HomeMy WebLinkAbout10674 Hwy 6 - 211105400004EAGLE RUNTY DEPARTMENT 'OF ENVIRON "'NTAL HEALTH
Box. 811 6th & Broadway
Eagle, Colorado 81631
PERMIT NO 120 (this does not constitute
• a building or use permit)
Owner Ardell M. and Norma J Anderson
System Location Highway 6 & 24 - approx. 1/4 mile E. of Gypsum
Licensed Contractor Ted R.evnolds
* Conditional Construction approval is hereby granted for a 1000 gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 20-25 minutes 850 sq. ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest 850 sq. ft. of drainage field
Date August 16, 1976 Inspector
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
Adequate absorption (or dispersal) area.
X Adequate compliance with permit requirements.
X Adequate compliance with County and State regulations/requirements.
Date _,- 76 Inspector S� 'r'J•G�...J
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
* CONDITIONS:
1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973
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 structures not approved by the building
and Zoning office 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, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
ENVIRONMENTAL HEALTH
PO BOX811
PERMIT NO.
EAGLE, COLORADO 81631 PERMIT FEE $25.00
® APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT140 O 30 4
Name of Owner3 '' �C /� ./L1 • a. v� d Id V, ✓:) -aJ /7/76 Ef0hone: la -a' �'/9 a`L
�°`��7 —bus.
Address of Owner: l; r) -Z 7 An 0, _ _
Is facility within boundaries of a city/town or sanitation district? V, Q
Distance to nearest sewer system:
Location of Proposed System: 0.17
Legal Discription: /�/uJ �h� S �� -fie ° `� T 5� �'f�r—
Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms 3
Water Supply: Private Well ( k ) Location: Distance From leach field:
Size of Lot: 1 as x /'7R - 5Z Public Water Supply:__ h 0
An appropriate plat plan must accompany site inspection for this application showing required information. (See
attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the
regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS
66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be
obtained at the Eagle County sanitarian's office.
Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone
328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any systern without final
inspection.
Name, address, and telephone of person responsible for design of system: _�
i _. �,__ A
The undersigned acknowledges that the abovq information is true and that false information will invalidate the
application or subsequent permit ,���,
SIGNATURE OF APPLICANT:;`C//,��-r�.r� Date: 7�
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: -Z' Permit No._
Tank Capacity: gal. (minimum) Fee Receipt:
Absorption Area: �� Sq. ft. (minimum) File:
REMARKS:
APPLICATION IS: APPROVED ( ) DENIED
The above individual sewage disposal system was installed by
AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT.
Date: 91- Z Sanitarian: " • 4,e,�
I
EAGLE COUNTY EOIRONNIrENTAL HEALTH
INDIVIDUAL. SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE SLIP
.y2i�ECi f�N%� �IIC�ly7f7 4..,jn& L!5 -J
Name /ad
ate to -errs:
-- Location
'lease review the attached application and return it and this completed form to the
nvironmental Health office within'6 working days.
'lanning: File Number Yes No Reviewed By Date
Complies with:
Subdivision Regulations
Zoning Regulations
Recommend Approval
:oiruments:
,ounty Engineer: Roads
Grading:
Drainage
Recommend Approval
rail- j
r
:omment s
a
;uilding Department: Set Backs
Site
Access
Other
Recommend Approval
r.
o:wnents:
E�
Pr 01.20—Hwy 6&24 k Mi E of Gypsum O
JOB NAME-10674 Hwy 6Qypsum ARSON JOB NO.
qJ51
BILL TO
DATE STARTED
e
DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
_yvZ �� (-
PERMIT # 120 ko-ver Nil /
` _ /
OWNER: rl Norma Anderson
���� R-(2
y � s �
LOCATION: Highway 6 & 24 - 1/4 mile east of Gypsum
(1/2 acre)
INSTALLER:.Ted Reynolds
SIZE OF TANK: 1,000 gallons
DWELLING: Single family - 3 bedrooms
PERC RATE: one inch/20-25 minutes (850 sq. ft.)
(suggest 850 s . ft. of drainage field)
99 q
Finalized: 9-76 By: Erik Edeen
_
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TOTAL SELLING PRICE
TOTAL MATERIAL
ol
o
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 nj�j@ NEW ENGLAND BUSINESS SERVICE, INC.. GROTON, MASS. 01471
I
JOB FOLDER
Printed in USA.
f, EAGLE ��UNTY DEPARTMENT OF ENVIRON( ITAL HEALTH
BoxX 8 S� & Broadway .�
?ERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631
PERMIT N. 298 (this does not constitute
a building or use permit)
. - N . . . ► . u G . . - . .
System Location 10674 Hwy 6, Gypsum, Colorado 81637
Licensed Contractor Ted Reynolds, Gypsum, Co.
* Conditional Construction approval is hereby granted for a
Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate I inches in 20 minutes
absorption area per bedroom
gallon
Pre—existing system:
1250 gal. tank
850 sq.ft. absorp.
sq. ft. area
# of bedrooms x sq. ft. minimum requirement
May we suggest
NO SEPARATE OR NEW
SEWAGE SYSTEM TO BE
INSTALLED ON THIS PROPERTY
Date 23 August1978 Inspector Erik W. Edeen
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved prior to covering any part.
