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HomeMy WebLinkAbout10468 Gypsum Creek Rd - 219323400009EAGLC OUNTY DEPARTMENT OF ENVIROt(' NTAL HEALTH Box 811 6th & Broadway Eagle, Colorado.81631 PERMIT N® 59 (this does not constitute • a building or use permit) Owner Oren L. Benton System Location Wl , SEI , SE4 ; SE1, SEI , SE¢ ; SE1 , NWI , SEI ; Ej-� , SWj , SEe ; Section 23 T6S, R85W, 6 :PM. Licensed Contractor Schultz * Conditional Construction approval is hereby granted for a 750 X Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 20 minutes 500 absorption area per bedroom _ # of bedrooms 2 x 250 250 sa. ft sq. ft. sq. ft. minimum requirement gallon 2-comeartment NOTE: Post on rror,erty. Call for final insrection. May we suggest a minimum of 500 sq. ft. of leach field. We recommend a 12 x 50' bed. Z<D z Date October 9, 1975 Inspector Erilt W. Edeen 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. X Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. X Proper materials and assembly. X Adequate absorption (or dispersal) area. X Adequate compliance with permit requirements. X Adequate compliance with County and State regulations/requirements. Date October 10, 1975 Inspector ✓ �J Erik W. Edeen 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. ENVIRONMENTAL HEALTW fi P.QABOX 811 PERMIT NO. ," EAGLE, COLOR ADO 81631 PERMIT FEE $25.00 APPLICAT,I-ON FOR INDIVIDi ' UAL SEWGE DISPOSAL SYSTEM PERMIT . ,. �; Name of Owner: l� 1 1 e -: 86—_4J s. 0,V Phone: �71 `" 0 .5 6 "Z,, Address of Owner.'' 1Dr O L U gfl'Z Is facility within boundaries of a city/town or sanitationdistrict? Distance. to nearest sewer system: Location of Proposed System: 'i Z` ► Mk Legal Discription �E/�F , IJl�l4 i6 C�TZ, ,Sl..��if SE��A,ECiJbn3 'r(cv . Ri(pP1Y� Type of .Structure: Single Family Dwelling ( X Other: No. Bedrooms Z Water Supply: Private Well (X) Location:�`I Distance From leach field: Size of Lot: �O Ae-RIE Public Water Supply: A1214 E An appropriate plat plan must -accomEMy site inspection forv&s application showing required information. (See attached sheet.) a 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 All.] 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: to ( t '2_ The undersigned acknowledges that the above information is true land that false information will invalidate the application or subsequent permit. NATURE OF APPLICANT•--'-/��-ems I� SIGNATURE Date: 7 (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: Permit No. Tank Capacity:- gal. (minimum) �� �'�'�T " '� -t-7 Fee Receipt1 Absorption Area: 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: A Pi..:COL!NTID:i AND GET INSPECTIOi? 1'iE- 50.0✓ /:�ST Street Address or Legal Description: ly?_ e o E. .7^_11 ? n:- It�_x,,f 'roo.: s: DO NOT NUTS DIE 1,U; T HIS i:IcrE - /,c, Date of Test:�I"t -.7S Depth of 1-61e: i �� / Dia;ieterType of soil: Location of Test Bole: Test hole was presoaked from: To. (Tine) (Date) (Titre) Date: �E I'-M.-.... Or FaI.I. 2`' 1 + t 2 3 1. 2 3 3 1 2 3 14 /?( 47-1 2z. 1,2 Sf) 00 /515 Flo�I� Percolation ate: Site has been reviewed and tested for percolation rate. We rccorrlend: . APP2,OVAL ( ) I^ `P N T.., ( ) D J�lzi 1:0�%Li.Date: �. NOTE: Plot _plan si?OPTin<- bou dary lines, location of 0;:0705eCI building Or b:111d:.t i1�$ and desi-n of septic system; must* be st:immitt:cd- Ti!tn Application for Permit to Construct. The back of this fore may be used to show plot elan and design of By:_ � San itar t n P. O. Bo;; 811 Telephone (3C3) 3%u-7718 eagle, Colorado 8-1631 EAGLE COUNTY ENVIRONMENTAL HEAL.,H INDIVIDUAL SEWAGE -.DISPOSAL SYSTEM PEMMIT ROUTE SLIP Name f Date f:e erre (i//�S �7 Sc ,C � !-PerialL NUMber Location Please review the attached application and return it and this completed form to the Environmental Health office within 6 working days. Planning: File Number Yes No Reviewed By Date Complies with: Subdivision Regulation Zoning Regulations Recoramend Approval �!/�6—C..., Comments: County Engineer: Roads Grading: Drainage Recommend Approval _... Vr Comments: Building Department: Set Backs Site Access Other Recommend Approval r. 0059-Sec 23 T6S R85W 6PM 10 Mi 1 J013 NAME up Gypsum Benton � �o� JOB NO. . BILL TO DATE STARTED DATE COMPLETED DATE BILLED PERMIT #_ I JOB COST SUMMARY OWNER: Oren L. Benten TOTAL SELLING PRICE 1 NW14, SE 4, E 2, SW 4 SE4, S,E4, SE 4, , 'SE 2, SE 2, SE 4, TOTAL MATERIAL LOCATION: W2, � SE4-S�c..23 T6S, 10 miles up Gypsum % R85W, 6th Pm (60 acres) -- TOTAL LABOR INSTALLER: Schultz INSURANCE SIZE OF TANK: 750 gallons (tw000mspxr250nsq.ft. DWELLING: Single family, 2 bedrooms SALES TAX PERC RATE: one inch/20 minutes (500 sq.ft•) suggest a minimum -of 500 sq.ft. of leach field - recommend a MISC. COSTS 12' x 50' bed. By: Erik Edeen. Finalized: 10 10-75 TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFITT7 Lo/ JOB FOLDER Product 277 ®p NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed In U.S.A. EAGLEOUNTY DEPARTMENT OF ENVIRON�-_"'ITAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 PERMIT(i 203 (this does not constitute • a building or use permit) Owner DIR L I A 0IE� AA QA:) System Location Licensed Contrac * Conditional Construction approval is hereby granted fora 750 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. 