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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 hoth_ r 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% OLIO Tli�1E - �I WATER DEPTI � INCHES OF FALL � �LL MINVTE,g p�R D,t•�,TE�r l 8:3ZAM.8:35gM To 8 ; 3`I 2 3 y1 1 2 It��r. y T® I3 f�4 3_L�1 iy 2 3 l 2 3. o 8' la Ip'r if -to 63�4 3/y f-t — s `� �i 6:95 l 3/19 � 2 2 12 I 3I 4 — S 1 8 5z �, s ' G'ly� III -__ I . - 0l2 s 10 9: a� LO 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 I,t�I;le County dal I _ •J; i J . A i < 2 tAi W d i , A as V� 'Q rJ . 2 J ,h ° 4 - cr uo 1 j a 3 jr 1 aW 2 4 9 a/ ¢ 1 wa i a, of al o 2 Z 3 s .. ^; Jr am.r aw,gs.poaw+m-,aaic: - r. 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. V,// t