HomeMy WebLinkAbout1394 Eby Creek Rd - 193929201007INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Eagle County Department of Environmental Health PERMIT N® 0765
P.O. Box 850 - 550 Broadway
*** R E P A I R P E R M I T *E&gl(?Colorado 81631 ** R E P A I R P E R M I T
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: Margaret Bumgardner Telephone: 3 2 8 - 6 6 2 7
Address: P.O. Box 142 Eagle, CO 81631
System Location: 1385 Eby Creek Road - F a_g l e, CO
Licensed Installer: W.Y. Construction License Number: - 011-86- I
Conditional installation approval is hereby granted for the following:
Minimum requirements: N f A 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 2 X 215 Sq. Ft. minimum requirement per bedroom -
equals 645 Total Sq. Ft. minimum requirement
Special Requirements: The existing septic tank must be uncovered for inspection. The
leach field must be located at least 100 feet from the well and at least 10'
from the property line gnd road rigf�t of, way. The installer must provide an
Date: nvironmenta Heat Officer:
CONDITIONS: (Con't) as -built, dimensioned site plan. The leach field area
should beh lfenced off from the hrose corral area.
1. All installations must comply wit a l 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: � '700 1 SQ. FT.
INSTALLED SEPTIC TANK: GALLONS; DEGREES; FEET
DESIGN ENGINEER OF SYSTEM
INSTALLER OF SYSTEM:iluL'PHONE:
SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL 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 REGULATION REQUIREMENTS: YES NO
COMMENTS:_T�2 `� '�" � oQ Wc-g t'WAPttkQ0 4�3 (Z�CP t)PC 0 - �� fxulC kJ As '7P —
P, PZf_rtii r
Ut1 �c,ZO
(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
Name of Applicant: Margar e t R u m g a r d n e r Name of Owner: Sam P
PERMIT
Amount Paid: $ 2 0 0- 0 0 Receipt Number: 2 2 7 7 Date: 8 2 2 8 6 Cashier: Earl e n e H u e n i n k
White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner
APar IC:;,T IOR DiS� �S:;L p7":1 7
EN"IIRONIENTAL EEALT11 OFFICE - EAGLE COU',TY
.1 P.U. Lu:: n50 c�0�
fr Eagle, Colorado 81631 `;o. PERMIT APPLICATION FEE: S150.O0 328-7317 PF.RCOLATIO`: TEST FF-
.: SSO.00
NAME OF 0?J\ER:
ADDRESS:
NAME OF APPLICANT (if dif/ferent/ from owner):
ADDRESS: / (/UD /L = .- Q.L
DESIGN ENGINEER OF SYSTDI (if applicable)
ADDRESS:
PErn iIV INS ALI_kTION OF SYSTE•1:
:E:1 SZ-
PHONE: --6g5V/
PHO:: E :
Licensed Installer (see attac ed list): YES _- NO
ADDRESS: '2 (_ I lC
PHONE: oe;rl-
PERMIT APPLICATIONIS FOR: ( ) New Installation ( ) Alteration; Repair
LOCATION OF PROPOSED INDIVIDUAL SE?•?AGE DISPOSAL SYS E_•1:
Street/Rural Address:
Lot Size: L/
Legal Description: <;D S.X/ n ,
BUILDING OR SERVICE TYPE (check apolicablevcateaorv)-
Residential - Single Family
Residential - Duplex
( ) Residential - Tr_ole:c
NUMBER OF PERSONS:
WASTE TYPES (check applicable cate^ories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
Garbage Disposal
(� Automatic Washer
Other
TYPE OF Z*;DIVIDUAL SE?.AGE_.'DISPOSAZ SYSTE_•1 PRO�cOSED:
( ) Residential Quadplev
( ) Co.•--::ercial (state usage)
N17' :iBER OF BEDROOMS:
Dwelling
( ) Transient Use
Dishwasher
( ) Spa Tub
yam, peptic tanx k ) Cor,.posting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant
( ) Other ( ) Recycling, Potable Use
( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO 1-7ATERS OF THE STATE: YES ( ) NO (�
IS SYSTE`1 DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO n
WASTEidATER FLOW REDUCTION PLAN: YES ( ) NO (j<:r
(16 yes, see attached tUastetUate Stccv .tedu�Ctian me Beds)
NOTE: The Envtito;uiefLtaL" Hea'L ut 03'�.icct matt educe .the .'Leou.i.,ted ab.so,-Lption atea upon
apptovae o' an adequate tva,s.t e;Cate "L 6Z= ,teduc,tCon p' Za;a.
