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HomeMy WebLinkAbout208 Eagle Crest Rd - 210518102006INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, CO 81631 Telephone: (970) 328-8755 ORIGINAL PERMIT # 0649 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. REPAIR PERMIT NO. 1791-98 OWNER: DONNA AND LARRY BERMAN PHONE: 970-926-2570 MAILING ADDRESS: P.O. BOX 2354, EDWARDS, CO 81632 APPLICANT: SAME PHONE: SYSTEM LOCATION: 208 EAGLE CREST RD., EDWARDS TAX PARCEL NO. 2105-181-02-006 LICENSED INSTALLER: GOPHIR EXCAVATING, KIT REID LICENSE NO. 26-98 PHONE: 970-926-2409 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: 1250 GALLON EXISTING CONCRETE SEPTIC TANK 1125 SQUARE FEET OF ABSORPTION AREA VIA 37 INFILTRATOR UNITS AS REQUESTED. SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES WITH INSPECTION PORTS IN EACH TRENCH. IF THERE IS NO CLEANOUT BETWEEN THE EXISTING TANK AND THE HOUSE, INSTALL ONE THERE AS WELL. RAKE TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS. DO NOT BACK FILL WITH COBBLES LARGER THAN 8" IN DIAMETER. MAINTAIN TRENCH DEPTH OF 2-3 FT. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION. OR WITH UESTIONS REGARDING INSTALLATION. ENVIRONMENTAL HEALTH APPROVAL- DATE: JULY 9, 1998 CONDITIONS: 1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS tTTBE 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 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: 1147 SQUAREFEET(VIA 47 TNFTT.TRATOR TTNITC ) 8" MTXcM-M existing TANK: 1250GALLONS IS LOCATED 280 DEGREES AND LZL! FRET -FROM THE NW CORNER OF THE HOUSE, COMMENTS: DTVRRSTON VAT.VF. TN.OTFiLLEi)—T1)—AT.jOW POSSTRT,F OLD FTF.T.T) TTSACF. AFTFR LT VAS RE— COVERED ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. ENVIRONMENTAL HEALTH APPROVAL _ %�� DATE: JULY 21, 1998 Inc:omplete•Applications Will NOT Be Accepted (Site Plan MUST be attached) ISDS Permit I / / Vf _ q il Building Permit # APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE.— EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (Basalt) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * MAKE ALL REMITTANCE PAYABLE'.TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: I&JIM- 11 rp-rn MAILING ADDRESS: PO 9OX. CoEdg20_( �'�• /G�� APPLICANT/CONTACT-PERSON: 1� LICENSED SYSTEMS CONTRACTOR: K(T 6 PHONE: 1.4 6 a PHONE: PHONE: COMPANY/DBA: ADDRESS: ************************************************************************** PERMIT APPLICATION IS FOR: ( ) NEW INST:ITION ( ) ALTERATION ) REPAIR (eeeflace LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: C �' � Al 5 - Tax Parcel Number: 2-i05 (k! a� 00& Lot Size: (UVeS Physical Address: 2btS C—Wtu Ct-�! r Zrower-a- I BUILDING TYPE:. (Check applicable category) (f)•Residential/Single Family Number of Bedrooms (.) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface (-q Public Name of Supplier: *These systems r9quire design by a Registered Professional Engineer SIGNATURE:C�?� q.2.Date: AMOUNT PAID: -070d , ov RECEIPT #: 178�- DATE: CHECK #: 11;27 CASHIER: Community Development Department (970)328-8730 FAX (970) 328-7185 TDD (970) 328-8797 Email: eccmdeva@vail.net http: //www.eagle-county.com EAGLE COUNTY, COLORADO July 21, 1998 Donna and Larry Berman P.O. Box 2354 Edwards, CO 81632 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Final of ISDS Permit #1791-98, Tax Parcel #2105-181-02-006. Property location: 208 Eagle Crest Rd., Edwards. Dear Mr. & Mrs. Berman: 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 (970) 328-8755. Sincerely, Janet Kohl Environmental Health Department Eagle County Community Development ENCL:Informational Brochure Final ISDS Permit cc: files Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO DATE: July 9, 1998 TO: Gophir Excavating FROM: Environmental Health Division Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Issuance of Individual Sewage Disposal System Repair Permit No. 1791-98, Tax Parcel #2105-181-02-006. Property Location: 208 Eagle Crest Rd., Edwards, CO., Berman residence. Enclosed is your ISDS Permit No. 1791-98. 