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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.