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Home My WebLink About538 Meadow Rd - 210507401012 - 0713ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 71 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: Jim Henderson Telephone: Address: 0538 Meadow Rd. - Lake Creek System Location: 0538 Meadow Rd. - Lake Creek Licensed Installer: Davis Excavating License Number:. 85-16-I Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: jZiSL2S sQ — -�(- p Percolation rate:_ 1 Inch in S-In Minutes i ,- 1,e Absorption area per bedroom 200 Sq. Ft. CW jj Number of Bedrooms—_ X 200 Sq. Ft. minimum requirement per bedroom - equals 600 -Total Sq. Ft. minimum requirement Special Requirements: Allowwe£ -t�n2 Cjg� fIfeAu,--,t - Ago % Ar CST E'XI"r-A -' (zctu� CftN lceo urcr Si'aF C� Date: August 27, 1985 Environmental Health Officer: CONDITIONS: NEd 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 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: 411n SQ. FT. INSTALLED SEPTIC TANK: 1000 GALLONS; 450 DEGREES; 450 FEET 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 x NO PROPER MATERIALS AND ASSEMBLY: YES x 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) 85 ENVIRONMENTAL HEALTH OFFICER: Erik Edeen DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Scott DavisName of Owner: Jim Henderson Amount Paid: $200.00 Receipt Number: C0350 Date: 8/15/85 Cashier: Gail Parker White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATT-0- FOR T`;DIVTDU'AL SEWAGE JTSPOSAL SYST nI PFR`ITT PERMIT APPLICATION FEE: NAME OF OWNER: ADDRESS: (f ) S S S' E:;V'IROZZIENTAL 1-EALTH OFFTC" - EAGLE COUNTY P.O. Box 850u "to of Eagle, Colorado 81631 No. 8150.00 328-7311 PERCOLATION TEST FEE: $50.00 PHO`i NAME OF APPLICXNT (if different froca owner): ADDRESS: GL/o ///� '?/_1 Go PHONE: DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Licensed Installer (see attached list): YES _^ NO ADDRESS : ILC /--- / c� U %a �� PHONE: PERMIT APPLICATION IS FOR: ( >6 New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DJSPOSALYSTEM: I_ Street/Rural Address: Lot Size: Legal Description: BUILDING OR SERVICE TYPE (check applicable category): OQ Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( >4) Garbage Disposal ( sue} Automatic Washer ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (�) Septic Tank ( ) Composting Toilet ( ) Vault Privy C ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other S ( ) Residential _ Quadplex ( ) Commercial (state usage) NUMBER OF BEDROOMS: ( j�) Dwelling ( ) Transient Use ( y) Dishwasher ( ) Spa Tub ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (jc) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (X-) NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) ( I 0' yes , s.ee attached was-t eivateA . 5.2ow ,%eduction methods ) NOTE: The. Envi;Lonmentae Heal th 064icen may teduee the tequi;%ed ab,6o,,.pti.on a,%ea upon appnoval' o4 an adequate was.telvatet 42ow neduc,ion plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring (x ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied b unity w er, give ame of supplier: SIGNATURE: DATE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFOZfATION BELOW TO BE FILLED OUT By ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent Gnound Slope Depth to Bed7o eh. ( pen 8' Pno 6iZe Ho.l' e) 0a ewres. ' -�hA,, e.aA Depth to Ghoundwate`L Tabte it SOIL PERCOLATION TEST RESULTS: A notes pet ti�i e►z Hobe l Atinutu pets inch to HoZe # 2 M.i.nute s pen inch to HoZe # 3 FINAL DISPOSAL BY: ( �) Absonpt.Lon Tneneh, Bed on Pit ( ) EvapottansPiTa ion ( ) Above Gnound Di s pmsa2 ( ) Sand FiZtet ( ) Undetg,%ound D.ispeuae ( ) Wastetvatc-t Pond ( ) Oth&% AmoUJLt Paid: Reeecpt Numbe•'c Date: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) - V EAGLE COUNTY ENVIRONIMENTAL HEALTH OFFICE jn Name *DeLPo ited Location Epp i i cats on- Nc Please rev.ie,;i the attached Individual Se:vage Disposal System Permit Application and return it with this completed form to the Environmental Health Office, PLANTING: Complies with - YES ••Nn -RFvT71,1cn RV r Subdivision Regulations: Zoning Regulations: Recommend Approval: COIMM,ENTS : ' &UILD"IIG: `Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ,ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: HFALTH Comp 1 Tes tri,th - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Reco.