HomeMy WebLinkAbout316 Strohm Cir - 211106405032-_j
Box CSC
EAGLE, COL0rA_-_0 E1631
FE:,CCL:�T 1';:l TEST FEE = SSO
APPLICATION' FOR iiIDIVIDUAL SE:,7XE DISPOSi,L SYSTE" PER'.'.I T
_NAME 'OF 01•I;IER:
ADDRI-:SS : ? 2—
NA NE OF APPLICANT (IF DIFFjRENIT FROM 01-INER):
ADDRESS:
DF.SIGN ENGINEER OF
ADDRESS:
-PERSON RESPONSIBLE
ADDRESS:
TENXIF, APPLICABLE):
.10. ! %%n %t,
S -�7 PHONE:
PHONE:
PHONE:
IR INSTALLATIO"I OF SYSTEI1'1:
PHONE:
PERNIT APPLICATION IS FOR: ( ^lew Installation ( ) Alteration
LOCATION OF PROPOSED FACILITY: County "26t Ye_ Lot Size
City or Town, if within City or Toin Limits
LEGAL DESCRIPTION: r , %�S ��� Z�T
STREET (RURAL) ADDRESS:
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (✓� Yes ( ) No
BUILDING 0 SERVICE TYPE: (Check applicable category)
Repair
3 ee)' 1g:121g-s
i / 4L C� 46C/
( Residential - Single-family dwelling ( ) Residential - Triplex
( ) Residential Duplex ( ) Residential - Quadplex
( ) Commercial - State sage
# Persons ��i' # Bedrooms
WASTE TYPES: (Check all applicable) --
( ) Commercial or Institutional (v.) Dwelling Garbage Grinder
( ) Non -domestic wastes ( ) Transient Use ( � Dishwasher
( ) Other (� Automatic Masher
SOUP,CE A'1D TYPE OF 14ATER SUPPLY: ( ) Well ( ) Spring ; ( ) Creek or Stream -% 4
Give depth of all wells within 200 feet of the system:
If supplied. by community water, give name of supplier:
-TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM, PROPOSED:
( Septic Tank ( ) Aeration Plant ( ) Chemical Toilet -
- _ .,_.t11
,vau1L Pv•_I i IVy •t � iui�� vJL ii�J iUil:. 1. -1 ?i-'.f�ilg, �L. i.. CIV �' i•JC
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
( ) Greywater ( ) Other
`WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes ( t`rN o
Signature Date 0
INFORMATION BELO!•I TO BE FILLED OUT BY EiIVIRDiIIIE"IT!1L HEALTH OFFICER
GROUND CONDITIOIS: Percent Ground Slope: �^
Depth to Bedrock (per 8' Profile Hole): Depth to Groun.a•iater Table:
SOIL PERCOLATION TEST RESULTS: �� Ninutes per inch in Hole No. 1
X0 Minutes per inch in Hole No. 2
Minutes per, inch in Hole No. 3
FINAL DISPCSIL BY: ( absorption Bed or Pit ( ) Evanotransoiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Un�ergrour.d Dispersal ( ) :•laste:'iater Pond
( ) 0 t:,er
PERCOLATION TEST FEE: $50
9 7�
I.S.D.S. APP.
OWNER: �i
`l � m � s O�� � -2
LEGAL DESCRIPTION: 192,fL l� % 7 63iZ?
RURAL ADDRESS: 7`
TYPE OF DWELLING: # OF BEDROOMS:
DATE OF PERCOLATION TEST: g 6 TYPE OF SOIL:�l<�-�
TEST HOLES PRESOAKED? Yes No 4,---
E- /jr)C-F -
WATER DEPTH
INCHES OF FALL
MEEM-
MEN
PERCOLATION RATE:
(�
RECOMMENDED MINIMUM
SEPTIC
TANK SIZE:
1��5
RECOMMENDED MINIMUM
LEACH FIELD SIZE: rz>
cps-,,�
RECOMMENDED MINIMUM
SQUARE
FOOTAGE PER BEDROOM: C
eo, H,P
Site has been reviewed and
tested for percolation rate.
