HomeMy WebLinkAbout13793 Colorado River Rd - 186113401004EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
PLEASECALLFOR FINAL
P. 0. Box 850 - 550 Broadway INSPECTION BEFORE COVERING Eagle, Colorado 81631
ANY PORTION OF INSTALLED SYSTEM N d 637
328-7311 or 949-5257 or 927-3823 PERMIT NO.
PERMIT MUST BE POSTED
AT INSTALLATION SITE
OWNER: rene Pete►^s ADDRESS: 13793 Colo River Road
SYSTEM LOCATION: 13793 Colo. River Rd.
LICENSED INSTALLER: owner installed LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 1C)()n gallon septic tank or aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: I inch in IO minutes.
Absorption Area per Bedroom 215 sq. ft.
No. of Bedrooms 3 x 215 sq. ft. minimum requirement per bedroom
645-- total sq. ft. minimum requirement.
SPECIAL REQUIREMENTS: Existing dwelling must he remaved- before --the- —new unit Can be
:cupied. The on -site septic tank must be coated with a tar compound,must have 2-compartments,
ist have Battles or s,and 2 clean out openings. See attached code sped lcatlons.
DATE:- 1- A INSPECTOR:(��
**CONDITIONS • � �—ey s-f�el •�'T c, s!/ �� 6e vs�'a( e.� it / F�:�%,l/ rc cs,e �f t
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: �C `r sq. ft.
Installed Septic Tank: (C-_1C>C> gallons. Degrees: r Sk& �- Feet: _30
Design Engineer of System:
Installer of System: Phone:
Septic tank cleanout to within 12" of final e or
aerated access ports above grade? Yes No
Proper materials and assembly? Yes o
Compliance with permit requirements? Yes No
Compliance with County/State regulations requirements? Yes No
COMMENTS:
(Any item checked "No" requires correction befoIfinal a ov 1 of .y tem is made.
Arrange a r -in pection when work is completed
DATE: i� g I INSPECTOR:
RE -INSPECTION DATE: INSPECTOR:
• IZJ`.�.E::_.. ;`'FICE - \GLE C:`L`:'Y
Csie, Color__ io S153I
PERMIT ,?PLT{` IC '': . FE: 5150.:;1 PFRCOT \TtOI: 7rS7 r. ;;n _ nn
NAME OF Ot-.7;ER:
NAME OF APPLICANT (if different from owner):
ADDRESS: PHONE:
DESIGN ENGINEER OF SYSTF-11 (if applicable):
ADDRESS:
P HO iIE
�25/1L�7
PERSON RESPONSIBLE FOR
INSTALLATION OF
SYSTEM:
Q Lu yr(3 r
Licensed Installer
(see attached
list): YES
NO
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: (L,-Y� New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE, DISPOSAL SYSTEM:
Street/Rural Address: p v
Lot Size: /� ')ed -e5
Legal Description:
BUILDING OR SERVICE TYPE (check applicable category):
( Residential - Single Family ( ) Residential - Quadp lax
( ) Residential - Duplex ( ) Commercial (state usage)
( ) Residential - Triplex
NUMBER OF PERSONS:
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
(� Garbage Disposal
(vr Automatic Washer
( ) Other
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Septic Tank
(
) Composting Toilet
(
)
Vault Privy
(
) Greywater
(
)
Pit Privy
(
) Aeration Plant
(
)
Other
NUMBER OF BEDROOMS:
( ) Dwelling
( ) Transient Use
( L,,Y Dishwasher
( ) Spa Tub
( ) Incineration Toilet
( ) Chemical Toilet
( ) Recycling, Potable Use
( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: YES ( ) NO (c%j
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( )
(I 6 yes, 6 ee attached wastewater 4 toty .tedue tion methods)
NOTE: The Fnviunmentat Health O4bj.%eek may reduce tie AequZ'Led absorption an.ea upon
appnovae o6 an adequate wastewater 6Zow reduction ptan.-
SOURCE AND TYPE OF WATER SUPPLY: (c"), Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system: i g o
If supplied by community water, give name of supplier:
SIGNATURE: DATE:
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT By ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent Ground S.tope
