HomeMy WebLinkAbout5505 E Lake Creek Rd - 210528200002 - 0803ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT Np 0803
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
Dick Scudder
Telephone: 926-3414
Address: 4F
System LocatiA505 East Lake Creek
Licensed Installer: Edwards Execavating - fa Ell �3 , License Number:
Conditional installation approval is hereby granted for the following:
Minimum requirements: 1250Gallon Septic Tank or Aerated Treatment unit
Absorption area of dispersal area computed as follows:
Percolation rate: one Inch in 20 Minutes
Absorption area per bedroom Sq. Ft.
Number of Bedrooms X Sq. Ft. minimum requirement per bedroom -
equals Total Sq. Ft. minimum requirement
Special Requirements: 4 bedrooms - 200' SB2
Date: �� (� ' t` Environmental Health Officer: / l.�-✓L�i.
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 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.
Liti1Pr)
INSTALLED ABSORPTION OR DISPERSAL AREA:a0Q 30� FT. _
INSTALLED SEPTIC TANK:.1 5L2 GALLONS; DEGREES; FEET
DESIGN ENGINEER OF SYSTEM: P1 A
INSTALLER OF SYSTEM:. B r m iS P iln e', PHONE: 3 2 8 " 6 3o
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES LNO
PROPER MATERIALS AND ASSEMBLY: YES NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YES / NO
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES _JNO
COMMENTS: D J OCLSIUO UALL)i M uST 6F rU2, u;;_',o rjocE
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.)
DATE (Final Approval)u�-&-) ENVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: B & M Carpentry, Inc. Name of Owner
Dick Scudder
Amount Paid: 275.00 Receipt Number: 3474 Date: 8-10-87Cashier:
E. Huenink
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
f BANk Iff`fvc, 1
AP?T ICAT"' FOR I' AL Sr'::\(: DIS,nS:�L ,S- nrr^•.�T,
l ENVIRO.'`IENTAL EiEALTH OFFICE - EAGLE COUNTY
P.O. Eu:: 350
Eagle, Colorado 51631 No.
PERMIT APPI.ICATiON FEE. S150.00 '18-7311 PFRCOT-MO`1 TEST F-I '$125.00
NAME OF MZ%ER: C� �CCl�i�C__e
ADDRESS: pe�_13 15AV1X,',2S Co PHONE: �� �' `1 1
NAME OF APPLICANT (if different owner) : c�
ADDRESS: JC3CJ�' J �i l k/ qu 6 0 6) -,6 PHO`;E: �a 6' `S / 13
DESICN ENGINEER OF SYSTEM (if applicable):
ADDRESS:
Phrt :':vw t<i:; x ,, INS ALI-NTION OF SYSTEM:
Licensed Installer (see attached list):
PHONE:
_�f,%./,!' r-�S' �J�'1/��'T-1 ✓lf � _�+f=1Y1JJ �u✓IF�
�iA /YES �� NO
ADDRESS: 700 6�(�C e_L`��G� PHONE: �� ��4 r
PERMIT APPLICATION' IS FOR: ( New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SET•?AGE DISPOSAL SYSTEM: SSOS'
Street/Rural Address: _S r 'C �',� � �,,�-S' Co%
Lot Size: .,S a
Legal Description:
BUILDING OR SERVICE TYPE (check aoolicabla cate^erv):
Residential - Single Family
( ) Residential - Duplex
( ) Residential - Tr_olex
C NUMBER OF PERSONS:
WASTE TYPES (check applicable cate^_ories):
( ) Co«mercial or Institutional
( ) Non -Domestic Wastes
( L-)' Garbage Disposal
( L-Y Automatic Washer
( ) Other
TYPE OF INDIVIDUAL, SET -.AGE DISPOSAL SYSTE'-I PRO'POSED:
( Septic Tank ( ) Composting Toilet
( ) Vault Privy ( ) Greywater
( ) Pit Privy ( ) Aeration Plant
( ) Other
( ) Residential - Quadplex
( ) Co.---::ercial (state usage)
NUMBER OF BEDROOMS: .7 �
( ) Dwelling
(� Transient Use
( i_� Dish:casher
( ) Spa Tub
( ) Incineration Toilet
( ) Chemical Toilet
( ) Recycling, Potable Use
( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTL`i INTO EATERS OF THE STATE: YES ( ) NO
IS SYSTEM DESIGNED FOR LESS T'dAN 2,000 CALLON;S PER DAY: YES N0 �
WASTE:'PATER FLOW REDUCTION PLAN: YES ( ) NO (L�
(16 Yes, see attached SZcty .tedLtc t on met od5
NUT E: The EnvZto,,vnejita'_' Neae-th 03' .icc mail educe t'ce teou,i.,ted ab.satpti.on ctea upon
appnUVaE U� an adeGUate CtiaSiZ!Cate" 6(:C(U .teductCon
SOURCE AND TYPE OF WATER SUPPLY: (ell
( ) Spr;ng ( ) Creek/Stream
Give depth of all wells within 200 feet of system: A107' po1d (_0 �L✓j
If supplied by community water, give _name of supplier:
SIGNATURE_ �cr / - - - - - - - - - - - DATE_ - -8 _ �= g -
INFORtifATION BELOW TO BE FILLED OUT BY ENVIRON.'VITAL HEALTH OFFICER:
GROUND CONDITIONS: Peteent G,7ouiid Slope _ 'e"--
r Dept't to Bedtoch (pet 8' Pto3'tiee Note)
Dep-t1t to Gtoujidumtc'.t Tabze
SOIL PERCOLATION TEST RESULTS: citutcs pe/t .tncjt irt NoZe T1
Ati ntttcs pen inch .to No.ee #2
�( nu:iCu,te's pe't rick ,to Noze #3
FINAL DISPOSAL BY:
(i() Abho.7pti.oil Ttencli, Bed on Pit ( ) EvapottaitspiAati.on
( j Above Gtccatd DZspe.ma.2 ( ) Saitd FiUct
( ) Uiidety,tound Dispnsae ( ) Wast-cLcatlin. Pond
a-v
Amuu,,Lt Paid: Receipt Ntunbe.t Dat,?
