HomeMy WebLinkAbout1900 Lake Creek Rd - 210518100003EAGLE C 'NTY DEPARTMENT OF ENVIRONMr')AL HEALTH Box 811 6th & Broadway PAST ON LOCATION Eagle, Colorado 81631 PLEASE CALL FOR FINAL INSPECTION PERMIT N9 4®8 (this does not constitute a building or use permit) Owner ERVIN PARK System Location Licensed E. LAKE CREEK ROAD across from Lake rrPPk RnAA * Conditional Construction approval is hereby granted for a l,000 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: 1,000 gallon septic tank 600 sq. ft.-leach field Perc rate 1 inches in 10 minutes 600 sq. ft. CC)- ' absorption area per bedroom 200 sq. ft. # of bedrooms 3 x 200 sq. ft. minimum requirement May we suggest Date October 17, 1979 Inspector FINAL APPROVAL OF SYSTEM: Erik W. Edeen No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system =pt •r to covering any part. ic Tank cleanout to within 12" of final grade or aerated access ports above grade. Proper materials and assembly. >JA uate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date'! 7rAn==. Inspector -4"ERCOLATION TEST FEE, • $50.00 ENVIRO` "IFNTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. NAME OF OWNER: 1,,�� �'I�'�/l-i/1 � ��' � PHONE ADDRESS:,a.� �a NATO OF APPLICANT: PHONE ADDRESS: DESIGN ENGR.. FOR SEPTIC (if necessary): ADDRESS: PHONE LICENSED INSTALLER:, /. ,�_� PHONE ADDRESS: / 2i .O/e r� �� �/' e f IS PERMIT FOR: kV) New Installation ( ) Alteration ( ) Repair T,n(',ATTC?N (1F PRf1Pf1CT'D FAGILI'T'V • Count � � r� � /�-} Lot J- City or Town, if within City or Town Limits LEGAL DESCRIPTION: WASTES TYPE: Dwelling ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( ) Transient Use ( ) Other IS SYSTEM DESIGNED FOR 2,000 GALLONS PER. DAY OR: LESS? () yes ( ) no i BUILDING OR SERVICE TYPE: Number of Persons Number of Bedrooms .3 ( ) Garbage Grinder ( ) Automatic Washer (X) Dishwasher SOURCE AND TYPE OF WATER SUPPLY: ( ) Well (�') Spring Give depth of all wells within 180 .feet of system: If supplied by community water, give name of supplier: GROUND CONDITIONS: Percent Ground Slope: Depth to Bedrock: ( )Stream or Creek Depth to Groundwater Table: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (X) Septic Tank ( ) Aeration Plant ( ) Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 IMPORTAflT► I t APPOINTMENT FOR. FINAL INSPECTION MUST BE MADE PRIOR TO COVERING BY CONTACTING THE INSPECTING ENVIRONMENTAL HEALTH OFFICER. REFER. TO PERMIT NUMBER.. NO APPROVAL WILL BE GIVEN ON ANY SYSTEM IjITHOUT FINAL INSPECTION. TOLL -FREE NUMBERS 328-7311, Ext. 238 (Eagle area) 949-5257, Ext. 238 (Vail area) 927-3823, Ext. 238 (Basalt area) (OVER) FINAL DISPOSAL BY: i, Absorption Trench, Bed or Pit Above Ground Dispersal Underground Dispersal Other Evapotranspiration Sand Filter Wastewater Pond WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? A1,0 SITE (PLOT) PLAN: Include location of wells, springs, potable water supply lines, subsoil drains., lake water course, streams, dry gulches. Show location of proposed system by direction. Show distance of proposed system from dwellings and other fixed reference objects. 