HomeMy WebLinkAbout260 Cedar Dr - 211106405019EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PLEASE CALL FOR FINAL P. 0. Box 850 - 550 Broadway
II�SPECTI.ON BEFORE COVERING Eagle, Colorado 81631
ANY,: -PORTION OF INSTALLED SYSTEM
328-7311 or 949-5257 or 927-3823 PERMIT NO. No 593
PERMIT MUST BE POSTED
AT INSTALLATION SITE
OWNER: Rex Bossow ADDRESS: P.O. Box 468 - Gypsum
SYSTEM LOCATION: Bertroch Subdivision - Lot 4 (260 Cedar - Gypsum)
LICENSEVINSTALLER: OTIMPr LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 1,0M gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: one inch in 10 minutes.
Absorption Area per Bedroom 190 sq. ft.
No. of Bedrooms 3 x 150 sq. ft. minimum requirement per bedroom
450 total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: Site problems with location of drainage field - contractor
is to call our office during the initial construction stages
DATE: 11/16/82 INSPECTOR: Erik Edeen
**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: �(;<�;:1 gallons.
Design Engineer of System:
Installer of System: `•-\'�%i\�_,V Phone: _
Septic tank cleanout to within 12" of fin 1 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 requirements? Yes No
COMMENTS:
(Any item checked "No" requires correction before final approval of system is made.
Arrange a re -ins ecti n when work is completed.)
DATE: c. � INSPECTOR: �1cLti
RE -INSPECTION D E: INSPECTOR:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
RETAIN WITH RECEIPT RECORDS
PERMIT N0. iU_o
5 9 a:
CHARGES
Name of Applicant:
Rex Bossow
Percolation Test = $50.00 Name of Owner: Rex Bossow
Permit Fee (includes final inspection) = Amount Paid: $200.00 (11-15-82)
ALL CHECKS OR MONEY ORDERS ARE TO BE Receipt Number: #1839
MADE PAYABLE TO: EAGLE COUNTY Cashier: Lorraine Funke
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
--.
....— ,:~
Box 250
E;'kGLE, COLS"Ar-0 81631
PE;; 'IT t EE = $150
PE7CCL:lT;O:; TEST FEE = SSO
APPLICATION' FOR ILNDIVIDUP1 SE:-:P-C'E D:SPOS;,L SYSTE'•1 PE.R!�IT
NAME OF 01.-PNER: !<- c� ce`! •- LV lS
ADDRESS: 4!� n %Z
^IE: !29 5� •7
7 Y-.2—
NACU: OF APPLICANT (IF DIFFE2ENT FROit 01.411ER): i�yh
ADr,RESS: PHONE:
DESIGN ENGINEER OF SYSTEil (IF APPLICABLE):
ADDRESS:
-PERSON RESPONSIBLE FOR INSTALLATIOIN OF SYSTEM
ADDRESS:
PHONE:
PHONE:
PFRNIT APPLICATION IS FOR: V Ne�q Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County-�'�; ELot Size
City or Tojigr,_if within City or To in Limits
LEGAL DESCRIPTION: ,=4 C / 5c,�,�,
STREET ( RURAL) ADDRESS: - c, 6�IJ,9
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( ) Yes ( ) No
BUILDING OR SERVICE TYPE: '(Check applicable category)
('-T'Residential - Single-family dwelling ( ) Residential - Triplex
( ) Residential - Duplex ( ) Residential - Quadplex
( ) Commercial - State usage
Persons Bedrooms j
WASTE TYPES: (Check all applicable) - - -
( ) Commercial or Institutional (Z-.T'__Dwel1ing (° (;arbage Grinder
( ) Non -domestic wastes ( ) Transient Use Dishwasher
( ) Other (Automat' c flasher
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek or Strea t
Give depth of all wells within 200 feet of the system: A.,V �
-If supplied.,by community water, give name of supplier: �1�C� -Aft
-.TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Septic Tank ( ) Aeration Plant ( ) Chemical Toilet
