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Home My WebLink About2045 Lake Creek Rd - 210518102012 - 1020-90ISINDIVIDUAL 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. 1,020 Please call for final inspection before covering any portion of installed system. OWNER: Or. Jack Eck PHONE: MAILING ADDRESS: P.O. Box 1067, Vail, CO 81658 AGENT: PHONE: SYSTEM LOCATION: I —at 6, B-1ock 9, I akP creek LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 600 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 200 Lft. of 10" S132. Place inspection portals at end of each line, install valve to alternate systems. ENVIRONMENTAL HEALTH OFFICER: I' GE,`?iC, DATE: CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GRANTED /N 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 Ill, 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. 42 INSTALLED ABSORPTION OR DISPERSAL AREA: Z !�D ( `�SQW*;EFEET. �� S Z 'nn ' 100G o INSTALLED SEPTIC TANK: eI'(' 7GALLONS IF0 DEGREES FEET SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALS AND ASSEMBLY _0 YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: _2(9�f_ YES NO ANY ITEM CHECKED NO REQUIRES, /CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: Ile Za 4-4 2A ENVIRONMENTAL HEALTH OFFICER: DATE: Z ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: U r.-r FT Tl:iiT. rOR T i. i... AL Sfl-' :A(;" OTS ,)SAL :S' Pr-^"T-,. E`:VIRONNENTAL HEALTH OFFICE - EAGLE CC.U;:TY . ` P.O. Bo:: S50 Eagle, Colorado 81631 No. \ PER:•fIT APPLICATIO` FEE: S150.00 328-731 i PERCOL\TION TEST FE': 550.00 NAME OF OWNER: fi ADDRESS: " C :�a. •,15 to 19lG 3 Z_ NkME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTE.`f (if applicable) ADDRESS: PhAl_iv14 aL1_ _)i Vl1. 1ibi.. Ii3S ALLATION OF SYSTEM: Licensed Installer (see attached list): PHO'.E: �U-,-;,e PHONE: PM!E: ��ICG%Q N6� j� iC Gc�LJrz �4 _ YES NO ADDRESS: PER`fIT APPLICATION IS FOR: (r-)' New Installation ( ) alteration ( ) Repair LOCATION' OF PROPOSED INDIVIDUAL SE??AGE DISPOSAL SYSTEM: Street/Rural Address: _47 ,�ep A,�- e,'-LeWA< Z tjQ Lot Size: - Legal Description: Xer 6 BUILDI`;G OR SERVICE TYPE (check apolicable cate^_orv): ( ) Residential - Single Family ( ) Residential Quadolex (�O Residential - Duales ( ) Co=ercial (state usage) ( ) Residential - Tr_olex NUMBER OF PERSONS: WASTE TYPES (check applicable cate^ories): ( ) Cormercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal ( ) Automatic Washer ( ) Other 11 `TYPE OF INDIVIDUAT. SE?.AGE DISPOSAL SYSTEM PROPOSED: N 7:1BER OF BEDROOMS: j (x') Duelling ( ) Transient Use ( ) Dish:aasher ( ) Spa Tub l2C) Septic 'Tank ( ) Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO ?'ATERS OF THE S7ATr.: YES ( ) NO . 1 YES (pC) IN YES ( ) NO IS SYSTrf DESIGNED FOR LESS 1HAN 2,000 GALLONS PEP DAY: WASTE%TATER FLOW REDUCTION PLAN: APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTHEALTH OFFICE - EAGLE COUNTY Number: AL `I P. 0. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt P PFPCOl.^TMN TEST FEE ERMIT APPLICATION FEE $150.00 , NAME OF OWNER: r c4(- ulc MAILING ADDRESS: 3 v- /o(, f y4/b, !ro f�S PHONE: —zSyv�f NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: LICENSED INSTALLER: ( ) YES NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION (iC) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: e—&1ee crz� Parcel Number: Lot Size: 5_'gC4Z_4 Legal Description: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex ( ) Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: `_/ NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories): Commercial or Institutional (-J-) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( -A Garbage Disposal ( ) Dishwasher (7C) Automatic Washer () Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: 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 ( X) 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 ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by 77''�� ity water, give name of supplier: &po,5,t s�t�s �atiu.y "TYIt4ill � SIGNATURE: ` � DATE: y 6 '76 INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Percent ground slope In..... OI ...,... 