HomeMy WebLinkAbout2300 Lake Creek Rd - 210518102009 - 0705IS - 2187A-02****REPAIR PERMIT****
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N® 0705
P.O. Box 850 - 550 Broadway
Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE
BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM
Owner: Terry Erwi n Telephone: 926-3608
Address: 0057 Brook Place - Lake Creek
System Location: 0057 Brook.Place - Lake Creek Meadows, Lot 4, Block 2
Licensed Installer: Davis Excavating License Number: - 85-16-I
Conditional installation approval is hereby granted for the following: ****REPAIR PERMIT**** Original Permit
Minimum requirements: 1500 Gallon Septic Tank or Aerated Treatment unit Number 142
Absorption area of dispersal area computed as follows:
Percolation rate: NIA Inch in Minutes
Absorption area per bedroom N/A Sq. Ft.
Number of Bedrooms X Sq. Ft. minimum requirement per bedroom -
equals 400 Total Sq. Ft. minimum requirement
Special Requirements: New 1,500 gallon tank to be installed and an additional 400 Sg. Ft. of
leach field.
Date: Environmental Health Officer: L
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 andcause 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 system is approved prior to covering any portion of the system.
INSTALLED ABSORPTION OR DISPERSAL AREA: 1950 SQ. FT.
3 000 + 50 DEGREES; 40 FEET
INSTALLED SEPTIC TANK: S�_ GALLONS;
DESIGN ENGINEER OF SYSTEM: Scott Davis
INSTALLER OF SYSTEM: Scott Davis
PHONE:.
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES NO
PROPER MATERIALS AND ASSEMBLY: YES NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YES X NO
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES . X NO
COMMENTS:
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.)
DATE (Final Approval) 7 19 85 ENVIRONMENTAL HEALTH OFFICER: Eri k Edeen�=
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: Terry Erwin Name of Owner: Terry Erwin
Amount Paid: $150.00 Receipt Number: C0334 Date:? 8/85 Cashier: _GaiI Parker , 22ankuA_j
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
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INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
ORIGINAL PERMIT #0142-76, REPAIR PERMIT #0705-84
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. ALTERATION PERMIT NO. 2187A-02 BP NO. 14152
OWNER: DALIA AND RONALD WARD PHONE: 970-926-5204
MAILING ADDRESS: P.O. BOX 780, EDWARDS, CO 81632
APPLICANT: JIM GILBERT PHONE: 970-926-3448
SYSTEM LOCATION: 2300 LAKE CREEK ROAD, EDWARDS, CO TAX PARCEL NO. 2105-181-02-009
LICENSED INSTALLER: BOSSOW EXCAVATION, REX BOSSOW LICENSE NO. 38-02 PHONE: 970-524-9888
DESIGN ENGINEER: PHONE NO.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR CONNECTING THE GARAGE BATHROOM TO THE
MAIN SEPTIC SYSTEM
SPECIAL INSTRUCTIONS: INSTALL A CLEANOUT BETWEEN THE GAAkAGE AND THE EXISTING TANK. CALL EAGLE COUNTY FOR THE FINAL IN-
SPECTION PRIOR TO BACK FILLING THE EFFLUENT LINE. lv� it7�lfl
,QA�,,.c@ AA in v t dZt vx c c'
ENVIRONMENTAL HEALTH APPROVAL:DATE: APRIL 29, 2002
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, 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 WILL RESULT IN BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT.
3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO
BE LICENSED.
FINAL APPROVAL OF SYSTEM (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM
IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
COMMENTS: THE FINAL INSPECTION WAS DONE BY LAURA FAWCETT ON MAY 10,2002 THE EFFLUENT LTNE
THE GARAGE TIED INTO THE BUILDING SEWER T.TNF VTA A "Y" cnNNFc.TTnN T n(.ATFT) 3 4 FT Fgnm THE
POST AT THE STAIRS, AND 33 FT. FROM THE NORTH EAST CORNER OF THR LAITNT)RY ROOM,
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS
COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE: MAY 10 , 2002
0
Incomplete Applications Will NOT Be Accepted
(Site Plan MUST be attached) ✓�ev� -7 0,
ISDS Permit C> /
Building Permit #
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631
Eagle (970) 328-8755, Fait (970) 328-0349, Ei Jebel (970) 927-3823
* FEE SCHEDULE
* APPLICATION FEE $350.00
* THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PERCOLATION TEST,
* SOIL PROFILE OBSERVATION) AND FINAL INSPECTION
* ADDITIONAL FEES MAY BE CHARGED IF A REINSPECTION IS NECESSARY, OR A
* PRE -CONSTRUCTION SITE VISIT OR CONSULTATION IS NEEDED
* REINSPECTION FEE $47.00, PRE -CONSTRUCTION SITE VISIT FEE $85.00
* MAZE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURERi°
PROPERTY OWNER: 1)2 L I q 'i- PtA1 Dt.-b w&Zh
MAILING ADDRESS: ` G 7.S�Q Eb6J rD ,Co PHONE: CIV-1 -
APPLICANT/CONTACT PERSON: 2 PHONE: v7 �
LICENSED SYSTEMS CONTRACTOR: EX _ F �"J �Zt� PHONE:
COMPANY/DBA : ADDRESS: �2�P5 U A G�
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION (x) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SENTAGE DISPOSAL SYSTEM: -
Legal Description:
Tax Parcel Number: _c2_jb '�� �U"L _ Lot Size.
