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HomeMy WebLinkAbout890 Eby Creek Rd - 193929401002INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT N® 0733 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner: Jan Zogg. Telephone: 926-3664 Address P.O. Box 627 - Edwards, CO 81632 System Location: Lot 218, Eby Creek Mesa — 0890 Eby Creek Road Licensed Installer: Bill Yeik License Number: - 011-86—I Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: 1 Inch in 10 Minutes Absorption area per bedroom 215 Sq. Ft. Number of Bedrooms 3 X 215 Sq. Ft. minimum requirement per bedroom - equals 645 Total Sq. Ft. minimum requirement Special Requirements: 1) Leach field must be at least 50' from the stream(Eby Creek. 2) Leach field must be at least 25' from the drainage ditch. 3) As built site plan J required. Date: Environmental Health Officer: 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, 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 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. 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 system is approved prior to covering any portion of the system. INSTALLED ABSORPTION OR DISPERSAL AREA: SQ. FT. " '1O° INSTALLED SEPTIC TANK: 1200 GALLONS; DEGREES; FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM: 1.) 9-Of- PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12'�OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES �O PROPER MATERIALS AND ASSEMBLY: YES — NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO COMMENTS:, Q o Coilt,(L d}.0 t — 4- 14 it ✓I A- IeA r 0 �_) - A Ili Ks by ; W - S i W � n &Z� mA Aj 6wmo, (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval) /0& ENVIRONMENTAL HEALTH OFFICER: DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Jan Zogg Name of Owner: Jan Zogg Amount Paid: $200.00 Receipt Number: 150A Date: 3 /o� 486 Cashier: _ Grail Par_kgr White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION: FOR I.`:DI''IDi:AL SE:WAGE DISPOSAL S'iS77-1 PF7'_"!T" ENVIRONMENTAL HEALTH OFFICE - EAGLE COUN11,11:' P.O. Boy: '250 Eagle, Colorado 81631 10. PER`fIT APPLICATION FEE: 8150.00 328-7311 PERCOLATION TEST FEE: 550.00 NXME OF 0[WNER: ADDRESS: NAME OF APPLICANT (if different frota owner): ADDRESS: DESIGN ENGINEER OF SYSTDT (if applicable): ADDRESS: PHO:;E: Ia6- - 3(1.(1-4( PHONE: PHONE: Plitt ivLv 1{L� ViYJ1UiL :: �; IidS LALLATION OF SYSTEM: Licensed Installer (see attached list): YES- ✓ NO ADDRESS: -0_ \J'� C)�cz�'Z_ PHONE: PERMIT APPLICATION IS FOR: (3/f New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: 0L1_CCL/i\LLLa11 EiQQre$$: Lot Size: Legal Description: BUILDING OR SERVICE TYPE (check applicable cateaorv): (cam- Residential - Single Family ( ) Residential Quadplex ( ) Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex NUMBER OF PERSONS: J WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal (✓r Automatic Washer ( ) Other E OF INDIVIDUAL =? AGE DISPOSAL SYSTE-1 PROPOSED: NUMBER OF BEDROOMS: '3 (X) Dwelling ( ) Transient Use ( ) Dishwasher ( ) Spa Tub (✓j 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 SYSTEH DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO (�) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO (+�) (I6 Yes, see attached was,tetvaten SQoty ,`cedUCt i.on me;'hods ) NOTE: The EnvLtowento-E Hea2t,'z 03'3'.iceA matt teduce the negUZted ab.so,,Lpti.on aAea upon app%cova.2 o5 an adequate was-iewate,,L 6Zozv nedue.tion plat. t SOURCE AND TYPE OF [WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier:��_,�� SIGNATURE: DATE: 31-.2 / 8 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent Gnaund Slope .2- y d7L, w Depth to Bedtoeh (pen 8' Pno6ZPe Hole) 5 Depth to Gtoundtva to t TabZ p SOIL PERCOLATION TEST RESULTS: zu,tEs pen..f.neh in Ho. e �l AVjiu tcs pen -inch to HoZe # 2 LV iki.t FLU_.tL .S PeAL ,i ACIL to f10te. # 3 FINAL DISPOSAL BY: ( �) Abso.,cptioil Tteneh, Bed on Pit ( ) Evapot'canspi,,LatZon ( ) Above Gnound D•i,Spvusae ( ) Sand F,itte-t ( ) Undengnound D-ispensaE ( ) Was.telvatcn Pond Amount Paid: ,aa Recei,ot NLwibe.`c 1`�,t Data: /ay%, NOTE: Site Plan must be attached to'application. (Env. Health Department - Rev. 4-07-83) W EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 April 1, 1986 Jan and Deborah Zogg P.O. Box 627 Edwards, CO 81632 RE: Lot 218 — Eby Creek Mesa Dear Jan and Deborah: This letter is in response to.my recent site inspection and percolation test. The average percolation rate for the proposed leach field site is ten minutes per inch. This rate can be used by the Registered Professional Engineer who designs the sewage disposal system or the engineer can perform his own percolation test. State and County regulations prohibit the issuance of a building permit until an individual sewage disposal permit is granted by this office. Therefore, we are "holding" your building permit application until an acceptable engineer design and site plan is submitted. In addition, the "Final Plat" for Eby Creek Mesa requires certification from a registered professional engineer that the lowest habitable floor is 25 feet from the 100 year floodplain contour, as recommended in the drainage study. If you or your engineer have any questions concerning these requirements, do not hesitate to call me or Mike Mollica. Regards, Sid Fox Asst. Environmental Health Officer EAGLE COUNTY ,,OQU�NTTY� _ SF/gp N o c . �M�j`^' _ -,_ b `� � cua.c crc� cc: Building File Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer -P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: November 7, 1986 Jan Zogg P.O. Box 627 Edwards, CO 81632 RE: Final of ISDS Permit # 733 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. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Office, P.O. Box 179, Eagle, Colorado 81631. Phone: (303) 328-7311, Ext. 227. Sincerely, Eagle County Community Development Environmental Health Office /9p Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 10 PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. OWNER: -jar, ZC�C�G LEGAL DESCRIPTION: RURAL ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: a-,4 TEST HOLES PRE-SOAKED: YES x NO cam. �occ pG f�� TIME WATER DEPTH HES OF FALL PERCOLATION RATE: l6 m P1 RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: GC15- RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: �S SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environments Health Officer Date COMMENTS: C\A. t dAa(�9-a / /u�z-1� Rev. 5/31/84 5•_( �'_sf ty- ld -f(. 0733 Zogg Lot 218 Eby Creek JOB NA Mesa 0890 Eby Creek Rd JOB NO,. OB LOCATIC BILL TO DATE STARTED DATE COMPLETED n z Of hp zs 7 PERMIT #733 OWNER: Jan Zogg LOCATION: 0890 Eby Creek Rd. - Lot 218 Eby Creek Sub. INSTALLER: Bill Yeik SIZE OF TANK: 1000 gl. DWELLING: Res. dingle Fam. - 3 bedroom PERC RATE: 1 inch in 10 minutes ABSORPTION AREA: 200 ft trench FINALIZED: 10/86 BY: Sid Fox • DATE BILLED 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 .DER Printed in U.S.A. co Q GMN N co O J