HomeMy WebLinkAbout317 Strohm Cir - 211106406004EAGLE 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. N2 53 9
OWNER: Dennis Christman ADDRESS: P. O. Box 673 Edwards, CO 81632
SYSTEM LOCATION: Lot 25, Filing 6 - Bertroch Subdivision, Gypsum
LICENSED INSTALLER: owner-installed/Randy Hill, Triple H LICENSE NUMBE : !es
**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: inch in minutes.
Absorption Area per Bedroom
No. of Bedrooms 3 x
= 1,000
sq. ft.
sq. ft. minimum requirement per bedroom
total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: At the time of final inspection, a loan letter will be prepared
and a water sample will e taken at the dwelling. This office has received all fees
for 1 roan i nSnaci-i nz2 _
DATE: October 2, 1981 INSPECTOR: Sid Fox, Assistant
**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: / QQ O gallons.
Design Engineer of System:
Installer of System:
l
Phone: A-9L J-7/
Septic tank cl eanout to within 12""of final Pi-ade or
aerated access ports above grade? Yes /1 No
Proper materials and assembly? Yes No
Compliance with permit requirements? Yesy No
Compliance with County/State regulations requirements? Yes No
COMMENTS:
(Any item checked "No" requires correction before final approval system is made.
;'i"HJt KGIUM14 IrI1J Y:0r\idVf`i hj 'r1 IiJUK 3 1 1 L f LiiN N%U rttJ
949-5257
ENVI RONMEi'' TAL HEALTH
D BOX 850
S Gp 1 6 1g�� EAGLE, COLORADO 81631
927-3823
PERMIT FE $75 L NFA PERCOLA' ION TEST FEE = $50
�Nv�RON PPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
NO. alp
NAME 'OF OWNER: ENN)5 CHRI-ST ArJ
ADDRESS: 0, 6Dy fo73T f IDWAK06 W, 8'1(o32- PHONE: _ggq-67ab
NAME. OF APPLICANT (IF DIFFERENT FROM OWNER). ---
ADDRESS:
PHONE:
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE): j I K EMe
A5DRFSS: — �� ^,c
•D, i�ioxE �,_.._. EnvJ�RDS _ �Co,_ �1(�3a- ,,, .. c1a6-3770
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: RANOY H 1L-(. - TR►PL& H - CONS7_1�UC7"104
ADDRESS: 6 0 X 15-1 , FACtLE , CO. ?13) PHONE: 5a4--7a73
PERMIT APPLICATION IS FOR: (-4- New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County EA6iC-C Lot Size 1.0 ACY{C-
City or Town, if within City or Town Limits G`I PS 0 M C I TY ci M )Ts
LEGAL
DESCRIPTION: LOT
a5
FLING
r3E&_0i0CH G0601V1-51DlJ CY __1014 Co
STREET
(RURAL) ADDRESS:
STrZoRM
�t�Ct,E
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (X) Yes ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
r-1 Residential - Single-family dwelling ( ) Residential - Triplex
Residential - Duplex ( ) Residential - Quadplex
( ) Commercial - State usage
# Persons �# Bedrooms
WASTE TYPES: (Check al i applicable) base, We� +
( ) Commercial or Institutional Dwelling ( Garbage Grinder
( ) Non -domestic wastes ( ) Transient Use Dishwasher
( ) Other Automatic Washer
SOURCE AND TYPE OF DATER SUPPLY: ( ) Well ( ) Spring ( ) Creek or Stream
Give depth of al wells within 200 feet of the system:
If supplied by community water, give name of supplier: 6X P5-u M C (Tyy/,�Tc- f\
TYPE OF INDIVIDUAL SEIWAGE 'DISPOSAL SYSTEM PROPOSED:
( Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
1 :Vaui Pr'i:vy Lvi�iN�Jt'��:�y Dui �:% t r:.cycI iiig, i VL Ule v��
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
( ) Greylt/ater ( ) Other
WILL EFFLUENT E D SCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes No
Signature Date 9 -
INFORMATION BELO!•! TO BE Ff[IED OUT BY ENVIRONMENTAL!HEALTH OFFIcrER
GROUND CONDITIONS: Percent Slope:
Depth to Bedrock (per 8' Profile Hole): Depth to Groundwater Table:
SOIL PERCOLATION TEST RESULTS:
Minutes per inch in Hole No. 1
Minutes per inch in Hole No. 2
Minutes per inch in Hole No. 3
�INP.L nr`Pn_SAL gY ( 1 Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Underground Dispersal ( ) 'Wastewater Pond
( ) Other
REPAIR PERMIT APPLICATION
FOR INDIVIDUAL SE!•IAGE DISPOSAL SYSTEIMS
A pernit 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.Aealth hazard.
