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Home My WebLink About290 Beacon Rd - 211106407009I NrDIVJ DUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 998 Please call for final inspection before covering any portion of installed system. OWNER: Cornelia Ti el enburg PHONE: 926-2069 MAILING ADDRESS: PO Box 1592 V ` AGENT: PHONE: SYSTEM LOCATION: 252 Cedar Dr., Lot 15,Gypsum LICENSED INSTALLER: LICENSE NO. DESIGN ENGINEER OF SYSTEM, INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 750 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: S 70 SQUARE FEET OF SEEPAGE BED SW SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: NPPCI 8 foot profile hole nrinr to installation Place inspection portals at end of each line. ENVIRONMENTAL HEALTH OFFICER: 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, 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 111, 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: (TO BE COMPLETED BY INSPECTOR): NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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: y- -0 SQUARE FEEET. ^ �1 / INSTALLED SEPTIC TANK: 0 GALLONS 7_ a� DEGREES � 0 FEET �" � T ° `� � t 0 / p -I4/ SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: `7�/ PROPER MATERIALS AND ASSEMBLY / ` YES NO COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: /Y YES NO ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED. COMMENTS: ENVIRONMENTAL HEALTH OFFICER: DATE: -7 O ENVIRONMENTAL HEALTH OFFICER: DATE: (RE -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: w APPLICATION FOR IN SEWAGE DISPOSAL SYSTEM PERMIT Number: f ov ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, COLORADO 81631 949-5257 Vail 328-7311 Eagle 927-3823 Basalt PERMIT APPLICATION FEE $150.00 PFRCpl.nTT.nm TEST FEE 1721-, 90 � NAME OF OWNER: MAILING ADDRESS: NAME OF APPLICANT (If different from owner): ADDRESS: ;�Am PHONE:` PHONE: DESIGN ENGINEER OF SYSTEM (If applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: &SLC.I'-LG' LICENSED INSTALLER: ( ) YES ( ) NO ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: `4-__7 Parcel Number: J _ ,I# Lot Size: a Legal Description: BUILDING OR SERVICE TYPE (Check applicable category): Residential - Single Family ( ) Residential - Fourplex Residential - Duplex ( ) Commercial (Type) ( ) Residential - Triplex NUMBER OF PERSONS: / NUMBER OF BEDROOMS: WASTE TYPES Check applicable categories): ( ) Commercial or Institutional ( ) Dwelling ( ) Non -Domestic Wastes { ) Transient Use ( ) Garbage Disposal (z) Dishwasher Automatic Washer ( ) Spa Tub ( ) Other (Specify): TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater { ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES ( ) NO IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( ) YES ( ) NO WATER CONSERVATION PLAN: ( ) YES ( ) NO NOTE: The Environmental Health Office may reduce the required absorption area upon approval of an adequate water conservation plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Give depth of all wells within 200 feet of system: If supplied by comWn y dater, give name of supplier: INFORMATION BELOW TO ENTAL HEALTH OFFICER: Creek/Stream GROUND CONDITIONS: Percent ground slope Depth to Bedrock (Per 8' profile hole Depth to Groundwater table SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole #1 Minutes per inch in Hole #2. Minutes per inch in Hole #3 FINAL DISPOSAL BY•V13 Absorption , Bed or Pit ( ) Evapotranspiration Above Grounersal ( ) Sand Filter ( ) Under Ground Dispersal ( ) Wastew�aater Pond ( ) Other ,-ec#- Cy - AMOUNT PAID: %�J C)13 RECEIPT NUMBER 46o 36 z(Z6Z DATE: "7 -c� -ctO CHECK NUMBER ('ASHTFR• -,� . NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION. MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER (Environmental Health Dept. - Rev. 4/88) EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 Date: August.16, 1990 RE: Issuance of Individual Sewage Disposal