HomeMy WebLinkAbout621 Eagle Crest Rd - 210518302009 - 0621ISEAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED
INSPECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE
ANY .PORTION OF INSTALLED SYSTEM
328-7311 or 949-5257 or 927-3823 PERMIT NO. N o 6 21
OWNER: Dave & Pat Haakenson ADDRESS: Box 785 - Vail, CO
SYSTEM LOCATION: Lot 15 - Block 6 Lake Creek Meadows (Edwards)
LICENSED INSTALLER: B & B Excavating or Hoe & Grow LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 1,000 gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: one inch in 20 minutes.
Absorption Area per Bedroom 280 sq. ft.
No. of Bedrooms 4 x 280 sq. ft. minimum requirement per bedroom
1,000 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS:
DATE: 6/13/83
**CONDITIONS:
INSPECTOR: Richard Pylman
1. All installation must comply with all requirements of the 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 building and zoning 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 III, 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: No system shall be deemed to be in compliance with the Eagle
County Individual Sewage Disposal System Regulations until the installed system is
approved prior to covering any part.
Installed Absorption or Dispersal Area: sq. ft.
Installed Septic Tank: /U o O gallons. Degrees: Feet: / S�
Design Engineer of System: N I P
Installer of System: 0ufy-"� Phone:9 C, G -ww
Septic tank cleanout to within 12" of final rade or
aerated access ports above grade? Yes Poo
Proper materials and assembly? Yes No
Compliance with permit requirements? Yes No
Compliance with County/State regulahions requirements?
A A A 4 /1 A
COMMENTS:
-e) --Zv-
Yes _X_ No
(Any item checked "No" requires correction before final approval of system is made.
Arrange a re -inspection when work is completed
"TE: :) - 2 0 — 8f INSPECTOR:
'gPECTION DATE: INSPECTOR:
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY �^
P.O. Box 850
Eagle, Colorado 81631 No.
PERMIT APPLICATION FEE: $150.00 328-7311 PERCOLATION TEST FEE: $50.00
NAME OF OWNER: _&VE'
@- P/ r-" �j j�,� /�
qJ&-
3Y4s7
10G-41'7W
ADDRESS: bob
785S Vdti Cola
PHONE:
y76' S67j-.2
NAME OF APPLICANT
(if different from owner) :
Szr LiQ�Cftyl
y '_njewt yliclVC-1CC )
ADDRESS: I q
A/C
PHONE:
DESIGN ENGINEER OF
SYSTEM (if applicable) :
/¢!V
3e1126'
ADDRESS: ecra~
Colysr;
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
Licensed Installer (see attached list): YES ,�� NO
ADDRESS: � e,<Cd j,+rtN6_ Q e 1166 CyG� CJ`FV,#7*iPHONE:
PERMIT APPLICATION IS FOR: ()o New Installation ( ) Alteration ( ) Repair
T,nCATTON nF PRnPnSF.TI TNTITVTTITTAT. gFTaA(,F T)TCPnSAT. SVQTFM-
Street/Rural Address:
Lot Size:
Legal Description:
BUILDING OR SERVICE TYPE (check applicable category):
Residential - Single Family
( ) Residential - Duplex
( ) Residential - Triplex
NTTMRFR nF PF.RRnmq- 3
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
(v'f^ Garbage Disposal
(ter Automatic Washer
( ) Other
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
.S
( ) Residential - Quadplex
{ ) Commercial (state usage)
NUMBER OF BEDROOMS: / FUMetc
( A' I ,,elling
( ) Transient Use
( 1L)�Dishwasher
( ) Spa Tub
(tom
Septic Tank
(
) Composting Toilet
(
)
Incineration Toilet
(
)
Vault Privy
(
) Greywater
(
)
Chemical Toilet
(
)
Pit Privy
(
) Aeration Plant
(
)
Recycling, Potable Use
(
)
Other
(
)
Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (k-f'
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO (�r
(I6 Ye/5, see attached w"tewatvL 6tow Aeduc ion methoct )
NOTE: The Envikonmentat Health 044icet may tLeduce the Aeguited abws Lptc:.on atcea upon
appnova2 o4 an adequate wastewateA 4tow Reduction plan.
