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HomeMy WebLinkAbout12 Taylor Hill Rd - 247903401056INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT �® 8 3 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: Robert J. Anderson Telephone:-_719-486-22.0 Address: P. 0. Box 745 Leadvillp, CO 120461 System Location: Evening Star Lode Mining Claim # 5950 j§ Installer: Robert J. Andergnn - Ownar License Number•-- N/A Conditional installation approval is hereby granted for the following: Minimum requirements: Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate:_ Inch in M Minutes Absorption area per bedroom '-�00 Sq. Ft. Number of Bedrooms_ X Sq. Ft. minimum requirement per bedroom - equals E ®O Total Sq. Ft. minimum requirement Special Requirements: Date: September 19, 1922 Environmental Health Officer:Erik W. Edeen CONDITIONS: I. 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: SOy SQ. FT. INSTALLED SEPTIC TANK: J000 GALLONS; 11200 DEGREES; _,23 FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES �I NO PROPER MATERIALS AND ASSEMBLY: YES NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES_ NO COMMENTS: (Any item checked NO requires correction before final approval of system i4ma .2rran re-' ection when work is completed.) DATE (Final Approval) -3 ENVIRONMENTAL HEALTH OFFICER DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: _Robert J. Anderson Name of Owner: _ Robert J. And -r on Amount Paid: $150.00 Receipt Number: 409 Date:9-9-88 Cashier: A. Rusch Check # 766 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY No. 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: NA14E OF APPLICANT (If different from owner): ADDRESS: I a (.er 4. L,L /A. PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: : I-F LICENSED INSTALLER: ( ) YES ( NOT ADDRESS: PHONE: -�/ y YUG Zz �b PERMIT APPLICATION IS FOR: ( KNEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: MinLno 0I0tm - k—o ny LI-p Parcel Number: ' Lot Size: Legal Description: &42Z &0� 0 t 4412&7- Aj BUILDING OR -SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ). Residential- Triplex NUMBER OF PERSONS: I NUMBER OF BEDROOMS: � WASTE TYPES Check applicable categories): Commercial or Institutional ( V Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher ( ) 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: (AYES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( 1,'NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate wate•r� onservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( V Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: d,,Vd2E If supplied by community water, give name of supplier: SIGANTURE: DATE: INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope Depth to Bedrock (Per 8' profile hole Depth to Groundwater table SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1 Minutes per inch.in Hole #2 Minutes per inch in Hole #3 FINAL DISPOSAL BY. ( ) Absorption Trench, Bed or -'Pit ( ) ( ) Above Ground Dispersal ( ) ( ) Under Ground Dispersal ( ) Other AMOUNT PAID: �(6j0. pp RECEIPT NUMBER SITE PLAN MUST BE ATTACHED TO APPLICATION. (Envimiental Health Dept. - Rev. 4/88) Evapotranspiration Sand Filter Wastewater Pond` DATE: Q- ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE Name 22 4l2l% Date Routed mininq cl(aim (Leadoi 14 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: /yjg Zoning Regulations: Recommend Approval Loo� COMMENTS: BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: YE NO REVIEWED BY DATE 1,7 YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with - YES Floodplain Permit Necessary: G I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: REVIEWED BY TE Inter -Mountain August.15, 1988 Robert J. Anderson Box 745 Leadville, CO 80461 Re: Individual sewage disposal system Percolation test results Dear Bob: On August 1, 1988, a representative of our office conducted perco- lation tests on your 4.5 acre tract