HomeMy WebLinkAbout15 W Lake Creek Rd - 210518101001EAGLE(, LINTY DEPARTMENT OF ENVIRONN,, Box 81 1 6th & Broadway JAL HEALTH PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631 CALL FOR FINAL INSPECTION PERMIT N. 267 (this does not constitute a building or use permit) Owner JAY K. PETERSON System Location LOT 10, LAKE CREEK MEADOWS Licensed Contractor . HOE & GROW * Conditional Construction approval is hereby granted for a 1,500 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 10 minutes 750 sq. ft. absorption area per bedroom # of bedrooms 5 x 150 sq. ft. minimum requirement May we suggest 750 sq. ft. of drainage field. I ��o 4 Date - KInspector FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage �Iposal Laws until the assembled system is approved pri to covering any part. S is Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. dequate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date `�� Inspector aY 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 both. ENVIRONMENTAL HEALTH P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 506 Name of Owner: 19 y Phone: Address of Owner: �"pG %� �' C) j L Is facility within boundaries of a city/town or sanitation district? k)(-j' Distance to nearest sewer system: Location of Proposed System: e Legal Discription: Type of Structure: Single Family Dwelling (�) Other: No. Bedrooms Water Supply: Private Well ( ) Location: Distance _From bleach field: Size of Lot:Public Water Supply: 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: �'n�� i The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent p rmit. /-;t� SIGNATURE OF APPLICANT: Date: _-C— 3 6 " %P IJ (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: / r7 /"� Z2Z, Tank Capacity: < Ll Absorption Area: REMARKS: gal. (minimum) Sq. ft. (minimum) APPLICATION IS: APPROVED ( ems' DENIED Permit No. Fee Receipt: File: The above individual sewage disposal system was installed by AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date: ��" Sanitarian: WC, l 7' N PE11COL TI Ora T;,' S T Jr.50.o0 f p»li c Lion No. r, C%�o .11' ermi.t No, Owner: La-,:l Description: LQt /O Tyne of D\\•ellinb: -z- No. ofBed rooms: 'ash / arm i - /7 Date of Test: Dcnth of Holes: Di<:metex : _ /.� " Tyne of Soil: _.Loam Docv,tion of Test Holes: Test hole u-as 'nxesoa iced from: To. ` e Ds to Time ' Date TX -ids NATER DDPTII f INCHLR S OF FIkLL RA.TD l 2 3 1 2 3 f l 2 3 l 2 3. _ _� .R- la / o2 l yy �y .?� � � a A71 /o /a /11 io Percolation Rate: Site 'Ilas been and .tested foa' ;^01�colatio;l. -c, Stie 'xeco:nmeiid: I.P-','BOWL DISIPPRov,!i, _ DITE: " 4 le. 0267—Lot 10 Block 2 Lake Crk Meadows JOB NAM C015 West Lake Crk Rd PE SON JOB NO. Fjo JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED iakd J �;,� JOB COST SUMMARY TOTAL SELLING PRICE Cu-T;-qTOTAL MATERIAL PERMIT # 267 Z v►-� �if 4�, Lm L � . �� � f n�� 1� � OWNER: LOCATION: Lot 10 - Lake Creek Meadows (Block 2) (5.2 acres).�'.- D INSTALLER: Hoe & Grow SIZE OF TANK: 1,500 gallon DWELLINGS: House and guest cabin - 3 bedrooms x 150 sq.ft. PERC RATE: one inch/10 minutes (750 sq.ft.) ! ;C, _ S�Eti\��1�1 �i Suggest 750 sq.ft. of drainage field. TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS io OF SELLING PRICE NET PROFIT No Finalized: 8-16-78 't0C-I�I-'?I- 0C) �✓ By: Erik Edeen LDER Printed in U.S.A. 71 s, r - - _ t ` a s` F L _ wt -(303) 232 6234 o G--1 193 WEST ALAMEDA,� � - OF. INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT 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. 