HomeMy WebLinkAbout690 Eagle Crest Rd - 210518301004 - 1001-90IS■NIsr■ W ■��. __ - -- ---- — - —- — — EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1001 ii t..- il....l in en+inn before covering env portion of installed system. nease call loi — , , r _ -- OWNER: Patricia Dorf/Dor Worth Construction PHONE: 926-3907 MAILING ADDRESS: PO Box One Edwards CO 81632 AGENT: owner PHONE: SYSTEM LOCATION: Lot 26 Block 6, Lake Creek Meadows LICENSE NO. LICENSED INSTALLER: DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 12550 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 986 SQUARE FEET OF TRENCH BOTTOM, 300 1 f of 10" S132 or 200 l f of infiltrator system (32 Units) per owners request. SPECIAL REQUIREMENTS: Place inspection portals at end of each line. ENVIRONMENTAL HEALTH OFFICER: ' h' DATE: 11 i 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: (TO BE COMPLETED BY INSPECTOR): rNO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. INSTALLED ABSORPTION OR DISPERSAL AREA: 3 ©y SQUARE FEET. INSTALLED SEPTIC TANK: rZS� GALLONS DEGREES FEET CzS-�Ua,f�S SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY YES NO 7 COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS: YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: ENVIRONMENTAL HEALTH OFFICER: ZDATE: DATE: ENVIRONMENTAL HEALTH OFFICER: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT OWNER: APPLICANT/AGENT AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: e , f-- t » r _ w' 4411 kw -�,�,�-^fig-•--.. ARMS 77 AK31.�._..------ a _. , € < t i ytnit . a� i .. » �..,. - • Eitss-- a r, 7 V ! Apo ° s s � t E t z, f r u , { t k s s t r � # ✓" 90cj z. >�- o q ` 1` �` ,. ai• k f i t fiF f F .1 r. i } Vow Nit A + a j i i�r x IN yo • , , { � -s.:t, i t �frY � ety»^T �. v� m �, G � » 14 �r g a 3 e P E '# fit 41* t XY z ,.TMe#ms • "r t-Y' L" •}" all g a �y . ol 0 $} s s i Two g �- j ' fr 't�� �. s+�. i [ µ'''.` tx sir ARM y ' -K aft j�•. } t IT Y �' � s {{ }}¢¢ igloo .14m, i: .r, - , �,� ' ,',�. �,. _. . �� �.. •a..; $. A. .. � -- x T _O_+„ �`_.es5�t.3 ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE 6r/ N& ��r Nam kQKt- Creek, S3 D to Routed D %% p 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: '1 Zoning Regulations: Recommend Approval: COMMENTS: BUILDING: Complies with - Building Permit Applied For: Buildina Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainaae: Recommend Approval: COMMENTS: ES NO REVIEWED BY DATE YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with - YES NO REVIEWED BY DATE Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS f �5e eea K 1 ' r l�ffl S APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: P . 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 NAME OF OWNER: ?A L,)o,r MAILING ADDRESS: AOX ()fi` NAME OF APPLICANT (If different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PERCOLATION TEST FEE $125.00 PHONE: q2 6 - S 1 O PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: �AL'/�=? L LICENSED INSTALLER: ( ) YES ( ) NO _ ADDRESS: _ PHONE: PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: F1 e ' . /_/6 )6&.'` Parcel Number: Lot Size: A -ZrS2 Legal Description: <6,1- L BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( } Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: q NUMBER OF BEDROOMS: � WASTE TYPES Check applicable categories): Commercial or Institutional (/- Dwelling Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( !-Nishwasher ( L4 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 ( (--j`NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO 31VG :3NOHd SS3'dGGV 1NV3IlddV 551 Broadway Eagle, Colorado 81631 (303) 328-7311 Date: August 22, 1990 Dor Worth Construction P.O. Box One Edwards,CO 81632 Re: Final of ISDS Permit No. 1001 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 Officer, P.O. Box 179, Eagle, Colorado 81631. We can also be reached depending on your calling area at the following numbers: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle Area 328-8730. Sincerely, Roger C. Hosea Assitant Environmental Health Officer Community Development Enclosures: Informational Sheets Final ISDS Permit cc: Chrono file ISDS file# Building Permit file# Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 I S D S PPS -RMTT # I PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: T, LEGAL DESCRIPTION: MAILING ADDRESS: 0 a; 7— TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO TTMF wATPP nRpTm TNrT4r.q C)r rAT.T. RAMP. qr)TT. PPr)rTT.r 1 2 3 1 2 3 1 2 3 1 2 3 0 IT z7 �y 20 '7 f f 7 z /Z Z 71 4 4- z,) Vq Z, /b 61 f �12_ 71 'V7 7-1 i '72 / 12- zz) Z 7- Time to drop last inch PERC RATE: MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: COMMENTS: z- U F -e, �5 U PERC TEST DONE BY: Env,-Ironmentai Health Officer rev. 6/90ks E) _ DATE: 7 -,- / - >, vp -4o f ' 6 ''