Depth to Bedrock (pen 8' Pro4ite Hote)
Depth to Groundwater Tab&
SOIL PERCOLATION TEST RESULTS: binutes pet inch in Ho.Ee 1
/o rn e:Z Minutes per -inch to HoZe #2
M inu tels pen inch. to Hote # 3
FINAL DISPOSAL VU -
(�) Absorption Tre► clL, Bed or Pit
( ) Above Ground DispeucQO
( ) UnduLg pound D.ispersae
( ) Othcn
Amoumt Paid: C To .0 e) Rece,ip t NUunbC'
Evapotransptitation
Sand F,itte.t
Wastelvatct Pond
0006 Date: � -;L� 4 3
(Env. Health Department - Rev. 4-07-83)
TELEPHONE'
303/328;7311
Board of County
Commissioners
Ext 241
Assessor
Ext 202
Clerk and
Recorder
Ext 217
Sheriff
Eagle: Ext 211
Basalt: 927-3244
Gilman: 827-5751
Treasurer
Ext 201
Administration
Ext 241
Animal Shelter
949-4292
Building
Inspection
Ext 226 or 229
Community
Development
Ext 226 or 229
County Attorney
Ext 263
Engineer
Ext 236
Environmental
Health
Ext 238
Extension Agent
Ext 247
Library
Ext 255
Public Health
Eagle: Ext 252
Vail: 476-5844
Personnel
Ext 241
Purchasing
Ext 245
Road and Bridge
Ext 257
Social Services
328-6328
EAGLE COUNTY
Eagle, Colorado 81631
June 15, 1984
Mr. Gene Peters
13793 Colorado River Road
Gypsum, Colorado 81637
Dear Mr. Peters:
This is to inform you that your ISDS Permit #637 has been
finalized and signed off by Richard Pylman on June 15, 1984.
I am enclosing a copy of this permit for your records.
Sincerely,
Lorraine Funke, Secretary
Environmental Health Office
EAGLE COUNTY
/if
Enc.
CO/O
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EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
Name
Date Routed �^
p(0 - G���� a f�►� Application No.
Location
Please review the attached Individual Sewage Disposal System Permit Application and return
it with this completed form to the Environmental Health Office._
PLANNING: Complies with - YES ''NO 'REVIEWED BY DATE
Subdivision Regulations:
o m ng Regulations:
... .. . .... .......
Recommend Approval:
COMMENTS: C7r,,P- ()hI i5 yw1e& cam-, ,cV^- l. lsk,,,�,
In Mh,4 V)sa 4 l ed"
BUILDING: Complies with -
Building Permit Applied For:
Building Permit Issued:
. Recommend Approval:
YES
NO
REVIEWED BY
DATE
COMMENTS:
ENGINEER: Complies.with -
Roads:
Grading:
Drainage:
Recommend Approval:
YES
NO
REVIEWED BY
DATE
COMMENTS:
ENVIRONMENTAL HEALTH:
Complies with -
Floodplain Permit Necessary:*1'Q,
I.S.D.S. Regs. Compliance: =oW*'o
Recommend Approval:
YES
NO
REVIEWED BY
DATE
frw
%WOW
,
S; IWO
�!d"
COMMENTS:
PERCOLATION TEST FEE: $sn.
I.S.D.S. APP. #
OWNER: rn,
LEGAL DESCRIPTION: 12 —1
RURAL ADDRESS:
TYPE OF DWELLING: !Al # OF BEDROOMS:
DATE OF PERCOLATION TEST: TYPE OF SOIL:
TEST HOLES PRESOAKED? Yes No
WATER DEPTH
_T
T INCHES 4AI:L
mffimm�m-mm- 10-15-7
0-
PERCOLATION RATE:
RECOMMENDED MINIMUM SEPTIC TANK S
RECOMMENDED MINIMUM LEACH FIELD SIZE:
' RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM:
--':='—Site has been reviewed and tested for percola on rate.
Nate Envi ronrnRntaT--14e V,th Officer
COMMENTS:
66B NAME 0MRS CC) L�-OkW�-PWd
1� JOB
•
JOB LOCATION
BILL TO
DATE STARTED
ASS
0
Ph -®.I # ` IQC'I�
0
DATE COMPLETED
-61
PERMIT NO. 637 !
), q- I m CA
NAME OF OWNER:
0 13793 Colorado River Road
Gypsum, CO 81637
LOCATION: 13793 Colorado River Road (3 4-�O IORO 00'PIS
INSTALLER: Owner
SIZE OF TANK: 1,000 gallonDegrees - So 10°
s E - 30 Feet
DWELLING: Single Family - 3 bedrooms x 215 sq.ft.
PERC RATE: one inch/10 minutes - 700 sq. ft. - leach field
Finalized: 6/15/84
By: Richard J . P yl man
DATE 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
�•x ��Pa t, a, ,DER Printed in USA
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