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. 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. Please call our office well in advance to allow for scheduling of final inspection. Your building permit TCO 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 Enclosures: ISDS permit # 1791-98; ISDS Final Inspection Completeness Form Community Development Department (970) 328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO Date: July 9, 1998 TO: Gophir Excavating Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 FROM: Environmental Health Division RE: Issuance of Individual Sewage Disposal System Repair and Emergency Use Permit No. 1791-98. Tax Parcel # 2105-181-02-006. Property Location: 0208 Eagle Crest Rd., Edwards, CO., Berman residence. Enclosed is your ISDS Repair and Emergency Use Permit No. 1791-98. It is valid for 30 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. 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 Larry & Donna Berman U649—Thrm4—E Lot 35 Blk G 1791-98R Tax# 2105-181-02-006 Lake Creek Meadows � Lot#35, Block 6 BERMAN JOB NAN ai0G �p Lake Creek Meadows 208 Eagle Crest Rd., Edwards ,JOB, No. . lOB LOCATION BILL TO DATE START /D DATE COMPLETED DATE BILLED Q 0 717lq l 1-1=c18 id-1e-n s cam, 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 JOB FOLDER Product..278 Q® NEW ENGLAND BUSINESS SERVICE, INC.. GROTON. MA 01471 JOB FOLDER A Printed in U.S.A. EAGLE COUNTY DEPARTMENT OF ENVIRONt4ENTAL HEALTH P. 0. Box 850 - 550 Broadway PLf; ALL FOR FINAL PERMIT MUST BE POSTED INS,�,AION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 92,7-3823 PERMIT NO. N ° 649 OWNER ADDRESS:f� r SYSTEM LOCATION: 4Atf, 0ree- jC 11)PA fs's I-r- o ` LICENSED INSTALLER: /``�-�� LICENSE NUMBER:: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: Q,50 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: &( PERCOLATION RATE: inch in 1(p minutes. r" I€4 Absorption Area per Bedroom 9.(0 0 sq. ft. 5 No. of Bedrooms x D,/,> ® sq. ft. minimum requirement per bedroom _ (do© total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: INSPECTOR: INSPECTOR: **CONDITIONS: 1. All installation must comply with all requirements of the 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 building and zoning 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 installed system is approved prior to covering any part. Installed Absorption or Dispersal Area: sq. ft. Installed Septic Tank: � E:> gallons. Degrees: 6170 Feet: 2-7 Design Engineer of System: Installer of System: Phone: Septic tank cleanout to within 12" of final gr e or aerated access ports above grade? Yes No Proper materials and assembly? Yes No Compliance with permit requirements? Yes No Compliance with County/State regulations requirements? Yes COMMENTS: (Any item checked "No" requires correction before fi 1 Arrange a re -inspection when work is completed.) DATE: INSPECTOR: RE -INSPECTION ATE: INSPECTOR: RETAIN WITH RECEIPT RECORDS CHARGES Percolation Test = $50.00 Permit Fee (includes final inspection) _ ALL CHECKS OR MONEY ORDERS ARE TO BE MADE PAYABLE TO: EAGLE COUNTY Now al of system is made. Name of Applicant: Name of Owner: PERMIT NO. Na 641 Jeffrey D. Thomas Jeffrey D. Thomas Amount Paid: $200.00 (2/02/84) Receipt Number: 0086 Cashier: Rick Pylman White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner APPLICATION: �OR I`;DI 'IDUAL SEE' AGE DISPOSAL SYSTEM PER`tIT E`.VTRONMENTAL HEALTH OFFICE - EAGLE COUNTY ' P.O. Box 850 Eagle, Colorado 81631 No. - PER`fIT APPLICATION FEE: 8150.00 328-7311 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: t r' ��'`� '1 • Tjs, �-�,� S ADDRESS: L y S I 5 C', 9'Ga—_ PHONE: NANfE OF APPLICIVNT (if different from owner):` .ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: -t� Licensed Installer (see attached list): YES NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: Lot Size: Legal Description: j--tic BUILDING OR SERVICE TYPE (check applicable category): ' Residential - Single Family ( ) Residential Quadplex ( Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex NUMBER OF PERSONS: NUMBER OF BEDROOMS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes ( ) Transient Use (X) Garbage Disposal (` ) Dishwasher (°) Automatic Washer ( ) Spa Tub ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (' 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 WATERS OF THE STATE: YES ( ) NO ( ) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (X ) NO () WASTEWATER FLOW REDUCTION PLAN: YES �) NO (A) (Ij yeas, see attached wastewateA 4.tow reduction methods) NOTE: The Envitonmentaat Health 044icen may reduce the nequ red abzonpti.on area upop appnovae o6 an adequate wastebvaten 4tow neducti.on ptan.- SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: PA If supplied by cqVQzqiity w�ate , give name of supplier: Lea, Cpz� wjco ,s r/� SIGNATURE: DATE: d INFORMATION BELO T B FILLED OUT By ENUIROMIJENTAL HEALTH OFFICER: GROUND CONDITIONS: Petccent Ground Stope Depth to Bedno ck (pert 8' Pro �i to Hole) — Depth to GnoundwateA TaMe SOIL PERCOLATION TEST RESULTS:. .10 Minutes petc inch in Hote # 1 ao Minutes pets .inch to Ho.-e # 2 ac) Minutes pen inch .to Hole #3 FINAL DISPOSAL BY: ( Absonptc.on Tneneh, Bed on Pit ( ) EvapotAa.wspZ ati.on ( ) Above Ground D.i speasa,2 ( ) Sand FitteA ( ) Unde/tgnound DispeuaE ( J Wastewater Pond ( ) OtheA (Env. Health Department - Rev. 4-07-83) r• 3'ELEPHONE r303/328-7311 Board of County Commissioners Ext 241 Assessor Ext 202 Clerk and Recorder Ext 217 Sheriff Eagle: Ext 211 Basalt: 927-3244 Gilman: 827-5751 Treasurer Ext 201 Administration Ext 241 Animal Shelter 949-4292 Building Inspection Ext 226 or 229 Community Development Ext 226 or 229 County Attorney Ext 263 Engineer Ext 236 Environmental Health Ext 238 Extension Agent Ext 247 Library Ext 255 Public Health Eagle: Ext 252 Vail: 476-5844 Personnel Ext 241 Purchasing Ext 245 Road and Bridge Ext 257 Social Services 328-6328 EAGLE COUNTY Eagle, Colorado 81631 February 9, 1984 Jeffrey D. Thomas P. Q. Box 491 Edwards, CO. 81632 Jeff: Enclosed is your Individual Sewage Disposal System Permit for Block 6, Lot 35, Lake Creek Meadows. Please note conditions 1 through:3 as listed on the permit. A final inspection must be performed by this office prior to covering over the completed, assembled system. This inspection should be arranged a day or two in advance. RJP:epm cc: File Sincerely, Rick Pylman Environmental Health VELEPHONE EAGLE - (".0"U ITY 303/328-7311 - Board of County Eagle, Colorado 81631 Commissioners Ext 241 _ Assessor Ext 202 July 24, 1984 - Clerk ands - Recorder - SyJ' Ext 217 i Sheriff Eagle: Ext 211 Mr. Jeffrey D. Thomas - Basalt: 927-3244 P.O. BOX 491 Gilman: 827-5751 Edwards, Colorado- 81632 Treasurer = Ext2o1 Dear Mr. Thomas: - Administration This is to inform you that your ISDS Permit #649 for septic Ext 241 installation on Lot 35, Block 6 in Lake Creek Meadows has - Animal Shelter been finalized and signed off by Richard J. Pylman, Assistant 949-4292 Environmental