1-0l.. L...l.. i COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8.730 EAGLE COUNTY, COLORADO 725 CHAMBERS AVE. P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328.7207 Date: October 24, 1990 Dr. Jack Eck P.O. Box 1067 Vai1,CO 81658 Re: Final of ISDS Permit No. 1020 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. Also enclosed are informational sheets regarding the care of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Officer, P.O. Box 179, Eagle, Colorado 81631. We can also be reached depending on your calling area at the following numbers: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle Area 328-8730. Sincerely, G�j��lGGZ- Roger C. Hosea Assitant Environmental Health officer Community Development Enclosures: Informational Sheets Final ISDS Permit cc: Chrono file ISDS file# Building Permit file# COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8-730 EAGLE COUNTY, COLORADO October 4, 1990 Dr. Jack Eck P.O. Box 1067 Vail, CO 81658 Dear Dr. Eck: 725 CHAMBERS AVE. P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 During the recent addition to your Septic System, a valve was installed to alternate between the two parts of the system. We recommend that the systems are alternated every 6-12 months, to provide for more effective operation of your system. If you have any questions, please call at 328-8730. Sincerely, Roger Hosea Asst. Environmental Health Officer RH/alm Cv G r, a ( �a 03 d Ra 4 A a a DATE: October 4, 1990 TO: ISDS files #96,#759,#1020 FROM: Roger Hosea IK- RE: combining files for'one location These three systems are all located on the same lot in Lake creek Subdivision. Permit #96 was installed in 1976 for the main house, permit #759 for the barn, was installed in 1986, permit #1020 is a repair permit for the main house. All contents from these will be in file for permit #1020. INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N2 0759 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: / G -<,- !6 `&- /-� 4 6-- C-( Telephone: Address: 6- % z'6 ccc"'x- 2 U 15<5- 4*mac 4, C.,r 4�- System Location: Z�� SU� &e� -, C` �� fc'<� �- / "r Licensed Installer: A//� ��-, sc�y License Number: Conditional installation approval is hereby granted for the following: Minimum requirements: Is 000 Gallon Septic Tank or_ Absorption area of dispersal area computed as follows: Percolation rater Inch in l d Minutes Aerated Treatment unit /6 Absorption area per bedroom Sq. Ft. Number of Bedrooms X Sq. Ft. minimum requirement per bedri equals Total Sq. Ft. minimum requirement Special Requiremeftfs: /o b / O' CO Date: CONDITIONS: vironmental Health Officer: Z' 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 reguldtions. 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. `00 / `S 13' INSTALLED SEPTIC TANK: /0 00 GALLONS; 2-7V DEGREES; ZG FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM:��, ��,/ PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR i 4 P D14COLPTION TEST Fee: $50.00 t pnlic<tion No. Permit No. Owner Le-val Description: Tyne of Dwelling:. �Z,'J"J'. No. of Bedrooins: � _— ro - Date of Test: Denth of Hol es:" Diameter: Tyne of Soil: LocF.tion of Test Holes: Test hole was nresoaked from: �=� J� To: Time Date Time Dzite T1MTE WATER DEPTH ; INCITES OF FALL RATE 1 2 3 1 2—� ' 3 i� l 2 3 ]- 2 3- S$ 6_/U / ? ; l-!5' Z Percolation Rate: mPI Site has_ been reviewed -and t ted for r ercolation �' re. < <, We recommend: Fii'1OWL v _ D1S1'P1-)ROVP1, DI-TL: V Erik IV. deea, al,_=- . S, Environment:=-1. Health E«z,le count., dal EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: November 7, 1986 James B. Rea P.O. Box 989 Edwards, CO 81632 RE: Final of ISDS Permit # 759 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. