HomeMy WebLinkAbout1050 Wapiti Rd - 193931400046INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1820-98 BP NO. MT-1 i m 7
OWNER: JIM AND ANN OVERLEASE PHONE: 970-328-6250
MAILING ADDRESS: P.O. BOX 1181, EAGLE, CO 81631
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 1055 WAPITI RD., EAGLE, CO TAX PARCEL NO. 1939-314-00-046
LICENSED INSTALLER: JIM OVERLEASE LICENSE NO. 57-98 PHONE: 970-328-6250
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON EXISTING SEPTIC TANK 844 SQUARE FEET OF ABSORPTION AREA VIA 27 INFILTRATOR UNITS AS REQUESTED BY OWNER.
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH A CLEAN OUT BETWEEN THE TANK AND THE HOUSE
AND INSPECTION PORTS IN EACH TRENCH. FENCE OFF LEACH FIELD TO PREVENT LIVESTOCK FROM GRAZING IN THE AREA. ALLOW NO
VEHICULAR TRAFFIC OVER SYSTEM. RAKE ALL TRENCH SURFACES TO PREVENT SMEARING OF SOILS. CALL EAGLE COUNTY ENVIRON-
MENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PORTION OF THE INSTALLATION. BUILDING CERTIFICATE OF
OCCUPANCY WILL NOT BE ISSUED WITHOUT FINAL APPROVAL OF SEPTIC SYSTEM.
ENVIRONMENTAL HEALTH APPROVAL: DATE: SEPTEMBER 4. 1998
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, 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 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 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: 862 SQUARE FEET (VIA 27 F.Q 36 INFILTRATOR UNTT9
INSTALLED CONCRETE TANK: 100 GALLONS IS LOCATED 2 3 5 DEGREES AND 21 FEET FROM THE PINON TREE
LOCATED NEAR THE MOBILE HOME.
COMMENTS:
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED. _ /
ENVIRONMENTAL HEALTH APPROVAL 1~t DATE: SEPTEMBER 24, 1998
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit #
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (El Jebel)
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
**************************************************************************
PROPERTY OWNER: �� /►�'I%U I%� SSG`'
MAILING ADDRESS: / C� �2 1 d'1 ^ L`r eQ7O. PHONE:
� ^.
APPLICANT/CONTACT PERSON: .J l m D ULK Lvr9-S G PHONE:
LICENSED SYSTEMS CONTRACTOR: �"/ rvi PHONE: 3 8 -6
COMPANY/DBA: ADDRESS:
***************************************************************************
PERMIT APPLICATION IS FOR: ( W INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description:
Tax Parcel Number:
00014(0 Lot Size:
Physical Address: U I) J � ✓/ / / f
BUILDING TYPE: (Check applicable ca egory)
esidential/Single Family `Ko&(z ` fiby P
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF W R SUPPLY: (Check applicable category)
( Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
Number of Bedrooms
Number of Bedrooms
Type
t; - X/
Z
*These systems require design by a Registered Professional Engineer Q
SIGNATURE: r 11L-4
Date: <�
************************************************************* *** ********
AMOUNT PAID: J s® RECEIPT #: 110 w r71 DATE: I /dam/ l y
CHECK #: (a d--O R CASHIER: 4 L�
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
EAGLE COUNTY, COLORADO
September 24, 1998
Jim and Ann Overlease
P.O. Box 1181
Eagle, CO 81631
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit #1820-98, Tax Parcel #1939-314-00-046. Property location: 1055
Wapiti Rd., Eagle.
Dear Mr. and Mrs. Overlease:
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 building 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 (970) 328-8755-.
Sincerely,
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL:Informational Brochure
Final ISDS Permit
cc: files
Community Development Department
(970)328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
EAGLE COUNTY, COLORADO
DATE: September 4, 1998
TO: Jim Overlease
FROM: Environmental Health Division
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Issuance of Individual Sewage Disposal System Permit No. 1820-98, Tax Parcel
#1939-314-00-046. Property Location: 1055 Wapiti Rd., Eagle, CO., Overlease
residence.
Enclosed is your ISDS Permit No. 1820-98. It is 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.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special
conditions which may have been placed on the permit. If all items are not completed, a
reinspection fee of $42.50 must be paid before a reinspection is made.
Please call our office well in advance to allow for scheduling of final inspection. Your building
permit TCO will not be issued until final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755.
cc: files
Enclosures: ISDS permit # 1820-98; ISDS Final Inspection Completeness Form
ISDS Permit #
F
Date o
ISDS Final Inspection
Completeness Form
V Tank is 1670 V gal. Tank Material -
Tank is located _25- ft. and 23,�' degrees from —LAP, A) kgt,
(pe neat lap ark)
Tank is located ft. and degrees from
(permanent landmark)
Tank set level. Tank lids within 8" of finished grade.
