HomeMy WebLinkAbout6325 Sweetwater Rd - 000000000000INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT �� 07 �' P.O. Box 850 - 550 Broadway Eagle, Colorado 91631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner: Robert & Hazel Gilmer Telephone:- 594-7937 Address: 6785 Sweetwater Rd., Gypsum, CO 81637 System Location 6325 Sweetwater Road, Gypsum, CO Licensed Installer: Schultz Const. License Number: - 85-14-I Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: Inch in Minutes HOLES NOT SU9 BLUE FOR PERCOLATION TEST SITE APPROVED FOR INSTALLATION OF ISDS. Absorption area per bedroom Sq. Ft. PLEASE SUBMIT "AS BUILT" SITE PLAN. Number of Bedrooms X Sq. Ft. minimum requirement per bedroom - equals O-00 Total Sq. Ft. minimum requirement Special Requirements: ****S MTT "AS BUTT T" STTF PT AN**** Date:: Sent.ember 19. 89_Fnvironmental Health Officer: Si CONDITIONS: 1. All installations must comply with all requirements of the Eagle 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 zoning and building 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 system is approved prior to covering any portion of the system. INSTALLED ABSORPTION OR DISPERSAL AREA: SQ. FT. INSTALLED SEPTIC TANK: —1000 GALLONS; _10 DEGREES; � � FEET DESIGN ENGINEER OF SYSTEM: INSTALLER OF SYSTEM:- au4,112- C CSi PHONE: _ SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: rlll} YES <1, PROPER MATERIALS AND ASSEMBLY: YES NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES_LCNO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIRE NTS: YES _L NO COMMENTS: ' l� 400 v 01IF-7 " ' i " j� � /✓ 5� uefzi� (Any item checked NO requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE (Final Approval) �fNVIRONMENTAL HEALTH OFFICER. - DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Robert & Hazel Gilmor Name of Owner: Same Amount Paid: $200. 00 Receipt Number: C0358 Date: 8I 30t 85 Cashier: Gail Parker White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICA-110'; FOR INDIVIDUAL SE', :AGE DISPOSAL S'iST"_1 PF.r_%'.IT PER`IIT APPLICATION FEE: ENVIRONMENTAL i:EALTH OFFTCT - EAGLE COt:: 1.' P.O. Box 850y Eagle, Colorado 81631 No. S150.00 328-7311 PERCOLATIONi TEST FEE: S50.00 NAME OF OW\ ER : %D�L�/Li � �it, v.� C� ✓G, � � ADDRESS: 1, 7 E5 AeD ' ) Ljra � NAME OF APPLICANT (if different from owner): - ADDRESS: �- DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PH021E: S22�7 - PHONE: � PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: 1<'6^1 eS'C,�fJ.�. Licensed Installer (see attached list): YES �_ NO ADDRESS:, PERMIT APPLICATION IS FOR: (�Q New Installation LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: Lot Size: Legal Description: Ye BUILDING OR SERVICE TYPE (check applicable category_): O Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex PHONE: y719[ — �ZzZ _ ) Alteration ( ) Repair Residential Quadplex Commercial (state usage) NUMBER OF PERSONS: NUMBER OF BEDROOMS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional Dwelling ( ) Non -Domestic Wastes ( ) Transient Use Garbage Disposal ( ) ( ) Automatic Washer ( ) Dishwasher ( ) ( ) Spa Tub Other TYPE OF INDIVIDUAL SE14AGE DISPOSAL SYSTEM PROPOSED: (7G) Septic Tank ( ) Composting Toilet ( ) Incineration Toilet ( ) Vault Privy ( ) Greywater ( ) Chemical Toilet ( ) Pit Privy ( ) Aeration Plant ( ) Other ( ) Recycling, Potable Use ( ) Recycling, Other Use WILL EFFLUENT BE DISCHARGED DIRECTLY INTO 14ATERS OF THE STATE: YES ( ) NO ( ) IS SYSTEH DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO ( ) WASTEhTATER FLOW REDUCTION PLAN: YES ( ) NO (,�C) CI —Yes , see attached tvas LeLeatett 6tow Aeducti.on methods ) NOTE: The Envitonmentat Health 066ieetc may tceduce the &equLted abs0Apti.on atcea upon app,tova._ 05 an adequate- tvas i etuatetc 6ZOW %educti.on plan. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring X) Creek/Stream Give depth of all wells within 200 feet of system: /jIOA14 If supplied b community water give name of supplier: SIGNATURE: DATE: . