HomeMy WebLinkAbout683 Eagle Crest Rd - 210518302008 - 1580-96ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 610_ r O 7 q Telephone:328-8755 Old ISDS Permit# 304 1580 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. Please call for final inspection before covering any portion of installed system. Alteration to existing system OWNER: Cynthi n T) Fskwi th PHONE: (970)926-3341 MAILINGADDRESS: P.O. Box 907 city: Edwards State: CO Zip: 81632 APPLICANT: Same PHONE: SYSTEMLOCATION: 0683 Eagle Crest Rd.. Lake CreekTAX PARCEL NUMBER: _2105-183-02-008 LICENSED INSTALLER: Gophir Excavating, Kit Reid LICENSE NO: 2-96 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: N/A GALLON SEPTIC TANK I�f yiryl i v� �/J ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 1200 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install in trench configuration along contours of topography. A diversion valV can be put on the effluent line coming out of the tank to make ;easy to sw; ch bnrk o thE old field in case of failure.* Call the*county for notspecific sizing rfield is e uirements, mand for o ate t a n iti 'an is o e u e on y in emerg ncy situations. ENVIRONMENTAL HEALTH APPROVAL CG G DATE: May 2 , 1996 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 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: 1188 SQUAREFEET, via 33 infiltrator units INSTALLED SEPTIC TANK:1 i 50 ex; c §liL},%N 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: New leach field was back filled prior to insn ion, field depth, and setback could /Y i ENVIRONMENTAL HEALTH APPROVAL: DATE:NOVember 21, 1996 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT# CHECK# (Site Plan MUST be attached) ISDS Permit # &0 o —< 6 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 $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" ************************************************************************** PROPERTY OWNER: MAILING ADDRESS: E�)Kw PHONE: A) 4? /&-- 3iW/ APPLICANT/CONTACT PERSON; CEO& PHONE: (q-76) ) g/ MAILING ADDRESS: LICENSED ISDS CONTRACTOR: ► f Reid PHONE: 10 ) a1,Ip-NOcj COMPANY/DBA: 1yA1i✓ LAC Vafjytq ADDRESS: _AY- l52$ C�Cutf S . � *************************************************************************** PERMIT APPLICATION IS FOR: (v)" New Installation ( ) Alteration ( ) Repair *************************************************************************** LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known)41"-`"` Legal Description: Subdivision: Filing:_Block: i' Lot No. 0_ Tax Parcel Number: Lot Size: Qcyts Street Address: ye-)6 jzd *************************************************************************** iiUlLl)liV'G '1`YY:: (Check applicable category) (v-f Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* Number Number Type _ of Bedrooms 41 of Bedrooms TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface (� Public Name of Supplier: Lake ede-eg kjeQd�S Wff%rl 7i5t`Yi'G�' *These systems require design by a Registered Professional Engineer SIGNATURE: L Date: *************************************************************************** TO BE COMPLETrn BY THE COUNTY AMOUNT PAID: l�-0,6-b RECEIPT CHECK #: # : l DATE: CASHIER: zero- 1-?5t Community Development Department (970)328-8730 Fax: (1970) 328- 7 185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: May 2, 1996 TO: Gophir Excavating Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 8163 1-0179 FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Permit No. 1580-96 Tax Parcel #2105-183-02-008. Property Location: 0683 Eagle Crest Rd., Edwards, CO, Eskwith residence. Enclosed is your ISDS Permit No. 1580-96. 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. 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 R Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 November 22, 1996 Cynthia D. Eskwith P.O. Box 907 Edwards, CO 81632 RE: Final of ISDS Permit No. 1580-96, Tax Parcel #2105-183-02-008. Property location: 0683 Eagle Crest Rd.Edwards, CO. Dear Ms. Eskwith: Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 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 328-8755. Sincerely, Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Information Brochure Final ISDS Permit cc: files ISDS Permit # Date iA ISDS Final Inspection Z�J Completeness Form Tank is gal. Tank Material (11g�A� - Q/ Tank is located ft. and degrees from (permanent landmark) Tank is located ft. and degrees from (permanent landmark) nG Tank set level. U-' Tank lids within 811 of finished grade. O' '-1 Size of fiel ���� ft2 33 units lineal ft. Technology QZ op� C�11�fean=u& is installed in between tank and house (+ 11/100ft) . �is a 'IT" that goes down 14 inches in the inlet and outlet of the tank. nlet and outlet is sealed with tar tape, rubber gasket etc. Tank has two compartments with the larger compartment closest to the house. Measure distance and relative direction to field. za� 40, Depth of field ft. a Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. Q K (,-Y� 5-v..6Z,J �'l�iryt2 Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) 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 i S O r F -� �h1J1� �'?