HomeMy WebLinkAbout230 Beacon Rd - 211105313026EAGLE 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 Q 694
328-7311 or 949-5257 or 927-3823 PERMIT NO.
OWNER: Thomas L. & Robyn Foral ADDRESS: P.O. Box 451. Gypsum, CO 81637
SYSTEM LOCATION: Beacon Rd., Gypsum, CO Lot 10B, 2nd Filing, Bertroch Sub.
LICENSED INSTALLER: Owner Installed LICENSE NUMBER:
**CONDITIONAL INSTALLATION APPROVAL is hereby granted for the following:
MINIMUM REQUIREMENTS: 1000 gallon septic tank or N/A aerated treatment unit.
Absorption area or dispersal area computed as follows:
PERCOLATION RATE: 1 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:
DATE: May 28, 1985 INSPECTOR:
**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: Coo sq. ft. Ir
Installed Septic Tank: U0 gallons. Degrees: i�5 Feet:
Design Engineer of Syste ateL '
Installer of System: b,V , .0,/
Septic tank cleanout to within 12" of fin�ade or
aerated access ports above grade? Yes No _
Proper materials and assembly? Yes No _
Compliance with permit requirements? Yes 4�-' No
Compliance with County/State regulations requirements?
COMMENTS:
Yes
Phone:
No
(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 9A
CHARGES Name of Applicant: Thomas L_ & Robyn Foral
Percolation Test = $50.00 Name of Owner: Same
Permit Fee (includes final inspection) = Amount Paid: $150.00
ALL CHECKS OR MONEY ORDERS ARE TO BE Receipt Number: C0320
MADE PAYABLE TO: EAGLE COUNTY Cashier: Gail Parker ,,& �0,,
White and Pink Copies - Environmental Health Department Green Copy - Applicant/Owner
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P.O. Box 850
Eagle, Colorado 81631 No. Qlp Q
PERMIT APPLICATION FEE: $150.00 328-7311 t PERCOLATION TEST FEE: 850.00
NAME OF OWNER:
ADDRESS: n . p X �}� �V �g u�vv� b PHONE: 5oZ ` 7Z. 8 7
NAME OF APPLICANT (if different from owner):
ADDRESS:
DESIGN ENGINEER OF SYST&M (if applicable):
ADDRESS:
PHONE:
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:- o w n e r
Licensed Installer (see attached list): YES NO
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: () New Installation ( ) Alteration ( ) Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Street/Rural Address: 2oc ova
Lot Size:
Legal Description: Ld'r \0
BUILDING OR SERVICE TYPE (check applicable category):
( ) Residential - Single Family
( ) Residential - Duplex
( ) Residential - Triplex
NUMBER OF PERSONS:
WASTE TYPES (check applicable categories):
( ) Commercial or Institutonal-
( ) Non -Domestic Wastes
( X) Garbage Disposal
(X ) Automatic Washer
( ) Other
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
( ) Residential Quadplex
( ) Commercial (state usage)
NU'IBER OF BEDROOMS: 3
(1C ) Dwelling
( ) Transient Use
(X) Dishwasher
( ) Spa Tub
( ) 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 (x)
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO ( )
WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO ( )
(I6 Yeas, .6ee attached waztewa tet 6tow Leduc Lion methods )
NOTE: The Envi&onmentat Heatth 064iceA may Aeduee the nequi/ted ab/Sonption atcea upon
appnovat o4 an adequate walstewateA 6Zow Aeduction plan.
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: l owV\ e'� GyaSkv�_
SIGNATURE: (�k:'¢ `A� DATE:
- - - - - - - - -
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: PeAcent Ground Stope
Depth to Be&Lock (pen &' Ptco4.%te Hole)
Depth to GAoundwateA TabZe
SOIL PERCOLATION TEST RESULTS: inuta pen inch in Hofe #1
Minuta pen inch to Hote # 2
Minutes pen inch to HoZe #3
FINAL DISPOSAL BY:
( ) Ab/s oApt%on TAeneh, Bed on Pit ( ) EvapotAan s p ctc Lion
( ) Above GAound DZSpe 5a?- ( ) Sand FiLteA
( ) Undeltgnound D.ispensae ( ) WastetvateA Pond
( ) Others
Amount Paid: � �� � Receipt Nwiibet 0 039-6 Date:
/ `/0 AZ' G &*'
Zoo
10!�r'
ay
NOTE: Site Plan must be attached to application.
(Env. Health Department - Rev. 4-07-83)
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EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
Oune 18, 1985
Thomas Foral
P.O. Box 451
Gypsum, CO 81637
Dear Mr. Foral:
My apologies for the delay in getting this information off to
you. Sid Fox had been at a conference in Denver and he was the
one who needed to help me locate the information you requested.:
Enclosed are various copies of sewage disposal installations..
If you require additional information, please call our office.
Sincerely,
Gail Parker, Secretary
Environmental Health Office
EAGLE COUNTY
/9p
Enc.
Board of County Commissioners Assessor Clerk and Recorder
P.O. Box 850 P.O. Box 449 P.O. Box 537
Eagle, Colorado 81631 Eagle, Colorado 81631 Eagle, Colorado 81631
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
October 21, 1985
Thomas Foral
P.O. Box 451
Gypsum, CO 81637
RE: ISDS Permit #694
Dear Mr. Foral:
In updating our files, I discovered that the above referenced
permit had not been finaled. Erik Edeen advises me that he did do
a final inspection on your individual sewage disposal system. My
apologies for this error.
Enclosed you will find a copy of your finalized permit for
property located at Lot 1OB, 2nd Filing, Bertroch Subdivision.
Sincerely yours,
Gail Parker, Secretary
y
Environmental Health Office
EAGLE COUNTY
/gp
Enc.
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
LOAN INSPECTION FORM
LOCATION:
REQUESTOR: Chk
Co
sum
COPIES TO: VY►
BILL TO: 1�F U'reYZ
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ISDS PERMIT
INSPECTION INFORMATION:
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INSPECTION DONE BY: --
_ �7 ��� DATE:
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
April 1, 1987
Robyn Foral
P.O. Box 451
Gypsum, CO 81637
RE: Loan inspection for property located at 230 Beacon Road
Gvpsum, Colorado - Lot 1OB, 2nd Filing, Bertroch Subdivision
Dear Robyn,
All loan inspections are completed under the authority of the
Eagle County Building Resolution, Section 3.09.03-A(7), adopted
by the Eagle County Commissioners on October 8, 1985.
An onsite inspection of the sewage disposal system on March 31, 1987
revealed that the system appears to -be functioning properly with
no apparent problems. This system was installed and approved in
September of 1985 under Permit #694.
Potable water is supplied by the Gypsum Community Water Supply.
Enclosed is an invoice for $25.00, the fee for this loan inspection.
If you have any further questions concerning this inspection,
please contact our office.
Sincerely,
<S
Sid Fox
Asst. Environmental Health Officer
EAGLE COUNTY
/gp
Enc.
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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u694 Porai Lot 108 Berfroch
JOB NAME, Sub Beacon Road
JOB Nam, If n9
JOB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
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
JOB FOLDER Product 278 �® NEW ENGLAND BUSINESS SERVICE, INC GROTON, MA 01471 JOB FOLDER Printed in U.S.A.
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