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HomeMy WebLinkAbout711 Valley Rd - 211105400007EAGLE UNTY DEPARTMENT OF ENVIRONC)TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 REMODEL TO EXISTING SYSTEM PERMIT N® 151 (this does not constitute a building or use permit) Owner Bill Bindley System Location 711 Gypsum Valley Road Licensed Contractor Ted Reynolds, Gypsum, Colorado 81637 * Conditional Construction approval is hereby granted for a 1, 000 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 10 minutes sq. ft. 12' x 50' absorption area per bedroom # of bedrooms x sq. ft. minimum requirement May we suggest Absorption Area 12' x 50' Date �/ 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 J- '2% Inspector ILO � v 4LE 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 h.,+h PERMIT NO. Name of Owner: Address of Owner: Rem -1 CrP ENVIRONMENTAL HEALTH-fl P.O. BOX 811 EAGLE, COLORADO 81631 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Is facility within boundaries of a city/town or sanitation district? el Distance to nearest sewer system: Location of Proposed System: 7 I 1 A Legal Discription: 11 ) r PERMIT FEE $25.00 N° 36'7 Phone: --� -1 — 9 �J 3 q Type of Structure: Single Family Dwelling ( V / Other: No. Bedrooms_ Water Supply: Private Well ( ) Location: Distance Fromleachfield: Size of Lot: �C'E� P 5 Public Water Supply: ki, S U rY--% 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: 7EP �nto 1 1 I I i1-'( 1V-, h1 $?I10 3 The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: _ %h 42 . �iv�.C.��ii Date:_ ��jissr (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: 16 / o / n'c.e s 1.�i , /, � Permit No. Tank Capacity: n0 © J gal. (minimum) Fee Receipt: _//'➢ .— Absorption Area:. /nZ X C C> 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 REPRESENTAT OF HE EAGLE COUNTY HEALTH DEPT. Date: ~S /� Sanitarian: C.OLORADO DEPARTMENT OF' I F'IALTH Water Pollution Control Division .� 4210 East llth Avenue Denver, Colorado 80220 APPLICATION FOR APPROVAL OF LOCATION FOR SEPTIC TANK SYSTEMS Applicant (Owner): Mail Address: GYv a`,'� Ci ty: Phone. `1 A. INFORMATION REGARDING PROJECT SUBMITTED FOR REVIEW: Attach separate sheets or report showing entire area with respect to surrounding areas, topography of area, habitable buildings, location of potable water wells, soil percolation test holes, soil profiles in test holes. 1. Location of Facility: County i9(rL City or Town Legal Description Lot Size: 2. Type of area and facility - Number of persons served: Subdivision �/ Motel Restaurant Trailer Court Other: /k7 -e-- %4cs 3. Source of domestic water: Public (name) : Private: Well Depth Other Depth to first ground water table 4. Is facility within boundaries of City or Sanitation District: -,�() If so name: 5. Distance to nearest sewer system: (® 0 / Have negotiations been attempted with owner to connect:/L7r If rejected, give reason: 6. Rate of absorption in test holes in minutes per inch of drop in water level after holes have been soaked for 24 hours: N 7. Name, address and telephone of person who made soil absorption tests: 8. Name, address and telephone of person responsible for design of the system: r� �1, 4�12 �E3 % lPC�t 9. Est. bid opening date: Est. Completion Date: Est. Project Cost: Date: Signature of Owner EAGLE' COUNTY M; IVIt:ONMENTAL HEALTH INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROLTE SLIP Name /SI ate Reterred '71i . Loc tion ?lease review the attached application and return it and this completed form to the nvironmental health office within G working days. ?lanning: File Number Yes No Reviewed By Date Complies with: Subdivision Regulations _ Zoning Regulations Recommend Approval locmnent s z lounty Engineer: Roads Grading: Drainage Recommend Approval :om*nents: b 3uilding Department: Set Backs Site Access Other Recommend Approval �. ;ocunentss 'Ale, 6-, 's- s� rz �10 0151-711 G�sum Valley Rd Gypsum JOB NAME = B EY JOB NO. 1 n LIN) BILL TO DATE STARTED DATE COMPLETED DATE BILLED 7/0 azz cxXt!�Z'//Li� C. r . s 00� JOB COST SUMMARY , TOTAL SELLING PRICE LO i % �-- SCGQ�� O ! �l - 0 PERMIT # 151 N _ 2 OWNER: gt•�-1 Bind e y LOCATION: 711 � i6 a um Valley Road es 'Gypsum REMODEL OF EXISTING SYSTEM I u ll� SYSTEM -NSTALLER Ted Re IZE OF TANK: l Reynolds WELLING: Single000llons FRC RATE: family - 4 bedrooms one inch/10 minutes 3SORPTION AREA 12' i12' X 50') X 50; 3/70/77 TOTAL MATERIAL 45 TOTAL LABOR INSURANCE SALES TAX MISC.COSTs TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT Finalization: f � 405 Uc_��� -�• uunn Evans FOLDER Printed in USA