HomeMy WebLinkAbout2966 E Lake Creek Rd - 210519100003 - 159996ISINDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway Eagle, Colorado 81631 Telephone:328-8755 BP- 10572 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 15 9 9 Please call for final inspection before covering any portion of installed system. OWNER: Lincoln Property PHONE:_1708) 975-9224 MAILING ADDRESS: 3026 N. Seminary city: Chicago stale: IL zip: 60651 APPLICANT: John E. Hancock PHONE:(970) 926-2484 SYSTEMLOCATION: 2966 East Lake Cree Rd. Ed ardB%xPARCELNUMBER:2105-191-00-003 J?Arldly aralf Z LICENSED INSTALLER:_" �on uonstrurtionarr,n LICENSE NO: DESIGN ENGINEER OF SYSTEM: INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK minimum tank size ABSORPTION AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 375 SQUARE FEET OF TRENCH BOTTOM. via 12 infiltrators as requested by instal SPECIAL REQUIREMENTS: Install in serial distribution in trenches, with a cleanout. between the tank and the house and inspection ports in each trench.. Rake trench surfaces to prevent smearing of soils, and fence out leachfield so livestock cane raze on it Call the County for final inspection prior to back filling any part of the installation, or if you have any ques- tions regarding the installation, ENVIRONMENTAL HEALTH APPROVAL: 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. 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, CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED. FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR): 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: 375 SQUAREFEET. via 12 infiltrator units INSTALLED SEPTIC TANK: 1000 GALLON 90 DEGREES 1413FEETFROM _the cl eanout newt o tllp ho1,Ge SEPTIC TANK ACCESS TO WITHIN W OF FINAL GRADE AND PROPER MATERIAL AND ASSEMBLY X YES NO COMPLIANCE WITH COUNTY 1 STATE REQUIREMENTS: x YES —NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. COMMENTS: ENVIRONMENTAL HEALTH APPROVAL: '1 DATE: August 27, 1996 ENVIRONMENTAL HEALTH APPROVAL: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT A CHECK # (Site Plan MUST be attached) ISDS Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) *,--"PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: ��"�✓Co%�. ��'per y 30 �� • or sr4 6e6siy PHONE: �%off') ?�'"-�a z-q MAILING ADDRESS: APPLICANT/CONTACT PERSON. /7,A�cv� PHONE: (770 ) 9.�6 z-V'q MAILING ADDRESS: ©n !�y'� . �,,1 s C� p k, LICENSED ISDS CONTRACTOR: ""' roc P�iONE•j COMPANY/DBA: ADDRESS: 7� PERMIT APPLICATION IS FOR: l New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # Legal Description: (if known) Subdivision: S.c e Filing: —Block:- Lot No. Tax Parcel Number: C� - L- ® Lot size:. Street Address: -51 ( 6 Z BUILDING TYPE: (Check applicable category) ( Residential/Single Family ( ) Residential/Multi-Family* ( ) Commercial/Industrial* TYPE OF WATER SUPPLY: r( Well ( ) ( ) Public Name (Check applicable category) Spring ( ) Surface of Supplier: Number Number Type _ of Bedrooms of Bedrooms *These systems re uire design by a Registered Professional Engineer r SIGNATURE: Date: TO BE COMPLETED ; HE COUNTY AMOUNT PAID: , 6 RECEIPT #: DATE: �Zvc CHECK #: CASHIER: Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO August 27, 1996 Lincoln Property 3026 N. Seminary Chicago, IL 60651 RE: Final of ISDS Permit No. 1599-96 Parcel #2105-191-00-003. Property location: 2966 East Lake Creek, Edwards, CO. Dear Lincoln Property Owners: Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 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 building 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, i Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Information Brochure Final ISDS Permit cc: files Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: August 12, 1996 TO: Randy Braatz FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 8163 1-0179 RE: Issuance of Individual Sewage Disposal System Permit No. 1599-96, Tax Parcel #2105-191-00-003. Property Location: 2966 East Lake Creek Rd., Edwards, CO, Lincoln Property. Enclosed is your ISDS Permit No. 1599-96. It is valid for 120 days. The enclosed copy of the permit must be posted at the installation site. Any changes in plans or specifications invalidates the permit unless otherwise approved. Please call our office well in advance for the final inspection. Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need to be completed before you call for your final inspection. Also, please note any special conditions which may have been placed on the permit. If all items are not completed, a reinspection fee of $42.50 must be paid before a reinspection is made. Your building permit CO will not be issued until final approval has been given for the ISDS Permit. Permit specifications are minimum requirements only, and should be brought to the property owner's attention. This permit does not indicate conformance with other Eagle County requirements. If you have any questions, please feel free to contact the Environmental Health Division at 328- 8755. cc: files PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: 474 PJeper LEGAL DESCRIPTION: I MAILING ADDRESS:_ 90 Y I/9 Z 6�V4u,u-rA C-0 1�7 16 � Z TYPE OF DWELLING:; �l NUMBER OF BEDROOMS % TEST HOLES PRE-SOAKED: YES_ _ PV- NO TIME WAmc n r1""mvT �QS�A 5. 1 2 3 LI ----- 2 3 siv�.nLo ur rHLL 1{ATE SOIL PROFI. 1 2 3 1 2 �. / 3 0' v Ao K 31 3 , Ilog 3Z 3 ? Z ON SIG { 2 ��� 7/ g ��� �N 311 0 l3-3 (3.3 2' /v7 31 w & zee 4' �r w v 55 r S-b 52- 5`7 1135/� �� �'� /� (�.3 6 7 ' ( - 00 0S a c� aZ- 5/� '� Sjg J' Jim ��� ���'� 1 3 81 to S i& 1-7 1 a, - Time to drop last inch PERC RATE: U MINIMUM SEPTIC TANK SIZE: "7 MINIMUM LEACH FIELD SIZE: 3-7 (/rCr 1 Z✓ COMMENTS :/Q�c"<�� PERC TEST DONE BY: Environmental Health O rev. 6/90ks icer DATE: --7 1 ! v P2 ISDS Permit # %5-q- 9�p Date ��I1 DS Fin 1 Inspection Completeness Form Tank is JP7V gal. Tank Material 31 Tank is located ft —� � � rand degrees from (permanent landmark) Tank is located ft. and degrees from (permanent landmark) Y Tank set level. Tank lids within 8" of finished grade. Size of field 3 7S'ft, units lineal ft. Technology S Cleanout is installed in between tank and house(+ 1/100ft). There is a ''T" that goes down 14 inches in the inlet and outlet of the tank. Inlet and outlet is sealed with tar tape, rubber gasket etc. Tank has two compartments with the larger compartment closest to the house. Measure distance and relative direction to field. Depth of field ft. _l Soil interface raked. Inspection portals at the end of each trench. Proper distance to setbacks. Chambers properly installed as per manufacturers specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, etc.) (/ Other /) Inspection meets requirements. Copy form to installer's file if recommendations for improvement were suggested. ACTION TAKEN: Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream ulch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 duo SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE SCALE 1599-96 Tax# 2105-191-00-003 JOB NAME 2966 E. Lake Creek Rd. LINCOLN Edwards, CO JOB NO. M16 �� JOB LOCATION BILL TO DATE STARTED j Iq DATE COMPLETED DATE BILLED ,:dAA 7 !! y 7 Z fV 9 `7 /© /" /Q / B COST SUMMARY 1 ��` �s�� wN�� �33 y TOTAL SELLING PRICE ` 3' TOTAL MATERIAL L� c ad c TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL. JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 j�® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDED Printed in U.S.A �zh'C/a -71 9�f, /dam rr_r_r_r'r�rr�rrGr-(rrr (D Oo �l ; O) Cn -N I (A -� Z N Z Cn C(A N •-� O I Z Z Z Lr(f) (// Lf) V/ V/ Z z U) U) U) V/ C.+ � (.n CrI � U,� (� Cc i j cD v (n O U CA{ , ; �? o Cn v l (D � 1 CC . 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