HomeMy WebLinkAbout840 Sunset Ln - 211107101001EAGLE 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
328-7311 or 949-5257 or 927-3823 PERMIT NO. N° - 66 5
OWNER: Stephen C. Scheets ADDRESS: Box 2015 - Avon, CO 81620
SYSTEM LOCATION: 840 S unset Lane - lot 8 - Filing #6 - Bertroch Subd.
LICENSED INSTALLER: Owner 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 25 minutes.
Absorption Area per Bedroom 300 sq. ft.
No. of Bedrooms 3 x 300 sq. ft. minimum requirement per bedroom
= 900 total sq, ft. minimum requirement.
SPECIAL REQUIREMENTS: Maintain 25' setback from road drainage ditch
along Sunset Lane.
DATE: June 7, 1984 INSPECTOR: ttV L
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**CONDITIONS:
C.-
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: 9d Q sq. ft.
Installed Septic Tank: / >_�0 gallons. Degrees: % Feet.
Design Engineer of System:
Installer of System: Phone:
Septic tank cleanout to within 12 of final grade or
aerated access ports above grade? Yes No
Proper materials and assembly? Yes No
Compliance with permit requirements? Yes v No
Compliance with County/State regulations requirements? Yes No
COMMENTS
(Any item checked "No" requires correction before final approval of systeh,,,is made.
Arrange a re -inspection when work is completed.)
DATE: INSPECTOR:
RE -INSPECTION DATE: INSPECTOR:
RETAIN WITH RECEIPT RECORDS
CHARGES
Percolation Test = $50.00
Name of Applicant:
Name of Owner:
PERMIT N0. N! 6 6 b
Stephen C. Scheets
Same
Permit Fee (includes final inspection) = Amount Paid: �200.00 (5-23-84)
ALL CHECKS OR MONEY ORDERS ARE TO BE Receipt Number: C-0156
MADE PAYABLE TO: EAGLE COUNTY Cashier: Lorraine Funke
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
.♦ V
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APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P.O. Box 850
Eagle, Colorado 81631 No.
PERMIT APPLICATION FEE: $150.00 PERCOLATION TEST FEE: $50.00
NAME OF OWNER: C .
ADDRESS: a 8 x 'Qn( `� A v o n C'o ( o (o a.C7 PHONE: q^ 8 a
NAME OF APPLICANT (if different from owner): SG
ADDRESS: PHONE:
DESIGN ENGINEER OF SYSTEM (if applicable):
ADDRESS:
PERSON RESPONSIBLE FOR INSTALLATION OF -SYSTEM:
Licensed -Installer (see attached list):
ADDRESS:
PHONE:
YES NO
fl)l n . 840 a Q PHONE:
PERMIT APPLICATION IS FOR: � New. Installation -( ) Alteration
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address: D 'i.�r, a j..q.Ae.
Lot Size: r. ex -
Legal Description: ) _ { yz �; 1, .� / �..+ ....I_ F I A
BUILDING OR SERVICE TYPE (check applicable category):
Residential - Single Family
Residential - Duplex
( ) Residential - Triplex
NUMBER OF PERSONS: 2
WASTE TYPES (check applicable categories):
( ) Commercial or Institutional
( ) Non -Domestic Wastes
Garbage Disposal
Automatic Washer
( ) Other
( ) Repair
ion Gy10 s tj vv -j G'o.
616Z3(
( ) Residential - Quadplex
( ) Commercial (state usage)
NUMBER OF BEDROOMS:
�f. Dwelling
( ) Transient Use
JC>4. Dishwasher
>C) Spa Tub ;7L&-+ _r-e
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
j4} Septic Tank ( ) Composting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater
( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Potable Use
( ) Other
( ) 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 QC) NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( )
(I6 yea, see aHached =6i tewateA 4Zow neduction methods)
NOTE: The Envi onmentaZ Health 066icen may reduce the )LequiAed ab�sonpti,on area upon
appnovaQ o6 an adequate wastewater 4Zow reduction p.2an.
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If supplied �bbyunity water, give me of supplier: _ram Q-A
SIGNATURE:0 DATE:
Vd�
_ ___ 3
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent Ground Stope
Depth to Bed% o ck (Pen 8' Pro 4iZe Hote )
Depth to GroundwateA Table
SOIL PERCOLATION TEST RESULTS: A nute/s pe& inOT tin Hote 1
Minuta pen .inch to Hole # 2
Alinut" pen inch to Hote #3
FINAL DISPOSAL BY:
( ) Absonpti.on Trench, Bed on Pit ( ) Evapot Aawsp kation
( ) Above Ground Di6peAzaf ( ) Sand Fi ten
( ) UndeAgnound DZ peua ( ) Wastewater Pond
f ) Other
Amount Paid:(' ,+ t� . Rece.ipt Number, Date:
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-83)
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LEGAL
DES .RiPTIO'i
oc,h
RURAL
ADDP.ESS: sqo
TYPE
OF DUELLING:
OF BEDPnnr?S�_
DATE
OF PERCOLATION TEST:
6 1�-��1
TYPE OF SOIL: C
TEST
HOLES PRESOAKED? Yes
No
q
TIME
WATER DEPTH
INCHES OF FALL
RATE
- 1
2
3
1
2
-3 !1
1
2_
3--
1
2
.
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4 L II
3/
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3 .00 13:���r�
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PERCOLATION RATE: I).`p:
RECON,-MENDED MINIMUM SEPTIC TANK SIZE: O
RECOMMENDED MINIMUM LEACH FIELD SIZE: QQ
RECOMMENDED MINIPIUM SQUARE FOOTAGE PEP, BEDROOM: --LP
Site has been reviewed and tested for percolation rate.
-A- 13
JOB NAME;
o:7-[O
JOB LOCATION
BILL TO
DATE STARTED
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
PERMIT NO. 665
OWNER: Stephen C. Scheets
Box 2015 - Avon, CO 81620
LOCATION: 840 Sunset Lane - Lot 8 - Filing
Bertroch Subdivision - Gypsum
INSTALLER: Owner.
SIZE OF,TANK: 1,250 gallons Degrees: 95
DWELLING: Single Family - 3 bedrooms x 300
PERC RATE: one inch/25 minues - 900 sq.ft.
Finalized: 6/19/84 By: Erik
#6
Feet: 40
sq.ft.
absorption area
Edeen
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
OF SELLING PRICE
NET PROFIT
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