HomeMy WebLinkAboutOne Mile S of Gypsum - 000000000000EAC 7 COUNTY DEPARTMENT OF ENVIR_.4MENTAL HEALTH
Box 81 1 6th & Broadway
Eagle, Colorado 81631
PERMIT N9 92 (this does not constitute
• a building or use permit)
Owner Ralph T C'nttnp. M II ��/ ��6/1 lL
System Location 1 mile South on Gypsum Valley Road - y4 mile west
Licensed Contractor Larry Schultz, Gypsum, Colorado
* Conditional Construction approval is hereby granted for a 1 PSo gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate 1 inches in 15 minutes 200 sq. ft.
absorption area per bedroom
# of bedrooms X. 4 X 200
0
sq. ft. minimum requirement
May we suggest� a minimum of 800 sq. ft. leach field
Date (ge_.e" ` 7 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.
Septic Tank cleanout to within 12" of final grade or aerated access ports above grade.
Proper materials and assembly.
Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date C
`"J ���� Inspector PC
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
tenth
PERMIT NO.
Name of Owner:
Address of Owner:
ENVIRONMENTAL HEALI H
P.O. BOX 81 1
EAGLE, COLORADO 81631
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
Is facility within boundaries of a city/town or sanitation district?
Distance to nearest sewer system:
Location of Proposed System:
Legal Discription:
Type of Structure: Single Family Dwelling (
Water Supply: Private Well ( ) Location:
Size of Lot:
) Other:
Phone:
PERMIT FEE $25.00
No. Bedrooms
Distance From leach field:
Public Water Supply:
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:
Percolation Information
Tank Capacity:
Absorption Area:
REMARKS:
Date:
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
gal. (minimum)
Sq. ft. (minimum)
APPLICATION IS: APPROVED ( ) DENIED ( )
Permit No._
Fee Receipt:
File:
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:
x Ei,C01,'"TION
I'ci: $-10.00
1 p»1i cP ti-on No. // Vie] mz't No. »
Legal Descxition: G' id c�`rf -' c-�'.SGf'`1
Tyre of Dwelling: �;��� No. of Bedrooms: �
Da to of Test: Denth of doles: Z�
Di,metcx: I �Tyne of Soil: -41L.4ii
Locz,ti_on of Test Holes: G1/-eS;
Test hole was nresoaked from: To:
Time —Dai:e Time ' Date
TIntE�
WJATEftDEPTF
j INCHES OF FALL
RATE
1
2
3
7.
2
3'
1'07
_2
Pexcola.t:i.on . Rate: [ _ NIP
Site '.has been xevi.eved- aad .tested foz' I.excolation x.-i te. .
l e recommend: 1,-PPiiOVPI, Y_ D I S PROVAL _-- -- DFTE:
E d e; c. li ,
X:L]Vi..l'(.)tltflCt]'f:�.l Iic,,ltt�
Coun.Ly
d;•tl
0
0
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7
9
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Uv `1 of
JOB NAME 01I Le 5. Orl JOB NO.
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
d �.
/,tAL lei t.L
J
JOB COST SUMMARY
TOTAL SELLING PRICE
PERMIT # 92
OWNER: Ralph L. Cotton, MD
LOCATION: One mile south on Gypsum Valley Road (Z mile west)
(220 acres)
REMODEL EXISTING SYSTEM
11 2 y
INSTALLER: Larry Schultz
SIZE OF TANK: 1,250 gallons
DWELLING: single family - 4 bedrooms x 200 sq.ft.
PERC RATE: one inch/15 minutes (800 sq. ft.)
suggest a minimum of 800 sq. ft. leach field.
G i n n l i ., .-I . I 00 -7 it
TOTAL MATERIAL
TOTAL LABOR���-z
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
Rio OF SELLING PRICE
NET PROFIT
' II-"`Cu -'U By: Erik Edeen
,JOB FOLDER Printed in US.A