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
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DATE STARTED
DATE COMPLETED
DATE BILLED
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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
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3LDER
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P.0. 80X 343
GYPSUM, CO'
��AeN JUNE 30, �q8)
SCALE :
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