located approximately 1 mile north of Tennessee Pass on U.S. 24, one-half mile northeast on Taylor Gulch Road on the.east side of the road The tract is located in the Northeast one -quarter of the Southeast one -quarter of Section 3, Township 8 South, Range 80 West. The percolation tests were performed in three holes excavated and pre -saturated by you. The rate of infiltration for the three test holes in the sandy silt with gravel soil were as follows: Test Hole Infiltration (MPI) 1 34 0 %S!! 2 57 3 54 l:T� The average rate of infiltration is 4 minutes per inch. This result complies with Eagle County percolation test requirements. If we can be of any further assistance, please contact us. Sincerely, J"ef ry a n e l, P.E. • 3 b /Vice Prefide t °bn JM S : c j n , � y,, �• _ A cc: Erik Edeen oY No 9'8 1420 Vance Street A.on, Colcrado 81620 Lakewood, Colorado 30215 04?-5072 Denver,993-1531 Phone: 232-0 15 3 (7 deception No. _— -- — VCf_orded at o'clock ---- M., -- WARRANTY DEED LAGIRENCE T . BURBACK Gratnor(s) whose address is 7960 East Mabel Drive, Tucson Recorder. *County of Pima State of Arizona, 85715 for the consideration of Five Thousand Three Hundred Seventy -Five ($5,375.00) and no/100--------------------dollars, in hand paid, hereby sell(s) and convey(s) to ROBERT JOHN ANDERSON whose legal address is P. 0. Box 745, Leadville County of Lake the following real property in the 3 8 5 5 1 b BOOK..., 'itii: i iC PHILLlf'f kio IT 9 16 AH'8� , and State of Colorado, 80461 County of Eagle. , and State of Colorado, to wit: the real property identified upon the attached Exhibit "A", which is incorporated herein by this reference as if at full length'set forth. - ....... Date:.,Y- /7 4�._� $..........5Y ................... 3 8 6 3 2 6 Eagle County a State Doc. Fee PAGE.... ar ':3hNNf-TT1. PHILLIPS 1XLF-, CTY. RECORDER AUG 29 l0 40 AM'88 also known by street and number as same as the legal with all its appurtenances, and warrant(s) the title to the same, subject to 1988 general property taxes a114 subsequent years, rights -of -way, easements, reservations, exceptions, conditions and protective covenants and the lack of a right to access from the land to any i open public road, street or highway. Signed this 25 th day of July Lawrence T. Burback ARIZONA STATE OF �I/C66f fii�, a � y r% i ss. County of Pima f The�foregoing'ynAtt trrtei�t was acknowledged before me this �day of J-uly Aulus , 19 88 , by' % LawXeape'.T. Burback My commission expiresWitness my And and official seal Mli ^ommission Expires May 1% / 99 u L otary lie *If in Denver insert "City and ' No. 897. Rev. 12-85. WARRANTY DEED (Short form) Bradford Publishing, 5825 W. 61h Aw., Lakewood, CO 80214 -- (303) 233-69(X) 3-87 j SCHEDULE A - continued Order No. 301486-C PI at I. D. No. z Covering the Land In the State of Colorado, County of Eagle Described as: The EVENING STAR LODE MINING CLAIM (U.S. Mineral Survey 15950) EXCEPT that tract of land as conveyed to Lawrence T. Burback,to Dale S. Barton, Jr. and Irene f. Barton by instrument recorded June 13, 1962, In Book 168 at Page 155 and also EXCEPT that tract of and as conveyed by Lawrence T. Burback to Robert H. Gauthier by Instrument recorded May 5, 1978, In Book 269 at Page 948 SQiEDULE A - continued Order No. 301486-C PI at 1. D. No. Covering the Land In the State of Colorado, County of Eagle Described as: The EVENING STAR LODE MINING CLAIM (U.S. Mineral Survey #5950) EXCEPT that tract of land as conveyed to Lawrence T. Burback to,Dal a S. Barton, Jr. and Irene f. Barton by instrument recorded June 13, 1962, In Book 168 at Page 155 and also EXCEPT that tract of and as conveyed by Lawrence T. Burback to Robert H. Gauthier by Instrument recorded May 5, 1978, in Book 269 at Page 948 INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone:328-8755 ORIGINAL PERMIT#873 BP10438 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1589 Please call for final inspection