Loading...
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.