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HomeMy WebLinkAbout7499 Gypsum Creek Rd - 219309400001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT Np 0 719 P.O. Box 850 - 550 Broadway Eagle, Colorado 81631 Telephone: 328-7311 or 949-5257 or 927-3823 YELLOW COPY OF PERMIT MUST PLEASE CALL FOR FINAL INSPECTION BEFORE BE POSTED AT INSTALLATION SITE COVERING ANY PORTION OF INSTALLED SYSTEM Owner:- __ Hugh Hatcher Telephone: (303) 777-2787 Address: 191 Race St. - Denver, CO 80206 System Location: 7499 Gypsum Valley Rd. - Gypsum, CO 81637 Licensed Installer: Gary Bertroch License Number:. 85-09-I Conditional installation approval is hereby granted for the following: Minimum requirements: 1000 Gallon Septic Tank or Aerated Treatment unit Absorption area of dispersal area computed as follows: Percolation rate: I Inch in 20 Minutes Absorption area per bedroom 200 Sq. Ft. Number of Bedrooms 3 X 200 Sq. Ft. minimum requirement per bedroom - equals 600 Total Sq. Ft. minimum requirement Special Requirements: Date: September 24, 1985 Environmental Health Officer: CONDITIONS: 1. All installations must comply with all requirements of the Eagle 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 zoning and building departments shall automatically be a violation of a requirement of the permit andcause 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 system is approved prior to covering any portion of the system. INSTALLED ABSORPTION OR DISPERSAL AREA: 600 SQ. FT. INSTALLED SEPTIC TANK: 1000 GALLONS; 360 DEGREES; 19 FEET DESIGN ENGINEER OF SYSTEM: Ken Schultz INSTALLER OF SYSTEM: Ken Schultz PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES X NO PROPER MATERIALS AND ASSEMBLY: YES �_ NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES X NO COMMENTS: (Any item checked NO requires correctionbefore final approval of system is made. Arrange a re -inspection when work is completed.) c DATE (Final Approval) 9/30/85 ENVIRONMENTAL HEALTH OFFICER: - L'_ DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Hugh Hatcher Name of Owner: Same Amount Paid: $200.00 Receipt Number: C0373 Date: 9/23/85 Cashier: Gail Parker White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR INDI�'IDL'AL SEWAGE DISPOSAL SYSTLI PER`tIT ENVIMNMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 350 Eagle, Colorado 81631 No. CPERMIT APPLICATION FEE: 8150.00 328-7311 PERCOLATION TEST FEE: $50.00 NAME OF OVNER: v!% 4 'T L �eJ+ob: �" I� �--�'�e K ADDRESS: I 9 t 5*, 'VVC,,<, Co �, Jgg�-t,0t0 PHONE: NAME OF APPLICANT (if different from owner): ADDRESS: - PHONE: DESIGN ENGINEER OF SYSTDI (if applicable): ADDRESS: PHONE: Pr,x6U-0; 11 1 ViVJiLJula -'i; INSTALLATION OF SYSTEM' e or- Licensed Installer (see attached list). YES-- NO ;�, r � 5 ADDRESS: 9 � �' ° jta &HONE: 7 I PERMIT APPLICATION IS FOR: O New Installation ( ) Alteration ( j Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: ,�* Street/Rural Address: 3 � al`C�� _,4, `tgA4PSVVVI �+� (Q Lot Size: (ad al Legal Description: EA (l- C ,_ v� P '�j'" .., ' el) S BUILDING OR SERVICE TYPE cmec p li�ab e �cate or_ ) `: - .J Residential - Single Family ( ) y ( ) Residential Quadplex ( ) Residential - Duplex ( ) Commercial ( ) (state usage) Residential - Triplex N NULMBER OF PERSONS: NUMBER OF BEDROOMS :C4 � J _ WASTE TYPES (check applicable categories): ( ) Commercial or Institutional) Dwelling h ( ) Non -Domestic Wastes ( ) Transient Use ( ) Garbage Disposal (Ne) Dishwasher rr M,�� i Automatic Washer ( ) Spa Tub ��' e-2. ( ) Other d TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: Composting (, Septic Tank ( ) Com � p g 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 NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES ( ) NO (,�) (1 S yes, see attached wastavate,,L (stow &eduction methods ) o NOTE: The Envitonmentae Hea Vi 064iceA may tceduce the nequviced absonpti.on area upon appnovat o6 an adequate wasteivaten 6tow neduc-tion pta2. O 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: QtL� 'Twa SIGNATURE----- w - - --------- - - - - -- - DATE ` If�l_--- - -- - - INFORt{ATION BELOW TO BE FILLED OUT BY ENVIROMIJENTAL HEALTH OFFICER: GROUND CONDITIONS: Peneent Gnound Slope Depth to Be&Lock (pen 8' Pno 6iZe Hole) Depth to GnoundwateA Tabte SOIL PERCOLATION TEST RESULTS:. Minutes pen inch in Hate 1 Al i.nuta pen .inch to Hote # 2 InLyLuteis pex iitdL to flute #3 FINAL DISPOSAL BY ( ) AbsonptioA Ttcench, Bed on Pit ( ) Evapotta.nspiAation ( ) Above Gnound DZspmsa. ( ) Sand FiLtek ( ) Undetguund D.ispemae ( ) Wastewater Pond Amount Paid: - Receipt Nurmbe.t Date: NOTE: Site Plan must be attached to -application. (Env. Health Department - Rev. 4--07-83) EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 October 3, 1985 Hugh Hatcher 191 Race St. Denver, CO 80206 RE: ISDS Permit.