---------------------=��9---------------------
NOTE: Site Plan must be attached to -application.
(Env. Health Department - Rev. 4-07-33)
1 I d
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: M ISDS APPLICATION NO.
OWNER: ,IOD r �% ��., „/J .✓%, ti
LEGAL DESCRIPTION:
RURAL ADDRESS:
TYPE OF DWELLING: �� �.� P ��—
� NUMBER OF BEDROOMS:
DATE OF PERCOLATION TEST: TYPE OF SOIL:
TEST HOLES PRE-SOAKED: YES NO
TIME
WATER DEPTH
II INCHES
OF FALL
RATE
1
2
3
1
2
3
1
2
3
--
� � ��
�U (ice �
1,
�� •�
��
�U
r /2-
I
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PERCOLATION RATE: 2-6
SI GC..a�y� r zo l0" J�J• z 1
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE: �j� lU��
RECOMMENDED MINIMUM SQUARE
—J�
FOOTAGE PER BEDROOM:
2,
sez
SITE HAS BEEN REVIE!,JED AND
TESTED FOR PERCOLATION
RATE.
C
Environmental Health Officer
COMMENTS:
s_
Rev. 5/31/84
Date
0
Memorandum
TO: ISDS File #720 & #803
FROM: Tania M. Busch
DATE: November 28, 1992
RE: Pending septic permit
Jean Scudder contacted this office on october 16, 1992 concerning
a failing septic system. There are three septic systems on this
property - servicing the barn, main house, and caretaker's house.
The caretaker's septic system is the one that is failing.
However, it seems to only present a problem when the washing
machine is in heavy use. It appears that the ISDS# for the main
house is #803, and either the barn or the caretaker's house may
be ISDS #720. What the Scudder family would like to do is
combine septic systems for the main house and caretaker's unit
(see drawing). From my site visit, this seems to be possible.
Unfortunately bad weather has prohibited the repair from taking
place this year, and will be put off until next spring. The
caretakers will be utilizing water saving habits until this
problem can be taken care of in the spring.
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
- o _
Y-s% liame) -
Date Routed�=
App i i cats on--ldc
Location
Please revie,;i the attached Individual Se:•rage Disposal System Permit Application and return
it with this completed form to the Environmental Health Office.
PLANNING: Complies with - YES ''NO -REVIEI•!ED BY DAT
Subdivision Regulations: NIA
Zoning Regulations:
Recommend Approval:
CO` '
ih,LH IJ .
E
BUILDING: Complies with - YES I NO I REVIE•1ED BY DATE
Building Permit Applied For:
Building Permit Issued: I
Recommend Approval:
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
EN1/ I R0,l,•iEi 1TAL HEALTH:
Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
CO,•',•tENTS:
YES NO REVIE'ViED BY DATE
YES NO REIIIE14ED BY DATE
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803
,JOB NAME, Dick Scudder-, 40B NO..
5505 Lake Creek
OB LOCATION
BILL TO
DATE STARTED
JOB FOLDER Produot
DATE COMPLETED
PERMIT #803
OWNER: Dick Scudder
LOCATION: 5505 East Lake Creek
INSTALLER: Edwards Exc. Bemis Plmb.
SIZE OF TANK: 1250 gallon
DWELLING: Res. Single Fam. 4 Bdrm.
PERC RATE: 1 inch in 20 minutes
ABSORPTION AREA:
F
t'-- JO `,C e 7,� (--)
INALIZED: 9/8/87 BY: SID FOX
DATE BILLED
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