HomeMy WebLinkAbout1721 Colorado River Rd - 193530400002EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE LALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED INN PECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SATE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N° 654 OWNER: S. A. Herres (Dorothy Herres) ADDRESS: 1721 Colorado River Road - Gypsum SYSTEM LOCATION: 1721 Colorado River Road - Gypsum (21 acres) Pelin Tr 46 - Sec. 29 & LICENSED INSTALLER: Kenneth Schijlt7 LICENSE NUMBER: 84-01 **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1,000 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: one inch in 20 minutes. Absorption Area per Bedroom 300 sq. ft. No. of Bedrooms 2 x 300 sq. ft. minimum requirement per bedroom 600 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Large Rock in area - may be unable to construct field or trenches - use dry well as last resort. DATE: 4/24/84 INSPECTOR: **CONDITIONS: 1. All installation must comply with all requirements of the 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 building and zoning 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 installed system is approved prior to covering any part., Installed Absorption or Dispersal Area: sq. ft. \� Installed Septic Tank: _ G 0 gallons. Degrees: r �c Feet. -- Design Engineer of S stems--�' Installer of System: Phone: Septic tank cleanout to within 12" of final grade or aerated access ports above grade? Yes No Proper materials and assembly? Yes 6/" No Compliance with permit requirements? Yes No Compliance with County/State regulations requirements? Yes No COMMENTS: (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: INSPECTOR: �v✓b L RE -INSPECTION DATE: INSPECTOR: RETAIN WITH RECEIPT RECORDS CHARGES Percolation Test = $50.00 Permit Fee (includes final inspection) _ ALL CHECKS OR MONEY ORDERS ARE TO BE MADE PAYABLE TO: EAGLE COUNTY PERMIT N0. N* 6 5 4 Name of Applicant: Dorothy Herres Name of Owner: S. A. Herres Amount Paid: Receipt Number: Cashier: $200.00 (4-18-84) 0136 White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner PEprn1 I T^" TECH LEGAL 0ES0R1?11ON RURAL ADDRESS: TYPE OF DaELLING: 5� r' OF BEDPnnms: DATE OF PERCOLATION TEST: �7`'— 0'87� TYPE OF SOIL:l� TEST HOLES PRESOAKED? Yes No TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 3 I 1 2 3 1 2 3 10,511 ;tS ZV i i - II � It - I - I II - I � PERCOLATION RATE: Z-() /-7 RECOMMENDED MINIMUM SEPTIC TANK SIZE: RECOMMENDED MINIMUM LEACH FIELD SIZE: X/Q G(� RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Soo Site has been reviewed and tested for percolation rate. �4 �����011:11z 9464:::�, Date Environmental Health Offiicer COMMENTS: e- �iC -;O�ZeS C4�< Z� ✓ APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMITQ 8 �Y?- ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 _Eagle, Colorado 81631 No. 10 PERMIT APPLICATION FE $150.00 PERCOLATION TEST FEE:Q $50.00 NAME OF OWNER: 17,E ES ADDRESS: r% %D �UC�2 �2 rU�s� L�i �_ PHONE: 111-/9- 4/ f 7,lr NAME OF APPLICANT (if different from owner) : oq ADDRESS: %� C��%a�g� �r�rr�.e e� ��6, A�3 Z PHONE: fj72_-,y 2-- DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF_ SYSTEM: Zy !°1Y f�- _ je h Licensed Installer (see attached list): YES NO ADDRESS: 3 PHONE: %2 PERMIT APPLICATION IS FOR: O" New.Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL Street/Rural Address: / 7 :11 Co jam,; e v Lot Size: j J e 'V Legal Description: '-?c1.44 �', oy4, - ,gam; � 2 ;TEM: lase.-' f7 BUILDING -OR SERVICE TYPE (check applicable category): (A/) Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex C'e F / /_ Y 7 ';F' 0. * 4 t. 06 t 1 ( ) Residential - Quadplex ( ) Commercial (state usage) NUMBER OF PERSONS: A NUMBER OF BEDROOMS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( Dwelling ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal ( ) Dishwasher (1� Automatic Washer ( ) Spa Tub ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank ( ) Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use ( ) Other ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (kj IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES (V) NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (16 vex , See a�taehed wastewateA 6tow Aeduction methods) NOTE: The Envitc.onmenta2 Heath 06jiceA may Reduce the Aequ,iAed ab4oAption ahea upon appAova2 of an adequate w"tewateA 4Zow &eduction plan. SOURCE AND TYPE OF WATER SUPPLY: (t") Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: e-. If supplied by community water, give name of supplier: SIGNATURE: �//Jg, �c� �, (-a �j/DATE : Lf /X ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent GAound Slope Depth to BedAock (peA 8' PAo4 -e Hote) Depth to GAoundwateh Table SOIL PERCOLATION TEST RESULTS: Ainutet6 peA in in ote i �_ Minutes peA inch to Hole # 2 FINAL DISPOSAL By: Minutes pets .inch to Hot e # 3 . ( ) Abzonpti.on TAeneh, Bed oA Pit ( ) Evapot ansp t ti,on ( ) Above GAound Di6petr6at ( ) Sand FitteA ( ) UndeAgAound DZspeAaat ( ) Wa6tewateA Pond ( ) Othetc Amount Paid: �o O .0 d Receipt Number O ''yCv Date: NOTE: Site Plan must be attached to application. (Env. Health Department Rev. 4-07-83) REPAIR PERMIT APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEMS A permit fee of $150.00 shall be charged for alteration, enlargement or any repair involving alteration of an existing sewage disposal system. This fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100.00 for maintenance of the individual sewage disposal 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 health hazard. IF PRESENT SYSTEM IS PRE-EXISTING, NON-CONFOP,MING, A NEW SYSTEM SHALL BE INSTALLED, COMPLYING WITH ALL CURRENT REGULATIONS. IF ANEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. - DESCRIPTION OF PROBLEM/MALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: % 4, bsor r' i�r7 ,� 71- DATE PRESENT SYSTEM WAS INSTALLED: I 1? 4-1/ — d 6IP PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT: # SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: OWNER OF SYSTEM: ADDRESS: APPLICANT: ADDRESS: DATE: JOB NAME, � 1936 3F.40 COOK:R / ono' � rinnr�nw� BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL Permit No. 654 OWNER: S. A. Herres 1721 Colorado River Road - Gypsum LOCATION: 1721 Colorado River Road - Gypsum INSTALLER: Kenneth Schultz SIZE OF TANK: 1,000 gallons Degrees DWELLING: Single Family - 2 bedrooms x PERC RATE: one inch/20 minutes - 600 Finalized: 7/20/84 - 90 ; Feet 50, 300 sq.ft. sq.ft. leach field By: Erik Edeen TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST - - GROSS PROFIT LESS OVER COSTS % OF SELLING, PRICE NET PROFIT LDER Printed in U.SA