947 Please call for final inspection before covering any portion of installed system. OWNER: David Cremer, Box 160, Vail CO 81658 PHONE: 926-2206 MAILING ADDRESS: -Same- AGENT: PHONE: SYSTEM LOCATION: 0015 West Lake Creek Road, Lake Creek Meadows Subdivision LICENSED INSTALLER: owner LICENSE NO. DESIGN ENGINEER OF SYSTEM - INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 400 sq • f t. dri nape field in 3/411 gravel bed ENVIRONMENTAL HEALTH OFFICER: ,Z& 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, 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 Ill, 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): NO 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. 7 o // 40- INSTALLED ABSORPTION OR DISPERSAL AREA: / SQUARE FEET. INSTALLED SEPTIC TANK: /� GALLO//,Ns�/1y DgGR ES d O FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY _ YES NO COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS: 7- YES NO ANY ITEM CHECKED NO RE UIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS:: j rA f"r l ' qLs • h AA, ENVIRONMENTAL HEALTH OFFICER:14�DATE: a ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -IN ECTIO 'NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: �I�GI�A AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: 3334 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: 5/L�/i c.� ��6` �SA�� )4oj�('14 f MAILING ADDRESS: ?v)( /(mac rA-I1- Ca 65S-04-o PHONE: 3� 3 /^Zfo 2_7� NAME OF APPLICANT (If different from owner): C4-.�{x, ADDRESS: S4,uj DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: 4.us;- owdere- PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES ( X) NO ADDRESS: f:/1fL oc..NVl2 PHONE: PERMIT APPLICATION IS FOR: ()�) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: do 1..5"' Ind LA-KE C2-EEx Parcel Number: /c, Lot Size: .5 2 f{ cr y Legal Description: mkt c,2.!gcK ytg. i ..bws 9-76 BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex A6(,1CV(- Ae �} d NUMBER OF PERSONS: NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories): Commercial or Institutional ( ) Dwelling ( ) Non -Domestic WastesGarbage ( )Transient Use �LP�1� ( ) AutomaticWasher her Wassher ' ( ) Spasposal ( ) Other (Specify): 6Ng ,are-Ta 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: () YES NO WATER CONSERVATION PLAN: (X) YES ( NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Give depth oy�}e11 s wi�,I�-�9, feet of system: If supplied c munity., ,ter, g' a name of supplier: L9 )4v_ SIGNATURE: INFORMATION BEL DATE: BY ENVIRONMENTAL HEALTH OFFICER: Creek/Stream 0941e:E I N IFA hol 3> 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 w AMOUNT PAID: n - RECEIPT NUMBER ( ) Evapotranspiration Sand Filter ( ) Wastewater Pond DATE: rncutro. NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". RECEIVED (Environmental Health Dept. Rev. 4/88) E P Q 1 1989 EAGLE COUNTY COMMUNITY DEVELOPMENT EAGLE COUNTY BUILDING DIVISION P. O. Box 179 INSPECTION REQUEST Phone: 328-7311 C/ BUILDING PERMIT NO. DATE: �'JOB ) NAME: TIME V ❑ AMA CALLER: RECEIVED: F-1 PM . c.... Ready for Inspection: ❑ MONDAY TUESDAY ❑ WEDNESDAY ❑ THURSDAY ❑ FRIDAY ❑ AM ❑ PM COMMENTS: APPROVED DISAPPROVED REINSPECT ❑ Upon the Following Corrections: DATE: TIME: i00 .' eo ,j / INSPECTOR Date: October 20, 1989 To: File No. 947 From: Raymond P. Merry, Re: Final Inspection on MEMORANDUM R Septic System Permit 947/David Cremer On October 16, 1989 Bob Kohrmann and I did a final inspection on the septic system located at 