HomeMy WebLinkAbout255 Cedar Dr - 211106405009EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
' P. 0. Box 850 - 550 Broadway
;PLEASE �ALL.•FOR FINAL PERMIT MUST BE POSTED
j INSPECTION BEFORE COVERING Eagle, Colorado 81631 AT INSTALLATION SITE
i ANY POTION OF INSTALLED SYSTEM ® 603
328-7311 or 949-5257 or 927-3823 PERMIT NO.
N
OWNER: Robert D. McMasters ADDRESS: P.O. Box 1633 - Vail, CO 81658
SYSTEM LOCATION: Lot 19 - Filing #5 (0225 Cedar Drive) Gypsum
LICENSED INSTALLER: Gary Bertroch LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS:1,000 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 215 sq. ft.
No. of Bedrooms 2 x 215 sq. ft. minimum requirement per bedroom
_ ((tn total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: Recommend minimum leach field - 600 sq.ft. - Drain field should
be at least 20' from the house and 25' from the dry gulch and 10' from property line
9
DATE: AGE 2, ,L /�l �SPECTOR: .. ::-�
**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: °CSC'- sq. ft.
Installed Septic Tank: I gallons.
Design Engineer of System:
Installer of System:
n-,Aj
Phone:
Septic tank cleanout
aerated access ports
to within 12" of fin 1 grade or
above grade? Yes No
A
Proper materials and assembly? Yes No
0 �
Compliance with permit
requirements? Yes No
Compliance with County/State regulations r quirements?
Yes X No
COMMENTS:
(Any item checked "No" requires correction before f' approval of system is made.
Arrange a re -ins ection when work is completed.
DATE: - (g-1q7> INSPECTOR:
RE-INSPECTIOA DA INSPECTOR:
RETAIN WITH RECEIPT RECORDS
CHARGES
Percolation Test = $50.00
Permit Fee (includes final inspection) _
ALL CHECKS OR MONEY ORDERS ARE TO BE
MADE PAYABLE TO: EAGLE COUNTY
PERMIT NU. N- 603
Name of Applicant: Robert D. McMasters
Name of Owner: Same
Amount Paid: $200.00
Receipt Number: 1933
Cashier: Lorraine Funke
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
3213-7311
III T
.���." .6`_1tT L ter\ ly
Box 0
4V
EAGLE, COL�<i%�0 81631
PF,.�"�IT 1 EE _ j150
PE7.CCL TIO;! TEST FEE =I SSO
FCR "I'IVIDUL SE P.rlE DIS�OS-L SYSTE" PER''ITAPPLICATIO! r
�.
_
NAPE 'OF 01'1NER: "D. TY-)C
ADDRESS:
PHONE: c4 c2 C, 8 �+
���lf,���_NAND:
�U.ri
OF APPLICANT (IF DIFFE^EMT FPOiI IECP
ADr)RESS :
PHONE:
DF.SIGN ENGINEER OF SYSTEM (IF APPLICABLE):
ADDRESS:
PHONE:
•PERSOIN RESPONSIBLE FOR INSTALLATION OF SYSTE7": 6,1_� r ug
e
ADDRESS: 4- f `% (2,d ' i" fi
PHONE: ��Q 7 — 9,J chi
PFRNIT APPLICATION IS FOR: (k-T New Installation ( )
Alteration ( ) Repair
LOCATION OF PROPOSED FACILITY: County s ..
Lot Size
City or Town, if within City or Tovin Limits 6� -�
LEGAL DESCRIPTION:
.STREET (RURAL) ADDRESS: Cl-e e.l
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY? ( to- 'Yes ( ) No
BUILDING OR SERVICE TYPE: (Check applicable category)
(!-' Residential - Single-family dwelling ( ) Residential - Triplex
'( ) Residential - Duplex - ( ) Residential - Quadplex
.( ) Commercial - State usage
Persons _- Bedrooms
WASTE TYPES: -(Check all applicable) - -
( ) Commercial or Institutional (yam Dwelling
( ) Garbage Grinder
-( ) Non -domestic wastes ( ) Transient Use
( ) Dishwasher
( ) Other
( ) Automatic Masher
SOURCE A?1D TYPE OF WATER SUPPLY: ( ) Melt ( ) Spring
( ) Creek or Stream � -
,: .Give depth of all wells within 200 feet of the system:
_
If supplied. by community water, give name of supplier:
16 w14 OF tr-,sum
:TYPE OF INDIVIDUAL SEWAGE 'DISPOSAL SYSTEi PROPOSED:
J`41 Septic Tank ( ) Aeration Plant ( )
Chemical Toilet
.Vaui Pr ivy 1 r rv�L ilIJ 1U1 1C(
i\=.�i1_ I ll��i) I l• QV I VAC
( ) Pit Privy ( ) Incineration Toilet ( )
Recycling, Other Use
( ) Greywater ( ) Other
-
WI'LL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE?