Size of field �� ftz units lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
There is a "T" that goes down 14 inches in the inlet and
outlet of the tank.
V Inlet and outlet is sealed with tar tape, rubber gasket etc.
Tank has two compartments with the larger compartment closest to the
house.
SC Measure distance and relative direction to field.
D pth of field 3 ft.
Soil interface raked.
V Inspection portals at the end of each trench.
y Proper distance to setbacks..
Chambers properlyinstalled as per manufacturers specifications.
P P
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
Type of pipe used for building sewer line leach field
Other
Inspection meets requirements.
Copy form to installer's file if recommendations for improvement were
suggested.
ACTION TAKEN:
Setbacks
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
Field 100 25 20 10 50 25 10 10
Tank 50 10 5 10 50 10 * 10
Ri
V.
ISDS PERMIT #
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEATLH
OWNER: �/fm O�� -�
PHSYSICAL ADDRESS: y ' l0
LEGAL DESCRIPTION: �
MAILING ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS: 3
TEST HOLES PRE-SOAKED: YES ✓ NO
SOIL
TIME WATER DEPTH INCHES OF FALL RATE PROFILE
n�
o
��`�v
�s'�
1
Z
3i�
Z�v
21
3%
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`��t
'1
3i�
Z o
r o
r 3.3
31
3/I
/e
��
�.��
4'
d7lil
3/ `f
(�.(��
(�.�a�
51
0 d
1��
1
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3/1�.�a�'
(�
��
fly
�31g
'(Z_.
lrZ
31S
to
I0
!3.3
71
J3.3
to
10'
TIME TO DROP LAST INCH: 14 PERC RATE: 13.3
MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: /, Oad .f
COMMENTS: A47yse4__ / litC,(shcf_ L�r .. 4,
f&—id da & s 3 ��
ENVIRONMENTAL HEALTH SPECIALIST DATE
5
�11m
d, _ 67S 675
gqq lid-3
Q-�S
Af"VA��5
seen Is
I
I
QD
M
�-Y
1820-98 Taxis 1939-314-00-046
JOB, NAME 1055 Wapiti Rd. OVERLEASE
Parcel D, Chambers Ranch
Eagle (mobile }inmol
JOB NO. � 11037
BILL TO
DATE STARTED �J p
�✓ l0
DATE COMPLETED
DATE BILLED
0
j
LLB C / l
� 1
/\ 3 l 3 Z
�
LLB
8
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
Lol
JOB FOLDER Product 277
�zo
JOB FOLDER
ou-( j
Pdnted In U.S.A.
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1821-98 BP NO. 12230
OWNER: JIM & ANN OVERLEASE PHONE: 970-328-6250
MAILING ADDRESS:. P.O. BOX 1181_, EAGLE, CO 81631
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 1050 WAPITI RD., EAGLE, CO TAX PARCEL NO. 1939-314-00-046
LICENSED INSTALLER: JIM OVERLEASE LICENSE NO. 57-98 PHONE: 970-328-6250
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK 1125 SQUARE FEET OF ABSORPTION AREA VIA 37 INFILTRATOR UNITS
SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES, WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE,
AND INSPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT SMEARING OF SOILS. CALL EAGLE COUNTY
ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACKFILLING ANY PART OF THE INSPECTION. OR WITH ANY QUESTIONS
REGARDING INSTALLATION. BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM RECEIVES FINAL
APPROVAL.
ENVIRONMENTAL HEALTH APPROVAL: ! V l iLXLY DATE: SEPTE.BER 14, 1998
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, 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 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 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: 1271 SQUARE FEET (VIA 41 STANDARD INFILTRATOR PLAIT
INSTALLED CONCRETE TANK: 2000 GALLONS IS LOCATED 180 DEGREES AND 17 FEET FROM THF, SW CORNER
OF THE HOUSE.
COMMENTS: THE SEPTIC TANK IS LARGE ENOUGH FOR A 7 BEDROOM RF.STT)FNCE, BUT THE LEACH FTF.T.T)
IS SIZED FOR A 4 BEDROOM RESIDENCE. THE FINAL INSPECTION OF THE T.F:ACH FTFT,T) wAG T)nNF
BY LAURA FAWCETT ON 10-14-99, THE TANK TNSTAT,T,ATTON RY TTF.ATRFR RAVAT.ny nN 1 (1 1 R-99
PHOTOS OF THE CLEANOUT WERE RECEIVED 4-21-00.
