you have any questions, please feel free to contact us at
328-8755.
cc: file
Building Department, File # 5748
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1235-93 Parcel #1939-323-01-002, Chambers
Ranch.I:L, Lot.2,'.Blk A, in Tract 660,
0141 Cactus Ln. Miller
JOB NO.
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JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N® 0792
P.O. Box 850 - 550 Broadway
Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE
BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM
Owner: James & Sally Miller Telephone: 949-4365
Address: P . 0. Box 605, Edwards
System Location: Chambers Ranch Parcel 2, Lot 2
Licensed Installer: Ron Heinen License Number:
Conditional installation approval is hereby granted for the following:
Minimum requirements: 1_ O�Gallon Septic Tank or Aerated Treatment unit
Absorption area of dispersal area computed as follows:
Percolation rate:— Inch in —10_ Minutes
Absorption area per bedroom Sq. Ft.
Number of Bedrooms 2 X 300 Sq. Ft. minimum requirement per bedroom -
equals 600 Total Sq. Ft. minimum requirement or 100' SB2
Special Requirements:
Date: Environmental Health Officer:
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:
No system shall be deemed to be in compliance 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: ®� / SQ. FT.
INSTALLED SEPTIC TANK: 0 GALLONS —/'600 DEGREES_ FEET
DESIGN ENGINEER OF SY TEM: .6e, &%ti�
INSTALLER OF SYSTEMPHONE:
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES NO
PROPER MATERIALS AND ASSEMBLY: YES NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YESIb
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO
COMMENTS:
(Any item checked NO requires correction before final approval of system is made. Arrange r 'nspection when
work is completed.) -f-,7
DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: James & Sally Miller Name of Owner: SAme
Amount Paid: 200.00 Receipt Number: 3298 Date: 6-24-87 Cashier: E. Huenink
Check #639
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
t
O .�S?AP C,, r^T 'i\t
E:1'IRO,"E::TAL i:EALTii OFF:CE - EAGLE C 0 1 TY
P.O. 3o:: 350
Eagle, Colorado 81631 No.
PERMIT AP?LICATTCIN FEE: 8150.00 328-7317 PFRCOLITIO`: TEST 550.00
NAME OF OId\ER:
ADDRESS: �� t -,, =� PHONE:
NAME OF APPLICXNT (if different from owner):
ADDRESS:
PHONE:
DESIGN ENGI::EER OF SYSTDI (if applicable):
ADDRESS: PHO: E :
INS 1ALL.•%TION OF SYSTE`L•
Licensed Installer (see attached list): YES` NO
ADDRESS:
• PHO;;E
PERMIT APPLICATION IS FOR: (,!) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SE?•'AGE DISPOSAL SYSTE-4:
Street/Rural Address:
Lot Size:
Legal Description:
BUILDING OR SERVICE TYPE (check aoolicable catecorv):
O Residential - Single Family ( ) Residential - Quadolev
:c
( ) Residential - Duple
( ) Commercial (state usage)
( ) Residential - Tr_olex
NUMBER OF PERSONS:
WASTE TYPES (check apolicable cate^ories):
( ) Co-nercial or Institutional
( ) Non -Domestic Wastes
C/) Garbage Disposal
( ) Automatic Washer
( ) Other
NrMBER OF BEDROOMS: :.1!
(�) Duelling
( ) Transient Use
( ) Dish:casher
( ) Spa Tub .
HYPE
OF
INDIVIDUAT. SEWAGE
DISPOSAL SYSic_•I PROPOSED:
(
(
(
)
)
)
Septic Tank
Vault Privy
Pit Privy
Other
(
(
(
) Composting Toilet
) Greywater
) Aeration Plant - -(
(
(
(
)
)
)
)
Incineration Toilet
Chemical Toilet
Recycling, Potable Use
a
Recycling, Other Use
WILL EFFLUENT BE DISCHARGED
IS SYSTEM DESIG:;ED FOR LESS
DIRECTI` INTO ?'AT='RS OF THE
T'dAv 2,000 CALLO`:S PER DAY:
STATE:
YES ( ) 1;0
YES ('/ ) NO ( )
WASTE?:IATER FLO?•J REDUCTION PLAN: YES ( ) NO ( )
(16 Yes, See atiuZched S-ec(U Leduc tCon me-vtcds )
NOTE: The Env.&"LoSune{LtaZ. Heae-ILA O"ice,� mail educe the teou&:ed ab.se,Lptcon atea upon
apptova.Z o5 an adeGuat, teas tzxatet SZ= ,Ledu-_tCon p.eajt.
SOURCE AND TYPE OF DATER SUPPLY: ( ) well
( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier:
C SIGNATURE: = -�.C� !__"r�.,-/�� r-------- --- DATE- - - - - - - - - - - --
_/ ,
INFORMATION BELOW TO BE FILLED OUT By ENVIRONIENFTAL HEALTH OFFICER:
GROUND CONDITIONS: PvLeent G,'Loujid S('o,pe
Dept,t to Bed'LocF (pest 8' P.ta�tiee Nate) 7
Depth to GAouncLwatuL Tabte
SOIL PERCOLATION TEST RESULTS:. ik.cjtutcs pe•'L .etch in Ho-.e *]
0 Minutes pets .cnctt .to Ho.ee #2
FINAL DISPOSAL BY: pe,-, •<nclL do HoZe 43
( ) Aho.tptco;l Tneneh, Bed o.t Pit ( ) Evapa.t�.azjtspiAa ion
( ) Above Gncund DZSp&tsa.e ( ) sand F,LLtct
( ) Unde,tg.toujud DZspe-'uscze ( ) Was.tetra.tct Pond
( ) O•thCt IC
Amoumt Paid: ��� °� Rece c:p t Nunnb c t
---------------------Ghr� #_ C_�,9"----------------
NOTE: Site Plan must be attached to'application.
(Env. Health Department - Rev. 4-07-83)
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $50.00 ISDS APPLICATION NO 3 1 Z't
OWNER: 4
LEGAL DESCRIPTION: 4_*'.t_,1)4_
RURAL ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS: Z
DATE OF PERCOLATION TES TYPE OF SOIL: 66 4`7
TEST HOLES PRE-SOAK : YES-- NO
l
TIME
M
31232
WATER DEPTH
II INCHES
OF FALL
RATE
164 5-
z f
2- r7
11
PERCOLATION RATE:
RECOMMENDED MINIMUM SEPTIC TANK SIZE: l
RECOMMENDED MINIMUM LEACH FIELD SIZE:
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: `�o `S
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environmen al Health Officer Date
COMMENTS:
Rev. 5/31/84
Co-�����
D
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
J - -
Name) - -
ate Routed � 7"
G2- on--fJoppi
Location
Please review the attached Individual Sewage Disposal System Permit Application and return
it with this completed form to the Environmental Health Office.
PLANNING: Complies with - YES NO-REVIE1,1ED BY DATE
Subdivision Regulations:
Zoning Regulations: -
Recommend Approval: A I
ro 30
COMMENTS: '
BUILDING: Complies with -
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
YES I NO
REVIE'.,1ED BY
DATE
YES I NO I REVIEHED BY
DATE
EN%1I ROB 1,'1E?1TAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recol;.mend Approval:
YES
NO
REVIEWED BY
DATE
_.
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