,Vaiall. P'r'i.vy i _ *,•.f�_Ilitti, jv�aLi iiJC
( ) Pit Privy ( ) Incineration Toilet ( ) Recycling, Other Use
( ) Greywater ( ) Other
-`WILL EFFLUEI.IT BE DISCHARGED DIRECTLY INTO 1•1ATERS OF THE STATE? ( ) Yes ( ) No
Signature - Date
__._9c �c * 9c �c 9e �c :k is �c * * •k �e 3e * :E x * * ;r * is yc * is is * * � * - - - .
INFORMATIOi! BEL01.1 TO BE FILLED OUT BY ENVIRnN[!EiNTAL HEALTH OFFICER
GROUND MIDITIOIS: Percent around Slope:
Depth to Bedrock (per 8' Profile Hole):
SOIL PERCOLATION TEST RESULTS:
FINAL DISPOS L BY:
Depth to GrounL4.rater Table:
Ninutes per inch in hole llo. 1
Minutes per inch in Hole No. 2
Minutes per inch in Hole No. 3
( ) Absorption Trench, Ced or Pit ( ) Evanotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Unc�2r,round Dispersal ( ) :lasteaater Pond
( ) 0t'-,er
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
June 25, 1986
Rex Bossow
P.-O. Box 468
Gyspum, CO 81637
RE: Lot 4, 260 Cedar Drive - Loan Inspection
.Dear Mr. Bossow:
All water and sewage disposal loan inspections are done
under the authority of'the Eagle County Building Regulations,
Section 10, Sub -paragraph 3-A adopted by the Eagle County
Commissioners, September.20, 1982.
An on -site inspection of the sewage disposal system on
June 19, 1986 revealed that the system is functioning properly
with no apparent problems. This system was permitted and
approved under ISDS Permit i#593 on Dec. 3, 1982.
Potable water is supplied by the Town of Gypsum. If you
have any questions regarding this inspection, please contact
our office.
Sincerely, r
ik Edeen
Environmental Health Officer
EE:pm
cc: Kissell Co.
Files
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
PERCOLATION TEST FEE: $50
I.S.D.S. P.PP. #
OWNER: Rex Bossow
LEGAL DESCRIPTION: Lot 4 - Rertro h Subdivision - 260 Cedar
RURAL ADDRESS:
TYPE OF DWELLING: Residential =`Single Family # OF BEDROOMS: �
DATE OF PERCOLATION TEST: 11-16-$2_- TYPE OF SOIL:
TEST HOLES PRESOAKED? Yes No
WATER DEPTH
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PERCOLATION RATE: _Z %-
RECOMMENDED MINIMUM SEPTIC TANK SIZE: Y ` C-� C�
RECOMMENDED MINIMUM LEACH FIELD SIZE: is- o
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
Site has been reviewed and tested for percolation rate.
Date Environmenta eat icer
COMMENTS:
LOAN INSPECTION FORM
•LOCATION:_
REQUESTOR:
COPIES TO:
BILL TO:
* * * * * * * * * * * * * ic *-* *-* * * *-* * * * * * * * * * * * * *
ISDS PERMIT
INSPECTION INFORMATION:�lr� `
s
INSPECTION DONE BY: DATE:
0593 41ossraw Lot 4 Bertroch
�2fO� �1AM Sub 260 Cedar 2111-064-05=019 � T.
r
LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
PERMIT #593---
OWNER:
LOCATION: Bertroch Subdivision - Lot 4
CW260 Cedar - Gypsum
,Dntie,
INSTALLER: Owner
SIZE OF TANK: 1,000 gallons
DWELLING: Residential 3 bedrooms x 150 sq.ft.
PERC RATE: one inch/10 minutes (450 sq.ft.)
Finalized: 12/3/82 By: Richard Pylman
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BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
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