HomeMy WebLinkAbout1750 Colorado River Rd - 143532200002PLLASL KLIUKN IHIS PORTION WITH YOUR SITE PLAN AND FEES 32'8-7311 949-5257 927-3823 ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE _ $75 PERCOLATION TEST FEE _ $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. NAME OF OWNER: ADDRESS: 1750 Colo. Riy4eg L�ps_UtA , Co Cy J637 PHONE: S,24-9453 NAME OF APPLICANT (IF DIFFERENT FROM OWNER):�,� ADDRESS: PHONE: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: kE-M Sctu L-rz ADDRESS: 359 7 %�y11� �.,nT sy � C�Cv PHONE: jacl - clef 74 PERMIT APPLICATION IS FOR: (►--) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County Lq!�Lr Lot Size City or Town, if within City or Town Limits LEGAL DESCRIPTION: TPgc-r 44, OF 5.9c. Aq , s2. , 7-0Uj1U­'L"o <1 SOun' 2c...►yOe 8G t.yeS7- of 7h. & N' MeetOlA,J � ./IAJ'� *,,%SieQLl OF 77A COUAJTy k' j STREET (RURAL) ADDRESS: cZ,9�� cS �I,Our IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? Yes ( ) No BUILDING OR SERVICE TYPE: (Check applicable category) ( ✓� Residential — Single-family dwelling ( ) Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex ( ) Commercial - State usage # Persons 4 # Bedrooms Z WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ( Y'�' Dwelling ( ) Garbage Grinder ( ) Non -domestic wastes ( ) Transient Use ( ) Dishwasher ( ) Other Automatic Masher SOURCE AND TYPE OF WATER SUPPLY: (✓7' Well ( ) Spring ( ) Creek or Stream Give depth of all wells within 200 feet of the system: NOAtF (_Se�5 S,,7LC PI -AA) s) If supplied by community water, give name of supplier: TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( Septic Tank ( ) Aeration Plant ( ) Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greywater ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes ( kT'- No Signature - Date $� INFORMATION BELOW TO BE FILL OUT BY ENVIRONMENTAL HALTH OFFICER /Co G GROUND CONDITIONS: Percent Ground Slope: � D C C; C) S�r i Depth to Bedrock (per 8' Profile Hole): Depth to Groundwater Table. SOIL PERCOLATION TEST RESULTS: �� Minutes per inch in Hole No. 1 Minutes per inch in Hole No. 2 Minutes per inch in Hole No. 3 FINAL DISPOSAL BY: ( ) Absorption Trench, Bed or Pit ( ) Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter �'-�derground Dispersal ( ) 'Wastewater Pond Other 4i6LE COUNTY rEnvironmental Health .P. 0. Box 850 EAGLE, COL_ORADO 81631 TELEPHONE 303/328-7311 BOARD OF COUNTY COMMISSIONERS Ext 241 ADMINISTRATION Ext 241 ANIMAL SHELTER 949-4292 ASSESSOR Ext 202 BUILDING IN INSPECTION Ext 226 or 229 CLERK & RECORDER Ext 217 COUNTY ATTORNEY Ext 242 ENGINEER Ext 236 ENVIRONMENTAL HEALTH Ext .238 ' EX TE'N.S I O N AG ENT 'Ext 247 LIBRARY Ext 255 PUBLIC HEALTH Eagle Ext 252 Vail 476-5844 PLANNING Ext 226 or 229 PURCHASING/ PERSONNEL ,Ext 245 ROAD & BRIDGE Ext 257 SHERIFF Eagle,Ext 211 Basalt 927-3244 Gilrnan 827-5751 SOCIAL SERVICES 32M328 TREASURER E.xt.201 September 3, 1980 Mike King 1750 Colorado River Road Gypsum, Colorado 8163.7 RE: Individual Sewage Disposal System Inspection & Water Inspection - 1750 Colorado River Road, Gypsum, Eagle County Dear Mr. King: All water and sewage disposal system inspections are done under the authority of the Eagle County Building Regula- tions, Section 10, subparagraph 3-A, adopted by the Eagle County Commissioners May 25, 1973. An inspection of your individual sewage disposal system on August 26, 19"80, revealed that the cover of the tank or dry well is wood timbers that have rotted. The rotten -wood timber cover must be removed to determine whether it is _a septic tank or a seepage pit or a cesspool. (See enclosed Sections 3.1, 3.2, 3.3, 3.5, 3.6, 3.7, and 3.8 of the Eagle County Individual Sewage Disposal System Regulations.) All existing, non -conforming systems are allowed to remain in use as long as the system functions properly. As this system currently presents a health hazard from the exposed sewage and the potential of the rotten -wood cover caving in, the system must be brought up to current regulations. At this point, we would recommend that you come in and discuss the various options available to you in more detail. Other sources of information open to you would be to contact a registered professional engineer, consult the yellow pages of the phone book, or contact a licensed sewage system in- staller. Procedures open to you at this point are: (1) Review the information we have provided; (2)Consult professionals, professional sanitary engineers, and/or licensed sewage systems installers; (3) Fill out and return the enclosed individual sewage disposal system application. Circle "repair" or "new installation" of system. (4) Return the completed application with a site plan and complete information showing what repairs or alterations will be made in order to bring your present system into spmpliance with Eagle County`s Individual Sewage Disposal System Regulations. O-Y 57-.. FEE: $5004 APPLICATION NO. LEGAL DESCRIPTION: RURAL` ADDRESS: �© TYPE OF D14ELLING: - # OF $EDROOMSz . DATE OF TEST: TYPE OF SOIL: TEST HOLES PRESOAKED: YES NO TIME WATER DEPTH l 2 3 1 2 3 �; INCHES OF FALL RATE 1 2 3 1 2 3 2 zp PERCOLATION RATE: � ��- TANK SIZE: o SQUARE FOOTAGE PER BEDP.00r1:�.� LEACH FIELD SIZE: Site has been reviewed and tested for percolation rate. We recommend: APPROVALy DISAPPROVAL 'DATE: EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICER I 50 SGP�E tj o � X J ocJ► � � ~ 1.3 ) O 3 0 of fiUL :1 0o�0'3� P� 0478 1750 Colorado River JOB NAM= F- Road KING Parcel # 143532200002 JOB NO. .. _ ir.�earra•�irm BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT # 478 ` - J caw OWNER: Michael I. King - Gypsum, CO 81637 LOCATION: Colorado River Road - Gypsum I,GU INSTALLER: Ken Schultz SIZE OF TANK: 1,000 gallons DWELLING: Residential - 2 bedrooms + x 200 sq.ft. PERC RATE: one inch/20 minutes 600 sq.ft. Finalized: 11-14-80 By: Erik Edeen TOTAL LABOR INSURANCE SALES TAX - MISc.COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDE 0 �•- rR . Printed in U.S.A.