HomeMy WebLinkAbout11126 Valley Rd - 211104204001EAGLE JNTY DEPARTMENT OF ENVIRONF( TAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N® 127 (this does not constitute
a building or use permit)
Owner Collett Enterprises - Fred Collett
System Location Gypsum, Colorado - See attached
Licensed Contractor Harold Denton
* 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:
Perc rate 1 inches in 15 minutes E00 sq. ft.
absorption area per bedroom
# of bedrooms x sq. ft. minimum requirement
May we suggest 600 sq. ft, of drainage field
Date Inspector ✓ 4 ��—
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 %- 4.3-7�r Inspector , zv•
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
hnth
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. /a 7 EAGLE, COLORADO 81631
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
PERMIT FEE $25.00
N° 311
Name of Owner: Collett Enterprises Phone: 524-7777
Address of Owner: 706 Valley Rd. Gypsum. Colorado 81637
Is facility within boundaries of a city/town or sanitation district? No
Distance to nearest sewer system: More than 1/4 mile
Location of Proposed System: See attached sheet
Legal Discription: See attached sheet
Type of Structure: Single Family Dwelling ( ) Other: commercial No. Bedrooms 3 toilets
Water Supply: Private Well ( X ) Location: SW corner of property Distance From leach field:
Size of Lot: 2 acres 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:�/�� ��fixd
The undersigned acknowledges that t e abov • ormation is true and that false information will invalidate the
application or subsequent p
SIGNATURE OF APPLICANT Date:
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: k� /--) ` ': Permit No. -
Tank Capacity: 2 gal. (minimum) Fee Receipt:
Absorption An Sq. ft. (minimum) File:
REMARKS:
APPLICATION IS: APPROVED ( ) DENIED
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:''�`""�
• hIJ"COL TION TEST
Fee: $SU.00 '
1p-olicn t,ion No. 3//, ''extant No.
Owner:
Legal Description:
Tyne of D%rellin�;; No. of Bedrooms:`
Date of Test: /9- 76 Denth of Holes:
Diameter Tyne of Soil:
Location. of Test Holes:
Test hole xvas nresoaxed from; To.
Time D- to Time Date
LE
TIME
IVA-TER. DEPTH
� INCITES OF FALL
HATE
1
2
3
2
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Percolation Rate: % ,,JpI �.
Site has been reviewed. and for rca•colatio,l. rate.
itie 'recommend: FppROVPL DIStPPROVhL DFTE:
Environment",) lien:1th
T,aUle County
dal
San: `F5 (Rev. 1-74-200)
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SOURCES:
MILK, CREAM
CREAM PASTRIES
MEATS
ICE
Firm:
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610
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COLORADO DEPARTMEN
T OF HEALTH
NSPEC
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DISTRICT OR COUNTY
NO. SERVED DAILY
KITCHEN ELSEWHERE?
CE-RTIFICATE/LiCENSE NO.
SCORE : Q
.IeC�✓ Address • 0J 2_ � ,7777
DATE TIME AM
Type.
IING DEFECTS WHICH YOU HEREBY ARE
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AREA CODE —TELEPHONE NO. —OR OPER.
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EXTENSION N
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SIGNED
Phoned Call Returned Wants To Will Call Was See
Back Call See You Again In Operator El
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Operator
Ige and handling of utensils:
Isal of wastes:
storage temperature:
(someness of food:
someness of milk products:
someness pf shellfish:
ge of food and drink:
ay and service;, food, drink:
t and rodent control:
yees:
llaneous:
se control:
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Operator
Ige and handling of utensils:
Isal of wastes:
storage temperature:
(someness of food:
someness of milk products:
someness pf shellfish:
ge of food and drink:
ay and service;, food, drink:
t and rodent control:
yees:
llaneous:
se control:
LEGAL DESCRIPTION OF COLLETT ENTERPRISES BULK PLANT SITE:
A parcel of land in the County of Eagle, State of Colorado, located in
Tract 62 of Sections 4 and 51 Township 5 South, Range 85 West of the Sixth
Principal Meridian according to the Independent Resurvey of said Township
and Range as approved by the U.S. Surveyor General in Denver, Colorado, on
June 20, 1922, said parcel of land being more particularly described .as
follows, to wit:
Beginning at a point from which Corner No. 4 of.Tract 640 Township 5 South,
Range 85 West of the sixth Principal Meridian bears S. 050 021 49" W. 371.35
feet distant; thence N. 000 251 05" E. 242.90 feet to a point on the
southerly right of way boundary line of Colorado State Highway No. 24; thence
along said right of way boundary line N. 870 581 18" E. 359.00 feet; thence,
departing from said right of way boundary line, S. 000 251 05" W. 242.90
feet; thence S. 870 581 1811 W. 359.00 feet to the point of beginning.
Said parcel of land contains 2.00 acres more or less.
0127-Tr 82 Sec 4 & 5 T5S R85W of 6th
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LOCATION
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BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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JOB COST SUMMARY
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PERMIT # 127 <1 �^
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OWNER: Fred Collett
LOCATION: Tract 82 - Secs. 4 & 5, 175S, R85W of 6th pm I
Gypsum (2.00 acres more or less)
INSTALLER: Harold Denton
SIZE OF TANK: 750 gallons
DWELLING: Bulk Plant
PERC RATE: one inch/15 minutes (600 sq.ft.
1
(suggest 800 sq. ft. of drainage field)
Finalized: 7-23-76 By: Erik Edeen
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
pie of SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 ®@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER
Printed in USA
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