HomeMy WebLinkAbout199 Hardscrabble Rd - 211120400014EAGLE )LINTY DEPARTMENT OF ENVIRONF ITAL HEALTH
Box 811 6th & Broadway
Eagle, Colorado 81631
PERMIT N0 18� (this does not constitute
a building or use permit)
Owner William Richard Nelson
System Location 39, miles south of Gypsum
Licensed Contractor Purley Bertroch
* Conditional Construction approval is hereby granted fora 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 600
PERMIT MUST BE POSTED ON PROPERTY
PLEASE CALL FOR FINAL
sq. ft. INSPECTION
absorption area per bedroom 200 sq. f t .
# of bedrooms 3 x 200 sq. ft. minimum requirement
May we suggest 600 sq. ft. of drainage field
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 _7199 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
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ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO 368
Name of Owner: - a I h Q i, A I C. i 4 V' d &9 1 So,,, Phone: 3 n .3 --rZ 44-- 234. 6
Address of Owner: i� O, Ro X 34" J geyG /G a t o
Is facility within boundaries of a city/town or sanitation district? ZVO
Distance to nearest sewer system: 3 Y"L " I teS
Location of Proposed System: 3 Y2. m i te. S so utl of Gv��s +� y+-+ on Z t I/a // x
Legal Discription:7146 " No lei ASecAio»s zof z,9 .r, %wnsip ' S'oJth /?4nrP 8S'A,1le o� ��
Type of Structure: Single Family Dwelling ( !/) Other: No. Bedrooms-3
Water Supply: Private Well ( ) Location: Distance From leach field:
itr
Size of Lot: 2- /Z 67G Y e,J Public Water Supply:. 6-Y.I_.Sv n water SYy_r,?
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:y r Beyer&C
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: i-� LQ� -�;� Date: /114 V 3. 6 9 2 7
(This application becomes invalid 6 months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information: A/ ��� Permit No.
Tank Capacity: h gal. (minimum) Fee Receipt �1
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:
Fey:: $h0.00
1pnlicption No. 3 Permit No.
Owner;
Le-zl Description:.
Tyne of Dv,ellin r: F'f��M�. Nor.1�, ;10. of Bedrooms: 3
Date of Test: Mk'( Depth of Boles: 2 6 Ito1c1� E5
Diameter: 10-12. INC"ES Tyne of soil: SPWO''
Loc,;.tion of Test doles:
8 30 �,r�n, M A� 6 , i9�� a,M,
Test hole :vas nr esoaized from: To: 8�30 MAq
Time Dcte Time Date
CO�CJ , P• E �" 1 � S2%
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WATER DEPTI
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Percolation Rate: g-_�S „1PI* ovERR%..L, TEST Aug.:
Site has been revieN e,l- and tested for percolatio.z. xa te,
We recommenj: IPuROWL DISIPPROVAL DITE:
I:nvironrricn i:;,l fir-.,;l.th
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EAGL, �COUNTY ENVIBONMENTAL I-IEAL��'
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ROUTE FORM
k1c, 1U
NAME
f
(11
ate Re eyed Permit Number
LOCH ION
Please review the attached application and return it and this completed form to
the Environmental Health Office within 6 working days.
PLANNING: File No. Yes No Reviewed by Date
Complies With:
Subdivision Regulations 1�2
Zoning Regulations
Recommend Anoroval '� �(�- � �'� /7 "7
Comments:
COUNTY ENGINEER:
Drainage
Recommend Approval
Comments:
BUILDING DEPARTMENT:
Set backs
Site
Access
Other
Recommend Approval
Comments:
EAGLE COUNTY ENVIRONMENTAL HEALTH
P.O. Box 811 • Eagle, Colorado 81631 328-7718
May 17., 1977
Mr. William R. Nelson
:P.. O. Box 351
_:Eagle, Colorado 81.631
-Re :Application for Septic Permit in Eagle County
3j miles South of Gypsum
The -Eagle County Environmental.Health Department requires that all
,=Applications for septic permits .in Eagle County be routed to the
-Eagle County Planning, Engineering -and Building Departments for
their comments prior to issuance of the permits. Your application
for septic permit 3" .:miles :South ,of Gypsum was routed on 12 May 77. -
Listed below are the comments and recommendations which were made
by the above Departments during the-x,outing .procedure. If you
nave any questions or wish to get .a 'further explanation, please
;.contact the appropriate ,Departments. The telephone numbers and
addresses of the commenting-Departments.are listed with each comment.
._;TLANNING: Not :approved. "The exemption from subdivision
regulations approved by the Board of County
Commissioners-on,June 2, 1975 is not valid until
files with the County Clerk & Recorder., Upon
recording of the exemption this Department would
;approve for building permit.
errill Kn ght P. a:naer;..
Box 179, Eagl �-<" CO '81631 ,
328-6338
X
=ENGINEERING: Approved,
Irk
BUILDING: -.Approved. °No :-c-omment.
~yy
" 144
NEW
0187-312 Mi S of Gypsum _
,JOB NAME. -3542 Gy sum Creek Rd NELSON Scww�0 ,SOB NO.
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
kV/1
�14cmUlt 'RovJ
JOB COST SUMMARY
TOTAL SELLING PRICE
To
PERMIT # 187
OWNER: Willaim Richard Nelson
LOCATION: 3 2 miles south of
_ Gypsum - (22 acres)_,
INSTALLER: Purley Bertroch `
SIZE OF TANK:
DWELLING: 1,000 gallons ®�)� i-{�1�,�a� R�
Residential - 3 bedrooms x 200 sq.ft.
PERC RATE: one inch/10 minutes (600 sq.ft.)
suggest 600 sq.ft. of drainage field
Finalized: July-77
BY: Erik Edeen
TOTAL MATERIAL
TOTAL LABOROx
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
J0I4` / Printed in U.S.A.
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