System Permit No. 998 Enclosed is your ISDS Permit No. 998 This copy of the permit must be posted on the installation site. You must call our office for final inspection before covering any portion of the installed system. If you have and questions, please feel free to contact us at the following numbers for your calling area: Vail/Avon 949-5257; Basalt/El Jebel 927-3823; Eagle area 328-8730. Sincerely, Roger Hosea Asst. Environmental Health Officer Community Development cc: ISDS file RH/alm 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 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO July 19, 1991 Ms. Cornelia Tielenburg P.O. Box 1592 Edwards, CO 81632 RE: Final of ISDS Permit No. 998 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328.7207 Dear Ms. Tielenburg: 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. Also enclosed are informational sheets regarding the care of your septic system. If you have any questions regarding this permit, please contact the Eagle County Environmental Health Division, P.O. Box 179, Eagle, Colorado 81631. We can also be reached, depending on your calling area, at the following numbers: Eagle Valley 328-8730; Basalt/El Jebel 927-3823. Sincerely, Raym0 P. Merry, R.E. .S! Environmental Health Officer RPM:ckc Encl: Informational Sheets Final ISDS Permit cc: Chrono File Building Permit File -�`x' `L" �-�' Y , � ISDS P16W+17T # r . PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: 1 i - Cyr- µ LEGAL DESCRIPTION: to Y- u- Fl(,-,,,o gr. i r k 2— MAILING ADDRESS: 13 "'?Z_ TYPE OF DWELLING: NUMBER OF BEDROOMS - �r�ve�r�c�c�c�r�c�c�e�c�r�r�r�r�r�c TEST HOLES PRE-SOAKED: YES NO TTME WATER nRPTw TM11TRF'C nr rELT.T. 1)71T?« QnTT_ DDf%%"rT r 1 2 3 1 2 3 1 2 3 1 2 0' 10 3' r : z( : T !' I3/ J Gf ! Oz `( 2 %Z Viz/ 10 r 7 41"0 71 LZ Time to drop last inch 15- ire, yo PERC RATE: 410 /,1 r, MINIMUM SEPTIC TANK SIZE: 7,50 �< MINIMUM LEACH FIELD SIZE: 20 COMMENTS: 1,; ,� . n ercr `rr7 PERC TEST DONE BY: &:.2 � DATE: �}- Envirorffhental Health Officer rev. 6/90ks JOB NAME., jols NO. j c� x -,- -, JOB FOLDER Produgt278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 Printed in U.S.A JOB FOLDER q 9 -2-�" 7/407e INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION P.O. Box 179 - 500 Broadway • Eagle, Colorado 81631 Telephone:328-8755 ALTERATION TO PERMIT1536 #998 YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 1 5 3 6 Please call for final inspection before covering any portion of installed system. rh PHONE: (970) 926-2875 city; Edwards Sate: CO ZIP: 81632 PHONE: (970) 926-2875 TAX PARCEL NUMBER: 211 1-064-0 7-009 1 LICENSE NO: 30-95 nk adequate for expansion TOFTRENCHBOTTOM. in addition to 570 sq. ft. of existing seepage bed. et -backs, and do not drive over leach field ins ecti n portals xithin the ,51 DATE: October 1 , 1995 !OF OUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS, ADOPTED PURSUANT IES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND BUILDING REQUIREMENTS. CONNECTION WED BY THE ZONING AND BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A . ACTION AND REVOCATION OF THE PERMIT. :ONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO BE LICENSED. :OUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED _ET. 27' by 20' additional seepage bed installed FEET FROM YES —NO YES NO PPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS CORRECTED. was issued. DATE:October 24, 1995 DATE: -INSPECTION IF NECESSARY) RETAIN WITH RECEIPT RECORDS APPLICANT / AGENT: OWNER: PERMIT FEE PERCOLATION TEST FEE RECEIPT # CHECK # (Site.Plan MUST be attached) ISDS Permit APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P. O. BOX 179 EAGLE, CO 81631 328-8755/927-3823 (El Jebel) ************************************************************************** * PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 * * * MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" *************************************************J``************************* PROPERTY OWNER: C)rnel1� lief Chr-k1"F PHONE: (q-70) MAILING ADDRESS: !