HomeMy WebLinkAboutCooley Mesa Rd - 000000000000 - 0160ISEAGLE', E
UNTY DEPARTMENT OF ENVIRONTAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N9 160 (this does not constitute
a building or use permit)
Owner Larry Schultz
System Location Cooley Mesa Road, Gypsum, Colorado
Licensed Contractor Larry L. Schultz
* Conditional Construction approval is hereby granted for a 1, 000 gallon
XXXX Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 20 minutes 600 sq, ft.
absorption area per bedroom 200 sq. ft.
# of bedrooms S x 200 sq. ft. minimum requirement
May we suggest 600 sq. ft. of drainage field �//
Date �Z 77 Inspector izle2%n �—
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.
X Adequate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date 3- 77 Inspector 9d_e,7,,J
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.
r_.
ENVIRONMENTAL HEALTH
'PERMIT NO. �j0� P.O. BOX 811
EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Np 374
! Name of Owner: Q �h � ��� �g e �' y /� pPhone:
Address of Owner: I(JD,I° �7 �I/� l�yi�.S'if/`iY) ( lA
Is facility within boundaries of a city/town or sanitation district? \\ID .
Distance to neare
Location of Propc
Legal Discription:
Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms 13
Water Supply: Private Well ( )() Location: n� Distance From leach field: 9Zk5. c=.
Size of Lot: �� `S �� Z,C�i')l3A •rn�� ��� .x�.w Public Water Supply:
An appropriate plat plan must accompany site inspection for this applicatioff'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:
OAV- 941 19x 5y k G L-cfyn,C�,(n C
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit
SIGNATURE OF APPLICANT: Date:`
(Th' a lication becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: Permit No. Ao
Tank Copocity:--/6— 00 ""1 i5 gal. (minimum) Fee Receipt:/7S'�=
Absorption Area: 6�7 (7 o 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:
r PJ311COL: TION TEST
Fee: $10. oo
1pnlxcation No. Permit No.
0,%, n e r
Leanl Description: S .G. % %S'�'s �� ZZ
Tyne of Duelling: � No. of Bedrooms:
Date of Test: Denth of Iloles: . Z
Dinn*ieter: Tyne of Soil:
Loci:tion of Test Holes:
Test hole was nreso3ked from: To:
Winne Dcte -Time- Date
U /.
OLE
TIMIE
WATER DEPTH
1 INCHES OF FULL
TE
1
2
3
1 1
2
3
2
3
1
2
3.
34
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20
1-' Z1
p
Percolation .ate: 2o ;L�z
Site Iins been reviewed, and teste for percolation. rate,
i5e recouunend: IPPROVI)L DISIPPROVAL DITE : �— 7"
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0160-Sec 9 T5S R85W Cooley Mesa Rd
JOB NAME SC LTZ JOB NO., 11
JOB LOCATION
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DATE COMPLETED
DATE BILLED
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PERMIT #160 C-��
OWNER: Larry Schultz
LOCATION: Cooley Mesa Road - Gypsum (35 acres +)
INSTALLER: Larry L. Schultz
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms x 200 sq.ft.
PERC RATE: one inch/20 minutes (600 sq.ft.)
(suggest 600 sq.ft. of drainage field)
Finalized: 5-77 By: Erik Edeen
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
ol
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
OF SELLING PRICE
NET PROFIT
JOB FOLDER Product 278 ®o NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in U.S.A.