Physical Address: C Enk P-T) (^ Dell A-g-, i)
BUILDING TYPE: (Check applicable category)
iX) Residential/Single Family Number of Bedrooms
( ) Residential/Multi-Familv* Number of Bedrooms
( ) Commercial/Industrial* Type
*These systems require design by a Registered Professional Engi',eer
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
()C) Public Name of Supplier: kAf, E 0zLC
APPLICANT S IGNATURE : ��:�bu� •-�C � Date.- •2 6 2i-
AMOUNT PAID: � _ RECEIPT #: � DATE: ±Z`-I-cr
CHECK # : CASHIER: !�____
Post -it- Fax Nate 7671 gate -7.7, .1;Z5.
ISDS Permit # Date
ISM6q__rjR&L IngMection
QMMIeteness Forst
Tank is gal. Tank Material
Tank is located ft. and degrees from
(pec..a.ae l.oaotfc)
Tank is located ft. and degrees from
Tank set level. Tank lids within 8" of finished grade.
Size of field ft2 units lineal ft.
Technology
V/Cleanout is installed in between tank and house(+ 1/100w�ft_L--
it It n u << wD[J
There is a "T" that goes down 14 inches i thhd inlet and
outlet of the tank.
Inlet. and outlet is sealed with tar -,tape,. rubber gasket etc.
Tk 1as twa _ compartments with the.;-lage-,p3rtment closest to the.
house.
maaeure: distance and relative direr -to: leld
Depth of field. ft. f
Soil interface raked.
Inspection portals at the_end of each trench..
Proper distance to setbacks.
Uq
O
Chambers properly installed as per manufacturer$ specifications.
(Chambers latched, end plates properly installed, rocks 'removed from
trenches, etc.)
Type of pipe used for building sewer linej leach fie�ld
_Other`
Inspect on Meets gyirements.
Copy form to installer's file if recommendations
suggested.
improvement pets
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ACTION TAKEN:
f��,� �j��•�A.t,�l � � Cam-
Setbacks 15
�
Well "Potable House Property Lake U) ry "Ta d Drain
Water Lines line Stream Gulch .
Fied 100 25 20 10 50 25 10
50 10 5 10 50 * 10
_ JOB S- 1 UA -0 Z
- EAGLE- COUN -EW; RE-ALT-H SHEET NO. E�.U� 4 A"_ �
P.O. BOX 179 OF
CQ.
EAGLE, CO 81631 CALCULATED BY DATE
CHECKED BY Wert �/G ! ��
JOB A. A -0 2-
EAGLE- CE)UNTY--EW; REAL -_ _ . �
P.O. BOX 17 9 SHEET NO. OF
EAGLE, CO 81631 CALCULATED J� �kt �,/( DATE
rucraccn nv ,,.TM. S/9 IO2
PHODVCTM I (Singe Sheele( WOW, mazx u1N1. to UrW rHUf t I ULL tMtt 1-61ILHZ 6,1eu
0705 Erwim Lot 4 Blk 2 Lake 2187A-02 Tax#Z1UD-,O1-
JOB NAME Creek Meadows 0057 Brook Place Lot #4, Lake Creek WARD
2300 Lake Creek Rd., Edwards
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DATE COMPLETED
DATE BILLED
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SUMMARY
TOTAL SELLING
PRICE
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PERMIT #705 REPAIR PERMIT
(See original permit
# 142)
OWNER: Terry Erwin
LOCATION: 0057 Brook Place - Lake Creek
INSTALLER: Scott Davis
SIZE OF TANK: 1000 + 500 gal.
DWELLING: Res. Single Family - 4 bedroom
PERC RATE: N/A
ABSORPTION AREA: 1950 s.f.
FINALIZED: 07/19/85 BY: Erik Edeen