0015 West Lake Creek Rd.; Lake Creek Meadows Subdivision. Bob did the inspection as I was unfamiliar with the regulations and procedures. Although the final inspection was approved. I noticed that the linear feet of 10" SB2 should have been 1401. It appeared as if more than 60' of SB2 that is indicated on the permit final was present. Based on the anticipated flow rates from this facility which is an art studio for his wife having a bathroom only, the size of the absorption area should be more than enough. A= Q/5 X T If one could assume that flow rates would be as follows: Bath/Shower - 14.7 gal/day; Lavatory - 8.4 gal/day; and Water Closet 24.8 gal/day and a percolation rate of 20 MPI then since Q=47.9; and T=20; A=Absorption Area. A = Q/5 X4T A= 47.9/5 X - 20 A= 9.58 X 4.47 A= 42.8 s q' Therefore this system should be able to handle the anticipated flow, however, should the fixtures of use of the premise change there may have to be a change in the drainfield. ROUTE FORM EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE um e-- �. Name 1 A Date Routed LApplication 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: ✓ Zoning Regulations: ✓ Recommend Ap roval: COMMENTS: 7,,.,., ,..,us .e, QL ` , I, ..-, 14 /I 0 A-i..d..H -"I- . -a—I BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENT - ENGINE Roads: iradi ng : ----. orainage: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE ENVIRONMENTAL HEALTH: Complies with - YES Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: 4 REVIEWED BY DATE PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISDS APPLICATION NO.� 33 OWNER: / ,,, ;/ /^,` o . LEGAL DESCRIPTION: 0 RURAL ADDRESS: TYPE OF DWELLING: -- � /;J XeZ, ) NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO TIME 1. I WATER DEPTH 1! INCHES OF FALL RATE 1 2 3y 1 2 3 1 2 3 1 2 3 2'l Lll �/ 7L E� / lZ 1 `i 2,,zy 2-i31 i II I PERCOLATION RATE:(`} RECOMMENDED MINIMUM SEPTIC TANK SIZE: C,61 11� RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer Date COMMENTS: Rev. 5/31/84 EAGLE COUNTY BUILDING DIVISION P. O. Box 179 Phone: 328-7311 INSPECTION REQUEST'` milli n1w1n 1fC11 ■SIT w1A v VILV117 b7 rv_nivl11 IYV. DATE: JOB Q NAME: TIME , AM CALLER: RECEIVED: ❑ pM APPROVED u DISAPPROVED [] REINSPECT ❑ Upon the Following Corrections: 92 �f 2 U �'7�✓ DATE:: TIME: � I TOR 947 Cremer Lake Creek Meadows � l JOB NAM!- 0015 West Lake Crk JOB NO.-(/ JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 Q® NEW ENGLAND BUSINESS SERVICE INC., GROTON, MA 01471 ��� FOLDER 0 L!.$.A. 0 LOT 2 S . . . . . . . . .... 00" M A LOT I FENCE FOLLOWS PROPERTY LINE ;50.2' R= 300.00 r L N %., r ruL�vwa murtmiT tmr L = 83.78 WE S T LAKE CREEK SCALE: I"= 40' DATE OF SURVEY-- 8/15/88 NOTICE: Accord ng to Colorado law ypu must commence any legal action cn 0 based upon any detect in this survey within three years after you first discover such defect. In no event, may any, � action based upon any defect in this survey be commenced 'more than ten I years from the date of the certificat.on shown hereon. LJ. Lecher C. tt do Date: - 590.00l 230,6 A L t rn 0 �0 0 CL rn rn R = 563.87' L = 102,8 1' -C 477,87- R=25.00' L = 39.66' R 0 A D 6 0' Ell �'E- - �A�LEY I VN EK5 J) Ct�-!�N I 0 VyvtA'l P1 ����������� IMPROVEMENT LOCATION CERTIFICATE-i L- ADOYSS, -5> BOX j('0 'AiRmt V'/-AjL- cc.-, • LOT 10, BLOCK 2 LAKE CREEK MEADOWS RECEIVED 1000 6, FRONTAGE' ROAD t,%,SePTq ePUITE: 102 II EAGLE COUNTY, COLORADO SFtP 0 1 1989 VAIL* COLORADO 01657 (3063)4T6,4673 EAC...E COUNTY