Loading...
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% �'�z �s��� `��t '1 3i� Z o r o r 3.3 31 3/I /e �� �.�� 4' d7lil 3/ `f (�.(�� (�.�a� 51 0 d 1�� 1 �- �� 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 11DT11O wvaaIauTT sauTZ aegpm utvaa xuvy Aaa aXpq Agaadoad asnoH algv-4od ITgexoEqjag no OLLO a4sabbns game quamaeoadmT aoi suoT4vPuammoo8a IT 9TT3 s,aaTTE48uT 04 ma Ado) •s uamaaT as sham uoTined I aa1TaO 21Q S plaT; copal gull agoras buTpTTnq aoj pasn edTd go acVj ( -oqa 'sggDuaaq woa; panowaa sxooa 'pallvgsuT ATaedoad sagvld pug 'pauogvT saagwv-qD) -suoTIpoTJToads saaangovgnuvw aad sp paTTaIsuT ATaadoad saagwvgD •sxovggas of aoupgsTp aadoad -uoueaq gDre go pug auq Iv sTvgaod uoigoadsui •paxva aov;aaqui TTos ..4j PT9T3 3o u-4dea �c •platj oa uoTgoa.ITp anTIvlaa pup aDupgsTp aanspayj •asnoq 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 / *T -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 z TgTaalvW xugs -Tgb0007 sT xuey =o3 sa agar mo, uoTgoa sui T•etzyq SaSI b ✓ I � 11. Q I alga # gTwaad SQSI 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 --7- "o. — 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 -----• i JQ1 !4Q. JOB LOCAT}ON BILL TO _ DATE STA TE DATE COMPLETED q /I q� l�rs� s� ryas s F: vi d s Jq q �dus Kxt z- d- l �1 !O 12--71 Az 60 Ll �4D Io +0 DATE BILLED P" JOB FOLDER Product.278 Q® NEW ENGLAND BUSINESS SERVICE, INC.. GROTON, MA 0147i JOB FOLDER _ •.�.. _jam ... �4�. '•[�. �.*c. 4L^1tae, �- �2iY =�l: �1�+•;�`f: L L. -1. 1 7 17 G 7 Z I Z L 1 1 ( z) Ike 10jj8jCty nn /n�al 99 -E-I-s 122-1-` 8 oo o Lo,-- .fit P4 fg3l-3tq-00 -Oct(, `ollglgq � b uv ll�e2�, l`o21--c($ (C��o UJa<p%�ttev Eall JZ2A \a3'�-341