#719 Dear Mr. Hatcher: This letter is to inform you that your ISDS Permit #719 for property located at 7499 Gypsum Valley Rd. — Gypsum, Colorado has been inspected and finalized by Erik Edeen on September 9, 1985. I am enclosing a copy of this permit for your records. If you have any questions or concerns regarding this matter, please contact our office. Sincerely, Gail Parker, Secretary 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 I. EAGLE COUNTY CERTIFIED MAIL # P 661 September 5, 1985 Hugh Hatcher 191 Race Street Denver, CO 80206 551 Broadway Eagle, Colorado 81631 (303) 328 7311 276 885 RE: Residence at 7499 Gypsum Valley Road Dear Mr. Hatcher: An inspection of your property, Parcel #2193-093-00-001, on August 28, 1985, with a representative of the Colorado Depart- ment of Health, Mr. Jim Chubrilo, revealed that your property has a pit privy and a cesspool to the north of the house. This inspection was part a broader review of the Gypsum Creek drainage for water pollution sources. Section 3.27 of the Eagle County Individual Sewage Disposal Regulations prohibit cesspools and unlined pit privies. Your pre-existing, non -conforming system must be brought up to current standards of a two -compartment septic tank and the required square footage of absorption area. The enclosed application for an Individual Sewage Disposal System Permit must be submitted by the owner or owners represent- ative to this office within ten (10) days receipt of this motice. Upon receipt of the completed application and fees, a permit for installation of a septic system can be issued. Before covering any part of the new system a final inspection is required to insure compliance with Eagle County regulations. Request your inspection at lease 24 hours in advance of the expected completion date. If you have any questions regarding this matter, please contact our office. Sincerely, Erik Edeen Environmental Health Officer EAGLE COUNTY EE/gp 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 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 September 27, 1985 Ken Schultz Schultz Construction 3597 Hwy 6 Gypsum, CO 81637 'RE: ISDS Permit #719 for Hugh Hatcher Dear Mr. Schultz: Enclosed you will find _a copy of the above referenced individual sewage disposal permit. This copy must be posted at the installation site. You must call our office for a final inspection before covering any portion of the installed system. We can be reached at.328-7311, Ext. 238. If you have any questions or concerns regarding this matter, please contact us. Sincerely, Gail Parker, Secretary 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 EAGLE COUNTY 551 Broadway Eagle, Colorado 81631 (303) 328 7311 September 24, 1985 Hugh Hatcher 191 Race Street Denver, CO 80206 RE: Individual Sewage Disposal System - Permit #719 Enlcosed is a copy of your ISDS Permit #719 for property located at 7499 Gypsum Valley Road - Gypsum, Colorado. The information on the permit indicates that Bertroch and Sons will be the installer of the system. A copy of the permit has been mailed to them also and must be posted on the installation site. Bertroch and Sons must call our office.for a final inspection before convering any portion of the installed system. We can be reached at 328-7311, Ext. 238. If you have any questions or concerns regarding this matter, please contact our office. Sincerely, Gail Parker, Secretary Environmental Health Office EAGLE COUNTY /gp Enc. cc: Bertroch & Sons 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 r PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. 7QODL:S OWNER: p,Y1 �1c3-4-,ilp l� LEGAL DESCRIPTION: -IqqqC�UDSUmVc911��� RURAL ADDRESS: TYPE' OF DWELLING:����� DATE OF PERCOLATION TEST: ATYPE OF TEST HOLES PRE-SOAKED: YES NO i+ TIME WATER DEPTH INCHES 2 3 2/ 1j ' 2 3 �1 / `�3 OZ. � / / i PERCOLATION RATE: RECOMMENDED MINIMUM SEPTIC TANK SIZE: 7 �� RECOMMENDED MINIMUM LEACH FIELD SIZE: 00 0 RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. Environmental Health Officer Date COMMENTS: 50 JOB NAME, 40$ NO* 7 JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED 1 PERMIT #719 tY OWNER: Hugh Hatcher LOCATION: 7499 Gypsum Valley Rd. - Gypsum, CO I i INSTALLER: Schultz Construction SIZE OF TANK: 1000 gal. DWELLING: Residential, ABSORPTION AREA: 600 s.f. ABSORPTION family - 3 bedroom PERC RATE: 1 inch in 20 minutess FINALIZED: 9/30/85 BY: Erik Edeen +- �'- L'• -4t .fir. • .7r ..`' = e _ -v ; IT JOB FOLDER Pn4uct.278 �® NEW ENGLAND BUSINESS SERVICE, INC„ GROTON, MA 41471 JOB FOLDER Printed in U.S.A.