HomeMy WebLinkAbout217 Meadow Rd - 210507401018 - 0806ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N2 0806
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: Antoine & Karen Hertzog Telephone: 949-4970
Address: P.O. 'Box 743 Edwards, CO 81632
System Location:_Measaw Rnad — Lake Creek Mear]omG
Licensed Installer: Owner License Number:
Conditional installation approval is hereby granted for the following:
Minimum requirements:, ggQ Gallon Septic Tank or Aerated Treatment unit
Absorption area of dispersal area computed as follows:
Percolation rate: 1 Inch in _10_ Minutes
Absorption area per bedroom 300 Sq. Ft.
Number of Bedrooms _ X 300 Sq. Ft. minimum requirement per bedroom -
equals 6Bu Total Sq. Ft. minimum requirement
Special Requirements:
Date: September 15, 1987 Environmental Health Officer
CONDITIONS:
Erik Edeen
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: SQ. FT. 240 —Z' w x
INSTALLED SEPTIC TANK: GALLONS; 7Uy DEGREES; FEET
DESIGN ENGINEER OF SY TEV`'..�'
INSTALLER OF SYSTEM: PHONE:
SEPTIC TANK CLEANOUT TO W HIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: YES
PROPER MATERIALS AND ASSEMBLY: YES 'NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YES
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES ZO
COMMENTS:
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.) �—S% `
DATE (Final Approval) ENVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
Name of Applicant: Antoine & Karen Hertzog Name of Owner: Same
Amount Paid:�275 Receipt Number: 3841 Date: 9/11 /87 Cashier: Earlene Huenick
Check Number 1319
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APF TCA77", F(lR ' ".:AL SC.'iAG 0IS"'7.1L :S ?!_7'.(T-
EN-VIRO;'`IENTAL Eic—ALii{ OFF ICE - EAGLE COUNTY
P.O. rzid ,;5p /��
Eagle, Color.i�io 51631 No. -
PERMIT APPLICATT0% FEE: S150.00 // 328-7317 PERCOLITIO`: TIST F=:.: $125.00
NAME OF OIdtiER: V'L.AP-(L] �-kek T Z.AG
ADDRESS: B7 n VjAZ S (V a PHO"E: 'T� "7 0
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYSTE.`I (if applicable):
ADDRESS:
PHONE:
PHO::E :
Ptx�v�v i<i0i .,.,.,1;,,., ; ;;.; INS iALLATION OF SYSTE`I: 40 � N tTi�
Licensed Installer (see attached list): YES- NO
ADDRESS:
PHONE:
PERMIT APPLICATION IS FOR: () New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED IJ:DIVIDU:IL SET .'AGE DISPOSAL SYSTE`I:
.JLLccLir,ural ticaress:
Lot Size:
Legal Description:
OuiS
BUILDING OR SERVICE TYPE (check aDDlicabia caterterv_)•
(
Residential - Single Family
(
)
Residential - Quadplev
(
)
Residential - Duplex
(
)
Co.•--::ercial (state sage)
(
)
Residential-Tr_D_ lex
NUMBER
OF PERSONS: .J-
NrHBER OF BEDROOMS:
WASTE
TYPES (check aDDlicab,1-,5'-catezories):
(
)
Co.,. ci<onstitutionalNon-Do.
)TransDwellien()Transient
tes
Use
Garba-
()
Dish:aasher
Au ati
(
)
Spa Tub
(
)el2r
ther
`TYPE OF
DMI7IDUAL SE -.AG- DISPOSAL SYSTEM PROPOSED:
(
Septic Tank ( ) Com..posting Toilet
(
)
Incineration Toilet
Vault Privy ( ) Greywater
(
)
Chemical Toilet
(
)
Pit Privy ( ) Aeration Plant
(
)
Rec�;cling, Potable Use
(
)
Other
(
)
Rec,cling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO r'ATERS OF THE STATE: YES NO ( )
IS SYSTEM DESIGNED FOR LESS MAN 2,000 GALLONS PEP DAY: YES (�j I" (�)
WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( )
(I 6 Yes, see atiLached ccas.tere Lte.t S.ec•cv .teduc ti.on methods)
NOTE: The Env,&Loiune}Ltae Heae.ti't 03'3'.icet may educe die .teoui,ted ab.scAptLon atea upon
aPP-tUVae_ Ua an adeGuaL CCaS i ul'at 2 L 5tC(�J-tedtt^,LCOii Pea;?.