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( C-) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier: 4444 C_415 1e' E �w,*7v-e � ' �<G�c�r�/ i3Ti�lcT
S IGNATURE : DATE: u=I6`? �
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT By ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAeent GAound Stope t 10 1�`
Depth to BedAock (pen 8' PAo4ite Hote) OW
Depth to GAoundwateA 7abte U-4, - -
SOIL PERCOLATION TEST RESULTS:. Minuta peg inch in Hote #1
Minuta pen inch to Hole #2
Minutes pen inch to Hote 03
FINAL DISPOSAL By:
Absonption Tneneh, Be oA Pit ( ) Evapothan,5piAation
( ) Above GAound Di/spu Sand FitteA
( J UnduLgnound Dispmsat ( ) wa5tewatett Pond
( ) OtheA
t
Amount Paid: 900.01)
Receipt NumbetL A(' C'
Date: S - a0 -S -q-
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-83)
LL�\G.LE COUNTY memorandum
Ll
To: — Subject: w -
Mr. Dave Haakenson ENCLOSED ISDS PERMIT #621
rom: File ATo.: Date:
Environmental Health Office Tune 13, 1983
Enclosed is your individual sewage disposal system permit #621 for property located
on Lot 15 - Block 6 - Lake Creek Meadows. The information on the permit application
indicates that the system will be agent installed. Therefore, the agent will be
responsible for the installation of the system.
The permit must be posted on the installation site. The installer and./or owner must
call our office for final inspection before covering any portion of the installed
system. We can be reached at 328-1311 or 949-5257, extension 238.
If you have any questions, please contact us.
-- Lorraine Funke, Secretary
Environmental Health Office
Eagle County
/if
Enc.
MUU i E rurmri
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
Nam
Date Rou�e•D�1ted�3
a Application No.
Location
'Ml:1a�o �r s
Please review the attached Individual Sewage Disposal System Permit Application and return
it with this completed form to the Environmental Health Office._
PLANNING: Complies with - YES NO REV WED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDING: Complies with -
Building Permit Applied For:
Building Permit Issued:
Recommend Approval:
YES
NO
REVIEWED BY
DATE
.
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
YES
NO
REVIEWED BY
DATE
COMMENTS:
I
ENVIRONMENTAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
YES
NO
R V EW D BY
DATE
X
qrA
COMMENTS:
PERCOLATION TEST FEE: $50
I.S.D.S. APP.
6WNER :-�•�5��
LEGAL DESCRIPTION: Gar S � � (It,41&"r,ciws
RURAL ADDRESS:
TYPE OF D,JELLING:
# OF BEDROOMS:
DATE OF PERCOLATION TEST: l -_3 TYPE OF SOIL: SP
TEST HOLES PRESOAKED? Yes No
INCHES OF FALL
•,
PERCOLATION RATE: _
RECOMMENDED MINIMUM SEPTIC TANK SIZE: /000 sr'llov\to
RECOMMENDED MINIMUM LEACH FIELD SIZE: 100 CAI i_
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 9(e-,V
Site has been revievied.and test f p colation rate.
Date Envi o me t ea t icer
COMMENTS:
Z��e h a/
1IF3 /fol-sdY7
LOAN INSPECTION FORM
LOCATION: ,Z/
REQUESTOR: sl�ir Ag�^ �.
pr
FX 9k/g- /ov f
COPIES TO:
BILL TO:
ISDS PERMIT #
INSPECTION INFORMATION:
DATE:
K,Z/
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
May 8, 1992
Carol Lacroix
First Western Mortgage
P.O. Box 1237
Vail, CO 81658
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 31631
FAX (303) 325.7207
RE: Water supply and sewage disposal inspection for property
located at: 621 Eagle Crest Road
Lot 15, Block 6
Lake Creel; Meadows (Edwards)
Dear Carol:
All loan inspections are completed under the authority of the Eagle
County Building Resolution, Section 3.09.03, A(7), adopted by the Eagle
County Commissioners on October 8, 1985.
On May 7, 1992, this department conducted a site inspection of the
above referenced property. The inspection was requested by
Carol Lacroix, First Western Mortgage, for the purpose of evaluating
the existing condition of the on -site wastewater disposal and water
supply systems.
A review of the County records indicates that: On June 13, 1983, the
sewage disposal system was permitted under Permit Number 621, inspected
and approved in accordance with County Individual Sewage Disposal
Regulations. The system consists of a 1000 gallon septic tank and 1000
square feet of absorption area. A visual inspection of the ground
surface indicated that the system is apparently functioning
satisfactorily at this time. Obviously, this does not guarantee the
continued satisfactory performance of the system.
The water supply to this residence is from Lake Creek Meadows, a
community water system. The community water system is inspected on a
regular basis by the Colorado Department of Health and to the best of
our knowledge complies with current drinking water standards.
If you have any further questions concerning this inspection, please
feel free to call me at 328-8755 or write.
Respectfully Submitted,
Roger Boyd
Environmental Health Assist
WOZ1 Haa.Kenson Lot 15 91K 6 �^
JOB 'NAME Lake Creek Meadows -1aAit To Ue�-& Oe
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
2m RDPAY-
CU��' Dav� Haq6,A.5m
XDC21
Cvst Rood
JOB COST SUMMARY
TOTAL SELLING PRICE
��-�A. ".," �D �i�N►�U� � � _
PERMIT N0. 621
621 ��� �,�} RJ
OWNER: Dave/Pat Haakenson
P.O. Box 785 - Vail, CO
L6T- I
LOCATION: �-�-- Block 6 - Lake Creek M ado s
Edwards
INSTALLER: B & B Excavating
SIZE OF TANK: 1,000 gallons( goo x 15,
DWELLING: Single Family Dwelling:�
PERC RATE: one inch/20 mintues (1,00bedrooms x 260 sgft
0 sq,ft,)
Finalized: 7120183 Bv: S; � P.
