HomeMy WebLinkAbout583 Eagle Crest Rd - 210518301001 - 0225ISENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25,00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 408 . Name of Owner: Doyle - Jaeger Phone: 476-1826 Address of Owner: P. O. Box 1712, Vail, Colorado 81657 Is facility within boundaries of a city/town or sanitation district? NO Distance to nearest sewer system: Location of Proposed System: Lot 29, Blk. 6, T55, R82W Lake Creek /,7 Co.Gtr1 R Legal Discription: Type of Structure: Single Family Dwelling ( ) Other: No. Bedrooms 1 Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: Public Water Supply: Yes An appropriate plat plan must accompany site inspection for this application showing required information. (See attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS 66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be obtained at the Eagle County sanitarian's office. Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone 328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final inspection. Name, address, and telephone of person responsible for design of system: Owner will be responsible for installation of system The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. 117 SIGNATURE OF APPLICANT: Date: -0 (This application becomes invali 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: 6 ,, Permit No. Tank Capacity: 06� gal. (minimum) - Fee Recei �-( i$F14d Absorption Area: r=n0 Sq.ft. (minimum) File: 6%?d/7% REMARKS: APPLICATION IS: The above individual sev AND HAS BEEN INSPEC Date - Post -it- Fax Note 7671 Date Jr pages To % From Co./Dept. Co. Phone # Phone # Fax # /_ _r7 Fax # 3 f E COUNTY HEALTH DEPT. fib• �. 00 �. \ N IQ ,. 3zrm , fn 9 !.I rTl r 70 in l W r . O O �r Application No. Owner: I PERCOLATION TEST FEE: $50 Permit No. Legal Description: Type of Dwelling: No. of Bedrooms: Date of Test: �G,� J� Depth of Holes Diameter: Type of ;2L,-e/ Location of Test Holes: 300c�— Test Holes Presoaked: I Yes: No: TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 �3 �C 0 PERCOLATION RATE: to YTI APPROVED: �� DISAPPROVED: DATE: 0571� 3 t TELEPHONE 303/328-731.1 Board of County Commissioners Ext 241 Assessor Ext 202 Clerk and Recorder Ext 217 Sheriff Eagle: Ext 211 Basalt: 927.3244 Gilman: 827-5751 Treasurer Ext 201 Administration Ext 241 Animal Shelter 949.4292 Building Inspection Ext 226 or 229 Community Development Ext 226 or 229 County Attorney Ext 263 Engineer Ext 236 Environmental Health Ext 238 Extension Agent Ext 247 Library Ext 255 Public Health Eagle: Ext 252 Vail: 476-5844 Personnel Ext 241 Purchasing Ext 245 Road and Bridge Ext 257 EAGLE COUNTY Eagle, • December 17, 1982 Mr. Graeme Doyle Box U Edwards, Colorado 81632 Dear Mr. Doyle: Re: ISDS Loan Inspection for Property Located at 0588 Eagle Crest Road, Lot 29 - Block 6, Lake Creek Meadows An on -site Individual Sewage Disposal System Loan Inspection was made on the above subject property on Thursday, December 16, 1982. This inspection revealed no apparent problems with the system (The system was installed in October of 1977, Permit Number 225.) For continued proper operation of this individual sewage disposal system, this office recommends pumping of the septic tank every four (4) years. However, this inspection did not include an inspection or sampling of the water supply system (the water is supplied by Lake Creek Meadows Water District). If you have any questions, please give me a call. Sincerely, Sidney N. Fox Assistant Environmental Health Officer SNF/lf Social Services 328-6328 APPLICATION ACCEPTED BY` .- PLANSCHECKED BY- 'APPROU DiFOR ISSUANCE'B�V Ste, White Copy —INSPECTOR Canary Copy —APPLICANT, Pink:Copy—ENVIRONMENTAL HEALTH Gold Cop —ASSESSOR 0225-Lot 29 Blk 6 T5S R82W Lake Crk Mdws _ ,JOB NAME 0588 Eagle Crest Rd CRAENE,JOB NO. �-T2 JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED `ZCl lam' ltif �,�� / �X1), I CA\el e- �1 I �, JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL SC.Qmed O 5e'; }1% PERMIT # 225 ( Scot!), Kele, H, Ho OWNER: Doyle e LOCATION: Lot 29 - B1 6 - Lake Creek Meadows 000588 Eagle Crest Road INSTALLER: Owner SIZE OF TANK: 1,000 gallons (1400 gallon installed) DWELLING: Residential - 3 bedrooms x 200 sq.ft. PERC RATE: one inch/10 minutes (600 sq.ft.) Suggest 600 sq.ft. of drainage field. TOTAL LABOR INSURANCE SALES TAX M ISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS °i° of SELLING PRICE NET PROFIT i IIiuI IZ_au. IU—UU—// JOB FOLDER 278 N� ® r f D/y: nr' I K tueen t V Printed in U.S.A.