HomeMy WebLinkAbout2000 Spring Creek Rd - 211115301003EAGLE�1)UNTY DEPARTMENT OF ENVIRONI,, VTAL HEALTH
Box 850 >8"333 6th & Broadway
Eagle, Colorado 81631
PERMIT O �93 (this does not constitute
• a building or use permit)
Owner Judv White Applicant: Gerry Best for Judy White
System Location 1800 Spring Creek Road - Tract 85, T 5 S, R. 85 W, 6th P.M. - Gypsum
Licensed C%RM4 Installer: Owner will be responsible for installation of system by
Gerald E. Best
* Conditional Construction approval is hereby granted for a gallon
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in est. 10 minutes sq. ft.
absorption area per bedroom
# of bedrooms
May we suggest
x sq. ft. minimum requirement
Date April 8, 1981 Inspector
FINAL APPROVAL OF SYSTEM:
Erik W. Edeen
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly. INSTALLED:
Adequate absorption (or dispersal) area. + 800 gallon homemade septic tank
480 sq. ft. leach field (12'x40')
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date May 29. 1980 Inspector Erik Edeen inspected and approved
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.
3.28 3. Section III, SM requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
hnth_
328-7311
949-5257
927-3823
PERMIT FEE = $75
ENVIRONMENTAL HEALTH
BOX 850
EAGLE, COLORADO 81631
PERCOLATION TEST FEE = $50
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
NO. Z % f
NAME OF OWNER: �p�2
ADDRESS:�_S__oe PHONE: -
NAME OF APPLICANT ( IF DIFFERENT
FROM OWNER) :
ADDRESS: ,� bd,�, �, ( G p� C�e PHONE 17 70 /
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE):
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: ��� ��/ ,1 X�f�
ADDRESS: cVao,:� �.4 UAe� &oe'�_. �a Q�.M.Ui��„ PHONE:
PERMIT APPLICATION IS FOR: ( New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County �,r ¢- Lot Size o3S
City or Town, if within City or Town Limits
LEGAL DESCRIPTION: T11r�� �S" �� , , !2 9S-0- (� ek
STREET (RURAL) ADDRESS:
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( ) Yes (t No
BUILDING ERViCE TYPE: (Check applicable category)
( Residential - Single-family dwelling ( ) Residential - Triplex
( ) Residential - Duplex ( ) Residential - Quadplex
( ) Commercial - State usage
# Persons j
# Bedrooms
WASTE TYPES: (Check all applicable)
( ) Commercial or Institutional., ( Dwelling ( ) Garbage Grinder
( ) Non -domestic wastes ( ) Transient Use ( ) Dishwasher
( ) Other ( L—A-Utomatic Washer
SOURCE AND TYPE OF WATER SUPPLY: ( Well ( ) Spring ( ) Creek or Stream
/ So
Give depth of all wells within feet of the system:
If supplied by community water, give name of supplier;,
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( t)----Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
( ) Greyltiater ( ) Other
WILL EFFLUENT.BE DISCHARGED DIRECTLY IN/TO WATERS OF THE STATE?
Signature
( ) Yes ( No
Date
INFORMATION BELOW
TO BE FILLED OUT BY ENVIRONMENTAL HEALTH
OFFICER
GROUND CONDITIONS:
Percent Ground Slope: 2- -- c,,, 4;70
Depth to Bedrock (per 8' Profile Hole):
Depth
to Groundwat
e:
SOIL PERCOLATION TEST RESULTS: row ZO /"7/0 Z- Minutes per
inch
in Hole No. 1
7JOG 14�
`S
Minutes per
inch
in Hole No. 2
itAA
M'
Minutes per
inch
in Hole No. 3��
FINAL DISPOSAL BY.
( X ) Absorption Trench, Bed or. Pit
( )
Evapotranspiration
( ) Above Ground Dispersal
( )
Sand Filter
( ) Underground Dispersal
( )
'Wastewater Pond
( ) Other
493-80 TxPrcl#�/-/(l -/S 5-01-O" J
Tract 85 T5S R85W 6th P.M.
'JOB NAME _ 18949 Spring Creek Road c � � f a � JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
R-)L
)Ae
1#
2--11-i- 1,-00�'
JOB COST SUMMARY
�iF T�i
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABORI----
PERMIT #493
OWNER: Judy White
LOCATION: 1800 Spring Creek Road (Cooley Mesa)
INSTALLER: Owner
SIZE OF TANK: 800 gallons homemade septic tank
DWELLING: Residential - 2 bedrooms
PERC RATE: one inch/10 minutes
480 sq.ft. of leach field (12' x 40')
JOB FOLDER Product 278 �@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB I —
'Finalized: 5-29=80 By: Erik Edeen
10
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631
Telephone: 328-8755
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1328
Please call for final inspection before covering any portion of installed system.
