HomeMy WebLinkAbout9229 Gypsum Creek Rd - 219315300004EAGLE t JNTY DEPARTMENT OF ENVIRONM, FAL HEALTH
Box 811 6th & Broadway .
PERMIT MUST BE POSTED ON PROPERTY Eagle, Colorado 81631 CALL FOR FINAL INSPECTION
PERMIT N9 2 � (this does not constitute
a building or use permit)
Owner HERMAN D. NEwQuTST
System Location 9229 GYPSUM CREEK ROAD
Licensed Contractor SAME AS OWNER
/75Z
* Conditional Construction approval is hereby granted for a gallon��
xx Septic Tank or Aerated treatment unit.
Absorption area (or dispersal area) computed as follows:
Perc rate 1 inches in 10 minutes 400 sq. ft.
absorption area per bedroom
200
# of bedrooms 2 x 200 sq. ft. minimum requirement
May we suggest 400 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 rior to covering any part.
� Sic Tank cleanout to within 12 of final grade or aerated access ports above grade.
oper materials and assembly.
Ade uate absorption (or dispersal) area.
Adequate compliance with permit requirements.
Adequate compliance with County and State regulations/requirements.
Date Inspector
Z�
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
ENVIRONMENTAL HEALTH
P.O. BOX 811
PERMIT NO. EAGLE, COLORADO 81631 PERMIT FEE $25.00
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT N9 521
Name of Owner: L / Phone:
Address of Owner:i
Is facility within boundaries of a city/town or, saniniti7on district? All?
Distance to nearest sewer system: AA
Location of Propc
Legal Discription:
Type of Structure: Single Family Dwelling ( x) Other: ,�� act j� No. Bedrooms
Water Supply: Private Well ( ) Location: • �e , �+[�istance From leach field: '
Size of Lot: A? At ���� Public Water Supply:
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:
The undersigned acknowledges that the above information is true and that false information will invalidate the
application or subsequent permit.
SIGNATURE OF APPLICANT: omo i�G Date:
(Thi pplication become invalid months from above date.)
HEALTH DEPARTMENT USE ONLY
Percolation Information:
Tank Capacity: gal. (minimum)
Absorption Area: Sq. ft. (minimum)
REMARKS:
APPLICATION IS: APPROVED ( ) DENIED
Permit No._
Fee Receipt:
File:
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:
1PI)MCP Lion NO.
Owner:
Le -al Descxiption
PC(!: $50. 00
."Crillit No.
Tyne of Dwelling: No. of Bodrooris:
AP
Date of Test: � • � Dentli of Doles:
Di-ameter: Tyne of Soil: Loam ;
Loc:ztioa of Test Holes:
Test hole was nresoaited fz•on: To;
- Tit, D; .te Time Date
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JOB
JOB LOCATION
JOB NO. Z�
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
70
PERMIT #277'�
Ho e,,\
OWNER: HermaYr-Newgars--k
L
LOCATION: 9229 Gypsum Creek Road +
(61 acres)
INSTALLER: Owner
SIZE OF TANK: 750 gallons
DWELLINGS: Residential - 2 bedrooms x 200 sq.ft.
PERC RATE: one inch/10 minutes (400 sq.ft.)
Suggest 400 sq.ft. of drainage field.
�_� ,: .A Q_97-7a Rv- Erik Edeen
-JOB COST
OSS PROFIT
)VERHEAFSELLIN COSTS
SELLING PRICE
NET PROFIT
r I IIQ I I GGu.-
JOB FOLDER'Product 278 ®@ NEW ENGLAND BUSINESS
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