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRIGS
NET PROFIT
LDER
� v
Printed in U.S.A.
hi
-,o� (T L)Av% HAAV-49030W
. Ad'oinin 2105- 18 yoti�
,cv go�ayryct, b +9 '�bs
Lot 31 +
I h o ro Q• �j' ,w
Lot 11 y q 1.7359 cc Lot 30
I o 1.8070 cc. o° a++32a acD 4
O�� Wei 00 /2�a, O�ao�p• 09j� ti 1.8086 oc •
- o MJ�e o Qi .o • �� 17.01---
m Trac t B hQ - 2�?3 _ ��� �4 N76°17,w-
-- � '
�5t1 a;'i� 0
Lot 29
99.52• a?-.O. - 1.6674 oa O
ti
ova a ,�, �'• �� a
I = aV,
I Al ! 2Q 26 Qj
12. i • b 61'
y _
a - J -1b A 0.0
I r Lot I_ a
r Ae 136.24'41" 12.61' IA743 0 vs,
� « ■
u L= 107.14' O A= 60° 04'41" I Z e' . so11���� Ifs — �"E�299O 'O L = 47.19e2
.'e�—
9r
—
N6
Lot 12
I 1.7679 004` ae. P� � EASE MEN7
60.0' S" +� 2d DRAINAGE
/ O• ?A r o 00 � _ a
I / (+ Jam• r '
O 0 / S ,�_ o O
I 0 Go
.° /� ?o, Lo i5 �a dna Lot 28
0 0 ' 8 a O -A1.6066 cc
ev I ry0 O
Y - -
O
'/ /P L o.t 13 a
1.7864 cc 002
U
vOsey•°y,14
i e o f
G4, P
02�. oQ, Lot 27
° OC *0O / Lot ,° Q) titi 1.83e2 °� 033
or ty �p
a a So?? 00 0 1.6869 a ba
J N 0 O 09�� �/J ,LA�• O 0 . R r
t t a �eJo. 2105 74-00-013 ?e m� o : ti _ •
o
N
ow o -- - mao`'h o
- N 0;p0 A - tap• - - r • a •. V, " - A
�a Lot 17 Ooo we LOt26
-- ---.- --.- _ '-__ -_
1.7893 cc
O i f
w 35.78' _ O
O S• _ ' 112.94' O O
Lot 18
to 00 - 89025'00'yM .'
c 1.7719 a so. 'b ee a3a .Ik Place = _ — — — — — —
� ` c.i � N89e26'43�E 491�93�
o 112.94' 35.7 — —
� "+ O - =O' OR4INA6E EASEMENT
V• V i~. ti b\ry'.°� L=141.93' A=Oe24e
OO L * 2.34' ti o
a Lof 19 4,, 24.73' Lot 25 0
q'i
1.9276 °c ti l - 1 'p
;4 �.°�� • 2.61' S0.0 t 005 1.7810 °c —
4
�' Aa101000'05" Q ?
J v L=79.33t Ra45'
i. O A-88019'12 e `
005 C 05S L-69e37' Lot 31 N • b9'E 464.24`
1 1. 68 5
ec
0
o • 0 �+ N
Y'►a �. t7
m°' 3 Lot24 0
I N M ti Z Wo 0 O 1.7882 cc
Ng1o%6"59 o F 0 pi
LAKE CREEK MEADOWS-
p N ?f 'O
SUBDIVISION BOUNDARY °_ +
o w o _
003 � a M 89. 16'41 E 434. 66`
N
r # Lot 20 o Lot 22 Q 1 0
w ery j 2.602 A o 1.5818 cc t. O
ti p
o OOI O r
`ryA 0ti
Weat 200.00' 12.61, V � 12.61'
'O - - - A-104*26`27" 007 Lot 23
TrOCt A A-104e26'27" L' 92-03' L7522 sc.
d L-82.03' _
1.90 74.61'
N08°58'W 3.04' 1 EASEMENT FOR UNDERGROUND m
103.85' WATER RESERI/01R lV
290.62' N06•S8'W 14A4' CO
_ 51.26' - -- Adjoining
�j N 86°o 7"45"w '268.24' �
W
0
0
-- _ - N 2105-18
C4 -�- ,� m
in
GO
WVTILITY EASEMENT 0 O PO
a
I JI S87043'53"E 0
389L92# 0
d rR T. OF WAY -- z
t fob