IF PRESENT SYSTEM IS PRE-EXISTING, NON -CONFORMING, 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:
/00 0 0,41- 5F�771C %�illj<
1000 SQ-FT. 1,64clf c-16L,9
DATE PRESENT SYSTEM WAS INSTALLED 5€,0T,
.PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT:
';TTF PLAN BFLOW SHOWTNG PRESENT SYSTEM COMPONENTS:
1 ^ 3 ELj-iNCS1CAL
CR
age
i (HouSFIV
10
0 14
� u b d c J l S 1 0 ✓1
�d P -r
or VV\ ci
LoNG�' LENCH FtC
3 0ic 3 4 E as cs 1�
. l
rot de
to .3 -3 0 '.) p x''Pc 6 b on d ce
OWNER OF SYSTEM: F AINI5 C1191S7-M Al _ 1
ADDRESS:D, SOX 67. , �Oy//,��s, C'o VFr /(0 3 2
APPLICANT:
ADDRESS:
DATE:
0539 Lt 25, Bertrocn Sup, r-Ly i _.
6 317 Strohm Circle J
FB NAME,
OB 'NO.
_1 /r
Parc're-L#-2111-064-06-004� M` 7.r
J_
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
AMms&'
C0o3
C�I�
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
- --- -- - -- -- ---- - -
(' o P�' o X to
PERMIT # 539
OWNER: Dennis Christman
LOCATION: Lot 25 - Filing #6 - Bertroch Subdivision -
Gypsum (Strohm Circle)
INSTALLER: Randy Hill
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 3 bedrooms x
PERC RATE:
TOTAL LABOR
INSURANCE
SALES TAX
MISc.COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
OF SELLING PRICE
NET PROFIT
J LD G R Printed in U.S.A.
I.
a4GLE C UNTY
nvironmenta�Health Dept.
0. Box 850
,GLE, COLORADO 81631
f LEPHONE 303/328-731 1 October 19, 1981
BOARD OF COUNTY
/COMMISSIONERS
Ext 241
ADMINISTRATION
Dennis Christman
Ext241
P.O. Box 673
ANIMAL SHELTER
Edwards, Colorado 81632
949-4292
ASSESSOR
RE: Individual Sewage Disposal System Inspection for
Ext202
Loan Inspection for property located at Lot. 25,
BUILDINGIN
Bertroch Subdivision, Filing 6, Gypsum
INSPECTION
Ext 226 or 229
Dear Mr. Christman:
CLERK &
RECORDER
Ext217
All water and sewage disposal system loan inspections
are done under the authority of the Eagle County Building
COUNTY
ATTORNEY
Regulations, Section 10, sub -paragraph 3-A, adopted by
E t
the Eagle County Commissioners on May 25, 1973.
ENGINEER
Ext 236
An on -site inspection today of the above -referenced property
revealed that the individual sewage disposal system was
ENVIRONMENTAL
HEALTH
installed according to the minimum requirements approved
Ext238
b this de
y partment--- a minimum 1,000 gallon septic tank
with a minimum 1,000 sq. ft. leach field. Final approval
EXTENSION
AGENT
for the installation of the system was given today at
Ext247
the inspection.
LIBRARY
Ext 255
Potable water is supplied by the community water supply
PUBLIC HEALTH
of the Town of Gypsum. This water supply is inspected
Eagle Ext 252
annuallyand tested twice monthly by the Colorado
Vail476-5844
Department of Health.
PLANNING
Ext 226 or 229
PURCHASING/
PERSONNEL
Ext 245
ROAD & BRIDGE
Ext 257
SHERIFF
Eagle Ext 211
Basalt 927-3244
Gilman 827-5751
SOCIAL SERVICES
328-6328
TREASURER
Ext 201
I did leave a water sample bottle for a bacteriological
water sample to be taken from this property and returned
to this office. Please take the sample on a Monday or
Tuesday from a fixed source and return it to us for
mailing. We will enclose the fee you paid for the testing,
as required by the Colorado Department of Health. Upon
receipt of the results, we will forward them to you.
Sincerely,, /7 G
Erik W. Edeen,
Environmental Health Officer
EWE/n cm
Encl.