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Home My WebLink About308 Strohm Cir - 211106405025• EAGLE 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 N° 642 328-7311 or 949-5257 or 927-3823 PERMIT NO. OWNER: Dean & Ruth Anderson ADDRESS: Box 56 - Edwards, CO 81632 SYSTEM LOCATION: 308 Strohm Circle - Lot 1 - Filing 6 - Gypsum, CO LICENSED INSTALLER: Gary Bertroch LICENSE NUMBER:005-83 **CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following: MINIMUM REQUIREMENTS: 1,250 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 200 sq. ft. No. of Bedrooms 3 x 200 sq. ft. minimum requirement per bedroom 600 total sq. ft. minimum requirement. SPECIAL REQUIREMENTS: Soil very dry - perc test result impacted by very dry soil - recommend at least 200 sq.ft. per bedroom - maintain 25' from edge of road with drain ie . DATE: 9-19-83 INSPECTOR: ` Lrik Ldeen **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: 2U �U sq. ft. Installed Septic Tank: T Z / p v� ci gallons. Degrees: � O�G Feet: �Q Design Engineer of System: Installer of System: ei Septic tank cleanout to within 12" of -final grade or aerated access ports above grade? Yes No _ Proper materials and assembly? Yes No Phone: Compliance with permit requirements? Yes No Compliance with County/State regulations requirements? Yes No COMMENTS: �r� �I ��`� Zy ive—_ (Any item checked "No" requires correction before final approval of system is made. Arrange a re -inspection when work is completed.) DATE: INSPECTOR: RE -INSPECTION DATE: INSPECTOR: RETAIN WITH RECEIPT RECORDS PERMIT NO. N! 6 4 2 CHARGES Percolation Test = $50.00 Permit Fee (includes final inspection) _ ALL CHECKS OR MONEY ORDERS ARE TO BE MADE PAYABLE TO: EAGLE COUNTY Name of Applicant: near A2arsnn Name of Owner: Dean Anderson Amount Paid: Receipt Number: Cashier: $200.00 1990 (7-12-83) Lorraine Funke White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner APP? ICA:'0OR I`:DI` ID AL SE::AGE DISPOSAL SYSTEM pF'ZMIT L.Yv IL\O' IENT. T HEALTH OFFICE - EAGLE COL'%TY P.O. Box 850 Eagle, Colorado 81631 No. 1033 PER_NIIT APPLICATION FEE: 8150.00 328-7311 PERCOLATION TEST FEE: $50.00 NXME OF OWNER: ACAV -TRUTH AVU-P,16k1 ADDRESS: ,�%�.` <S6 .F.0YAP,d.5 C OLO- F/43.2- PHONE: j24 -_V_/X NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTEM (if applicable): ADDRESS: PHONE: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: 6A&V 9t)= H Licensed Installer (see attached list): YES NO ADDRESS: 2/i C',E=DAl2 Q/� -2 PHONE: / 9S''S!6 PERMLIT APPLICATION IS FOR: New Installation ( ) Alteration ( ) Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM Street/Rural Address: `?�� STl?,041 ' C✓fC« Lot Size: /� dape - Legal Description: 4g0 /- yo L&IAJ(,7 BUILDING OR SERVICE TYPE (check applicable category): Residential - Single Family ( ) Residential - Quadplex ( Residential - Duplex ( ) Commercial (state usage) ( ) Residential - Triplex NUMBER OF PERSONS: nL--- WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes Garbage Disposal Automatic Washer ( ) Other TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ('A) Septic.Tank ( ) Composting Toilet ( ) Vault Privy ( ) Greywater ( ) Pit Privy ( ) Aeration Plant ( ) Other NUMBER OF BEDROOMS: ( ) Dwelling ( ) Transient Use (><j 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 ( ) IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( ) (16 yews, see attached wcustekoatefc 6tow neductEon methods) NOTE: The EnvilLonmeititae Heatth 064icen may tceduce the uquitr.ed absorption area upon appnovaZ o4 an adequate wa�stewatetc 6Zow reduction p.ean.- SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: SIGNATURE:44a�" DATE: 7= rd -�� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - INFORiVATION BELOW TO BE FILLED OUT By ENVIROMAJENTAL HEALTH OFFICER: GROUND CONDITIONS: Peneent Ground Slope G Depth to Bedkock (pen 8' Pro6,ite Hole) �- Depth to Guundwaten TabZe -;77' /GAG SOIL PERCOLATION TEST RESULTS:. 46,4 Minuta pets. inch in HoZe #1 Afinu tees pen inch to HoZe # 2 M inutu pen -inch .to Hot e # 3 FINAL DISPO . ( Absorption Tneneh, Bed on Pit ( ) Above Gnound D./spetusat ( ) Unde tground D,&s pens ae ( ) OtheA Amount Paid: a00 . O a Receipt Numbe`c ( ) EvapottucnspiAation ( ) Sand Fit te,% ( ) Wastetvaten Pond logo Date: -1—II-0--s' (Env. Health Department - Rev. 4-07-83) Flo X 60742'7 5 IawK = �I•s ►n �'vna%ts 3 bra 5 x 1, 3 b,j , n 15D I 555,..rC4 ulr�[X II �xlsllnq � exist�n = �� x y.0 bed = B'DD F+Z x 1125 71 � Utz ►n i��11es s 1 D X 61,01) 5 5� q �� 15 1456 I50 qG iols q I.S.D.S. APP. • 0WN"ER: LEGAL DESCRIPTION: RURAL ADDRESS: PERCOLATION TEST FEE: S50 is P 1171ee-s d n� TYPE OF DUELLING: .r r f ICK, # OF BEDR06MS: DATE OF PERCOLATION TEST: �— /�1--�� TYPE OF SOIL: Skj G� � TEST HOLES PRESOAKED? Yes No s`z- qSg G r 14.8149011 INCHES OF FALL� I ., �— �m-- PERCOLATION RATE: /0 ��'C-- RECOMMENDED MINIMUM SEPTIC TANK SIZE: / RECOMMENDED MINIMUM LEACH FIELD SIZE: RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: Site has been reviewed,.and tested for percolation rate. Date Environmenta FFat icer COMMENTS: c ) e le— 6- •vim C, 0 --1 A 0 4v Z te nuts ,,;7-r u rt Yr t , t-:, It r - c, i r-- JOB NAME all(ObL(D5 > JOB Nn ,.o. , e%fATlr%m I I I —%� BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL LABOR WRANCE PERMIT No. 642 kLES TAX OWNER: Dean & Ruth Anderson C. COSTS Box 56 Edwards, CO 81632 LOCATION: 308 Strohm Circle Lot I - Filing #6 Gypsum TOTAL JOB COST INSTALLER: Gary Bertroch 0GROSS PROFIT SIZE OF TANK: 1,250 gallons - Degrees: 300 Feet 20' DWELLING: Single family - 3 bedrooms x 200 sq.ft. LESS OVERHEAD COSTS PERC RATE: one inch/10 minutes (600 sq.ft.) % OF SELLING PRICE NET PROFIT JOB FOLDER Product 278 5� , NEW EN Finalized: 9-23-83 By: Erik Edeen Comments -:--Do notdrive over-drainfield 6 Printed In U.SA