HomeMy WebLinkAbout887 Lake Creek Dr - 210507103004 - 0448ISSLZS-/511, ext. zio EAGLE CO('TY DEPARTMENT OF ENVIRONMEN �L HEALTH BE POSTED BOX 850-' Amicen 6th & Broadway CALL FOR FINAL INSPECTION CATION Eagle, Colorado 81631 BEFORE COVERING ANY PORTION OF INSTALLED SYSTEM I PERMIT 448 (this does not constitute • a building or use permit) I BUD PALMER Location 1 mile up Lake Creek Road fed fqyJ8tidft Installer: Burnett Plumbers -Heating -Electrical Conditional Construction approval is hereby granted for a i 95o gallon MINIMUM REQUIREMENTS: xx Septic Tank or Aerated treatment unit. bsorption area (or dispersal area) computed as follows: rate 1 inches in 10 minutes 800 sq. ft. absorption area per bedroom 200 sq. ft. # of bedrooms 4 x 200 sq. ft. minimum requirement May we suggest Date July 24, 1980 Inspector AL APPROVAL OF SYSTEM: 1,250 gal. septic tank 800 sq. ft. drain field i; - Erik W. Edeen 160 No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved prior to covering any part. ptic Tank cleanout to within 12" of final grade or aerated access ports above grade e (� P er materials and assembly. A uate absorption (or dispersal) area. "2�`�' �f-- Ad uate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date Inspector RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE I )NDITIONS: �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 12. 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, 3.29requires 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 hnth PLEASE RETURN THIS PORTION WITH YOUR SITE PLAN AND FEES -32t3-;k�11 949-5257 927-3823 PERMIT FEE = $75 ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERCOLATION TEST FEE = $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NAME OF OWNER: ADDRESS: A- L 7�� ©,� � / 6 '�?- p NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADDRESS: NO. PHONE: 7 7 7 PHONE: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): I je- 6u//,w< Gown Ga• 141C. ADDRESS: ,( 0' - X% /� f%PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:3 ADDRESS: PHONE: a 7 S- 7 7 � PERMIT APPLICATION IS FOR: ( Gf New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County C Lot Size A/dam City or Town, if within City or Town Limits r, LEGAL DESCRIPTION: STREET (RURAL) ADDRESS: IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( ✓) Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( Residential - Single-family dwelling ( ) Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons a # Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional Dwelling (f ) Garbage Grinder ( ) Non -domestic wastes ( ) Transient Use ( of Dishwasher ( ) Other (A-T Automatic Masher SOURCE AND TYPE OF WATER SUPPLY: Well ( ) Spring ( ) Creek or Stream Give depth of all wells within 200 feet of the system: 0"" O If supplied by community water, give name of supplier: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( Septic Tank ( ) Aeration Plant ( ) Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes ( K No Signature V Date •> �g� * * * * * * * V * * * * * * * * * * * * * * * * * * * * * * * INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER 6622, l GROUND CONDITIONS: Percent Ground Slope: �s v�i 00 / Depth to Bedrock (per 8' Profile Hole): 5p� Depth to Groundwater Table: /0 SOIL PERCOLATION TEST RESULTS: /00PZ Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 FINAL DISPOSAL BY: ( Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( Underground Dispersal ( ) 'Wastewater Pond ( Other ' u ' i C e ` EAGLE COUNTY ENVIRONMENTAL HEALTH " 3 RQUTE FORM NAME DATE REFERRED APPLICATION NO. LOCATION Please review the attached application and return it and this completed form to the Environmental Health Office. Comments: _BUILDING: Set Backs L/ Site Other. Recommend Approval Comments: ENGINEER Roads Grading Drainage Recommend Comments: ���-3,-ge" I PERCOLATION TEST FEE: $50 OWNER: APPLICATION NO. Ens LEGAL DESCRIPTION: 'jf, RURAL" ADDRESS: TYPE OF DWELLING: cSi r/��� C(,� # OF BEDROOMS: DATE OF TEST: E �. ®✓�� y`� �� � � TYPE 0 SOIL TEST HOLES PRESOAKED: YES NO TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 3 1 2 3 1 2 3 l ; � 1 r /�1 �� /2 �Co•-- .