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Home My WebLink About1499 Valley Rd - 211117202001EAGLES :LINTY DEPARTMENT OF ENVIRON � ITAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT N. (this does not constitute • a building or use permit) Owner J . LeRoy Mayne System Location Tract 74-75-80 222.2 acres So of Gypsum, CO Licensed Contractor Purley Bertroch * Conditional Construction approval is hereby granted fora 1000 gallon x Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: ."', bo Perc rate 1 inches in 25 minutes -200--- sq. ft. d.2oo absorption area per bedroom _ 600- sq. ft. # of bedrooms 3 x 200 sq. ft. minimum requirement May we suggest Date � -//- — ?6 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. • tic Tank cleanout to within 12" of final grade or aerated access ports above grade. roper materials and assembly. de ate absorption (or dispersal) area. �Zdequate compliance with permit requirements. Adequate compliance with County and State regulations/requirements. Date„ '— ` 2 - l Y 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 b PERMIT NO. Name of Owner: _ Address of Owner: ENVIRONMENTAL HEALTh� P.O. BOX 811 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Phone: Is facility within boundaries of a city/town or sanitation district? /t—ci Distance to nearest sewer system: PERMIT FEE $25.00 N° 258 Location of Proposed System: Legal Discription: 71� -c Type of Structure: Single Family Dwelling ( Z--}-Other: No. Bedrooms. Water Supply: Private Well ( ) Location: Distance From leach field: Size of Lot: : � Z J`t-c� Public Water Supply: �` & /7 n= 9 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:, The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Date: Date: ■ (This application becomes invalid 6 mon s from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: •�-., loe,7Permit No. - Tank Capacity: gal. (minimum) Fee Receipt: Absorption Area: tom'' c/9 Sq. ft. (minimum) File: REMARKS; i ._ A/c �. � r G7r r r� C i APPLICATION IS: APPROVED . ( ) DENIED C . i` " 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: PERCOLrTION TEST Fee: $150.00 cplication No. Permit No, Owner: Leal Description: L 04M, Tyne of Dwelling: -,,_No. of Bedrooms: Date of Test: `� / �a Depth of Iioles: Diameter: /�� Tyne of Soil: L5_o,, Location of Test Holes: Test hole was presoaked from: - -- To. - Time Date _ Time. Date HOLE ; TIME WATER DEPTH � JNCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 17'e( c'� G z . �S� /� ;` L? 1 Zc Percolation Rate: Z MpI Site has been reviewed "and 'tested for raercola_tionrate, 44e recommend: I_PPIROVPL L/ DISIPP ROVAL DrTE: Erik W. Edeen, R.P.S. Environmental Health Eagle County dal i� i EAGLE COUNTY ENVIRONMENTAL HEd��Ei INu .VIDUAL SEWAGE DISPOSAL SYSTE14 P,>:LZLMIT kOUTE SLIP Name � Date A-d-f erred - J/�1 � Sit �j -74L2c3 qon 2 .2 ��te evuGC/� P Please review the attached application and return it and this completed form to the Environmental Health office within 6 working days. Planning: File Number Yes No Reviewed By Date Complies with: Subdivision Regulation Zoning Regulations Recommend Approval �� 3 Comments: County Engineer: Roads Grading: .Drainage Recommend ApprovalI LF r Z' E] Comments: A/e-� eiv'1 S GC Building Department: Set Backs Site Access Other Recommend Approval i - Comments: ��/// - JIIT� - V PERMIT # 76 �I� (2— ( u OWNER: J. LeRoy Mayne LOCATION: � y Tract 74-75-89 (222.2 acres) (South of Gypsum) INSTALLER: SIZE OF TANKPur1ey Bertroch DWELLING: 1,000 gallons PERC RATE single family - 3 bedrooms : one inch/25 minutes X 200 s (200 s q•ft. q. ft.) - absorb. 600 sq.ft' Finalized: 4-20-76 -Z�-, I I � - I.1 - e BY: Erik Edeen 1S of Gypsum 0076-Tract 74-75-89 PFJOB NAME, 1499 Gypusm Creek Rd Mayne 02 - � o. 0 nR I nr ATInN BILL TO DATE STARTED DATE COMPLETED DATE BILLED 'Sh At c- e aj A"tdk,W Il G u t�Let a. t tal " coo" GQ-i�d .vim' �lwj Ito d/h gA- � �i(,(C . L A, r X4o cl - ' a j JOB COST SUMMARY Q r176_ S 1�� s s> ,. T1� TOTAL SELLING PRICE / ,' �ery.r eLt �i. �,'�� /j41, TOTAL MATERIAL 'v / w w� i TOTAL LABOR c INSURANCE '� 4 �" — —� qd- SALES TAX i MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT JOB FOLDER Product 277 ne p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Pridted In U.S.A.