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED.
ENVIRONMENTAL HEALTH APPROV �� 1_&:�A��ZLU DATE:APRTL 24, 2000
InL;omplete'Applications Will NOT Be Accepted
(Site Plan MUST be attached)
ISDS Permit 8
Building Permit
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE -EAGLE COUNTY
P. 0. BOX 179
EAGLE, CO 81631
328-8755/927-3823 (Basalt)
**************************************************************************
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* MAKE ALL REMITTANCE PAYABLE'.TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER: Ji vv%_ Y_ AAI" oy1s'nbow je—
MAILING ADDRESS: AL9 o6nx )/ / M Gy CUL-cO, PHONE :.3 re, -wzv
APPLICANT/CONTACT PERSON: Zir oLjimt1rl�y
LICENSED SYSTEMS CONTRACTOR: �t m 6yiX 1, & d".
PHONE : 3 ,26 -6 1SZ>
PHONE: 3 1--b G 9L--"
COMPANY/DBA: ADDRESS:
***************************************************************************
PERMIT APPLICATION IS FOR: (,4-__N`iW` INSTALLATION (/ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: �6;)!gomRGn S %?/7AA-1C if AAA
Tax Parcel Number: 2 1314/ 006 u4 Lot Size: 5 _��9Cy2&-s
Physical Address: X00 lA , ,o f / /� /4 . /Ldh� /1tv vs e.
BUILDING E:. (Check applicable category)
Residential/Single Family /Lyw /��� Number of Bedrooms
(.) Residential/Multi-Family* Number of Bedrooms
( ) Commercial/Industrial* Type
TYPE OF W R SUPPLY: (Check applicable category)
Well ( ) Spring ( ) Surface
( ) Public Name of Supplier:
*These syst
SIGNATURE: _
*************
ire
********
sign by a Registered Professional Engin er
•P Date: / 7
AMOUNT PAID: Z _TIQ `, �'�RECEIPT # : I I Dy ) ( DATE: lLj S
CHECK #: (Oa l D CASHIER:
Community Development Department
(970) 328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
April 25, 2000
Jim & Ann Overlease
P.O. Box 1181
Eagle, CO 81631
EAGLE COUNTY, COLORADO
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Final of ISDS Permit #1921-98, Tax Parcel #1939-314-00-046. Property location: 1050
Wapiti Rd., Eagle, CO.
Dear Mr. & Mrs. Overlease:
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 building 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 (970) 328-8755.
Sincerely,
Janet Kohl
Environmental Health Department
Eagle County Community Development
ENCL: Informational Brochure
Final ISDS Permit
cc: files
Community Development Department
(970)328-8730
FAX (970) 328-7185
TDD (970) 328-8797
Email: eccmdeva@vail.net
http: //www.eagle-county.com
EAGLE COUNTY, COLORADO
DATE: September 14, 1998
TO: Jim Overlease
FROM: Environmental Health Division
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179
RE: Issuance of Individual Sewage Disposal System Permit No. 1821-98, Tax Parcel
#1939-214-00-046. Property Location: 1050 Wapiti Rd., Eagle, CO., Overlease
property.
Enclosed is your ISDS Permit No. 1821-98. It is 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.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special
conditions which may have been placed on the permit. If all items are not completed, a
reinspection fee of $42.50 must be paid before a reinspection is made.
Please call our office well in advance to allow for scheduling of final inspection. Your building
permit TCO will not be issued until final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755.
cc: files
Enclosures: ISDS permit # 1821-98; ISDS Final Inspection Completeness Form
. ! f7 r • / r
a
jl M
1
ISDS Permit # Date �� I
ISDS Final InsRection
/Tank
Completeness Form
is -0gal. Tank Material
6� Tank is located' ft. and /d"2. degrees from
(permanent & dmark)
Tank is located ft. and degrees from
/ (permanent landmark)
V
Tank set level. Tank lids within Bigof finished grade.
y/ Size of field ft' units lineal ft.
Technology
Cleanout is installed in between tank and house(+ 1/100ft).
There is a "T" that goes down 14 inches in the inlet and
outlet of the tank.
Inlet and outlet is sealed with tar tape, rubber gasket etc.
Tank has two compartments with the larger compartment closest to the
house.
(i Measure distance and relative direction to field. ar'
i
Depth of field ft.
Soil interface raked.
Inspection portals at the end of each trench.
Proper distance to setbacks.
Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.)
Type of pipe used for building sewer line - leach field SDrZ3 S-
Other
ection meets requirements.