Date
Environmental eat icer
COMMENTS: =
F
��� ACC sZi
LOAN INSPECTION FORM
LOCATION: to _.. f t���,•
REQUESTOR:_
COPIES TO:
BILL TO:
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ISDS PERMIT # , � 79
INSPECTION INFORMATION:
• � Sri � --� � � _ -
U
DATE:
INSPECTION DONE BY:
J
LOAN INSPECTION REQUEST FORM
LOCATION:
PARCEL NO:
PROPERTY OWNER:
W
REQUESTOR: /dT��
I-71-% /y AA 57L S&: e ZSl
DATE RECEIVED:
COPIES TO:
ISDS PERMIT NO: NO ISDS RECORD FOUND:
INSPECTION INFORMATION:
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
4
May 13, 1987
Jim Mackintosh
P.O. Box 500
Gypsum, CO 81637
RE: Loan Inspection for property located at 316 Strohm
Circle, Lot 5, Fil. 6, Bertroch Sub., Gypsum, CO
Dear Mr. Mackintosh,
All loan inspections are completed under the authority of the
Eagle County Building Resolution, Section 3.09.03-A(7), adopted
by the Eagle County Commissioners on October 8, 1985.
An onsite inspection of the sewage disposal system on May 13,
1987 revealed that the system appears to be functioning properly
with no apparent problems. This septic system was finalized on
September 13, 1982 under Eagle. County Permit No. 579.
Potable water is supplied by the Town of Gypsum Community Water
Supply.
Enclosed you will find an invoice in the amount of $25.00, the
fee for this loan inspection.
If you have any questions concerning this inspection, please
contact our office.
Sincerely,
Erik Edeen
Environmental Health Officer
EAGLE COUNTY
/gP
Enc .
P.
Board of County Commissioners Assessor Clerk and Recorder Sheriff Treasurer
P.O. Box 850 P.O. Box 449 P.O. Box 537 P.O. Box 359 P.O. Box 479
Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631
k:OMMLINITI DEVELOPMENT
DEPARTMENT
EAGLE COUNTY, COLORADO
April 30, 19912
RicY> Travis
316 Strohm Circle
Gypsum, CO 81637
500 BROADWAY
P.O. BOX 1 ?9
EAGLE. COLORADO 3163 1
FAX (303) 323.712Li,
RE: Water supply and sewage disposal inspection for property
located at: 316 Strohm Circle
Gypsum, Co 81637
Dear Tr avls :
Al. loan inspections are completed under the authority of the
Eagle County Building Resolution, Section 3.09.03, A(7), adopted by the
Eagle County Commissioners on October 8, 1985.
On _April 30, 1992, this department conducted a site inspection of
the above referenced property. The inspection was: requested by you for
she purpose of evalu;�.ting the existing condition of the oIl-site
wastewater disposal and Water supply systems.
A review of the County records indicates that:
On September 13, 1982, the sewage disposal system was permitted
.inder Permit !dumber 579, inspected and approved in accordance with
County Individual Sewage Disposal Regulations. The system consists of
a 1,250 gallon septic tank and 720 square feet of abso_ption area. A
visual inspection of the ground surface indicated that the system is
apparentl==unctioniilg s;.tisfactorily at this time. obviously, this
does not guarantee the continued satisfactory performance of the
system.
Thy water supply to this residence is from the Town of Gypsum, a
communit-y water system. The community water system is inspected on a
regular oasis by the Colorado Department of Health and to the best of
our kiiowlec.gt �oiTiplies With urI'cllt dr inr:lllg water s talldar d
If y3u have any f'.irther questions concernincr this inspection!
piease fe�-free to call me at 328-875 5 or write.
Respectfuli� Stibmitted,
11�"lr�n:.,i&nta1 Health AEsistaii .
JOB NAME
i
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
' b ; 6zo GG
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
------ - - ------ -- -- - -- u $
PERMIT #579 <
OWNER:
LOCATION: Lot 5 - Filing #6 - Bertroch Subdivision
OOOSI& Strohm Circle
INSTALLER: Gary Bertroch
SIZE OF TANK: 1,000 gallons
DWELLING: Residential - 4 bedrooms x
PERC RATE: one inch/20 minutes
minimum 600 sq.ft. of absorption area.
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
` , : `,) 032- DER Printed in U.SA
. 6
Finalized: 9-13-82 By: Erik Edeen
N