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