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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) =qDs -#— &g�l 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 yi ISDS PERMIT INSPECTION INFORMATION: 0� (/14 Q10 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 ;; :z k�i i��c�,� y 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. - - _ i _ -