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HomeMy WebLinkAbout2546 Salt Creek Rd - 210730100009EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE, -CALL —FOR FINAL P. 0. Box 850 - 550 Broadway Eagle, Colorado 81631 PERMIT MUST BE POSTED I INSPECTION BEFORE COVERING AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM, 328-7311 or 949-5257 or 927-3823 PERMIT NO. rrg7orf;/C'ar!?:en P;u0el 1090 Juniper Avenue - Boulder, CO OWNER: ADDRESS: SYSTEM LOCATION: 2546 Sralt Creek Road LICENSED INSTALLER: Owner LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 750 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: one inch in 5 minutes. Absorption Area per Bedroom 400 sq. ft. No. of Bedrooms I x 400 sq. ft. minimum requirement per bedroom = 401? total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: DATE: 5/17/83 INSPECTOR: i'ichard Pvlman **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: 7 gallons degrees: _-d�tn ,_. i. Design Engineer of System: Installer of System: Phone: Septic tank cleanout to within 12" of fi 1 grade 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 requi ements? Yes No COMMENTS: (Anv item checked "No" requires correction hefnre I -%al Annrmkal nfQapm is Marla APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 Eagle, Colorado 81631 No. OaO PERMIT APPLICATION FEE: $150.00 328-7311 PERCOLATION TEST FEE: $50.00 NAME OF OWNER: r P t O I.— i, 1 a 11 t, ."/ Cat J, wa P t, ADDRESS: 10 yC' .%..,:^�,�• 4r 11 L� /SntoIle,H PHONE: NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: �pV" h 6 1�- 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: 5a / ChPC ten/ �S`i� Lot Size: ja rrr Legal Description: � -)"-A I 2 y -- IAI - 71 BUILDING OR SERVICE TYPE (check applicable category): Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex rti NTTMRF.R np PF.RgnNG - WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal ( ) Automatic Washer ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: (Q-) Septic Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other ( ) Residential - Quadplex ( ) Commercial (state usage) NUMBER OF BEDROOMS: (� ') Dwelling ( ) Transient Use ( ) Dishwasher ( ) Spa Tub r ( ) Incineration Toilet ( ) Chemical Toilet ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (L IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES NO ( ) ( I � Ye,s , see attached wastewatetc 4tow tceduc Lion methods) NOTE: The EnviAonmentat Heath 04{icen may tzeduce the tLequiAed ab'5otcpt%.on Cftea upon app,,Lovat o4 an adequate wastewatetc. 4tow tc.eduction plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( i) Spring Give depth of all wells within 200 feet of system: " Qti)e If supplied by community water, give name of supplier: 'h 0,0( ( ) Creek/Stream SIGNATURE: 42L� DATE: ! 3 _2; � 3 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT Tay ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: Petccent Gtc.ound Stope Depth to Bedno ck (pe/t 8' Pno 4ite Hole) Depth to Gltoundwatetc Table SOIL PERCOLATION TEST RESULTS: .cnute/s pets inch in Hote #1 Minute,s puL inch to Hote # 2 Minutes pen inch to Hote #3 FINAL DISPOSAL By: ( ) Absotcpt%on Ttr.ench, Bed otc Pit ( ) Above GAound Di/spetzat ( ) Undetcgtzound DZspeua2 ( ) OtheA ( ) EvapotAampiAation ( ) Sand FiP-teA ( ) Wa/stavateA Pond Amount Paid: ;�0 © -O a Receipt Numbelt A"-5 Date: 5^13 _8 S NOTE: Site Plan must be attached to application. (Env. Health Department - Rev. 4-07-83) !" EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 December 19, 1985 Greg Kunkel 1090 Juniper Boulder, CO 80302 RE: Loan Inspection for property located at 2546 Salt Creek Road Dear Mr. Kunkel: All water and sewage disposal system loan inspections are done under the authority of the Eagle County Building Regulations, Section 