HomeMy WebLinkAboutTrail Gulch Rd - 211105200032EAGLE 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 57 0
t
OWNER: Ted Reynolds ADDRESS: sox 254 - Eagle, CO 81631
SYSTEM LOCATION: Tract 67 - S5 - T5; 635 Trail Gulch Road - Gupsum
LICENSED INSTALLER: owner LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: inch in �— minutes.
Absorption Area per Bedroom A)y sq. ft.
No. of Bedrooms — x sq. ft. minimum requirement per bedroom
total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS:
DATE: 7&/ " INSPECTOR:
**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: gallons.
Design Engineer of System:
Installer of System:�=,4Phone: , . r
Septic tank cleanout to within 12" of final grade or
aerated access ports above grade? Yes No
Proper materials and assembly? Yes No
Compliance with permit requirements? Yes No
Compliance with County/State regulations req irements? Yes No
COMMENTS:
(Any item checked "No" requires correction before final a rov of ys. m is made.
Arrange a re-'nsp ction when work is complet
DATE: INSPECTOR:
RE -INSPECTION DAT : INSPECTOR:
•
W ..
BOx P-�0
E;'kGLE, COL 'r��0 S1C31
PER`'IT 1EE _ $150 FE=C L:1TI0'1 TEST FEE = 1-0
APPLICATIO'1 FCR ii1DI'diDU�.L Sc:;r_�1E DISPOS;tL SYSTE'•'. PEI:''.IT
NAME OF OINNER: Ted Reynolds
ADDRIE"SS: Box 254, Eagle Colo. 81631 PHONE: 524-9325
Wif OF APPLICANT (IF DIFFE^ENT FROH O'•,JNER):
ADDRESS:
DESIGN ENGINEER OF SYSTEM (IF APPLICABLE):
ADDRESS:
PHONE:
PHONE:
-PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEt1: Ted Reynolds
ADDRESS: Box 254, Eagle Colorado 81631 PHONE: 534—Q325
P7RNIT APPLICATION IS FOR: (X) New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County Eagle Lot Size 1 Acre
City or Town, if within City or Tovin Limits Gypsum
LEGAL DESCRIPTION: �pz S,%�TS'".,44u a ►
STREET (RURAL) ADDRESS: s.S`-<f�,,�,�
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? (x) Yes ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
( ) Residential - Single-family dwelling ( ) Residential - Triplex
( ) Residential - Duplex ( ) Residential - Quadplex
(,) Commercial - State usage Camper Park
# Persons Bedrooms
WASTE TYPES: (Check all applicable)
O Commercial or Institutional ( ) Dwelling
( ) Non -domestic wastes ( ) Transient Use
( ) Other
SOURCE AND TYPE OF 14ATER SUPPLY: ( ) Well ( ) Spring
Give depth of all wells within 200 feet of the system:
( ) Garbage Grinder
( ) Dishwasher
( ) Automatic Masher
( ) Creel or Stream -
If supplied. by community water, give name of supplier: To;,.of Gypsum
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( X} Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
.�aul L P-rivy .�. ?.vf�i�•.i�•l,ii,j iUi t .L '� Fi_•_fl1 iit�;� vi.CiL,�•. v?�
( ) Pit Privy ( ) Inci-neration Toilet ( ) Recycling, Gther Use
( ) Greywater ( ) Other
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE? ( ) Yes (X ) No
Signature Date (�
IJJFORtiATIOJI BELO!J TO BE FILLED OUT BY EilVIR(lidilE?lTAL HEALTH OFFICER
GROUND CONDITIONS: Percent around Slope:
Depth to Bedrock (per 8' Profile Hole): Depth to r,roun.;,dater Table:
SOIL PERCOLATION TEST RESULTS: Pinutes per inch in Hole llo. 1
Ni Mutes per inch in Hole No. 2
3 t!inutes per inch in Hole No. 3
FINAL DISPOSAL oY: (�) Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Un-'erground Dispersal ( ) 1.4aste;iater Pond
( ) 0t,,er
a r `
GYPSUM SANITATION DISTRICT
P. O. BOX 247
GYPSUM, COLORADO
PHONE -- 524-9484 --
June 23, 1982
Mr. Erik Edeen, R.P.S.
Environmental Health Department
Eagle County
Box 850
Eagle, Colorado 81631
Dear Mr. Edeen:
The Gypsum Sanitation District is unable to provide sanitary sewer
service to the Mountain View Trailer Court, owners Ted and Nettie
Reynolds, at this time.
The Gypsum Sanitation District Board of Directors hereby give their.
permission for a septic system to service this trailer court until
such time as it becomes feasible to connect to the sewer system.
ichard Turgeon, esident
Gypsum Sanitation District
Board of Directors
TOWN OF GYPSUM
Box 237
Gypsum, Colo. 81631
524-9484
June 23, 1982
Mr. Erik._- Edeen,'R.P.S.
Environmental Health Department
Eagle County
Box 850
Eagle, Colorado 81631
Dear Mr. Edeen:
The Board of Trustees gave their permission on May 11, 1982 to the
Mountain View Trailer Court, to install a septic system until such
time as it becomes feasible to connect to the sewer system.
/�'� X;t'e�*
Eldon Bindley, Mayor
Town of Gypsum
Board of Trustees
��
yn � a,
L a,
PERCOLATION TEST FEE: $50
I.S.D.S. TPP. -#,,
OWNER: I JiD
LEGAL DESCRIPTI
RURAL ADDRESS:
TYPE OF DWELLING:
r,
q - 93 D�
DATE OF PERCOLATION TEST: TYPE OF SOIL:
TEST HOLES PRESOAKED? Yes No
# OF BEDROOMS:
WATER DEPTH
INCHES OF FALL
PERCOLATION RATE:
RECOMMENDED MINIMUM SEPTIC TANK SIZE:
RECOMMENDED MINIMUM LEACH FIELD SIZE: (00c) I A
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
Site has been reviewed and tested for percolation rate.
bat (y Ez' ��O�E ntal -Heal th OM cer
COMMENTS: 4 6,, 713a
0570 Reynolds Tract 67 635
,JOB NAME Trail Gulch 2111-052-04-010
67
JOB. ,
BILL TO
DATE STARTED
DATE COMPLETED 'r
sl �/ y`�
DATE BILLED
I ll ASS Tva1 � WAROGi
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
`7!------- —
PERMIT #570
(
OWNER:
LOCATION: 635 Trail Gulch Road - Gypsum
Tr67-S5-T5 p
t V1ft,✓TV'c1tI-e-,
l`� 6A
INSTALLER: Owner
SIZE OF TANK: 1,250 gallons
DWELLING: Camper Park
PERC RATE: one inch/5 minutes (600 sq.ft.)
Finali7Pd! 7/R/22 R"1 D4�kn" D,.1—
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
JOB FOLDER Product.278 , Printed in U.S.A.