Copy"to installer's file if recommendations for improvement were
erm
suggest
ACTION TAKEN: f
PR� *121 l (S"0
Setbacks
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
Field 100 25 20 10
Tank 50 10 5 10
50 25 10 10
50 10 * 10
OT OT OS OT S OT OS xuvs
OT OT SZ OS OT OZ SZ OOT PTaTa
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no
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game quamaeoadmT aoi suoT4vPuammoo8a IT 9TT3 s,aaTTE48uT 04 ma Ado)
•s uamaaT as sham uoTined I
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( -oqa 'sggDuaaq
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-suoTIpoTJToads saaangovgnuvw aad sp paTTaIsuT ATaadoad saagwvgD
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•paxva aov;aaqui TTos
..4j PT9T3 3o u-4dea
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auq oq 4s9soTo quawgavdwoo aabapl auq tlgTM squawgavdwoo omq spu xusy T
•oja gaxspb aaggna 'adpi apq -ggTM pelves sT gaTIhO pup 1alul ,,_
-xupq auq go galqno
pup galuT aqq uT segOUT VT uMop saob Ivuq „y„ v sT aaauy 2
•(I;OOT/T +)asnou pup xupq uaamgaq uT paTTvlsuT sT gnouvata
— AboZouuoay /I •qj TpauTl sgTun zq3 , PTeT3 go aZTS /
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-apvab pausTuTJ go 8 uTti:ITM sPTl xupy •TGA9T 19s xuey
(K=�P�T �vatteuaad)
• woaj saa.zbap Pup p94gaoT sT xugy
(x= P T7 zva read)
pI(7 ws -4 sagabap BSI pug • qg—T7- P94VOOT sz xuay fq
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=o3 sa agar mo,
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N® 0783
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 Overl ease Telephone: 328-6250
Address: P . 0. Box 1181, Eagle CO
System Location: Chambers Parcel "0"
Licensed Installer: Self License Number:
Conditional installation approval is hereby granted for the following:
Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit
Absorption area of dispersal area computed as follows:
Percolation rate: a Inch in 20 Minutes
Absorption area per bedroom Sq. Ft.
Number of Bedrooms 2 X 600 Sq. Ft. minimum requirement per bedroom -
equals Total Sq. Ft. minimum requirement or 100' SB2, 10"
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 andcause 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.
/ e.
Alt)�S
INSTALLED ABSORPTION OR DISPERSAL AREA: 6�SQ.-FT.
INSTALLED SEPTIC TANK: 1— GALLONS; DEGREES;--"?(-) FEET
DESIGN ENGINEER OF SYSTEM: A, -
INSTALLER OF SYSTEM: -e--- PHONE:
SEPTIC TANK CT EANOUT TO WIT HI 12"OF FINAL GRADE OR
YESI NO
YES �L NO
YES NO
YES NO
AERATED ACCESS PORTS ABOVE GRADE:
PROPER MATERIALS AND ASSEMBLY:
COMPLIANCE WITH PERMIT REQUIREMENTS:
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS:
COMMENTS:
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.)
J, lnl�7
DATE (Final Approvai)/2—f--62ENVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS
Name of Applicant: Jim Overlease Name of Owner: Same
PERMIT
Amount Paid: 200.00 Receipt Number: 3118 Date: 5 13 87 Cashier: Gail Parker
Check #1651
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APPr ICAT-.,. FOR- * AL :;r.'::\C; DTc �:iL :S- �r_•.�T_
ENVIRON"ENTAL HEALTH UF:ICE - EAGLE COUNT`:'
. `
P.O. moo:•: A30
Eagie, Colorado 81631
No.
