HomeMy WebLinkAbout47 Lake Creek Rd - 210505300005INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, CO 81631 Telephone: (970) 328-8755 COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 2156-01 BP NO. 12502 OWNER: ARDYTH AMIE CALHOUN PHONE: 970-926-3876 MAILING ADDRESS: P.O. BOX 404, EDWARDS, CO 81632 APPLICANT: BERT CALHOUN PHONE: 970-926-3876 SYSTEM LOCATION: 0057 LAKE CREEK RD., EDWARDS, CO TAX PARCEL NO. 2105-053-00-005 LICENSED INSTALLER: LAZY RANCH, BERT CALHOUN LICENSE NO. 70-01 PHONE: 970-926-3876 DESIGN ENGINEER: PHONE NO. INSTALLATION HEREBY GRANTED FOR THE FOLLOWING: MINIMUM REQUIREMENTS FOR A 2 BEDROOM RESIDENCE 1000 GALLON SEPTIC TANK, 562 SQUARE FEET OF ABSORPTION AREA CREDIT, VIA_18 INFILTRATOR UNITS AS REQUESTED BY INSTALLER. SPECIAL REQUIREMENTS: INSTALL IN SERIAL DISTRIBUTION IN TRENCHES, WITH A CLEANOUT BETWEEN THE TANK AND THE HOUSE, AND IN- SPECTION PORTALS IN EACH TRENCH. RAKE ALL TRENCH SURFACES TO PREVENT THE SMEARING OF SOILS. AND DO NOT INSTALL IN WET WEATHER. BE SURE TO MAINTAIN ALL APPLICABLE SET BACK REQUIREMENTS, AND DO NOT BACK FILL WITH ANY ROCKS LARGER THAN 8 INCHES IN DIAMETER. CALL EAGLE COUNTY ENVIRONMENTAL HEALTH FOR FINAL INSPECTION PRIOR TO BACK FILLING ANY PART OF THE INSTALLATION, OR WITH ANY QUESTIONS REGARDING THE INSTALLATION. THE BUILDING CERTIFICATE OF OCCUPANCY WILL NOT BE ISSUED UNTIL THE SEPTIC SYSTEM HAS BEEN INSPECTED AND APPROVED. ENVIRONMENTAL HEALTH APPROVAL: WILLIAM CARLSON DATE: NOVEMBER 19, 2001 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 WILL RESULT IN 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: 558 SQUARE FEET (VIA 18 INFILTRATOR UNITS IN THREE TRENCHES ) INSTALLED PLASTIC SEPTIC TANK: 1000 GALLONS IS LOCATED 335 DEGREES AND 16 FEET 6 INCHES FROM THE INSPECTION PORTAL IN THE FIRST TRENCH OF THE LEACH FIELD COMMENTS: THE FINAL INSPECTION WAS DONE BY VICTOR CROCCO OF EAGLE COUNTY ENVIRONMENTAL HEALTH ON DECEMBER 9, 2002. THIS SYSTEM IS LARGE ENOUGH FOR A TWO BEDROOM RESIDENCE. 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: MARCH 11, 2003 Incomplete Applications Will NOT Be Accepted (Ste- Plan MUST be attached) ISDS Permit # Building Permit # ,_) � APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 -� Eagle (970)328-8755, Fax (970)328-0349, E1 Jebel (970)927-3823 * FEE SCHEDULE * APPLICATION FEE $350.00 *. THIS FEE INCLUDES THE ISDS PERMIT, SITE EVALUATION (PERCOLATION TEST, * SOIL PROFILE OBSERVATION) AND FINAL INSPECTION * ADDITIONAL FEES MAY BE CHARGED IF A REINSPECTION IS NECESSARY, OR A * PRE -CONSTRUCTION SITE VISIT OR CONSULTATION IS NEEDED * REINSPECTION FEE $47.001 PRE -CONSTRUCTION SITE VISIT FEE $85.00 * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" PROPERTY OWNER: c' Ca v �, re � \� - t.N_ MAILING ADDRESS: ��� � PHONE APPLICANT/CONTACT PERSON: � h— %-� �i PHONE: CI1-,6 5V76 _LICENSED SYSTEMS CONTRACTOR: \ ® PHONE: 9 X 6 '3% 713 COMPANY/DBA.: ADDRESS: QC)� _s:�`7 t—a ke er-r. Q_ C Rr� o17 '** �1 iS8 PERMIT APPLICATION IS.FOR: K NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Legal Description: Tax Parcel Number: I OSLf&MOO, i Lot Size: t6b C20- _C_ M Physical Address: BUILDING TYPE: (Check applicable category) X) Residential/Single Family Number of Bedrooms. ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type *These systems require design by a Registered Professional.Engineer TYPE OF WATER SUPPLY: (Check applicable category) (�l Well ( ) Spring ( ) Surface ( ) Public Name oof� Supplier: APPLICANT SIGNATURE: Date: AMOUNT PAID: ;`)7 RECEIPT # # O 414 DATE: O CHECK #: CASHIER: ISDS PERMIT # PERCOLATION TEST .OWNER:. 61 -PHSYSICAL ADDRESS: LEGAL DESCRIPTION: MAILING ADDRESS: TYPE OF DWELLING: a o° NUMBER OF BEDROOMS: 4 TEST HOLES PRE-SOAKED: YES NO SOIL TIME WATER DEPTH INCHES OF FALL RATE PROFILE 2 7 ! 2 --I-) n, . 4 `/o 1 Q► ©s��, TIME TO DROP LAST INCH; PERC RATE: / "' ^1 4 MINIMUM LEACH FIELD SIZE: MINIMUM SEPTIC TANK SIZE: Off // /e -o'er ENVIRONMENTAL HEALTH SPECIALIST DATE 7 ISDS Permit # "� b (? ! Da.te�� IBM Final ngoectioa l 2 _ 07_ 0 " C�lettertase Dorm _ V_' Tank is ,� 0= gal - TaI I.nk Material 4 O P �? ""I s vi � � Tanit is Located � ft. and KIS degrees f Tank is located ft. and degrees f Tank set level. �e� Tank lids within SO of finished grade. Size of field t' units_ lineal ft. Technology eS Cleanout is installed in between tank and house(+ 1/1OOft). qeS There is a "T" that goes down, 14 inches in the inlet and outlet of the tank: 4e,tar-.tape,, x_ Inet.and outlet is sealed with tar -.tape,, gasket etc. PC( —I �(e S -bag tv=:ccfmpartments with the.,-•jajeger.;cgmpaxtment closest to 'T-- house . . _ . ... .. - `! Sov' Maaeura dt.staace and relative direr-42,Qa- to:-� el-d. . Depth of field. ft. eS Soil interface raked. Iaspe portals ortals at the.end of each trench.. _ Proper distance to setbacks_ �e Chambers properly installed as per manufacturer$ specifications. (Chambers latched, end plates properly installed, rocks removed from trenches, are . } S ).) ,I. 3S s d e— j 4o Type of pipe used for building sewer Line s.. f.° V G Teach field r Jors Other Inspection meets aMirements. Copy form to installer's file if reeomendatims for improvement were suggested. ACTION TAKEN: N D �L - U ti 1 r � � � C u •„ � ( M, o v e � � � sit e �-=� Sc� ,-� � � c des i�Ncc Spae�r� setbacks well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field LOD 25 20 10 50 25 10 10 Tank 50 10 5 1D 50 10 10 P.O. BOX 179 EAGLE, CO 81631 JOB_ /soy-zls6-ol SHEET NO - CALCULATED BY-L /� r 0 C e OO DATE CHECKED BY �/ C✓ o C CV DATE �S c� PRODUGI2a I (Singh Sheets) 245-I IFAM14 ®®,M., fiola, Muz. 0147). To D,* PHONE TOLL FREE 1-800 ZZ54389 2156-01 Tax #2105-053-00-005 JOB NAME- 0057 Lake Creek Rd. CALHOUN Edwards y JOB LOCATION O �% /} ko— C' C` E c-- BILL TO DATE STARTED I DATE COMPLETED I DATE BILLED JOB NOA P��� _fin 'I a.li1L n-l-'I' x1, 7 tj �K, ji Ci C✓JT-`l t? GI r \ I k v � ti ,jS 1�. (� � c u w � � � �,.� JOB COST SUMMARY ,A^A « � ���`� � � � i,i � TOTAL SELLING PRICE TOTAL MATERIAL d O � L o :� � A ti �. - Uj A � � Qe TOTAL LABOR 1 eC- INSURANCE 1 c, c t 0w n+ e S b ,2 a w(I o r:� SALES TAX MISC. COSTS 7 Cl C c �n v� C� C� C. — - �`' Cj U " li v C_ .k I G . �@ v Gt_ /� TOTAL JOB COST AlT1G ,�41'Ii.fi fcr�� f (Jl0 rL1Z�11�T� GROSS PROFIT 10 01 �14� ' lO�lS�6Qj'� CA (Lov r1 �e.e. ..•.reurwn l.ACTC I 90Ac-/ Cud\,,o ) N 2 Bed in USA