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - INFOMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER: GROUND CONDITIONS: PeAcent G&ound Slope f U� L Depth to Beditock (pet 8' Pno bit e Hote) 26 Depth to Gtcoundccate,% Tabte 79t SOIL PERCOLATION TEST 3ESULTS: AT.cnutU pets (_nch in HoZe_ l floc Es /Jor fV iT A64£ ru(C ft ec ke-- ,4PPROuCn Fo.2 IX STALLAriUN, S�� 11{inuteJs peh inch to Hobe #2 Ui.nutes pets .inch to HoZe #3 FINAL DISPOSAL BY: - ( X ) Absottptiolt Tench, Bed otc Pit ( ) Evapo.ttansp.itati,on ( ) Above G,%ound D.ispetutsaae ( ) Sand F tten ( J Unde,%g,toujtd DZspe&sae ( j Wastewatet Pond EAGLE COUNTY ENVIRON,MENTAL HEALTH OFFICE' • R� � �-laz�l C�:il name) _ - Date outed �)a-(a l`�d - APP i i cati t Location) Please review the attached Individual Sewage Disposal System Per Application and returr it with this completed form to the Environimentai Health Office, PLANNING: Complies with - YES NO REVIE;dED BY DATE Subdivision Regulations: Zoning Regulations: .. ...... E-- Recommend Approval: { q COi• MEINTS : ' BUILDIi1G. Complies with - YES Building Permit Applied For: Building Permit Issued: Re .mend Approval: _ CO EENTS: ENGINEER: Complies with - Roads : Grading: Drainage: Recommend Approval: C01MMENTS : ECP/TRO1riENTl';L HEALTH: Complies with - Floodplain Permit Necessary: I.S.D.S. Regs. Compliance: Reco.,:-.end Approval: C0;•S•tEr1TS: YES YES NO I REVIE:• ED BY I .. NO I REVIE'.•;ED BY NO I REVIE:•;ED BY DATE DATE DATE PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. OWNER: % r-+�— LEGAL DESCRIPTION: RURAL ADDRESS: s TYPE OF DWELLING: Qps—��V1�� �YYI, NUMBER OF BEDROOMS: _ Z DATE OF PERCOLATION TEST: 9-11-85-- TYPE OF SOIL: TEST HOLES PRE-SOAKED: YES NO TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 ' 2 3 1 2 3 1 2 3 PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: 000 RECOMMENDED MINIMUM LEACH FIELD SIZE: bco RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmen 1 Health Officer ate COMMENTS: Dle$ 4T i�A 51�� fE-Pp(Ly�c/, 2 ftv5T�4-lIF{-Ti©N a� �sos PIeAs� �,bo,iT /15 hu)'l - 514e- e/,41- EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 32 8 7311 September 23, 1985 Robert & Hazel Gilmer 6785 Sweetwater Road Gypsum, CO 81637 RE: Individual Sewage Disposal System Permit #717 Dear Mr. & Mrs. Gilmer: This is to inform you that your ISDS Permit #717 for property located at 6325 Sweetwater Road has been inspected and finalized by Sid Fox on September 19, 1985. However, as indicated on the permit our office will require a "As Built" site plan. Upon receipt of this site plan, I will promptly mail you the finalized copy of your ISDS Permit. If you have any questions or concerns regarding this matter, please contact our office. Sincerely, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY Board of County Commissioners Assessor _- Clerk and Recorder Sheriff ----------Tr-e-a-s-u—rer -- P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 November 25, 1985 Robert & Hazel Gilmer 6785 Sweetwater Rd. Gypsum, CO 81637. RE: ISDS Permit #717 Dear Mr. & Mrs. Gilmer: Enclosed you will find a finalized copy of.the above referenced Individual Sewage Disposal System permit. However, at your earliest convenience, please send us an as -built site plan of the construction site. Sincerely yours, A�Ikooj� Gail Parker, Secretary Environmental Health Office EAGLE COUNTY /gP Enc. Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 October 28, 1985 Robert & Hazel Gilmer 6785 Sweetwater Road Gypsum, Colorado 81637 RE: Individual Sewage Disposal System Permit #717 Dear Mr. & Mrs. Gilmer: This is a reminder that your ISDS Permit #717 for property located at 6325 Sweetwater Road has been inspected and finalized by Sid Fox on September 19, 1985. We have received no response from our letter of September 23, 1985 asking you to submit a "As Built" site plan to our office so we may close out this file. Please remit this site plan to our office as.soon as possible, and I will promptly mail you the finalized copy of your ISDS permit. Thank you for your attention to this matter. Sincerely yours, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY Board of County Commissioners Assessor P.O. Box 850 P.O. Box 449 Eagle, Colorado 81631 Eagle, Colorado 81631 Clerk and Recorder Sheriff Treasurer P.O. Box 537 P.O. Box 359 P.O. Box 479 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 0717 Gilmer 6325 Sweetwater JOB NAME; � Road JOB NO. BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE -_._.__-_— ---- PERMIT #717 OWNER: Robert & Hazel Gilmer LOCATION: 6325 Sweetwater Rd., Gypsum, CO INSTALLER: Schultz Const. SIZE OF TANK: 1000 gal. 2 bedroom DWELLING: Res. Single Family - PERC RATE: HOLES NOT SUITABLE FOR PERCOLATION TEST INSTALLATION"ITE SPLAN S. SITE APPROVED ITORABUILT OWNER .TO SUB 600 SF. of drain field. RY: Sid Fox TOTAL MATERIAL YI TOTAL LABOR INSURANCE SALES TAX MISC.C.OSTS -- - TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT FINALILED: DUPL1--11LLJ . — 7 -- -- of :)ER Printed in US.A. 10 M \ `C) I 111r