HomeMy WebLinkAbout47 Lake Creek Rd - 210505300005 - 0909ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 9'0.9 Please call for final inspection before covering any portion of installed system. OWNER: Gary L. Calhoun PHONE: 926-3876 P. 0. Box 473 Edwards, Colorado 81632 MAILINGADDRESS: AGENT: Self PHONE: SYSTEM LOCATION: 0047 Lake Creek Meadows 0057 Lake Creek Road /� LICENSED INSTALLER: Owner installer LICENSE NO. N/A DESIGN ENGINEEROFSYSTEM: N/A INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 00 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: �.�,oe SQUARE FEET OF SEEPAGE BED SQUARE FEEE /00 (9 E) � 10 T OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: NOT APPROVED AS A DWELLING UNIT AT THIS TIME. BUILDING MUST NOT BE OCCUPIED UNTIL PROPERLY RE -ZONED AND SUB -DIVIDED. L �rik Edeen May 23, 1989 ENVIRONMENTAL HEALTH OFFICER: DATE: 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 111, 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: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM. `® {/t✓ INSTALLED ABSORPTION OR DISPERSAL AREA: v SQUARE FEET. INSTALLED SEPTIC TANK: /P00 GALLONS DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY YES NO COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS:_ YES NO ANY ITEM CHECKED N}O REQUIRES ORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: 4/ V ENVIRONMENTAL HEALTH OFFICER: DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION I NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT/AGENT: Gary L. Calhoun OWNER: PERMIT Gary L. Calhoun C AMOUNT PAID: $275.00 RECEIPT#: 1500 CHECK#: 1305 CASHIER: J. Brophy r APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: 3296 P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE 5125.00 NAME OF OWNER: CGa�',U L CG �� V MAILING ADDRESS: :?-0. 42 PHONE: ct�(o NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: K0 U V-\ LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: i0 'A_�a,c e-ij_� . ct&S C.©- BSI 2 PHONE: cQN 227&0 PERMIT APPLICATION IS FOR: (1,-<NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Q Physical Address: 00 4 ? i.-.-c, ce F QO S-7 Parcel Number: Lot Size: Legal Description: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential- Fourplex ( ) Residential Duplex ( ) Commercial (Type) ( ) Residential - Triplex f ,-C Cu�jVre - k-�en/Sc NUMBER OF PERSONS: NUMBER 0 BEDROOMS: WASTE TYPES Check applicable categories): Commercial or Institutional ( Dwelling ( ) Non -Domestic Wastes ( ) Transient ( ) Garbage Disposal ( 44—Dishwasher ( automatic Washer ( ) Spa Tub ( ) Other (Specify) : TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Use Septic Tank Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES ( ) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( ) YES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( ) NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: DATE: E �—Bc( SIGNATURE: (reek/Stream INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope Z _ 3 76 Depth to Bedrock (Per 8' profile hole Depth to Groundwater table SOIL PERCOLATION TEST RESULTS: 6 Minutes per inch in Hole #1 J Minutes per inch in Hole #2 7 0 Minutes per inch in Hole #3 FINAL DISPOSAL BY: Absorption Trench, Bed or Pit ( ) Above Ground Dispersal ( ) Under Ground Dispersal ( ) Other AMOUNT PAID: 75 ° RECEIPT NUMBER ( ) Evapotranspiration ( ) Sand Filter ( ) Wastewater Pond rol NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER". DATE: .� (Environmental Health, Dept. - Rev. 4/88) COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO November 10, 1992 Gary L. Calhoun P.O. Boxs 473 Edwards, CO 81632 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 RE: Final of ISDS Permit No. 909-89, Property Located at: 0047/0057 Lake Creek Road This letter is to inform you that the above referenced ISDS Permit has been inspected and finalized. Enclosed is a copy to retain for your records. This permit does not indicate compliance with any other Eagle County requirements. Also enclosed is a brochure regarding the care of your septic system. Be aware that later changes to your dwelling may require appropriate alterations of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division at 328-8755. Sincerely, Brenda Henderson Office Assistant Environmental Health /bh ENCL: Information Brochure Final ISDS Permit cc: Files COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO October 4, 1990 Dear Applicant: 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 Please be advised that this office will not be conducting percolation tests between November 15, 1990 and March 15, 1991. Additionally, all final inspections on installed systems must be completed prior to December 1. If you have any questions, please call me at 328-8730 or 927-3823 ext. 730 in the Basalt/El Jebel area. Sincerely, Roger Hosea Asst. Environmental Health officer RH/alm Q W. PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $125.00 ISOS APPLICATION NO. OWNER: LEGAL DESCRIPTION: OrS`7 RURAL ADDRESS: TYPE OF DWELLING:2o/<s ��il NUMBER OF BEDROOMS: 4Q DATE OF PERCOLATION TEST: S-/� TYPE OF SOIL44 TEST HOLES PRE-SOAKED: YES NO TIME WATER DEPTH 1 INCHES OF FALL ` RATE 1 2 3 1 2 3 1 2 3 1 2 3 II I .. PERCOLATION RATE: // RECOMMENDED MINIMUM SEPTIC TANK SIZE: y- Q" (;✓� �+'�/ � ������ RECOMMENDED MINIMUM LEACH FIELD SIZE: /0 U C S RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:(�� SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer Date COMMENTS: Rev. 5/31/84 oni rrr rnon4 EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE ,60A Cary �. r.t ho u.n r Name J' I6' � —62gCD Date Routed Op7 7 Lake CrecKad plication No . Location Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form the the Environmental Health Office. PLANNING: Complies with - YES NO REVIEWED BY DATE Subdivision Regulations: Zoning Regulations: Recommend Approval: COMMENTS: a � BUIL^ING: Complies with - YES NO REVIEWED BY nATF Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: COMMENTS: 2 V � v, S �2 YES NO REVIEWED BY DATE YES NO REVIEWED BY DATE I 109-89 - 0047/0057 Lake Creek Road Calhoun JOB NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 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 000/ JOB FOLDER Product 278 69970 NEW ENGLAND BUSINESS SERVICE, INC, GROTON, MASS. 01471 ®� FOLDER Printed in USA