( ) Yes (J� No
-Si gnature , ` �.
Date 2 < R�� ,
INFORMATIOid BELOW TO BE FILLED OUT BY ENVIRnili11E1NTAL HEALTH
OFFICER
GROUND CONDITIOiIS: Percent Ground Slope: �°70
• Depth to Bedrock (per 8' Profile Hole):
Depth \to Grouna:•later Table: -
SOIL PERCOLATION TEST RESULTS: to Ninutes per-
inch in Hole llo. l
l0 Minutes per
inch in Hole No. 2
(C7 !1inutes per
inch in Hole No. 3
FINAL DISrCS^L BY: (%) absorption Trench, Bed or Pit
( ) Eva notranspiration
( ) Above Ground Dispersal
( ) Sand Filter
( Underground Dispersal
( ) '.!aste:'jater Pond
( O t"e r
-
j D
-
1
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EAGLE COUNTY memorandum
To: P
Subject:
Mr. Robert D. McMasters i
ATTACHED ISDS PERMIT #603
From: Environmental Health Officer
File No.:
Date: May 20, 1983
Attached is a copy of your Individual Sewage Disposal Permit #603 for property
located on Lot 19 (0225 Cedar Drive) in Gypsum.
The system was finalized on Wednesday, May 18, 1983 by Richard Pylman, field
inspector for Environmental Health.
Please keep this copy for your records. .
-- Lorraine Funke, Secretary
Environmental Health Office
EAGLE COUNTY
/if
Enc.
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
May 29, 1986
The Kissel Company
1542 Railroad Ave.
Rifle, CO 81650
Attn: Pam
RE: Loan Inspection for property located at 255 Cedar Dr.
Gypsum, CO - Lot 19, Bertroch Subdivision
Dear Pam:
All water and sewage disposal system.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 onsite inspection of the sewage disposal system on
May 28, 1986 revealed that the system is functioning properly
with no apparent problems. This system was finalized under
permit #603 on May 18, 1983.
Potable water is supplied by the Gypsum Community Water
Supply.
Enclosed is an invoice in the amount of $25.00, the fee for
this loan inspection.
If you have any questions regarding this loan inspection,
please contact our office.
Respectfully,
.Erik _Ed.een
Environmental Health Officer
EAGLE COUNTY
/gP
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
`
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UNNLK�
LEGAL DESCRIPTION:
^ ADDRESS: ��
RURAL—-oa -
TYPE OF DWELLING:
PERCOLATION TEST FEE: $5n
# OF BEDROOMS: -
* * * * * * * * * * **- .� � * * *.,/ * * * * * * * + * * * * * * * * * * * * * * *
DATE OF PERCOLATION TEST: TYPE OF SOIL:
TEST HOLES PRESOAKED? Yes - No
-�----- ---------- � ' u
/
WATER DEPTH
WOMEN
WOMEN
010101110
WOMEN
IMEIMIIMME
RECOMMENDED MINIP0M
SEPTIC
TANK SIZE
RECOMMENDED MINIMUM
LEACH
FIELD SIZE:
RECOMMENDED MINIMUM
SQUARE
FOOTAGE PER BEDROOM:
Site has been reviewed
and
tested for percolation
rate.
t-1- 7-e-3
& 4
Date
Environmental Health Officer
COMMENTS:
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0603 C,.-Cy'& i E..1�.
�r08 NAME,
JOP >n�
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
S
Q&Ae-�-'
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p e'v nLss r
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
- -- -- --
PERMIT #603 N� 1� ��
Q)-y y. 9
NAME: -
✓t �l!
LOCATION: ;;;�Cedar Drive -lot 19 -Filing #5
Gypsum, Colorado
INSTALLER: Gary Bertrochx� :;-�
SIZE OF TANK: 1,250 gallons
n WELLING: Residential - 2 bed r�oms x 215n sq.ft.
PERC RATE: one inch/10 minutes (61.ft.�
Recommend minimum leach field - 600 sq.ft. - drain field should
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
De at least zu morn uie nuuse dnu z� liuul uiy yuiL:u caiiu iv
is Printed in USAfrom property line. ,. ®�
Finalized: 5118183 BY; Richard Pylman
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