SOURCE AND TYPE OF ?dATER SUPPLY: Well ( ) Spring, ( ) Creek/Stream
Give depth of all wells within 200 feet of system: 7j
If supplied by community war4r, give name of supplier:
SIGNATURE------ -/I—-----------------DATE------ ------
INFOZ[ATION BELOW TO E FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Peneent G.touiad S.Zope 2-���
r Depth ,to Bedto eh ( pest 8' P,to 6ZZe Hote) 79
Depth to Gnoun&a te,t Tab.Ze 7 e, �
SOIL PERCOLATION TEST RESULTS: tu,tEs pelt .cnch in Ho.Ze K 1
A1.i,nu tcs pelt finch .to Hote # 2
1 LZiLU t e s Pe%L irLC'a to Hote # 3
FINAL DISPOSAL BY:
Abso.tptioii Trench, Bed o.t Pit ( ) Evapotta►asPiAation
( ) Above Gncund D.tspe usaZ ( ) Salad F.i Uc.t
( ) Unde;tg.tound D.Zspe-tsa.Z ( ) Was.tewatc.t Pond
AmoulLt Paid: �0� 4' Receipt NtunbuL Date:
NOTE: Site Plan must be attached to -application.
(Env. Health Department - Rev. 4-07-83)
FEE: $50.00
OWNER:
LEGAL DESCRIPTION:
RURAL ADDRESS:
TYPE OF DWELLING:
&9
DATE OF PERCOLATION TEST:
TEST HOLES PRE-SOAKED: YES
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
NO
ISDS APPLICATION NO.
NUMBER OF BEDROOMS: 13
TYPE OF SOIL:
TIME
WATER DEPTH
INCHES OF FALL
RATE
1
2
3.
1
2
3
1
2
3
1
2
3
I /?N M 0--/%-
PERCOLATION RATE: ( V
RECOMMENDED MINIMUM SEPTIC TANK SIZE: 1:�.TI U OT t2 i t�
RECOMMENDED MINIMUM LEACH FIELD SIZE: G ��
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:/5
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environme-n-M Health 0 ficer Date
COMMENTS: -The— �"yiS?iugA SCP c 1c rrvA�
_ I A 1 A e A A I 1 w A A i A ll
--T I.ea-c-A 9d c am, �C � ke y A
Rev. 5/31/84
dAPo
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
August 28, 1986
Margaret Bumgardner
P.O. Box 142
Eagle, CO 81631
RE: ISDS Permit #765
Dear Ms. Bumgardner:
Enclosed is your ISDS Permit 765 for property located at
1385 Eby Creek Road, Eagle, Colorado. The information on
the permit application.indicates that the system will be
installed by W.Y. Construction. Therefore, they will be
responsible for the repairs on your septic system.
This yellow copy of the ISDS Permit must be posted on the
installation site. Please note the special requirements
and conditions for issuance of this permit. You must call
our office for final inspection before covering any portion
of the installed system. We can be reached at 328-7311,
Ext. 227.
If you have any questions, please contact our office.
Respectfully,
Gail Parker, Secretary
Environmental Health Office
EAGLE COUNTY
/gp
CC: W.Y. Construction
Board of County Commissioners Assessor Clerk and Recorder
P.O. Box 850 P.O. Box 449 P.O. Box 537
Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631
Sheriff Treasurer
P.O. Box 359 P.O. Box 479
Eagle, Colorado 81631 Eagle, Colorado 81631
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
August 26, 1986
Margaret Bumgardner
P'. 0. Box 142
Eagle, CO 81631
RE: 1385 Eby Creek Road
Dear Ms. Bumgardner:
The purpose of this letter is to notify you that the individual
sewage disposal system serving the above referenced residence is mal-
functioning and must be repaired. A site inspection on August 223% 1986
revealed that sewage effluent had collected in an open pit. It appears
that the sewage effluent is being discharged from a properly functioning
septic tank into a plugged leach field. The repairs for the septic
system must be "permitted" by this office „ installed by an Eagle County
licensed installer and prior to covering,.a final inspection by this
office.