PERMIT AP?I.ICA.TTON
FEE: 8150.00
328-7317 PFRCOL:\TION
TT-ST F- �50.00
NAME OF OWNER:
E
41 IIC/QLe
ADDRESS:,
, go x/! L
a Coo, /,I�,QC,1Qou.")S P�O::E:
3 �� r 2S�D
NANIE OF APPLICANT (if different from own r):
ADDRESS: 7-0 P fl�,
11-2G/)'7
PHONE:
DESIGN ENGINEER OF SYSTDI (if applicable) :
ADDRESS:
PHO: E
INKALI_NTION OF SYSTE`I:
` Licensed Installer (see attached list): YES NO
ADDRESS:
PERMIT APPLICATION IS FOR:
New Installation
LOCATION OF PROPOSED INDIVIDUAL SET.Gc. DISPOSAL SYSTL^•f:
Street/Rural Address:
Lot Size: 3S-i4�l2L
Legal Description: -T9AC7-
BU_ILDI' OR SERVICE TYPE (check aoDlicabie cate^orv)•
( ) Residential - Single Family
( ) Residential - DuD1ex
( ) Residential - Tr�.lex
NUMBER OF PERSONS:
WASTE TYPES (check apolicable cate^_ories):
( ) Co«.mercial or Institutional
( ) Non -Domestic Wastes
(��'Garbage Disposal
(/Automatic Washer
( )- Other
"_TYPE OF J.�VIDUAL SEI:AGE DISPOSAL SYS=1 PRO -POSED:
Septic Tank ( ) Cor,.posting Toilet
( ) Vault Privy ( ) Greywater
( ) Pit Privy ( ) aeration Plant
( ) Other
PHONE:
( ) alteration ( ) Repair
( ) Residential - QuadDlex
( ) Co.••::::ercial (state usage)
NM-MER OF BEDROOMS
( /�Ihoelling •
( ) Transient Use
( ) Dishwasher
( ) Spa Tub
( ) Incineration Toilet
( ) Chemical Toilet
( ) Recycling, Potable Use
( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTL`i INTO I.'AT='RS OF THE STATE: YES ( ) NO
IS SYSTEM DESIGNED FOR LESS T'dAN 2,000 GALLONS PEER DAY* YES ( )e NO
WASTEWATER FLOW REDUCTION; PLAN: YES (�'�' NO ( }
(IS Yes, see attached wastewate S.eccu Leduc,t%.on meti'Lcds)
NOTE: The EnvZto;une;ztae Heae-uL OjS.iee,t matt reduce tiLe •teauited ab.so-tption atea upon
appnGVae U" an adeGUa,Le MLI Lit' �� 6CCLU Aedu_ctCo;L p.ec'7
SOURCE AND TYPE OF ?dATER SUPPLY: ( kell ( ) SprJng ( ) Creek/Stream
Give depth of all wells within 200 feet of system: - 0/ii�It�
If supplied by community w er, Ci name of supplier:
A
SIG,'aTURE---
DATE:
`�L� 4 ----------------- D
INFORt{ATION BELOW TO BE FILLED OUT BY ENVIRON.'•IEP.7AL HEALTH OFFICER:
GROUND CONDITIONS: Pencent G,Lound Slope
r Depth .to Bedtoeh (pen 8' P,`coStiee Hote)
Depth to Gnoundw .te t Tabte
SOIL PERCOLATION TEST RESULTS: _ 2 (? A •tnu,tCs pe,•c .c._nc1L in. Ho.ee * 1
2 0— AtznutCs pet .inch .to Ho.ee #2
1.u;cuti�',s pen i LdL to Hote. #3
FINAL DISPOSAL BY: -
Abso•tptto;l Tne;zcli, Bed o.t Pit ( ) Evapo.ttansPiAati.on
( j Above Gncund DZspeisa.e ( ) Sa;Ld FU_tet
( ) Undetg,tound D.,spnza.e ( ) Was cica,tc.t Pond
( ) O.thC t
Arnau;Lt Paid: , . ✓tY
c Rece L; t Nwnbe.t .3��;5 Dczt. •- ,
- - - - - - - - - - - - - - - - - -
NOTE: Site Plan must be attached to•application.
(Env. Health Department - Rev. 4-07-83)
v-
t/
P`cr,,, ,---,., —cc- -
•L-:,, __.
C:•"NER: JGi"
LEGAL 0ES:^1PT1ON
RURAL ADDRESS:
TYPE OF DUELLING:
--
'41
OF BEOPnn •is:
DATE OF PERCOLATION TEST: �� 2 7--- �7 TYPE OF SOIL:
TEST HOLES PRESOAKED? Yes NO
TIIME
WATER DEPTH
ITCHES OF FALL
RATE
1
2
3
1
2-
3 !,
1
2
3
1
2
3
2G
17,
ii
�
PERCOLATION RATE: -Z- f%� -
RECOMMENDED MINIMUM SEPTIC TANK SIZE-: (2
RECOMMENDED MINIMUM LEACH FIELD SIZE:
RECOi AMENDED MINIMIUM SQUARE FOOTAGE PER BEDROOM:
Site has been revietired and tested fVrcoat
Date Environmental —Hea-ith Officer
COMMENTS:
/—e `� 6-3
G/z ieM
AV
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—
0783 Overlease Chambers Parcel 1821-98 Tax# 1939-314-00-046
.JOB N, P 1939-314-00-047 1050 Wapiti Rd. OVERLEASE
Parcel D, Chambers Ranch -----•
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JOB LOCAT}ON
BILL TO _
DATE STA TE DATE COMPLETED
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DATE BILLED
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JOB FOLDER Product.278 Q® NEW ENGLAND BUSINESS SERVICE, INC.. GROTON, MA 0147i
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