�2, - a z 01 PERCOLATION RATE: / ���� TANK SIZE: SQUARE FOOTAGE PER BEDROOM: `=E /l / LEACH FIELD SIZE:% Site has been reviewed and tested for colation rate. We recommend: APPROVAL DISAPPROVAL DATE: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICER TRI—CORR—A—GLAS, INC. 946 Garner Street Colorado Springs, Colorado 80905 Telephone 303-635-1616 Corrugated Fiberglass Septic ®rain Field 20" 20" Manhole Manhole 4 " use a corr-u-lateral starter Joint Inlet I ` Baffle Baffle iaf -low \ Sat-T-Trap 8" concrete block BO" 52.. �.. � j WATER' overlap one corrugation A Fiberglass Septic System • makes a faster • makes a stronger • makes a superior septic installation DAT=m =n Corr-U-Lateral is a far superior concept SOIL in lateral systems,. due to its large fluid capacity and high evaporation capabilities. You can now eliminate the troublesome problems of sludge, roots, and detergents with a Corr-U-Lateral ROO system. DISTRIBUTED BY: GUARANTEE We guarantee our fiber glass drain fields, when properly installed, not to plug up with sludge, soap scum, or tree roots for a period of 30 years. Our system is designed to be used with and in accordance of Public Health Service Pub. No. 526. HOW TO INSTALL CORR-U-LATERAL 1. Diq ditch approximately 2" slope per 100'. 2. Place CORR-U-LATERALS on 8" concrete blocks. 3. Place gravel over CORR-U-LATERALS (about 1" over top of Lateral.) 1A. Dig the ditch 12" below outlet of Septic Tank and 24" to M wide depending on the perculation test of the soil When building is placed on a hill run laterals to follow curvature of land. This will pre- vent liquid from running to other end of lat- eral and eventually coming out on the top sur- face. 2A. The bottom of the CORR-U-LATERALS should never be more than 5' deep. The cement blocks are only needed at 4 foot joints. Curves can be made by cross lapping corr- ugations. The pipe from the septic tank should extend into the CORR-U-LATERAL about 1'. 3A. For filter material use course gravel. 4A. Completed Installation. MANHOLE SAF-T-?RA4' FFLE ! JOINT USE: A CORK—U—LATERAL STARTER M TRI—CORR—A—GLAS, INC. 946 Garner Street Colorado Springs, Colorado 80905 NON -CORROSIVE !TH Length Tank Capacity Weight "A" 92" 1,000 Gallons 250 lbs. "A" 71" 750 Gallons 215 lbs. "A" 50" 500 Gallons 180 lbs. "A" 33" 300 Gallons 140 lbs. Larger sizes available upon request TELEPHONE 303-635-1616 Corr-U-Lateral is a far superior con- cept in lateral systems, due to its large fluid capacity and high evaporation capa- bilities. You can now eliminate the troublesome problems of sludge, roots, and detergents with a Corr-U-Lateral system. Laterals available in the following 2 sizes: 12" x 6" x 48" 6 I b. 16" x 8" x 48" 8 Ib. Laboratory tested for strength TRI—CORR—A—GLAS, INC. 946 Garner Street Colorado Springs, Colorado 80905 TELEPHONE 303-635-1616 Corrugated Fiberglass Septic Tank and Drain Field 20" 20" Manhole , Manhole 4.. use a eorr-u•lateral starter Joint Inlet 4 Saf•T•Trap Baffle Baffle 8" concrete block oo^ 62" a8 /WATER , /A/ overlap one corrugation This filament wound tank is equipped with an exclusive gas trap. This trap keeps harmful odorous gases from backing up and harming costly plumbing. A Fiberglass Septic System ® makes a faster ® makes a stronger makes a superior septic installation PATENTED The Corr-U-Lite Septic Tanks are guaranteed against failure due to corrosion ox structural failure for a period of 30 years after date of installation. in the event of such failure within the 30-year period, the manufacturer will furnish a new septic tank of comparable capacity on the following adjusted service basis: An allowance of 3 1/3% of the retail price of the replacement tank will be made for each full year of service not received from the tank covered by this guarantee. d A. 0448 1 mile up Lake Crk Rd, - JOB NAME 000887 Lake Creek Road JOB NO.. ,00'JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED I Z Poor,, N �1�rc��l� LQ, lee, Cee. L L L `" - ( --�--) 2-m 2-2 PERMIT # 448 JOB COST SUMMARY OWNER: TOTAL SELLING PRICE LOCATION: 1 mile up Lake Creek Road L 0 6 L0 C ,,tV' 1c7�7,,) TOTAL MATERIAL INSTALLER: Burnett Plumbers 3 u� TOTAL LABOR SIZE OF TANK: 1,250 gallons INSURANCE DWELLING: REsidential - 4 bedrooms x 200 sq.ft. PERC RATE: one inch/10 minutes (800 sq.ft.) SALES TAX MISC. COSTS Finalized: 10-21-80 By: Erik Edeen �cc> 21 O5-�- 0 3- 004 TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 �9 NEW ENGLAND BUSINESS SERVICE, "INC., GROTON, MA 01471 Printed in U.S.A. JOB FOLDER C. 164 2A_