� Tn(— APPLICANT/CONTACT PERSON MAILING ADDRESS: fR ( LICENSED ISDS CONTRACTOR: COMPANY/DBA: ADDRESS: PHONE: (O(7b) 64(o - a 1S PHONE: ( ) **************************************************** ********************** PERMIT APPLICATION IS FOR: ( ) New Installation (Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Building Permit # (if known) Legal Description: Subdivision: _Bfrjynch Filing: 5Block: Lot No.-! 6:� Tax Parcel Number: ( - C-�-� �' Lot Size; _ RC�e� Street Address: B C_-CiC K) Lkxn *************************************************************************** BUILDING TYPE: (Check applicable category) (,Residential/Single Family Number of Bedrooms ( ) Residential/Multi-Family* Number of Bedrooms ( ) Commercial/Industrial* Type TYPE OF WATER SUPPLY: (Check applicable category) ( ) Well ( ) Spring ( ) Surface (vlr Public Name of Supplier: —r(:5wM _ (, YI *These systems quire desi1:2yz� bRistered Professional E//nZ7,A?5 eer SIGNATURE: Date:d� TO BE COMPLETED Y THE COUNTY AMOUNT PAID: `_()C) RECEIPT #: DATE: CHECK #: nMO CASHIER: ikAp Community Development Department (970)328-8730 Fax: (970) 328-7185 TDD: (970) 328-8797 EAGLE COUNTY, COLORADO October 19, 1995 Gary Bertroch P.O. Box 2463 Gypsum, CO 81637 Eagle County Building P.O. Box 179 500 Broadway Eagle, Colorado 81631-0179 RE: Installation at the Tielenburg/Kurh residence, 290 Beacon Rd., Gypsum, CO. It has come to our attention, that your company has installed an Individual Sewage Disposal System (ISDS) on the above referenced property. This particular ISDS has not yet been permitted for alteration/construction. 4.03.29, Eagle County Land Use Regulations states: "Any person who commits any of the following acts or violates any of the provisions of this Article commits a Class I Petty Offense as defined in Section 18-1-107, C.R.S. 1973 as amended: 1. Constructs, alters, installs, or permits the use of any individual sewage disposal system without first having applied for and received a permit as provided in these Regulations. Consider this your only warning. Any further violations will be turned over to the attorney's office for civil and/or criminal proceedings. If you have any questions, feel free to call me at 328-8755. Sincere P. McXrg, REHS ion Manager cc: Keith Montag, Community Development Director James R. Fritze, Eagle County Attorney ISDS Final Inspection Completeness Form jV_r_Tank is gal. Tank Material Tank is located ft. and degrees from (permanent landmark) Tank is located -ft. Tank set level. Tank lids within 8" of, finished grade. 27 "120'JsWIL ' Size of field ��"D ft2 _T units lineal ft. Technology 07 0 vc. per4zln ret ve% �e klj /mac ? Cleanout is installed in between tank and house(100ft)uve here is a "T".that goes down 14 inches in the inlet and outlet of the tank. Inlet and outlet is sealed with tar tape, rubber gasket etc. UfY^'—ank has two compartments with the larger compartment. Tclosest to the house. Measure distance and relative direction to field. /aU_ dt qpo t, j" vv� 0� `` Depth of field ft. Soil interface raked. Inspection portals at the end of each fic�i Proper distance to setbacks. Other Inspection meets requirements. Copy form to installer's file if recommendations for improvement:were suggested. ACTION TAKEN: Setbacks Well Potable House Property Lake Dry Tank Drain Water Lines line Stream Gulch Field 100 25 20 10 50 25 10 10 Tank 50 10 5 10 50 10 * 10 0 1730—yJ IAA# Lill-UO4—U/—UU'J 290'Beacon Rd. TIELENBURG/KURH JOB NAME Gypsum, Co Lot15 jiling5, Bertroch Sub JOB NO. n OB LOCATION BILL TO l a DATE STARTED DATE COMPLETED DATE BILLED f rz '�IL� o-/// (la ued 6,47 JOB 60ST SUMMAR ��Z ��, _ 'Y- TOTAL SELLING PRICE TOTAL MATERIAL L �s-1 TO AL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 Q® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471 JOB FOLDER Printed in U.S.A. -- - --- ' ---I