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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 ��r�r�rr�:z®�r�rE��■�!�r�r� ,rri■r�rir�r�rr■r�r�rrr�r�®rrr rrr�rr�trr��rr�rrrt���rrr� rrrrrrrrr��rr�r��rrrrr���rr rrr�rr■��rr�rrrrri�rrrrir�rrrrr r■r_rrr■rrrrrrr�r�rrr�rrr�rrr r�rarr■�rrrrr�r�r�r�r�rrrr�rrrrr � r��irr�rrr�rrrr 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 w 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 n Printed in U.S.A.