before covering any portion of installed systems / i *ALTERATION TO EXISTING SYSTEM OWNER: HONE: (719) 486-0832 MAILING ADDRESS: city: T, dp2yi 1�_, State: CO Zip: 80461 APPLICANT: PHONE: SYSTEM LOCATION: 731 Forest Rd. Eagle CounW PARCEL NUMBER: 2 4 7 9 -0 2 3-0 0-0 2 8 LICENSED INSTALLER: Alex Contractors, Greg Alex LICENSE NO: 38-96 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTICTANKCexisting 1000 gallon tank in place) ABSORPTION AREA REQUIREMENTS: Adding to existing field of 504sq' for a total of 935sq' SQUARE FEET OF SEEPAGE BED 431 SQUARE FEET OF TRENCH BOTTOM. Via 14 infiltrator units as requested neA,,j 6� e h SPECIAL REQUIREMENTS:SnSta1111in aerial diGtribution in the area aboveh xi ing leach field by III Upping into the effluent line a+=as. � --� l�ntiw. s�,7 ertr—= =' so the new area is used first. Connect •� ench to the existing bed. Install inspection portals in-e tren n ' of effluent line. Call County for final ENVIRONMENTAL HEALTH APPROVAL: DATE: 1 S ec ion CONDITIONS: prior to back ' ling. Don't i�st 1 i et weather. 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF T GLE 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 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: SQUARE FEET. INSTALLED SEPTIC TANK: GALLON DEGREES FEET FROM SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY YES NO COMPLIANCE WITH COUNTY/ STATE REQUIREMENTS: YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: ENVIRONMENTAL HEALTH APPROVAL: DATE: ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) APPLICANT / AGENT: RETAIN WITH RECEIPT RECORDS OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT# CHECK# (Site Plan MUST be attached) ISDS 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 --88 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: MAILING ADDRESS: APPLICANT/CONTACT PERSON* MAILING ADDRESS: ro R, 0 PHONE: _R(9 ) ¢e6 -ot32_ PHONE: (3-1) q S� 6 o8 3Z LICENSED ISDS CONTRACTOR: PHONE: (at yL-37— COMPANY / DBA : k �ic1r ••� r3I ADD S S : PERMIT APPLICATION IS FOR: ( ) New Installation Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: Filing: Block: Lot No. Tax Parcel Number: Lot Size:. _4-:�i �� Street Address: � i BUILDING TYPE: (Check applicable category) () Residential/Single Family Number of Bedrooms 3 ( ) Residential/Multi-Family* Number of Bedrooms _ ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) (ip Well ( ) Spring ( ) Surface ( ) Public Name of Supplier: *These syste requ re d ign b a Registered Professional Engineer SIGNATURE • jL C ` _-- • Date: � �� ***************** ******************************************************** TO BE COMPLETED,BY THE COUNTY yy AMOUNT -PAID: l D RECEIPT #: Lb�-517t)2- DATE: CHECK #: /6 CASHIER: u jY d 4 Community_ Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: May 10, 1996 TO: Alex Contractors FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadwav Eagle, Colorado 8 163 1-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1589-96 Tax Parcel #2479-023-00-028. Property Location: 731 Forest Rd.# 350, Eagle County, Alex residence. Enclosed is your ISDS Permit No. 1589-96. 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. Please call our office well in advance for the final inspection. 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. Your building permit CO 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 Community Development Department %9701)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO April 26, 1996 To Whom It May Concern: Eagle County Buiidin;_ P.O. Gox I -� 500 [3road,.cav Eagle: Colorado Enclosed is a copy of the Application To Conduct Business As an ISDS Contractor or Cleaner, the 1996 ISDS Installers License Examination, and the regulations covering ISDS installations in Eagle County. To become licensed it is necessary that you complete the enclosed test and application. The questions on the test were not taken verbatim, and some require