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HomeMy WebLinkAbout880 Sunset Ln - 211108201006EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway PERMIT MUST BE POSTED INSPECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE ANY PORTION OF INSTALLED SYSTEM 328-7311 or 949-5257 or 927-3823 PERMIT NO. N c 52 f OWNER: Frederick R. Booth ADDRESS: Box 343, Gypsum, CO 81637 SYSTEM LOCATION: Lot 9, Filing 6, Bertroch Subdivision - sunset, Gypsum, Co LICENSED INSTALLER: (owner -installed) LICENSE NUMBER: **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1,000 gallon septic tank or aerated treatment unit. Absorption area or dispersal area computed as follows: PERCOLATION RATE: 1 inch in to minutes. Absorption Area per Bedroom No. of Bedrooms 3 x 200 sq. ft. 2.00 sq. ft. minimum requirement per bedroom total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: This system is located in the Town of Gypsum. Please call for final inspection before covering any portion of installed system. DATE: July 7, 1981 INSPECTOR: Erik W. Edeen **CONDITIONS: 1. All installation must comply with all requirements of the County Individual Sewage Disposal System Regulations, adopted pursuant to authority granted in 25-10-104, C.R.S. 1973, as amended. 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 structure not approved by the building and zoning departments 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, 3.21 requires any person who constructs, alters, or installs an individual sewage disposal system to be licensed according to the Regulations. FINAL APPROVAL OF SYSTEM: No system shall be deemed to be in compliance with the Eagle County Individual Sewage Disposal System Regulations until the installed system is approved prior to covering any part. Installed Absorption or Dispersal Area: sq. ft. Installed Septic Tank: AZ C? ,gallons. Design Engineer of System: Installer of System: >�f4 Phone: Septic tank cleanout to within 12" of final grade or aerated access ports above grade? Yes No Proper materials and assembly? Yes Compliance with permit requirements? Yes No Compliance with County/State regulations requirements? Yes No COMMENTS: (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) �, DATE: ,! �"'8 � INSPECTOR: - J RE -INSPECTION DATE: INSPECTOR: r�Lr�JE RCIURiti in10 rum IlUTA 'Al itl �UUK 311L FLAN All rLLLJ ir 328-7311 949-5257 927-3823 ENVIRONMENTAL HEALTH BOX 850 EAGLE, COLORADO 81631 PERMIT FEE _ $75 PERCOLATION TEST FEE = $50 APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT NO. 8 7 NAME OF 014NER: ADDRESS: (�.[�C �3 J ►7� NAME OF APPLICANT (IF DIFFERENT FROM OWNER): ADDRESS: DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): ADDRESS: PHONE: PHONE: PHONE: PERSON RESPONSIBLE FOR INS ALLATION OF SYSTEM: � Refderlck ADDRESS: =11__� /l�S � PHONE: PERMIT APPLICATION IS FOR: (N) New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED FACILITY: County EA C E Lot Size A . City or Town, if within City or Town Limits 6 iris LEGAL DESCRIPTION: Lc4 s STREET (RURAL) ADDRESS:�.� IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY?) Yes ( `) No BUILDING OR SERVICE TYPE: (Check applicable category) Residential - Single-family dwelling (') Residential - Triplex ( ) Residential - Duplex ( ) Residential - Quadplex Commercial - State usage # Persons # Bedrooms WASTE TYPES: (Check all applicable) ( ) Commercial or Institutional ,1 Dwelling ( ) Non -domestic wastes ( ) Transient Use ( ) Other ( ) Garbage Grinder Dishwasher Automatic flasher SOURCE AND TYPE OF 14ATER SUPPLY: ( ) Well ( ) Spring ( ) Creek or Stream Give depth of all wells within 200 feet of the system: If supplied by community water, give name of supplier: �ijpQum TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Septic Tank ( ) Aeration Plant ( ) Chemical Toilet ( ) Vault Privy ( ) Composting Toilet ( ) Recycling, Potable Use ( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use ( ) Greyviater ( ) Other WILL EFFLUENT BE DISCHARGED DIRECTLY INTO RATERS OF THE STATE? ( ) Yes f No Signature,Xiit/ - INW11-��/�I INFORMATION BELOW TO BE FILLED OUT BY.ENVIR NMENTAL HEALTH OFFICER GROUND CONDITIONS: Percent Ground Slope: Date Depth to Bedrock (per 8' Profile Hole): _ Depth to Groundwater Table: SOIL PERCOLATION TEST RESULTS: Minutes per inch in Hole No. 1 l'0010 Minutes per inch in Hole No. 2 (� Minutes per inch in Hole No. 3 - FINAL DISPOSAL BY: ( Abso.rption Trench, Bed or Pit ( } Evapotranspiration ( ) Above Ground Dispersal ( ) Sand Filter ( ) Underground Dispersal ( ) !Wastewater Pond ( ) Other FEE: $50 OWNER: LEGAL DESCRIPTION: RURAL ADDRESS: APPLICATION PLO.% TYPE OF DidELLING : _l/ TJ/� e _ # OF BEDROOMS: ej DATE OF TEST: �'� -� �f /� TYPE OF SOIL: TEST HOLES PRESOAKED: YES NO TLKE WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 1 2 3 7 I F-7-1 PERCOLATION RATE: z n TANK SIZE: o c-) SQU,-RE FOOTAGE PER BEDROOM: ��� LEACH FIELD SIZE: Site as been reviewed and tested Four percolation rate. j:e reco; ✓^.lend : APPROVAL /"' DISAPPROVAL DATE EAGLE COUNTY ENVIRONIE TAL HEALTH OFFICER 301 REPAI : PERMIT APPLICATIO F02, !INDIVIDUAL SE!VIAGE DISPOSAL SYSTE"1S A Permit fee of 575. shall be charged for alteration, enlargement, or any repair involving alteration of an existing sewage disposal system. This fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1980. For minor repairs of less than $100 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $50 shall be charged for all new leach fields on repair permits. Percolation testing may be waived at the discretion of the Environmental Health Officer on certain repair cases where prompt action must be taken to prevent a .4eal th hazard. IF PRESENTSYSTEMIS PRE-EXISTING., NON-CO"!FORMING, A NEW SYSTEM SHALL BE INSTALLED, COMPLYING WITH ALL CURRENT REGULATIONS. IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEM/MALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM WAS INSTALLED PERMIT NUMBER FOR ORIGINAL, SYSTEM, IF A PERMI`f WAS ISSUED BY THIS DEPARTMENT: SITE PLAN BELOW SHOWING PRESENT SYSTEM -COMPONENTS: OWNER OF SYSTEF': ADDRESS: APPLICANT: — ADDRIESS: DATE unzi 1,-c y, rig t3, oer-crocn NAME SuW�880 sunset Lane �,. •• -- ,tau f JOBNO. JAR r (1r Arr(l Ar .. . . . ... ._...... . ... _. .. BILL Th DATE STARTED DATE COMPLETED DATE BILLED ilcL� � � I I - DAD D --CC) JOB COST SUMMARY TOTAL SELLING PRICE — TOTAL MATERIAL TOTAL LABOR i1��C'1L�'1L C1 ICE �C i-��I`- ---4`t --- PERMIT #521C' "! ' OWNER: LOCATION: Lot 9 - Filing #6 - Bertroch Subdivision 23q() C :317-'� INSTALLER: Owner SIZE OF TANK: 1,000 gallons DWELLING: Residential - 3 bedrooms x 600 sq.ft. PERC RATE: one inch/10 minutes (600 sq.ft.) Finalized: 7-10-81 By: Erik Edeen INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT A V .v 3LDER 0 Printed in U.S.A. i - .. ---- - Z.o' - .. . 0. 0 a P- v N F S 1 l LOT 9, h i L.I*NG !v B ERTROCH Su13 D. FR EP ER ! C K- TZ. BOOT ld P.0. 80X 343 GYPSUM, CO' ��AeN JUNE 30, �q8) SCALE : _ 1