Health Officer, on Monday, July 23, 1984. Building I am enclosing a copy of this permit for your records. Inspection Ext 226 or 229 Sincerely, Community Development Ext 226 or 229 Lorraine Funke, Secretary County Attorney Environmental Health Office Ext 263 EAGLE COUNTY Engineer Ext 236 /if Environmental Enc. Health Ext 238 Extension Agent Ext 247 Library Ext 255 Public Health Eagle: Ext 252 Vail: 476-5844 Personnel Ext 241 Purchasing Ext 245 Road and Bridge Ext 257 Social Services 328-6328 7 PERC"'LATION TEST FEE: SSO I.S.D.S. APP. r-OIINE�: LEGAL DESCRIPTION: A,� RURAL ADDRESS: TYPE OF DUELLING: ,^�r11- 4„"�� OF BEDPOOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: S, TEST HOLES PRESOAKED? Yes_ No (-INCHES OF FALL • MW ,,.� �•�I,�1r"'.W:1WM0 i�ME IMEEMEM IMEEMEr r HIM WE SW6.-Imms Kiwi PERCOLATION RATE: �l0 RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: kyo RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested for percolation rate. Date Environmental Health Officer COMMENTS: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE FF (Name) DatJ Routed 3(, �(_07- Application No. Location Please review the attached Individual Sewage Disposal System Permit Application and return it with this completed form to the Environmental Health Office. - PLANNING: Complies with - .. YES NO 'REVIEWED BY DATE Subdivision Regulations: Zoning Regulations: Recommend Approval: (� COMMENTS: ° BUILDING: Complies with - Building Permit Applied For: Building Permit Issued: Recommend Approval: COMMENTS: YES NO REVIEWED BY DATE -ENGINEER: Complies with - Roads: Grading: Drainage: Recommend Approval: YES NO REVIE6lED BY DATE COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YES NO REVIEWED BY DATE f� COMMENTS: LOAN INSPECTION LETTER V �c DATE: Ivea✓ le-, NAME: I- a,`p` ADDRESS: /4, L CITY, STATE, ZIP j�j ✓t{%�, C�a e �a4--2 0 RE: Water supply and sewage disposal inspection for property located at:le C r e Dear ir-f Lca s' �'/�E k �. u, G,,e—.e 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 (date) f0;��, lk j , this department conducted a site inspection of the above referenced property. The inspection was requested by L a,-r�,Y.a� for the purpose of evaluating the existing condition of the on -site wastewater disposal and water supply systems. A review of the County records indicates that: The sewage disposal system was permitted under Permit Number„, inspected and approved in accordance with County Individual Sewage Disposal ecru atioA visual inspection of the ground surface indicated that the sewage disposal system was apparently functioning satisfactorily at the time of inspection. There is no record or permit for the sewage disposal system at this locati n. A visua inspection \fai round surface indi ted that the se ge disposal system was ly fun tioning satis actorily at the t'me of inspe tion. Thire-exis ing, non -con rming sewage di posal syste and upoe or nee of repair, t e system mus be improved o compcurrent Co ty standard ks s e -, err-. �' �� `�SU c�. �l /� fi%(i/�C� �s �, icir'1 +0 /eA' � s v �. / / rlrti !'-Pjp r z ,., C 6.�. s .. c# cr a� sr Ca'OL`� � P S�S7�"^ t ✓ltl L�.iYr. ! 