SOURCE AND TYPE OF WATER SUPPLY: ( ) well
( ) Spring ( ) Creel/Stream
Give depth of all wells wit 200 feet of system:
If supplied by c < <unit cater, give name of supplier:
L y
gin!
A
SIGNATUREC- - - - - - - - - - - - - - - - - - - - - - - -DATE_ - - - _
INFORMATION BELOW TO BE FILLSO BY ENVIRON•'.IENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent G.touizd Scope
Depth .to Bedtoeh (Pen 8' Pto'Zee Hotel
Depth to Gnoundaca,Lc t Tabte
SOIL PERCOLATION TEST RESULTS: Pet ineji .cn Hoee Pi
Ati nu,te.5 Pen inch .to Ho.Ze # 2
LL(iCL.LLe s Pelt .i ACjL .to Hot e 43
FINAL DISPOSAL BY:
( Abso.tp.ti.oj1 TLench, Bed o.t Pit ( ) Evapo.tta►tspikatZon
( ) Above Gnc'ufzd D.LsPe'Lsae ( 1 Sand F.ietet
( ) Undetg.tound Dt,spnsae ( 1 Was.tc;ca.tet Pond
( ) O.dLet
w p���
AmowLt Paid: �5 Recci,�t Ntunbn. �O `7`/ Dctte:
-------------------------1-7 - /- ------------ - - - - - -
NOTE: Site Plan must be attached to•application.
(Env. Health Department - Rev. 4-07-33)
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $50.00 ISDS APPLICATION
OWNER:
LEGAL DESCRIPTION: ri 2
,RURAL. ADDRESS:
/Z
/t ,
TYPE OF DWELLING: 2
� NUMBER OF BEDROOMS:
DATE OF PERCOLATION TEST: Gj �� J / TYPE OF SOIL:
TEST HOLES PRE-SOAKED: YES ,y NO
TIME
1 2 3
WATER DEPTH
1 2 3
1! INCHES OF FALL
RATE
� 1
2
3
1
2
11
f
PERCOLATION RATE:
RECOMMENDED MINIMUM SEPTIC TANK SIZE: 6
RECOMMENDED MINIMUM LEACH FIELD SIZE:
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: �� C Sl
SITE HAS BEEN REVIE;JED AND TESTED FOR PERCOLATION RATE. /
7"
Environmental Health Officer
COMMENTS:
Rev. 5/31/84
Date
DEPARTMENT OF
ENVIRONMENTAL HEALTH
(970) 328-8755
FAX: (970) 328-8788
TOLL FREE:800-225-6136
www.eaglecounty.us
July 22, 2005
Mr. John Cogswell
794 Potato Patch Drive
Vail, Colorado 81657
Dear Mr. Cogswell:
EAGLE COUNTY
RAYMOND P MERRY, REHS
Director
During the review of your building permit #BP-16788 that would authorize your proposed remodel of
bathroom and kitchen expansions, it came to our attention that the private wastewater system serving this
dwelling was installed in 1987 and appears to have been designed to accommodate wastewater flows from
a two bedroom dwelling. The system was permitted in 1987 as individual sewage disposal permit (ISDS)
#0806 and consists of a 1,000 gallon concrete tank, distribution box and 600 square feet of absorption
credit via 200 lineal feet of SB-2 piping. Our policy is to only require improvements to existing septic
systems when additional bedrooms are added to the original structure.
Inasmuch as your construction project does not involve the addition of bedrooms, we feel it is important to
notify you of our findings and provide you with information regarding septic system maintenance. Please
find enclosed a pamphlet entitled "So ... now you own a septic system" which is routinely sent to owners of
new septic systems. Additional information can be obtained through our website links at
hM://www.eaglecogpV.us/envHealth/sei)tics.cfm. Please note our file contains no pumping records. It is
recommended septic systems are pumped once every 3-5 years.
We are providing this information as a courtesy to increase your awareness regarding private wastewater
systems and point out the status of your ISDS with hopes that you may choose to consider upgrades before
system failure requires urgent and unplanned upgrades.
Please don't hesitate to contact us if you have any questions.
Sincerely, '
Raymcfnd���___ ��
RPM/ljs
cc: Building Permit File No. BP-1678�
ISDS Permit File No. IS-0806 ✓✓
CHRONO
enclosure
500 Broadway, P.O. Box 179, Eagle, Colorado 81631-0179
806 Hertzog Lot is tslocx .s
Lake Creek Meadows Mea ow Road
JOB NAP a i -7 /",e.,_ JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
Lo� r
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
I K�Le�2J diti Q
0:91% /' �� �� �
/
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
F-7
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
Printed 1ri, U.S.A.
