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HomeMy WebLinkAbout777 Lost Ln - 211105300021,TOWN OF GYPSUM EAGLE C JNTY DEPARTMENT OF ENVIRONM(TAL HEALTH Box 811 6th & Broadway Eagle, Colorado 81631 ?ERMIT MUST BE POSTED ON PROPERTY PLEASE CALL FOR FINAL INSPECTION PERMIT O (this does not constitute N • 221 a building or use permit) Owner JAMES KEIGEEY System Location TOWN OF GYPSUM — 960 HIGHWAY 6 Licensed Contractor . MERLE HOBBS * Conditional Construction approval is hereby granted fora 19 250 gallon XX Septic Tank or Aerated treatment unit. Absorption area (or dispersal area) computed as follows: Perc rate 1 inches in 15-20 minutes 1000 sq. ft. absorption area per bedroom # of bedrooms 6 x sq. ft. minimum requirement May we suggest 1,000 square feet of drainage fie c Date September 29, 1977 Inspector Erik W. Edeen, R.P.S. 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. �eptic 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 "?/ Inspector C 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 ENVIRONMENTAL HEALTH PERMIT NO. �a P.O. BOX 81 1 EAGLE, COLORADO 81631 1 PERMIT FEE $25.00 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT jN0 Name of Owner: _JCL /" 1` S / 1 to % / 'e 'I Phone: 71�� Address of Owner: 2�z, 1 4 Y .sLL Is facility within boundaries of a city/town or sanitation district? `� es Distance to nearest sewer system: /& of i Location of Proposed System: 0 L4 �► e n d:oIF % !2 iz -6 r ye- .5 Legal Discription: Type of Structure: Single Family Dwelling Other: No. Bedrooms__fo Water Supply: .Private Well ( ) Location: Distance From leach field: Size of Lot: /' % e k z' s Public Water Supply: .L kuAl ®T el- st t✓o s i4 m 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: / 16 b Ls E x-&y-e 7i'Ok1 The undersigned acknowledges that the above information is true and that false information will invalidate the application or subsequent permit. SIGNATURE OF APPLICANT: Z�" _ Date:��/ /� (This application becomes invalid 6 months from above date.) HEALT DEPARTMENT USE ONLY Percolation Information: -�t0 ��� Permit No. 1% Tank Capacity: 4 s-1 gal. (minimum) Fee Receipt ) ��� Absorption Area: /, d Sq. ft. (minimum) File: 9 aL317J c . /9s/3 REMARKS: APPLICATION IS: APPROVED (j/ ) 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: T! 717 Sanitarian: Ad 11-W S0 n 6 PERCOLATION TEST FEE: $50 Application No. 45Z Owner: Legal Description: Permit No. Type of Dwelling: i- No. of Bedrooms: CO Date of Test: Diameter: Location of Test Holes: Test Holes Presoaked: Yes: Depth of Holes: Typee� of Soil: ASU CIG� No: /2sU %w hr 4-- /000 St �� e TIME WATER DEPTH INCHES OF FALL RATE 1 2 .3 1 2 3 1 2 3 1 2 3 7,1170 XAJ 7-0 -77 PERCOLATION RATE : ISM-" MPI ��� DISAPPROVED: DATE: �o _ % APPROVED: IISArrR�V l r GYPSUM SANITATION DISTRICT GYPSUM, COLORADO August 23, 1977 Mr. Erik Edeen Eagle County Health Dept Eagle, Coloado 81631 Dear Mr. Edeen: James and Sharon Keighley have recently applied to the Gypsum Sanitation District for service. We have had%odeny them service at this time due to the location of our lines, the cost of installing access lines to them, pumping stations, etc. We recommended they place a septic tank on their property until the time that sewer lines are readily available. They have agreed at that time they will connect to the service. We request you assist them in what every way you can to help them with their permit. If you have any questions please call. Sincerely, k t�4LCL Richard Turgeon, President Board of Directors rt/ah Town of Gypsum GYPSUM, COLORADO81637 August 23, 1977 Mr. Erik Edeen Eagle County Health Dept. Eagle, Colorado Dear Mr. Edeen: The Town of Gypsum is aware of the recent action of the Gypsum Sanitation District in granting permission to Tames and Sharon Keighley to put a septic tank on their property for their neon home. We understand that at the time it becomes feasible to connect to the sewer they will. We are in complete agreement that this was the only way to serve their home. jem/ah Sincerely, 9oespih E. Mayne, Mayor Board of Trustees i1 '1 I 77 i= _ 1 EAGLE COUST ENV ONMENTAL HEAL'L,. INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ROUTE FORM AM ao2� r_att' ee eR •iered Permit Number LOCAT ON Please review the attached application and return it and this completed form to the Environmental Health Office within 6 working days. PLANNTNGFile No. Yes No Reviewed by Date Comments: COUNTY ENGINEER: Roads:-, Grading Drainage Recommend Approval Comments: BUILDING DEPARTMENT: Set backs Site Other Access Recommend Approval Comments: ____— _0221-960"wy 6 Gypsum _ .JOB NAME KE EY kQNc eA O �Or/ 2-Z JOB NO. JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 2-0 �T? Lc6t Lan �, �Y21 JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL FEZ (On? �- C,�RANCE PERMIT # 221 Pia � 1 �� C, CAA � —ZZ `IS OWNER: James ,eigley LOCATION: 960 - 'ghway 6 - Gypsum INSTALLER: Merle Hobbs SIZE OF TANK: 1,250 gallons DWELLING: Residential - 6 bedrooms PERC RATE: one inch/15-20 minutes (1,000 sq.ft.) suggest 1,000 sq.ft. of drainage field Finalized: 11-04-77 By: Erik Edeen T/YT.A 1 1 `A BOp i — 92 TAX POSTS DOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS °i° of SELLING PRICE NET PROFIT JVO rvwcn rrouum 1-fo Lr /p NtW MU ANU Printed in U.S.A