Date
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
Adequate absorption (or dispersal) area. 12/l /80: Erik Edeen, Envi ron-
Adequate compliance with permit requirements, mental Health Officer advised that
no final was necessary for this location
Adequate compliance with County and State regulations/requirements.
Inspector
RETAIN WITH RECEIPT RECORDS AT CONSTRUCTION SITE
*CONDITIONS:
1. All .installation must comply with all requirements of the County Individual Sewage Disposal Regulations,
adopted pursuant to authority granted in 25-10-104, CRS 1973 amended 25-1-614, CRS 1973
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 structures not approved by the building
and Zoning office 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, 3.24 requires any person who constructs, alters, or installs an individual sewage disposal
system in a manner which involves a knowing and material variation from the terms or specifications con-
tained in the application of permit commits a Class I, Petty Offense ($500.00 fine - 6 months in jail or
P
p..
PERMIT NO.
ENVIR04MENTAL HEALTH
P.O. BOX 811
EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT p
Name of Owner: V-JC %1 al-?
Address of Owner: /0 6 %u h/C[J y 6
Is facility within boundaries of a city/town or sanitation district? n4)
Distance to nearest sewer system: A e—�2o x . 3U
Location of Proposed System
Legal Discription:
e e /4#-r, rA
_ N• 549
S
Phone: ay 9 7 6,Z-
Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms -
Water Supply: Private Well �('�(') Location: Distance From leach field: taQ �` 1
Size of Lot: 14. , 3 �V L f<. 3 X % Z00"67 ,X 7G+V. Public Water Supply: I h eo
An appropriate plat plan must accompany site inspection for this application showing required information. (See
attached sheet.) The individual sewage disposal system will be constructed and installed in accordance with the
regulations governing individual sewage systems within Eagle County, and shall comply with House Bill 1553 CRS
66-14, 1973. Payment shall be made to the Eagle County Treasurer. Permit, upon approval of this application, may be
obtained at the Eagle County sanitarian's office.
Appointment for final inspection must be made prior to construction by contacting the inspecting sanitarian. [Phone
328-7718 between 8:30 and 9:00 AM.] Refer to permit number. No approval will be given on any system without final
inspection.
Name, address, and telephone of person responsible for design of system: ��yho�—&c4prf,
Go
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: Date: 71
(This application bec6, es inval' 6 month from above date.)
i
HEALTH DEPARTMENT USE ONLY
Percolation Information: V
Tank Capacity: Z1, - �? gal. (minimum) 6RY-/k5111
Ij
Absorption An Sq. ft. (minimum) 4r=,X fd..�
REMARKS:
APPLICATION IS: APPROVED
R"
DENIED
Permit No.
Fee Receipt:
File:
The above individual sewage disposal system was installed by
AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT.
Date: Sanitarian:
�Z�F- j?9So Cw�
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Cl'
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& P-PPf to 5-ot
craizrT 115-111(.
-79L50
TOWNSH.,
A PART OF TRACT 61+
SOUTH, RANGE 85 W= OF THE P. K.
Eagle County. Colorado
ad
me 15!
149NO w
cis
seek: 1406so,
AF M JW 4000 w
A pareel of land lomted in Tract 64# Towmehip 5 South, "o 85 Most of
the 6th Principal NOCIALAso more Particularly described as follows
D"imift a . t a point abown Amle Point No. 3 of said Treat 64. belft a
bmse cap _properly set and 'fount In Pl"De bears N. W 59" 150 V- 51,93
feet# thenoe No 090 W 000 Vs 12*316 f98tI VWMW M. - 6P 580, 00" It -
178.,50 feet f I tbomm So 01o. loaa'00P S. - . " the Southf 4
line, of g&,& TX%A 64, * wmwe, so W 59, 15- V. 168.62 feet alom said
Treat lift to OW Point Of 108610811146
the &bwg &&WIW pmreel of Imid sentaim 09172 &Crost more or Use,
surveyed by, No INM 91 ITO
ftsistered Wed &AMYW 9w
;uly� 269'
.4 !�r57
C �Aeeo
k�4F0 �1,,
EAGr"CO,NTY ENVIRONMENTAL REAL -A
ROUTE FORM
��
I L�
NANIE'
tte Refered 4k)(1 2 Z� 22 Permit Number
T LOCATION
?lease review the attached application and return it and this completed form tc,
the Environmental Health Office within 6 working days.
3LANNING: File No. Yes No Reviewed by Date
Complies w,ith:
Subdivision Regulations
Zoning Regulations
Recommend Approval
'omments:
'OUNTY ENGINEER: Roads
Grading
Drainage
Recommend Approval
'or iments:
3UILDING DEPARTMENT:
Set backs
)ther
*omments
Site
Access
Recommend Approval
JOB
JOB NO., qt'�ZqK) ��
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
TOTAL SELLING PRICE
PERMIT #298
1
QYY � i 0 Vir Z Q/oe A ea'_7 l
OWNER:
Al
LOCATION: 010674 Highway 6 - Gypsum
T5S - R85W
Pre-existing system - 1,250 gallon tank
850 sq.ft. absorption area
12/1/80 - Erik Edeen advised that no final was necessary
JOB FOLDER Product 278 ®® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER
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Printed in U.S.A.