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SIGNATURE DATE J COLORADO STATE DEPARTMENT OF PUBLIC HEALTH Water Pollution Control Commission 4210 East llth Avenue Denver, Colorado 80220 APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS I Applicant (owner): -ZZ-4R (l1/t/ �,- /m 7' Mail Address: /, '\-' 7 City ,9..(-dn" Phone: i A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: (Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percolation test holes, soil profiles in test holes.) 1. Location of Facility: County _ } �- � _City or Town �.J 141#kl, Legal Description „_— _Lot size:—` 2. Type of area and facility - Number of persons to be served: Subdivision Motel Restaurant Trailer Court Other: , ��j/✓ 3. Source of domestic water: Publ ic(name) : ���fi----- Private: Well Depth Other Depth to First Ground ate �_ Table 4. Is facility within boundaries of City or Sanitation District: If so, name: 5. Distance to nearest sewer system:^ Have negotiations been attempted with owner to connect: If rejected, give reason: 6. Rate of absorption in test holes in minutes per inch of drop rin water level after holes have been soaked for 24 hours:_�� 11'�--7. Name, address & telephone of person who made soil absorption tests: 8. Name, address & telephone of person responsible for design of the system: 9. Est. bid opening date: Est. Completion date: Est. Project Cost: Date: Signature of ner COLORADO DEPARTMENT OF HEALTH DIVISION OF ENGINEERING AND SANITATION A C T I V I T Y R E P O R T Section FILE REFERENCE: INDIVIDUAL OR ESTABLISHMENT: ADDRESS: , NARRATIVE: Code &- County �/ /G� Gv-% / %/�QircirU�irz a,� i`c-2� ,' �Z�-GLt�!/`r/J�d'�'✓ c (/ /1,11 4,7�, 4� x5e c LETTER TO FOLLOW: ( ) OTHER RECOMMENDATIONS: DATE: 0�D 19REPRESENTATIVE: ES: 7 (Rev. 6-70-100) PERCOLATION TEST FEE: $50 APPLICATION NO. l p OWNER: ---- &�G7 r LEGAL DESCRIPTION: 3, RURAL"ADDRESS : TYPE OF DWELLING: ��h.� _ # OF BEDROOMS: DATE OF TEST: TEST HOLES PRESOAKED:x YES NO TYPE OF SOIL: TIME ..WATER DEPTH INCHES OF FALL RATE 1 2 3. - 1 2 3 JI 1 2 3 1 2 3 l'3c 1 l; . 4 - ---- /z, 2-� 7-9 14— 31 /0 % Z a PERCOLATION RATE:�j� SQUARE FOOTAGE PER BEDROOM:%% BOO TANK SIZE:��[ LEACH FIELD SIZE:©� Site has been reviewed and tested for percolation rate. We recommend: APPROVAL /�'~ DISAPPROVAL DATE: c 'EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICER D \,�/, � ,`4(. ,` '-5 �� `' N `� \ ;' R` � � � ' � `� �� _ - y ¢-..,�-.. �. �. � i --�' ' e ti .;;�-�;, i 9 `F. �` y,._ _ i e S S "^ _ � ,. i � zy� �_ Y B^' S � p 1 `� �P �— fi --_ { . _-� �: �,,--� ' .�.�. Q' ;�; ' � � ^ � x V.) ��� j .�_ � �:°�' ,_.-"ems. �;m-* ,� „' r �� � � ` �' �.�__` i� � �., �� � f �, l -� .� - � �: 1 =_i i :,� `2 w ( �.�� i � Sj yY as � � �'� 4 — t � � ✓ -- -- t_ , �� • c A ' n -------x JOB NAME _ 0408 E Lk Crk Rd, 1900 Lk Crk, Park Parcel # 210518100003-004 0311-� fi44j-C fy a -E-f, EZ6k," - � �4 C,&fk JOB NO. ri LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL 2 PERMIT # 408 OWNER: Ervin Park LOCATION: East Lake Creek Road p4' INSTALLER: Randy Hill SIZE OF TANK: 1,250 gallons DWELLING: Residential.- 3 bedrooms x 200 sq.ft. PERC RATE: one inch/10 minutes (600 sq.ft.) 800+ leachfield installed >„ Rai• Gri L FriPPYI TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 1 r 1 rid I I LCu : 1 1 — / — / 7 "✓ ' —" " "" Printed in U.S.A. 0 €I 0