�'cGt� 15 0)Li-tom A 4 �► 1 tag rt AAAA Septic Pumping & Portable Toilets 2788 Valley Road • Gypsum, CO 81637 524-9524 I YVI_361 � �- .g// Vim, f � Ic' Account No. CC % b INVOICE Date Location Description Amount 5— (316 �I Thank You! Tax EAG UNTY DEPARTMENT OF ENVIRu,4M_,4TAL HEALTH BoxyWM & Broadway CALL FOR FINAL INSPECTION PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631 Owner System Location Licensed Contractor PERMIT Nv 304 (this does not constitute a building or use permit) Lawrence and Cynthia D. Eskwith Lot 16, Block 6 Lake Creek Meadows Subdivision Same as owner * Conditional Construction approval is hereby granted fora 1000 gallon xx Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Pere rate 1 inches in 40 minutes 750 sq. ft. absorption area per bedroom 250 # of bedrooms 3 x 250 sq. ft. minimum requirement May we suggest Date 30 August 1978 Inspector Erik W/ Edeen FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prier to covering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. l/ dequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. 7 ?` Date ��11 l 4� � Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE * CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 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 structures not approved by the building and Zoning office 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, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal system in a manner which involves a knowing and material variation from the terms or specifications con- tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N. 548 Name of Owner: Lawrence & Cynthia D. Lskwith Phone: 476-5120 or 2413 Address of Owner: P.O. Box 1294, Vail, Co. 81657 Is facility within boundaries of a city/town or sanitation district? Nn Distance to nearest sewer system: 10 miles North of house Location of Proposed System Legal Discription: Lot 16 Block 6 Lake Creek Meadows Subdivision Type of Structure: Single Family Dwelling ( x ) Other: No. Bedrooms 3 Water Supply: Private Well ( ) Location: L a k e C r e e k M a a d ow SDistance From leach field: , m i l e t 0 Size of,Lot: 1.7 acres Public Water Supply: I i n to k e An appropriate plat plan must accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS 66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be obtained at the Eagle County sanitarian's office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone 328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final inspection. Name, address, and telephone of person responsible for design of system Owner The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Z2 Date: August 5, 1978 (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: '7'�' '�`� Permit No. Tank Capacity: / 00c) al. (minimum) Fee Receipt. Absorption Area: Sq. ft. (minimum) File: y REMARKS: 1�7 f ./5�" rb ti APPLICATION IS: APPROVED ( ) DENIED The above individual sewage disposal system was installed by. AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Sanitarian: 1p��7 ac�'�a.o►� Igo. ,'eymi,t No. Dcscz•:ip Lion:- �� y �= C2EEr Tyne of Tjwellin�r: _ -if--- No. of L'edroovis: Date of Test: 2Af--7Dcnth oT Holcs. Dinmetex lZTyne of Soil: Loc-, tion of Test Holes:. �� /�U ��-P- Test hole was nxeso; i:ed f):om: To: _^ • 'I`i�ne to Tzme Date Tl?AID l 2 3 { A T-8R DEr'TIi l 2 3 I�- i INCHI;� 3 O�� FAA l ?, ; i_� RATF l 2 3- 3 z l �s �z7 3;z� YD 37 `fib .:�f� . :. ; '� y . Ll 6 �tD Pexc:ola.txon Rate: ;,lPZ' Site h.-is been xeviewe and test cc ox �.ez•col.ntzon. z'Z!tc, 1Yc 'xccwimelid: lji','tovilL DX Stl'I'I;OVnL DPTD: •4V, 3� Cl;;l • �CO>- =Z OZa- ~ -o w wow ' Z _ fW 0O cod�dt- ,J J wtowN r' ,J �oo w d W W •� Ir .9 `9 00 s CO U I- � N t� a� m aXwa 3wJm fl: N .a s G, O � J _j Ow>N rq a. r�F ELT w E' p cn wY. m'� o ``' (Dojo CL a �aam 4 {. JU w 1 Z . � I � � >•Q � ���iii 7 f 00 OZ ,b A ,A Z p�j j 3 p p 0, v~i cr x vLri m 0 N 3Oe 0 J 0 T M -y- O� UC—V f w0'b b_g s� V, d 0O• Lo (W " �5 g•glez � . w r eft= t w ., "- w ' w 0304aot 16 Block 6 Lake Creek Meadows I 0304-Parcel # 1580-96 Tax #2105-183-02-008 � JOB NAME-0683 Eagle Crest Rd ESKWITH 2105-183-02-008 Lot#16,Block 6 ESKWITH !� 0683 Eagle Crest Rd. JOB NO. (/ Z Lake Creek J JOB LOCATION BILL TO DATE STARTE DATE COMPLETED /f Q DATE BILLED 1.� /0Q11AL,�(-fr 11 // t`i JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER /2CUtiU� JOB COST SUMMARY TOTAL SELLING PRICE T. �AL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS / TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS Y. OF SELLING PRICE NET PROFIT 45' f -1 Ty" PSM M-3$ PVC S