common sense answers. The cost for new installers is $25.00. Please make checks payable to Eagle County Treasurer. You may either hand deliver or mail these items to the Environmental Health Division of the Community Development offices at 500 Broadway, P.O. Box 179, Eagle, CO 81631. Your license will subsequently be mailed to you. Please feel free to call us with any questions you may have regarding the regulations or a particular system. It is your responsibility as a licensed installer to correctly install septic systems. Please contact us at 328-8755 with any concerns. Sincerely, Jane' t1 Kohl Eagle County Enviro irtment Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO November 26, 1996 Gregory Alex P.O. Box 554 Leadville, CO 80461 Dear Mr. Alex: Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 Our office has received your request to extend your Individual Sewage Disposal System (ISDS) permit# 1589-96 into the 1997 construction year. If there are any changes in your building plans, please be sure to notify us, so the appropriate changes can be made on your permit. If our office can be of further assistance, please call us at 328-8755. Sincerely, Janet Kohl Eagle County Environmental Health cc: isds file #1589-96 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO July 11, 1991 Robert J. Anderson P.O. Box 745 Leadville, CO 80461 RE: Final of ISDS Permit No. 873 Dear Mr. Anderson: 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 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. Also enclosed are informational sheets regarding the care of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division, P.O. Box 179, Eagle, Colorado 81631. We can also be reached, depending on your calling area, at the following numbers: Eagle Valley 328-8730; Basalt/El Jebel 927-3823. Sincere , Ray nd P. Merry, R.E Environmental Healt O ficer RPM:ckc Encl: Informational Sheets Final ISDS Permit cc: Chrono File ISDS File Building Permit File EAGLE COUNTY BUS Rox 1 DIVISION 79 INSPECTION REQUEST Phone: 328.7311 BUILDIN PERMIT NO. DATE: i JOB NAME: TIME I CALLER: RECEIVED: / ❑ PMto (4 APPROVED ❑ DISAPPROVED ❑ REINSPECT ❑ Upon the Following Corrections: r JAA It a. DATE: TIME: �Ic 7151411 - I - INSPECTOR A Department of Environmental Health Eagle (970) 328-8755 Fax: (970) 328-8788 El 3ebel (970) 704-2700 TOLL FREE: 800-225-6136 114` P O. Box 179 '�VI� ��:tia�5U01i•da"dway Eagle, CO 81631 nn Z �"Plecounty.us EAGLE COUNTY APPLICATION FOR INDIVIrDDUAL SEWAGE DISPOSAL SYSTEM PERMIT ISDS Permit 07,'C4� Building Permit # 0 110 iuw INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED (SITE PLAN MUST BE INCLUDED) FEE SCHEDULE APPLICATION FEE $350.00 This fee includes the ISDS Permit, Site Evaluation (Percolation Test, or Soil Profile Observation) and Final Inspection. Additional fees may be charged if a re -inspection is necessary, or a pre -construction site visit or consultation is needed. The re -inspection fee is $55.00. The pre -construction site visit fee is $85.00. Make all remittance payable to: Eagle County Treasurer. Property Owner: rn G,(j $ P4�jtf oa V Phone: S& O Le 7 3 71441 Mailing Address: ;.—) Ids}. f rwd b- - A%)op, CA. OU 00 1 Applicant/Contact Person: A Phone: ctia 3qo yelp er r � � CO�n�I wYx.Y� Licensed Systems Contractor:1Y\� t' `ter License # Company/DBA:;�ns� Phone: 310 y�C� Mailing Address: QU. 0%(0 Permit Application is for: 1)( New Installation r- Alteration (— Repair Location of Proposed Individual Sewage Disposal System: Legal Description; �v�cr,in�, S✓ Sdbo��V�Sty� 03q0 Ti Parcel Number: -*k Lot Size: Assessor's Link: www.eaalecounty.us/patie/ Physical Address: 3Sd -73 �ec�C/eo F j& q,� i Building Type: ry Residential/Single Family Number of Bedrooms: Z f Residential/Multi Family Number of Bedrooms: r Commercial/Industrial* Type. of Use: *These systems require design by a Registered Professional Engineer Type of Water Supply: rX Private Well r Spring l Surface r Public If Public Name of Supplier : Applicant Signature : Office Use Only N Amount Paid: -� 5 o a Receipt#: 151 Check#: \ to Date: 1. 