10xlOx10 Dry Well absorption area per bedroom # of bedrooms x sq. ft. minimum requirement May we suggest 1Gx1Ax1A Dry Well Date September 1, 1977 Inspector Erik W. Edeen 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. ok Septic Tank cleanout to within 12" of final grade or aerated access ports above grade. ok Proper materials and assembly. ok Adequate absorption (or dispersal) area. ok Adequate compliance with permit requirements. ok Adequate compliance with County and State regulations/requirements. Date September 6, 1977 Inspector Erik W. Edeen 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 $� 203 P.O. BOX 811 PERMIT NO. EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N0 Name of Owner: Orien Denton Phone: Address of Owner: _ Gypsum, Colorado 81637 Is facility within boundaries of a city/town or sanitation district? No Distance to nearest sewer system: 10 miles Location of Proposed System: 100 feet North of Dwelling Legal Discription: 18 miles up Gypsum Creek Type of Structure: Single Family Dwelling ( X ) Other: No. Bedrooms 2 Water Supply: Private Well (X ) Location: Distance From leach field:100 plus Size of Lot: Public Water Supply: No 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: Davis Construction Jack Davis — Box 155 — Gypsum, Colorado 524-9751 The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Date: (This application becomes invalid 6 months from above date.) HEALTH DEPARTMENT USE ONLY Percolation Information: i0 %%%.�� Permit No. Tank Capacity: %6-6 gal. (minimum) Fee Receipt!-%S a"Is-eo Absorption Area: 1QX ZO x lo Sq. ft. (minimum) File: Sys_Z77 --# //9 REMARKS: APPLICATION IS: APPROVED (g ) DENIED The above individual sewage disposal system was installed by Jack Davis AND HAS BEEN INSPECTED AND APPROVED BY A REPRESENTATIVE OF THE EAGLE COUNTY HEALTH DEPT. Date: September 6, 1977 Sanitarian: Erik W. Edeen I \� 5�• 23 NZ011I':1Z'1'Y S11T VI;'Y C. V'/ (e{s 0. ; IJ qo° E 5CA4.E 1'- 400 uj » - Lj� :. to (7 0.00 • _ ' : _ ... Q� ' _"G60.oG' ► \V1 tv IV J o� 5'/q Cot (r(,v �� GLiO Glso �j goo w - �, 9qo, 0-n S.E. cot SURVEYOR'S METITIFICATF 13 RICI'.AIZD F. BARTON, A MEMISTERED LAND SURVEYOR LICr.i1SED TO PMkCTICE I.I THE STATE OF COLCil" D0, DO IfEREDY CERTIri' THAT THE Aa)VE S:10:IN PJX1,1115 CjJ,CUIdI1,ED UND'-'R I•iY SUPERVISION III DF,CEriDE*1R 1971t AND J PRESE"ITS THE `= 'G , �.a rloa AC:,ORDING TO THE r AKINGS Ald'D DISTA',C s MOM THE 1903 Luz Iu,wURViElx,' SECTION 23, T. 6 S., R. W. OP 1Ii4 6th I'.I.1. 21 ���,or• PERCOLATION TEST FEE: $50 Application No. Owner: Legal Description: Permit No. Type of Dwelling: No. of Bedrooms: Date of Test:, Depth of Holes: Diameter: �� Type of Soil: Location of Test Holes: Test Holes Presoaked: Yes: No: TIME WATER DEPTH INCHES OF FALL RATE 1 2 .3 1 2 3 1 2 3 l 2 3 PERCOLATION RATE: � _MPI \PPROVED: DISAPPROVED: DATE: '5 -5- %? n t EAGL(--""COUNTY ENVIRONMENTAL IiEAL(—\ INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM NAME )ate Refered Permit Number L CATIO Please review the attached application and return it and thiscompleted,form to the Environmental Health Office within 6 working days. PLANNING: File No. Yes No Reviewed by Date Complies with: Subdivision Regulations Zoning Regulations Recommend Approval Comments: -- . COUNTY ENGINEER: Roads.-.-.. Grading Drainage Recommend Approval Comments: BUILDING DEPARTMENT: Set backs Site Other Comments: Access Recommend Approval 0203-18 Miles up Gypsum Creek r1joB NAME . 1049 cl.. x DENTON sm'w`L I(l cxv JOB NO. O's —N JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 2 Q�GTIM A1, i�,1%�nMtd a ,����11x.� JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL PERMIT 203 TOTAL LABOR OWNER: � 1211 i) J /U/� Orel Denton .— CATION. Gypsum Creek - (78 milNp� INSTAL .Davis' �PsumGam, Davis � D� �-SIZE OLER. F TANK: Construction/Schultz Construct' DWELLING: 750 gallons ion PERC Vacation home - RATE: bedrooms one inch/70 minutes nutes5T)c- it), 10 x 10 x 10 dry well iC '1 �� sii-S� Finalized: • 9-7-77 Q„. 2 �i�� .� `v DE /k=��/!� 1 in U.S.A.