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Home My WebLink About26 W Lake Creek #1 #2 - 210518102001 - 210518102002 - 0816ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N2 0816 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 REPAIR PERMIT 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: Telephone: 6 9 4- 0 6 4 4 Address: 7872 S . Clayton Way Littleton, CO System Location: Lot 39, Blk 6. Lake Creek Meadows Edward Licensed Installer: Ron A s t License Number: 02 9 A 7- I Conditional installation approval is hereby granted fo the following Minimum requirements: —Gallon Septic ink or - Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: Inch in 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: �'f`� Wit;, f'�6- - { °s > Date: 10 -19 - 8 7 Environmental Health Officer: 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. INSTALLED ABSORPTION OR DISPERSAL AREA: ��) SQ. FT. INSTALLED SEPTIC TANK: GALLONS; �� DEGREES; FEET DESIGN ENGINEER OF SYSTEM: nn INSTALLER OF SYSTEM: / \CM PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES t<` O PROPER MATERIALS AND ASSEMBLY: YES COMPLIANCE WITH PERMIT REQUIREMENTS: YES COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO ('(1MMFATTC • /-� ll'P_e_SI(JfJ J 1:4 1 0-0- (/v Cl i Rol ��' � (1�&i)A V1,l w417a01 , _-V 1 vim vv (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval) -ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Ron Ast Name of Owner: GPnrgP RnGPnhiirg Amount Paid: �$1 5 0 _0 r, Receipt Number: 4 0 5 9 Date: 1 n -- I R ]Cashier: Check #3486 White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner aPar T_C:;;"�, OR ' 'E.": aL Sr.'::\(; DTS"4AL :$- ?7T"(T l ENVIRONMENTAL HEALTH OFFICE - EAGLE Cl L'; ' = .' P.O. Box S50 /�- Eagle, Colorado 81631 `:o. 5 PER_`•!IT AP?I.ICATTON FEE: S150.00 328-7311PF..a COL;TIO,, TEST F=-$I29.�00 NAME OF .'\ER: J OIB p -Pert uv �--r.-sw ADDRESS: C/� �O►� � Li (1.e�LvvL r-t110':E: NAME OF APPLICA.`1T (if different from owner) : E()n [� -' � ADDRESS: �a�x %% /,P' J,o �c2�2 PHM E: a DESIGN ENGINEER OF SYSTDI_(if applicable): _ �z 2151- a� ADDRESS : �x lI &FI, � ` / e.Wa PHO :E : INS ILLATION OF SYSTE `I: Licensed Installer (see attached list): YES NO - ADDRESS: < 6 Gd. 1 ��• PHONE: PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration (SO) Repair LOCATION OF PROPOSED INDIVIDUAL SE?JAGE DISPOSAL SYSTE'_-1: Street/Rural Address: Lot Size: Legal Description: q � / , 4 / T" /.. BUILDI`:G OR SERVICE TYPE (check applicable cateaorv_ ) : ( ) Residential - Single Family ( ) (�C1) Residential - Duplex ( ) ( ) Residential - Tr_olex NUMBER OF PERSONS: WASTE TYPES (check apolicable cate^ories): ( ) Co«.mercial or Institutional ( ) Non -Domestic Wastes (X) Garbage Disposal (/-o) Automatic Washer ( ) Other =E OF INDIVIDUAL SE?:AGE DISPOSAL SYSTE'•I PROPOSED: (�) Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other =ae tu-etevrs/ CO. Residential - Quadplex Commercial (state usage) NL EER OF BEDROOMS: ( -) Dwelling ( ) Transient Use (� ) Dishwasher ( ) Spa Tub ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO ?'AT —S OF THE STATE: YES ( ) NO (� ) IS SYSTEM DESIGNED FOR LESS 19AN 2.000 GALLONS P=P DAY: YES ( ) NO (k ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (I6 Yes, See attached S.ecw .LedLtC.ti('j2 methods) NOTE: The E;ivZLo;vnejitae Heai,tt O3'3'.i,ee1L mail educe -tie-,LeoLu:,'ced ab.sotpti.en aAea upon apptovae oail adequatc WaStC:Vate%, 5eoLU teducctCo;z p'Zan.' SOURCE AND TYPE OF WATER SUPPLY: ( ) 'ell ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: /�',p� �,,c�a•�,� Vacll SIGNATURE: a� DATE: ^ -------------------------- - - - - -- _ - -- -- - - INFORt{ATION BELOW TO BE FILLED OUT BY ENUIROW(ENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent G,tound Stope r Depth ,to Bedtoeh (pen 8' P,'Loo'tiee Hotel Depth .to GtLouji&a,-' -t Tabte SOIL PERCOLATION TEST RESULTS:. A.cnLLt'n pet .Litcit 4-;1 HoZe 0.I A161tLteS peA .i;ich .to Hote # 2 I'.WC1CL4LQ�S pe%,- .i.iich to Hate #3 FINAL DISPOSAL BY: - ( ) Abso.tptZoA TtLejick, Bed of Pit ( ) Fvapot'uutsPiAati,on ( ) Above GtLcund DZSpe�tsat ( ) Sand Fi?_t`-t ( ) Uitde,tg,tound Dtspetsae ( ) Was t,cwcutct Pond ( ) Oth0't A1nUulLt PaLd: ,o RCCCC;Jt N(Lt;16Ct — �� DLit, : %01�9`�'`% --------------------ex't�3yg�a --------------- - - - - - - NOTE: Site Plan must be attached to -application. (Env. Health Department - Rev. 4-07-33) EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: October 19, 1987 Ron Ast for George Rosenburg P.O. Box 1186 Eagle, CO 81637 RE: Issuance of Individual Sewage Disposal System Permit # 816 Enclosed is your ISDS Permit # R16 . This yellow copy of the permit must be posted on the installation site. You must call our office for a final inspection before covering any portion of the installed system. We can be reached at 328-7311, Ext. 227. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Office. Sincerely, � Ed-kln/-fin Erik Eileen/jb Eagle County Community Development Environmental Health Office /gP 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 January 22, 1988 Shannon Fox, Marsh and Associates Post Office Box 609 Vail, Colorado 81658 RE: Sewage Disposal Report for property located at: 0026 Lake Creek Road, Lot 39, Block 6, Lake Creek Meadows Dear Ms. Fox, 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 October 23, 1987, this department conducted a site inspec- tion of the above referenced property. The inspection was requested by George Rosenberg, the owner, and Ron Ast, the installer of the on -site wastewater disposal system. A review of the County records indicates that the sewage disposal system was repaired and permitted under Permit Number •816, inspected and approved in accordance with County Individual Sewage Disposal Regulations. A visual inspection of the ground surface indicated that the sewage disposal system was apparently functioning satisfactorily at the time of inspection. The water supply to this residence is from the Lake Creek Meadows community water system. The community water system is inspected on a regular basis by the Colorado Department of Health and complies with current drinking water standards. If you have any further questions concerning this inspection, please call or write. Sincerely, Sid Fox, Environmental Health Officer Community Development Department SF/cb xc:Bob Dorf 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 � �2�s•�' 67 LOAN INSPECTION REQUEST FORMC�L LOCATION: PARCEL NO: PROPERTY OWNER: REQUESTOR: DATE RECEIVED: COPIES TO: *********************** ISDS PERMIT NO: PI !n �IZfPAl2� NO ISDS RECORD FOUND: INSPECTION INFORMATION: VISUAL INSPECTION OF PREMISES: DATE: NOT FEASIBLE DUE TO WEATHER CONDITIONS: I�— APPARENTLY FUNCTIONING SATISFACTORILY: NOT FUNCTIONING OR NOT EXPECTED TO FUNCTION SATISFACTORILY AS EVIDENCED BY: a10 xosenourg LoL ji o BIK b Lake Creek Meadows MV JOB NAME JOB NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED • /_/ C 41, ��! ,U 0 W g ; W ,w > F z Q JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT NI ICI JOB FOLDER _u '0, P Printed in UZ.A.