HomeMy WebLinkAbout1400 Eby Creek Rd - 193929101004INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N® 0764
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:
Bill Yeik
Address: 1400 Eby Creek Road
Telephone: 328-6641
System Location: 1400 Eby Creek Road, Eby Creek Mesa
Licensed Installer: Self License Number:
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: One Inch in 5 Minutes
Absorption area per bedroom Sq. Ft.
Number of Bedrooms 3 X 200 Sq. Ft. minimum requirement per bedroom -
equals 600 Total Sq. Ft. minimum requirement
Special Requirements:
--
Date: Y ' Z' 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.
INSTALLED SEPTIC TANK: I WO GALLONS; IeO A DEGREES; FEET
DESIGN ENGINEER OF
INSTALLER OF SYSTEM: 611 / l � 16-
PHONE: -:30 _ ( 41
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR
AERATED ACCESS PORTS ABOVE GRADE: OW YES NO
PROPER MATERIALS AND ASSEMBLY: YES l' NO
COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO
COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES NO
COMMENTS: Hole #2 compacted from truck traffic, Bldg. Permit #2976
(Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when
work is completed.) ����,��,
DATE (Final Approval)=ENVIRONMENTAL HEALTH OFFICER:
DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER:
RETAIN WITH RECEIPT RECORDS PERMIT
I Name of Applicant: Bill Yei k
Amount Paid: 200.00 Receipt Number:
Check #
Name of Owner
Same
2249 Date: 8/ 14/86 Cashier: E . Huen i nk
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APPT T_CAT' FOR r"-I': T^ AL Sr'�:\G' Dic?r'S:�L ':5 -7
E:A'IRON`ENTAL 1:EALT11 OFFICE - EAGLE CCU:=
.; P.U. Box 350 3CJ�
r� Esn"le, Colorado 81631 No.
i PERMIT APPLICATION' FEE: S150.00 328-7317 PERCOL\TION TEST F77: S50.00
NA.`fE OF 01%TNER:
ADDRESS:
f-
NAME OF APPLICANT (if different frois owner):
ADDRESS:
DESIGN ENGINEER OF SYSTE.`i (if applicable):
ADDRESS:
IZxS ,*LLATION OF SYSTE:•i:
Licensed Installer ,(-see attached list)--
PHONE: _12.2._.
PHO`iE :
PM'TE :
_ YES /i NO
ADDRESS:
- PHONE:
PERMIT APPLICATION IS FOR: NA New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED IJ:DIVIDUAL SEWAGE DISPOSAL SYSTE:-i:
Street/Rural Address:
Lot Size: %
Legal Description:
BUILDING OR SERVICE TYPE (check aDolicable cate^_orv)-
Residential - Single Family
( ) Residential - DuD1es
( ) Residential - Tr_plex
NUMBER OF PERSONS:
WASTE TYPES (check aDolicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
( ) Garbage Disposal
Automatic Washer
Other
=7 OF IND-IVIDUA-L SL77AGE DISPOSAL SYSTEM -PROPOSED:
(� Septic Tank ( ) Composting Toilet
( ) Vault Privy ( ) Greywater
( ) Pit Privy ( ) Aeration Plant
( ) .Other
( ) Residential QuadDlex'
( ) Co.,-:ercial (state usage)
NL:[BER OF BEDROOMS: 3
Dwelling
( ) Transient Use
( ) Dishwasher
( ) Spa Tub
( ) Incineration Toilet
( ) Chemical Toilet
( ) Recycling, Potable Use
( ) Recycling, Other Use
WILL EFFLUENT BEDISC:IARGED DIRECTLY INTO ?PATERS OF THE STATE:
YES
( )
NO (�Z
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PEP DAY:
YES
NO (� )
WASTEidATER FLOW REDUCTION PLAN:
YES
( )
NO ( )
(I S Yi ,s , see attached tazstelaz tot Stew ,`LedUl- tc:on methods )
NOTE: The EnvZto;unenta.r-_' Heal' uL O "icc t matt reduce the-`ceoeu,.ed
ab.s o tptc on a Lea Upon
'- app,tovaZ os an adeGua'Le =Stexat , 6Zcty rLeduc_tCon
p,Ea;z.
SOURCE AND TYPE OF 1,7ATER SUPPLY:` We11 ( ) Spring
(
) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied by community water, give name of supplier:
SIGNATUREC- -` ---- ,h------------- --DATE: �-- u&
�'----------
INFORMATION BELOW TO BEIFILLED OUT BY ENVIRON,'fENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent G,`Lou►zd Slope T-C_
Deptrt to Bedzoeh (pert 8' P'Lo S� ee Hole)
Depth to Grcounckcte'c Tab?-e
SOIL PERCOLATION TEST RESULTS:. MiaU,tcs pelt .cnca in HoTe n1
A[i;iU,te,b pelt inch to Hobe #2
�i. LU.te s pe%,. Lick to Hot e 43
FINAL DISPOSAL BY: -
( ) Abso.,LptZoA Ttench, Bed o-t Pit ( ) Evapot'La►zsPiAcrtion
( ) Above GtcUnd DZspe,'Usa2 ( ) Sa;zd F, Uc.t
( ) UndeLgrtoulzd Dispema.E ( ) Was tcica.te,c Pond
Amount Pacd: Receipt Ntu;ibe-'c „200 Date.:
- - - - - - - - - - - - - - - - - - - - - 06 - - - - - - - - - - - - - - - -
NOTE: Site Plan must be attached to -application.
(Env. Health Departrnent - Rev. 4-07-83)
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
Date: November 7, 1986
Bill Yeik
1400 Eby Creek Road
Eagle, Colorado 81631
RE: Final of ISDS Permit # 764
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
/gp
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
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $50.00 ISDS APPLICATION NO. 3071
OWNER:
LEGAL DESCRIPTION: LOT CA—
RURAL ADDRESS:
c
TYPE OF DWELLING: NUMBER OF BEDROOMS:_
DATE OF PERCOLATION TEST: q ./ TYPE OF SOIL:
TEST HOLES PRE-SOAKED: YES ✓ NO ram'
WATER DEPTH
INCHES OF FALL
PERCOLATION RATE:
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE:
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environmental —Health Officer 1Date
COMMEUTS : �-1 _ ( � c iI//ff ✓� l i`l u�°/�
7� 11.
�
Rev. 5/31/84
0764 Yiek 1400 Eby Creek Rd
.JOB NAME JOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
PERMIT #764
.+►�-
OWNER: Bill Yei k
LOCATION: 1400 Eby Creek Rd. /
INSTALLER: Owner
''-
SIZE OF TANK: 1000 gl.
DWELLING: Res. Single Fam. - 3 bedroom
�.+
PERC RATE: 1 inch in 5 minutes
ABOSRPTION AREA: 800 s.f-
FINALICED: 08/22/86 BY: Sid Fox
JOB FOLDER Product. 2 _._ A
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