2 t y 0 c, ISDS Pe"W 0 a L-1 9 -a b L. . Amp"Suir ..... ISDS 11nid 1669'9611- conkuleten 7 - I 8'-- 0 Tank is 10 6 0 gal. Tank Material A ' I" r- ( e C. r� Tank is located _U_fL and IyLoLdegrsu from Tank is located and Aegmes from �To* set Level. w,"'Tank lids within Sm of finished 000 4'Co C' A Size of field !(—)0 fl? 5 Q units -7 Q 0 lineal ft. Technoloa (Z L4 Cie anout is installed in between tank and house(+ 1/1 00ft Wr that goes down 14 inches in the inlet and outlet of the UwL Effit filter on outlet- yes or No —iz`Iniet and outlet, is scaled with tar UM rubber gasket dc. Tank has two compBrtmeuts with the bW compertmtntcloseatothchmm Measure distance and relative dimdon to field. f M" i Ek too X Depth of field & Soil intuface raked. A.. kspection portals at the end of each ftwk Proper di stance to Setbacks. Chambers properly installed as per manufachners specifications. (Chambers lalchi4 end plates pm installe4 rocks removed.from trinche& etc.) _zsplwh plate(s) installed at least in first trench Wet bd4ii Type ofpipe-used for building sewer line . leach field Other A,' S e- W. t - Inspection meets requirements. s I y 4 L' A 5 '$ set I - Copy form to;installer's Me if recommendations for improvement were suggested. ACTION TAKEN; A's \-, t'- e 3 1P 4- Setbacks Well Potable House Property Lake Dry Tank Drain Field Water Lines line Stream Gulch Field 100 25 20 10 so 25 10 Tank 50 10 5 10 50 10 10 DEPARTMENT OF ENVIRONMENTAL HEALTH (970) 328-8755 FAX: (970) 328-8788 TOLL FREE:800-225-6136 www.eaglecountyus EAGLE COUNTY June 4, 2007 Peter Darby 27 Ashford Ct., Avon, Connecticut 06001 RAYMOND P. MERRY, REHS Director RE: Final approval of Individual Sewage Disposal System ISDS Permit #: 2499-06; Tax parcel #247903401056; Property location: 350 Forest Service Rd. 731 Dear Mr. Darby, This letter is to inform you that the above -referenced ISDS Permit has been inspected and finalized. Your septic system has been sized to accommodate _2_bedrooms. Enclosed is a copy to retain for your records along with a brochure regarding the care of your septic system. Additional information about the maintenance of your septic system as well as information about private wells can be accessed through web site links provided on the Environmental Health Department's home page at http://www.eaglecoqpty.us/envHealth/ Be aware that changes in the use of your property or alterations of your building may require commensurate changes to, or relocation of, your septic system. Landscape features, trees with tap roots, irrigation systems and parking areas above the drain field can cause premature system failure. It is equally important that you notice and immediately repair dripping faucets and hissing toilets as this will certainly cause the system to fail. By following a few simple guidelines, like avoiding grease or other additives down the drain and making sure your septic tank is on a pumping schedule, your system has been designed to last for many years. If you have any questions regarding this information, please contact us at (970) 328-8755. Sincerely, Terri Vroman Administrative Technician TV cc: ISDS permit folder Eagle County Building Department . Chrono efile Encl: Final ISDS Permit Informative materials 500 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 EAGLE COUNTY ISDS PERMIT # B UILDING PERMIT # 1 1 7 SOILS EVALUATION/PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH OWNER: l,lA� q C/,'rI--V (� we,Ae-r L)0,-r b PHSYSICAL ADDRESS: S O F o c e s c u k c e R 1 12 e C j, SUBDIVISION: LOT NO.: TYPE OF STRUCTURE S F _ ./ NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: 1 ❑ YES ❑ NO TIME WATER DEPTH INCHES OF FALL RATE SOIL PROFILE 0' 7o. 1' � � •^ s 2' X Sit 4' et LIU 5' r+v 6' 7' 8' 9' 10' TIME TO DROP LAST INCH: PERC RATE: MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: COMMENTS: C3 N ONt� , C ►�. fCA S� � �G ��_ - , V r t c: ro $s c4t i VC WC. L'' Q;vC G: Ct✓vie v, iJ inn s N00 C0 r WATER SUPPLY: ❑ PUBLIC YrPRIVATE WELL LOCATION: 0 S' N W a OTHER WATER FEATURES: N e dA, o C",.