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 OZ 101�n�� � �,� j uf67T— Rey 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 _ �- i �� � 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� i 6D G Cl' `1 �i �r & 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 I J f ZQ r "i 7 :, G��e� � ► e rjle)av sS " i oc Lt Hq 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 o-x wu p� rDu/ C paS M Rol Printed in U.S.A.