HomeMy WebLinkAbout888 Cooley Mesa Rd - 211110138001EAGI - UNTY DEPARTMENT OF ENVIRO"'Mr"4TAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N0 100 (this does not constitute
• a building or use permit)
Owner Colorado Utw by Leon Parkinson
System Location 0888 Cooly Mesa Rd. Gypsum, CO
Licensed Contractor Colorado Ute Engineers
* Conditional Construction approval is hereby granted for a 750 gallon
X Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Pere rate 1 inches in 15 minutes 600 sq. ft.
absorption area per bedroom none
# of bedrooms x sq. ft. minimum requirement
May we suggest
Date July 6 , 1976 Inspector�'T J
�'� —•-��
Eri W. Edeen
FINAL APPROVAL OF SYSTEM:
No system shall be deemed to be in compliance with the Sewage Disposal Laws until the assembled system
is approved 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.
dequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date 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
both.
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATIO FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT297
�d
O
Name of Owner: Phone: 6��
Address of Owner:�ZG►"YLL
Is facility within boundaries of a city/town or sanitation district?— 2z/?
Distance to nearest sewer system:
Location of Proposed System:
Legal Discription:
Type of Structure: Single Family Dwelling ( ) Other: 6a2A96,0hv No. Bedrooms �b dvL-xx t
f
S��istance From leach field:
Water Supply: Private Well (X) Location:%� �C�_(��X
Size of Lot: d c�,4 e n Public Water Supply: -07L�i
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. g. � g, � f .� /jjd� � t 68
Name, addrgss, and telephone of, person responsiblorfor design of system;;
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
LSIGNATURE OF APPLICANT: Date:
(This application becomes in slid 6 m nths from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: -�� i-:5-11
Tank Capacity: gal. (minimum)
Absorption Area: 4�21 Sq. ft. (minimum)
REMARKS:
APPLICATION IS: APPROVED ( L-) DENIED
Permit No.
Fee Receipt: Z3_
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:
HOLE
pEIICOLA^TION TEST
Fee: $50.00
fpnlicption No. Permit No.
Owner:
Legal Description:
Tyne of Dwelling: Xcc, 5G No. of Bedrooms:
i
4 b/
Date of Test: � �_. 7�enth of Holes:
f (
Diameter: `� Tyne of Soil. �_____�
Location of TeS't Holes:
Test hole was nr esoaked from:
Time
;ste
To:
Time- Date
TAME
WATER DEPTH
j INCHES OF FALL
FETE
1
2
3
1
2
3��
l
2
3
1
2
3'
w
2-
7
c6);zs
�%
7
1
`6j
z�
r 30
;55
VAL
Percolation Rate: 1--_ IMPI
Site hos been reviewed- and tested for Y,ercolation. •ate,
We recommend: FPPI3.UV�5L DISIPPFOVAL DAt- TE:--
dp l
,rile V,. Edeen, 1I.P. S.
Environmental Health
Eagle County
ri1vv
JOB NAME
JOB NO.
1 OCOTION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
L
U
PERMIT #
100
CC�rn
JOB COST SUMMARY
OWNER: Colorado
Ute (Leon
Parkinson)
�Zpf?—
v/�
TOTAL SELLING PRICE
LOCATION:
0888 Cooley Mesa
Road - Gypsum (80
acres)
TOTAL MATERIAL
TOTAL LABOR
INSTALLER: Owner
SIZE OF TANK: 750 gallons
DWELLING: Office/Storate - one bathroom
PERC RATE: 1 inch/15 minutes (600 sq.ft.)
INSURANCE
SALES TAX
MISC. COSTS
Finalized:
7-28-76
By: Erik
Edeen
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
OF SELLING PRICE
T— NET PROFIT
JOB FOLDER Product 278 �0 NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS, 01471 JOB FOLDER Printed in USA