§,- ENVIRONMENTAL HEALTH SPECIALIST DATE o�,�e o �Seruc 3 lby 7 Page 1 of 1 Lori Siefers From: Lori Siefers Sent: Tuesday, November 01, 2005 2:50 PM To: Ray Merry; Laura Fawcett; Victor Crocco Subject: Brian Councilman stopped in today. Victor, this is the gentleman you spoke to yesterday. He came in today and Ray was here to answer a few of his questions. He is building a 3-bedroom up on Tennessee Pass and looking to obtain a septic permit now which we will carry over into next year. His plan is to build the new drainfield directly above the old one. He will be digging a profile hole in the next day or two and will call us to look at it. Original permit IS-0873-88. Documents incorporated into IS-1589-96 _ 11 /3/2005 Victor Crocco Subject: brian profile 2pm Start: Tue 5/2/2006 2:00 PM End: Tue 5/2/2006 2:30 PM Recurrence: (none) 390-9648 719-486-0934 county rd 734 first house on right .25 mile 350 house number. 0197inal sds 2499-06 Darby 350 Forest Service Rd 731 . - - ink 280 deg off oTo an out A inlet largest compartment to house EAGLE COUNTY ENVIRONMENTAL HEALTH P.O. BOX 179 EAGLE, CO 81631-0179 FAX TRANSMITTAL TO: FROM: Bill Carlson, Environmental Health Specialist II DATE: ILI cn 2 RE: NUMBER OF PAGES: PHONE NUMBER: FAX NUMBER: 970-328-8758 970-328-8788 NOTE: Please call me if you have any questions. 9,4�s,;da��, n DEPARTMENT OF ENVIRONMENTAL 14EALTH (970)328-8755 FAX (970) 328-8788 TDD: (970) 328-8797 TOLL FREE: 800-225-8136 www.eagle-county.com EAGLE COUNTY, COLORADO May 16, 2002 Gil Fancher Brandess-Cadmus 281 Bridge Street Vail, Colorado 81657 Re: Loan Inspection 350 - Forest Road 731 Eagle County Dear Mr. Fancher: Raymond P. Merry, REHS Director All loan inspections are completed under the authority of the Eagle County Building Resolution, Section 3.09.03B(6), adopted by the Eagle County Commissioners on October 8, 1985, amended June 23, 1992. Per your request, a loan inspection of the Individual Sewage Disposal System was conducted today at 350 Forest Road 731, Eagle County. Eagle County Environmental Health records indicate the installation of a double compartment 1000 gallon septic tank and 935 square feet of drainfield sized for a three bedroom home. Honey Wagon Septic Pumping Service of Breckenridge, Colorado was present at the site during the inspection. The pump operator confirmed the septic tank capacity of 1000 gallons. After the septic tank was completely pumped out no apparent structural defects were observed. A walk over inspection of the drainfield did not reveal evidence of past or present failure. I you have any questions regarding this loan inspection please call me at 328-8758. William T. Carlson, REHS Environmental Health Specialist II OLD COURTHOUSE BUILDING, 551 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179 1589-96 Tax# — 2499-06 Parcel #2479-0340-1056 JOB NAME_ 731 Forest Rd#350 ALEX Lot 1 U. S.M.S. #5950 UARBY Eagle County 350 Forest Service Rd 731 JOB NO. u PaA Cliff 1 JOB LOCATION n A BI ``��LT�O ry (i�W(, e ' v i 0— VLO DATE STARTyb DATE COMPLETED DATE BILLED xY/t� i.� P �" O ''�jI Af. 71 -. JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR .. D- �� ��,�- INSURANCE . - _ a SALES TAX aa4 l.wx,&L,> on MISC. COSTS Ll 6 16, TOTAL JOB COST 1 �U�-�._ {�ti °`l� i r.in�� �� �� � � �L ,; ` / / � 1 D v tl 7 c�►�I. GROSS PROFIT ,� `(� J 4J✓ �1�—tGt-w. f} G c C7/�il -h' �(� , LE/S OVERHEAD TS OF SELL NG PRICE NET PROFIT JOB FOLDER Product 278 L�® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDERPrinted in U.S.A. (JT �t 0 ���� 0b SG� v trrn Ay'� (�J, c�CwC e`. �c joQ C��oC'�,'� ®� t Ut �r0 cit-lcs. 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