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Office, P.O. Box 179, Eagle, Colorado 81631. Phone: (303) 328-7311, Ext. 227. Sincerely, A Eagle County Community Development Environmental Health Office /gP Board of County Commissioners Assessor Clerk and Recorder Sheriff P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Treasurer P.O. Box 479 Eagle, Colorado 81631 COUNTY DEPARTMENT OF ENVI �NMENTAL HEALTH Box 81 1 6th & Broadway 130� E�!E 4,57 , Owner Eagle, Colorado 81631 PERMIT N® 96 W (this does not constitute a building or use permit) System Location Ze �X C 1--s�r Licensed Contractor * Conditional -construction approval is hereby granted for a 1000gallon _P" Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate inches in minutes 0 6 sq. ft. absorption area per bedroom # of bedrooms x L sq. ft. minimum requirement May we suggest ®� y1� 7 A-�� Date Inspector� FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system is approved priorcovering any part. Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. P er materials and assembly. equate absorption (or dispersal) area. Adequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date Z Inspector 6- �z RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE *CONDITIONS: 1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations, adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973 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 structures not approved by the building and Zoning office 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, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal __.. --f— 4— � :.h; -h n 11.>..»>4-- --.7 ...n4..»,nl »n», n4:.... C.-- 47... f..»...., ,.» 1020-90 TxPrcl# `-105 --181- (,P-&'la JOB NAM Lot 6, Blk 2, Lake Creek Meadows Subdivision T) r_--- -T n-rAr F c-k - - JOB FOLDER ProdUd.278 6�Wa NEW ENGLAND BUSINESS SERVICE, INC GROTON, MA 01471 Printed in U.S.A. JOB FOLDER m"6 ,UtV C L- %b -4-'V'9 Y F 11 F7 t /W.C_ C `J F4 c-( tir u + a 1 �� f � l s ti ', ' �,, ,' t, � , t • `al , � � � � � Imo.• f� ^� ... y ' -fir _ '�!• a'� ' A" r F �� / .7�=¢''t`,r. Cr ;lam . • f�'� ,g f . �� ♦Y ;.,, � 1'a r s:�t� r �' �` eryli is � L • I � 1 t .:1 . �.'^.�'. � 7't 4: ��, � '�. �- •. iXxt k. � ,' ate' tY... ♦ c � 11 .•• +.�!. •1!.�j�. yf��r ram} f- b •Y 1 r t ;� j 4 � � �• t r •� • K� i J J v 3 r " lei LIP 2 t " Z Al Ora sci IL t s z . r *was f� tyy�+y - ; E 1 . - [ j IT - _ - `�-•'+ _.-A.� �, `v��tr� tip - _ ; - - - - - - I I Eagle County OWTS Systems Cleaners Reporting Form 4FO NOTE: Required to be submitted to Environmental Health within 10 days of cleaning an OWTS system EAGLE COUNTY Systems Cleaner Company _ icense Number Email Address AV'\ Phone 140 — q;2(a �GZSC� Service Technician::Il ML) Phone Tax Parcel # Address of Service aoI('5—�,4,= K �q c S Person Requesting Service ;�UCG"V t—� Phone !j�?e 'Zb -g5-/w Property Owner^pCAIJ-rfi,,j Phone qIQ _3_1r62 — ly�l�) Septic System Permit Number Tank Size() t a? �/ f Date of service � `1 ?3� Tank Material Sewage Disposal Site General Condition and Functionality of the Recommended Repairs ISnn_ Site sketch showing location ofthe peptic tanl�access lids measured from at least 2 fixed points (Photos Encourage � 1� i i 0 C I 4,- �d Signe bate -T — 7 Y