OWNER: R.G. & Eileen Jacobs PHONE: 524-7629
MAILINGADDRESS: 2000 Spring Creek Rd. , City: Gypsum state: CO zip: 81637
APPLICANT: Same PHONE:
SYSTEMLOCATION: 2000 Spring Creek Rd TAX PARCEL NUMBER: 2111-153-01-003
LICENSED INSTALLER: Terry Davis LICENSE NO:
DESIGN ENGINEER OF SYSTEM:
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
1 OOO GALLON SEPTIC TANK
ABSORPTION AREA REQUIREMENTS:
5 6 3 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS:
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: 2925 SQUARE FEET.
INSTALLED SEPTIC TANK: 1250 GALLON 7 DEGREES 59 FEET FROM NW Cn rn e r Of WPg t s; d p o f 1, cn,g p
SEPTIC TANK ACCESS TO WITHIN 8" OF FINAL GRADE AND
PROPER MATERIAL AND ASSEMBLY X YES NO
COMPLIANCE WITH COUNTY / 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: DATE: U G
ENVIRONMENTAL HEALTH APPROV DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT / AGENT:
OWNER:
PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK #
ISDS Permit # %'39g
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 $200.01
**************************************************************************
PROPERTY OWNER: A (7 0-0
MAILING ADDRESS: CC=c= �11_'ihA U'F
APPLICANT/CONTACT PERSON: Z6 a✓ lE'2—, c% CU' /; PHONE •
LICENSED SYSTEMS CONTRACTOR: CU(2,
r
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: (),) NEW INSTALLATION ( ) ALTERATION ( ) REPAIF
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Legal Description: QC�r'C( c�C�l�rS�r ��p e X 0-
Parcel Number: ����j �j�%j Lot size:_/N5, lz3 aC,
Physical Address: JY",2 c,-ecle
BUILDING TYPE: (Check applicable category)
(X) Residential / Single Family Number of Bedrooms
( ) Residential / Multi -Family* Number of Bedrooms
( ) Commercial / Industrial* Type
TYPE OF WATER SUPPLY:
Well(X) Spring ( ) Surface ( )
Public ( ) Name of Supplier:
*These systems require design by a Registered Professional Engineer
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
SIGNATURE • �'� �7�✓ -
DATE:
******************************** ************
AMOUNT PAID: D G : U L) RECEIPT# �� �7 ( (� DATE:
CHECK # 1 CASHIER:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303)328-8730
EAGLE COUNTY, COLORADO
October 4, 1994
R.G. and Eileen Jacobs
2000 Spring Creek Road
Avon, CO 81620
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
RE: Final of ISDS Permit No. 1328-94 Parcel # 2111-153-01-003,
Property located at: 2000 Spring Creek Road, Gypsum
Dear Mr. Jacobs,
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,
�f
Jeff Fedrizzi
Environmental Health Specialist
ENCL: Information Brochure
Final ISDS Permit
enclosures
COMMUNITY DEVLOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX: (303) 328-7185
DATE:April 7, 1994
RG & Eileen Jacobs parcel #2111-153-01-003
2000 Spring Creek Rd., Gypsum
Dear I.S.D.S. Applicant:
Your application for an Individual Sewage Disposal System
(ISDS) Permit for #1328-94 has been received.
Issuance of your permit is on hold until the following
materials or fee(s) are submitted.
Payment of $150.00 Application Fee
Payment of $200.00 Percolation Test Fee
Site Plan
X Licensed System Contractor (See attached list)
Engineer Design
X Other:Percolation test results
Please keep in mind that an incomplete ISDS permit
application will result in delaying issuance of any corresponding
building permits.
If you have any questions please contact Tania Busch -Weak
at, 328-8755. When calling or submitting information please
reference your ISDS application #1328-94.
Please submit information to: ^ /�
Eagle County
Environmental Health Division
P.O. Box 179
500 Broadway
Eagle, CO 81631
ISDS PERMIT -2 � al _8
I(
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
r
OWNER: 1 Cam.
LEGAL DESCRIPTION:I)
MAILING ADDRESS:_��� o
TYPE OF DWELLING: fz"s - NUMBER OF BEDROOMS
TEST HOLES PRE-SOAKED: YES NO
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PERC RATE : i MINIMUM SEPTIC TAN�C SIZE
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MINIMUM LEACH FIELD SIZE:
COMMENTS:
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PERC TEST DONE BY:
DATE: y/
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