If you have any questions concerning the repair or permitting
process, please give me a calla
Sincerely,
c
Sid Fox, Assistant
Environmental Health Officer
SF: pm
cc: Files
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
Margaret Bumgardner
P.O. Box 142
Eagle, CO 81631
RE: Final of ISDS Permit # 76S
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
�,4,
Date Routed
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
gr
Name
� -
App i i cati on 14o
cation
Please rev.ie:v the attached Individual Sewage Disposal System Permit Application and return
it with this completed form to the Environmental Health Office,
PLANNING: Complies with -
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDING: Complie
Building Permit
Building Pe
Recomme
COMMENTS:
. . YES ran
. . 'DPAITM.Mn RV ... r-
s with -
Applied For:
rmi t Issued:;k�
id Approval:
YES I NO
REVIE!•!ED BY
DATE
I
ENGINEER: Complies with - YES NO I REVIE1111ED BY DATE
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS: -Tk Jeetc u 4) b .
ENVIROIT IE71TAL HEALTH:
Complies with - YES NO
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recom-mend Approval:
COiIIMENTS : 17CX:? AT—
gg< f_
REVIE14ED BY
dot t, -
s
DATE
i i •P ,.ril l ..
FOR INr.,1:1 .=' cE.;,,GE DIS^OS,.',L SYSTE"S
.f
A permit fee of S150.00 shall be char:,ed for alteration, enlar ec;ent or ar.y reoair�
involving alteration': of an existinc,, se,, -lace disposal syste�l. This feeis au`:ori:ed
by Eagle `Gounty`Indi•vidual Se,;/ane Disposal System Regulations adoated and =_ffec=ive
March 27, 1930.
For minor repairs of less than $100.00 for maintenance of the individual se -,race
disNos.:1 system, no fee shall be required.
A percolation test fee of $50.00 shall be charged for all new leach fields on repair
permits. Percolation testing may be waived at the discretion of the Environmental
Health Officer on certain repair cases where prompt action must be taken to prevent
a hey, ""ti 6"ra
IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, A NEU SYSTEM SHALL RE I?ISTALLED.,
COMPLYTIIG IvIITH ALL CURRENT REGULATI-ONS.. .IF A NE! -I SYSTEM IS REQUIRED, ALL FEES ARE
APPLICABLE.
.TYPE AND SIZE OF SYSTEH PRESENTLY ICI USE:
o GL h
i}ArE PRESENT SY57EIi IdAS INSTALLED: A(Bw -1a
PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT:
SITE PLAN BELO4 SHOOING PRESENT SYSTEM COMPONENTS:
—
V
0!•JNER OF SY
AN
APPLICANT:
ADDRESS:
DATE: 4,
0765 Bumgardner 1385 Eby
JOB W Creek Rd -� (�q4{ I; JV CE!F-99- -M_
inn i nreTinr.i
BILL TO
DATE STARItED
DATE COMPLETED
DATE BILLED
JOB COST
SUMMARY
TOTAL SELLING
PRICE
TOTAL MATERIAL
PERMIT #765 ****REPAIR PERMIT****
OWNER: Margaret Bumgardner
lv9f
LOCATION: r38k Eby Creek Rd., Eagle , CO
INSTALLER: WY Construction
SIZE OF TANK: Existing
DWELLING: Res. Single Fam. - 3 bedroom
PERC RATE: 1 inch in 10 minutes
ABSORPTION AREA: 700 s.f.
FINALIZED: 10/86 BY: Sid Fox
m
JII
-
:OST
OFIT
COSTS
PRICE
!OFIT
a;l&hy /4
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