10, sub -paragraph 3-A, adopted by the Eagle County Commissioners, September 20, 1982. An onsite inspection of the sewage disposal system on December 18, 1985 revealed that the system is functioning properly with no apparent problems. This system was installed and approved under ISDS Permit #618 on October 31, 1983. Water is supplied by a spring. If sampling of water is required, please contact this office. If you have any questions regarding this inspection, please call. Sincerely yours, �5� Sid Fox Asst. Environmental Health Officer EAGLE COUNTY Clerk and Recorder Sheriff P.O. Box 537 P.O. Box 359 Eagle, Colorado 81631 Eagle, Colorado 81631 Treasurer P.O. Box 479 Eagle, Colorado 81631 EAGLE COUNTY memorandum To: Subject~. Mr. .Gregory Kunkel ISDS PERMIT #618 From: File No.: Date: Environmental Health Office November 1, 1983 This is to inform you that your ISDS Permit #618 has been finalized and signed off by Richard Pylman on October 31, 1983. I am enclosing a copy of this permit for your records. - Lorraine Funke, Secretary Environmental Health Eagle County 'a /if Enc. Ak LOAN INSPECTION FORM LOCATION: R.EQUESTOR:_2a1"J_�n.% OLD --'IV,3 — 99c?-,3 �7QI --)7 COPIES TO: BILL TO: ISDS PERMIT 1 tp/g INSPECTION INFORMATION: at INSPECTION DONE BY: �` l �-�K DATE: BEAGLE QOUNTY memorandum To: Subject: Mr. Gregory Kunkel ENCLOSED ISDS PERMIT #618 From: File No.: Date:' Environmental Health Office May 20, 1983 ALI Enclosed is your ISDS Permit #618 for property located on 2546 Salt Creek Road. The information on the permit application indicates that the system will be owner installed. Therefore, you will be responsible for the installation of the system. This green copy of the ISDS Permit must be posted on call our office for final inspection before covering system. We can be reached at 328-7311, ext. 238. If you have any questions, please contact our office. /if Enc. the installation site. You must any portion of the installed -- Lorraine Funke, Secretary Environmental Health Office Eagle County PERCOLATION TEST FEE: S5n I.S.D.S. APP. OWNER: �ri� L-- V-1iJZ- LEGAL DESCRIPTION: RURAL ADDRESS: TYPE OF D1.4ELLING: ��h� v���v �- 4 OF BEDROf1MS: DATE OF PERCOLATION TEST: TEST HOLES PRESOAKED? Yes No TYPE OF SOIL: TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 19=00 , yC, r-j:a-V ily-,-�- _.- - ka ro i PIT N PERCOLATION RATE: 5m�� RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: 41xi> RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed and tested f p rcolation rate. 1,71�;� Date Environmenta -Health Officer COMMENTS: I\V V I L I V nl'1 EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE e Date Routed % 't �3 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 - Subdivision Regulatio Zoning Regulatio Recommend Approv 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 REVIEWED BY DATE 'l COMMENTS: ENVIRONMENTAL HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Recommend Approval: YES NO REVIEWED BY DATE VY COMMENTS: JOB NAME: - 0618 Kunkle0C) 2546 Salt Creek Road - 6"L10 S►-JjOV ^I C JOB 1� O� inn i nrWnnN BILL TO DATE STARTED DATE COMPLETED DATE BILLED y-�- 2b OrG JOB COST SUMMARY A s ',4 002 CG�t &e�k RATOTAL SELLING PRICE TOTAL MATERIAL ' 1090 Juniper Avenue PERMIT #618 Boulder, CO 80302 OWNER: �,YPjn �Tf7atnC I�1�P� 2546 Salt Creek Road - Gypsum, CO LOCATION:k 2546 Salt Creek Road -6..66 acres b,6CO, INSTALLER: Owner SIZE OF TANK: 750 gallons - degrees 200 - 10 feet DWELLING: Single Family - one bedroom PERC RATE: one inch/5 minutes - 400 sq.ft. leach fielc Finalized: 10/31/83 Rv: Rirhard PV1MAn .JOB FOLDER Product 278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FC I M fi 9' A DSO" a ;L D . ,+ r � b�c�ty�,�• ❑* ��5�1� COnfov►S M0� �►erh _ v b N. 8 I 6 ` ✓ 5► te' p IQn G t C K,,„ /Cel 3 I— •. V.; t A?.