�.mend Approval: C0i*•':1.IENTS: YES NO REVIEI-IED BY DATE YES NO REVIE!•!ED BY DATE 1 • YES NO FR E V I E W-F D BY DATE 5 F 1Y''` �i reArzTlN PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. G OWNER: /m. I1I�nilnr7 LEGAL DESCRIPTION! Q�YQ&f:z0�� RURAL ADDRESS: Q�� pryd�J �,JYPE OF DWELLING: 00_ ACV Lj �. NUMBER OF BEDROOMS: �3 DATE OF PERCOLATION TEST: TYPE OF SOIL: V!! TEST HOLES PRE-SOAKED: YES NO TIft WATER DEPTH INCHES OF FALL RATE 1 2 3 1 ! 2 3 1 2 3 1 2 3 --�a :;L3 d31 lt, V,� i v yq PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: �od RECOMMENDED MINIMUM LEACH FIELD SIZE: Ae_4 p� 4L �9XIm RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: :p-O C3,I SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. ronmeht'al Health JDfficer COMMENTS: b Rev. 5/31/84 Date 3 r _ 6 4u // 7e), J r— is (A I GY i CL r �� n r ,:•' q O ;°� . V�Z - del Zr- D::o to Zv��► _o N o -4 y Ut W rri _OO EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 September 19, 1985 Jim Henderson 5380 Mansfield Denver, CO 80237 RE: Individual Sewage Disposal System - 0538 Meadow Rd., Lake Creek, Permit #713 Dear Mr. Henderson: This is to inform you that your ISDS Permit #713 for property located at 0538 Meadow Rd., Lake Creek has been inspected and final- ized by Erik Edeen on September 17, 1985. Enclosed you will find a copy of this permit to retain for your records. Sincerely, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY /gP ENC. Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 - Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 August 27, 1985 Scott Davis P.Q. Box 16 Wolcott, CO 81655 RE: ISDS Permit #713 - Jim Henderson - 0538 Meadow Rd. - Lake Creek Dear Scott: Enclosed is the ISDS Permit #713 for property located at 0538 Meadow Rd. - Lake Creek. The information on the permit application indicates that you will be responsible for the install- ation of the system. This yellow copy of the ISDS Permit must be posted on the installation site. You must call our office for final inspection before covering any portion of the installed system. We can be reached at 328-7311, Ext. 238. If you have any questions or concerns regarding this matter, please contact our office. Sincerely, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY /9P cc: Jim Henderson Board of County Commissioners Assessor P.O. Box 850 P.O. Box 449 Eagle, Colorado 81631 Eagle, Colorado 81631 Clerk and Recorder P.O. Box 537 Eagle, Colorado 81631 Sheriff Treasurer P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 7a -------------- b INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT 1 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: Ji-i I-lenderson Telephone: Address: 10511 PioPdT%! Raj ! 3kp Cn-pk System Location: 0533 Meadow Rd. - Lake Creek Licensed Installer: Davis Fxcavatinri License Number:. ,35-15-I Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 3 Inch in i n Minutes Absorption area per bedroom 292 Sq. Ft. it Number of Bedrooms- j X BOO Sq. Ft. minimum requirement per bedroom - equals 1Dr) Total Sq. Ft. minimum requirement Special Requirements: QQ'o r Date: Ataaust 27., 1.Q85 Environmental Health Officer: CONDITIONS: a r -)e?�uw 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 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 SYSTF,M- 0713 Henderson Lot 4 Lake JOB NAME, _ Creek 0538 Meadow Rd JOB LOCATION BILL TO DATE STARTED DATE COMPLETED 736n ',�o sr ��#VIL ff I PERMIT #713 OWNER: Jim Henderson LOCATION: 0538 Meadow Rd. - Lake Creek Meadows INSTALLER: Scott Davis SIZE OF TANK: 1000 Gallon - 450 S.F. absorption area DWELLING: Residential - Single Family PERC RATE: 1 inch in 5-10 minutes of Finalized: 09/17/85 PERMIT#713 By: Erik Edeen OWNER: Jim Henderson LOCATION: 0538 Meadow Road - Lake Creek Meadows Sub. INSTALLER: Davis Excavating SIZE OF TANK: 1000 gl. DWELLING: Res. Single Fam. - 3 bedroom PERC RATE: 1 inch in 5-10 minutes ABSORPTION AREA: 450 s.f. FINALIZED: 09/17/85