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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 TIME Wnmry nppmu TMWVC nV Vrrr 15nrt+c 1 2 3 1 2 3 1 2 3 1 2 ../V1L rl\Vr 1L 0' �� ► ►.,. iI c� ,�� �. �.a;� l S 13 �-{ 31 51 16' k9�LD LID Li I ' i'2 r u ?� 'G ��� � (� 5� �. � �i 5 � - 5 Co � � �3 �� r� o r , ,hrxn a44 C A—l.A L (` Time to drop last inch llv J PERC RATE : i MINIMUM SEPTIC TAN�C SIZE ,?, r�Cl, ',_t v MINIMUM LEACH FIELD SIZE: COMMENTS: /us �,wo � -1 _ / 1 I I' �l 9 Idam PERC TEST DONE BY: DATE: y/ Environmental Health Officer U L-)_tCt 3t)tCA- rev. 6/90ks �- x .f2 , 7 Ew 11 ko< Ftj rd r-e- Lco�- Ms 02 e , c ,,t Ale r e,,( Li.. r Y& I ',4ee*o'