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Home My WebLink About3524 Lake Creek Rd - 210520200001 - 1610-96ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone: 328-8755 BP-10579 YELLOW COPY OF PERMIT MAST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 6 1 O �1U Please call for final inspection before covering any portion of installed system. OWNER: David and Amy Gorsuch PHONE: (970) 926-3848 MAILING ADDRESS: P.O. BOX 875 city: Edwards Slide: CO ZIP: 81632 APPLICANT: George Schaeffer PHONE: (970) 845-5656 SYSTEMLOCATION: 3524 E. Lake Creek Rd , Edwards TAX PARCEL NUMBER: 2105-202-00-001 LICENSED INSTALLER: Left Hand Excavating, Marlin Godfrey LICENSENO: 46-96 DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 844 SQUARE FEET OF TRENCH BOTTOM. via 24 infiltrator units as requested by SPECIAL REQUIREMENTS: installer. the tank and the house, and inspection ports in each trench. Keep livestock away from the 1Tf Call the County prior to back filling any part of the installation or final inspection. Do not hack fill with rorks la,rrg r than 8" iiJndiameter p ENVIRONMENTAL HEALTH APPROVAL: `I/ �lLli,� �U%� DATE: 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: 864 SQUAREFEET.via 24 infiltrator units INSTALLED SEPTIC TANK: 1000 GALLON 150 DEGREES 27 FEETFROM cleannllt next to the house SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X YES —NO COMPLIANCE WITH COUNTY/STATE REQUIREMENTS: x 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) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT# CHECK# (Site Plan MUST be attached) ISDS Permit I� �� APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. 0. BOX 179 EAGLE, CO 81631 328--8755/927-3B23 (El Jebel) PERMIT APPLICATION FEE $150.00 PERCOLATY9N TEST FEE $200.00 * .-MAKE'ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER'S PROPERTY OWNER: D4Aornt � �'" )t?=, PHONE: ( �� MAILING ADDRESS; X � — �).A ovjt APPLICANTfCONTACT PERSON: PHONE: MAILING ADDRESS: O_ - LICENSED ISDS CONTRACTOR: PHONE: CO�iPAiiYJflBA: ADDRESS: ,Cdylsf7-- PERMIT APPLICATION IS FOR: ( New Installation ( } Alteration ( } Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit #!p$�%L if kngw} 'F: /vv;�=� Cam' F i Le a Description: Subdivision: Filing: —Block: Lot No. Tax Farces Number: may ` - _/ Lot size: �- 6_ Street Address: _S 1'i7 .,� BUILDING TYPE: (Check applicable category) (v}'Residential/single Family Number of Bedrooms ( } Residential/Multi-Fazily* Number of Bedrooms { } Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) (rvj- Well ( ) Spring ( ) Surface ( ) Public e of Supplier: V,t040, jwt..,,� *These system re_ ire de g_ Y/I�eq istered Professional Engineer SIGNATURE: Date: TO BE COMPLETED BY THE COUNTY AMOUNT PAID: �.�j�? - G� RECEIPT ,# : � �>il `/ DATE: CHECK #: CASHIER: vt 6' Community Development Department !970)328-8730 Fax: "970) 328-7185 TDD: %970) 328-8797 DATE: June 28, 1996 TO: Left Hand Excavating FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 8 163 1 -0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1610-96, Tax Parcel #2105-202-00-001. Property Location: 3524 East Lake Creek Rd., Gorsuch residence. Enclosed is your ISDS Permit No. 1610-96. 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 (970)328-8730 Fax: 9701 328-7185 TDD: �970) 328-8797 EAGLE COUNTY, COLORADO August 16, 1996 David and Amy Gorsuch P.O. Box 876 Edwards, CO 81632 RE: Final of ISDS Permit No. 1610-96 Parcel #2105-202-00-001. Property location: 3524 E. Lake Creek Rd., Edwards, CO. Dear Mr. & Mrs. Gorsuch: Earle County 13uildino P.O. Box 179 500 Broadway Earle, Colorado 8 163 1 -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 Schaeffer Construction PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: r -- LEGAL DESCRIPTION: 31�; Z It U G'see wcls MAILING ADDRESS: �� Ro,v 9--7S- c�s s�-� (03 TYPE OF DWELLING: I, NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES 4" NO TIME Wnmry nrnmu T,,.,..,... 1 2 3 1 2 3 1 2 3 1 2 3 SUIL FROFI p' 7 7 gib P 1 -7 7ig �i� -2 i ,�i 7/g �'� 35" 21 Osyw s s 5"l S 3'iy % '�y J 3 ''z 3 �,2 13`, r j y 3 k .3. dS 31 114� 19 71s `�� 13% Lj yI s_ S. o 4' 1 31y 3/q -7'6 S G,G-7 S•Ij 6' Gy2 7 8 _2 -7 �� S/g 3 `/Z 2 3 /v /v 30 3z /Z Time to drop last inch -,� ua� 4k 1�� PERC RATE: /U MINIMUM SEPTIC TANK SIZE:__ ��S Sb3 MINIMUM LEACH FIELD SIZE: vi o— ,? y ; k k1 b-u ForS lye COMMENTS : �O,�c4'�s� o i �. �`�,(��, Got ll Gtxv✓�y CA b' PERC,�TESTT DONE BY: ,"/• `""' DATE: Environmental Health Officer rev. 6/90ks ISDS Permit # 41O-9( Date' ]] %gtp ;[SDS Final Inspection Completeness Form _ Tank is 00 gal. Tank Material 01L)1�A Tank is located �97 ft. and _b" degrees from (permanent landmark) Tank is located ft. and degrees from (permanent landmark) Tank set level. Tank lids within 8" of finished grade. Size of field ft2 �`I units lineal ft. Technology 1 h G(' lea b✓s 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. Measure distance and relative direction to field. Depth of field - z ft. _l Soil interface raked. Inspection portals at the end of each trench. 5d/l,� ppe �D r,,j /J, / Y Proper distance to setbacks. )\Jo 1 i �3 100 F Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) F)x III e11 _Pa4r_ Other _ Inspection meets requirements. Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: t4i,1 J_ UPI p�- - 0 6 JIQ(X- 4_ + CG-ffa'_+ 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 5 S-eels� 2-1 , %acoea! 1 '331 ��-z inc . Groton. &'ass 014,71 T., Orw PiLICNE TOLL 1:� 'EE -600-22�- J JK ♦ot