1 e 6� Z_ eLe ',t�z. a e64ttJ44. t C 4 tc l CtxL.Y' 0", T'41 / y LOAN INSPECTION REQUEST FORM LOCATION: l-O T �j5 3 (.CAL C rc L4k,'(r C/1 C, e /Lt �) 0jS PARCEL NO: O O PROPERTY OWNERS�I.i�vc 0 REQUESTOR: LAP-P- C LJE'jvU� CFi DATE RECEIVED: COPIES T0� *********************** ISDS PERMIT NO: T % NO ISDS RECORD FOUND: INSPECTION INFORMATION:�s�sf'd VISUAL INSPF CTI N OF PREMISES:+ DATE: // /! (, ��q NOT FEASIBLE DUE TO WEATHER CONDITIONS: &14 APPARENTLY FUNCTIONING SATISFACTORILY: �S NOT FUNCTIONING OR NOT EXPW7D TO FUNCTION SATISFACTORILY AS EVIDENCED BY: The water supply to this residence is from the Lake Creek Meadows Metropolitan District. A community water system. Thee 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. Resp full bm' ,„ Raymo P . Merry , S Envi nmental Health Off' er Dept. of Community eve opment xc: Files RJM/tmt u EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 November 16, 1989 Larry Berman 16 Lupine Ln. Avon, CO 81620 RE: Water supply and sewage disposal inspection for property located at: 0208 Eagle Crest Road, Edwards Colorado ISDS Permit No. 649 Lot 35, Block 6, Lake Creek Meadows Dear Sir: 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 November 16, 1989, this department conducted a site inspection of the above referenced property. The inspection was requested by Larry Berman for the purpose of evaluating the existing condition of the on -site wastewater disposal and water supply system. A review of the County records indicates that: The sewage disposal system was permitted under Permit Number 649, inspected and approved in accordance with County Individual sewage Disposal Regulations. The system consists of a 1250 gallon septic tank and 1000 square feet of absorption area. According to our records, this system was installed by Lawrence Chadwick and was inspected for cover on July 23, 1984. Board of County Commissioners Assessor Clerk and Recorder Sheriff P.O. Box 850 P.O. Box 449 Eagle, Colorado 81631 Eagle, Colorado 81631 P.O. Box 537 Eagle, Colorado 81631 P.O. Box 359 Eagle, Colorado Treasurer P.O. Box 479 81631 Eagle, Colorado 81631 PERCOLATION TEST OWNER: LJG h nAW r nka v%. ISDS PERMIT # 0 q 1- (78 R- PHSYSICAL ADDRESS: 20g a!aje 'rest Dr. k& ke C rr ek. LEGAL DESCRIPTION: L®fi 35 CiB l o Ck- (, Lake Creek Med&j MAILING ADDRESS: VQ- go 314,32 TYPE OF DWELLING: F K NUMBER OF BEDROOMS: TEST HOLES PRE-SOAKED: YES NO TIME WATER DEPTH SOIL INCHES OF FALL RATE PROFILE o o �, s c6 2 b17 1 .' J /s 20514 '67?,.5 112, 2,2 a.a2 41 ! 20 2 Z�, � - f3 �' jIT s' 61 �30 ,7 .23 . a37/ . � � oi`� `-� �� ; �' � e G �+,�• 7 j �� r °J ��i � ft � �j a',!� �' 'f � � t� �� g' 91 TIME TO DROP LAST INCH: PERC. RATE: MINIMUM LEACH FIELD SIZE: aMS-�INIMUM SEPTIC TANK SIZE: 1a YD g6�ry ;i i� lwwiriU.—oinw.U(AAA/ 'I // 7o � ENVIRONMENTAL HEALTH SPECIALIST DATE oho , ;,_ ISDS Permit # F 1 ! 0 Date �t �� 7� 2' ISDS Final Inspection Completeness Form Tank is IZ6� gal. Tank aterial Tank is located &YT, ft. and "LL degrees fromco—yp ��e- (permanent landmark) Tank is located ft. and degrees from (permanent landmark) G-� Tank set level. Tank lids within 8" of finished grade. Size of field ftz units lineal ft.' Technology <An 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. -fb y( Ia Vj I [��D f%tIl'✓GZ�L�1 /U I---- Soil interface raked. 16 I U 11 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..) Type of pipe.used for building sewer line leach field 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 Gulch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 1250 qoo PLkC A-a--UL::13 UM- qoo as _a-z_ EAGLE -COUNTY ENV. HEALTH P.O. BOX 179 EAGLE, CO 81631 PROLICT, 2?-'-' �q ":e Snears;205-1 iPaacea; �T Inc . Groton -: OLI. FREE 1-800-225.6380 JOB - SHEET NO. - CALCULATED BY CHECKED BY- -Q(I.Al r OF_ DATEDATE f c e r C zgt=d „ TO, ss• rg— 'L9r=� Src �' G6l �� OtS_g� LL"PI �2 0 fi (b i c(b mlv S SO O Qi (A cb IT, O i y \ U) Eb roQl N • Owl— Q 0 ' IN N QL ��� `Val -__= -- __ _ ��]► _ m ° /V 00 - • - z - a�S 4suiai+t e. D -- 07159 1 O m m m rr^^ m I In Ct 01 n J J � J m � f a m J Q, O �mmo� (b t en Jmm�Z) ,I nm j +n r y m O �ti.m rb IL m O J a rb O ) n 0 Cb 'f RS1L45.1 ',.. �M".u.'.. L`�.•:.k'i:.- F,k l.. is J+, .. .:..�, O r Q rl, I-