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HomeMy WebLinkAbout4780 Gypsum Creek Rd - 211132200001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT Eagle County Department of Environmental Health PERMIT �� 072 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: Marguerite Gutierrez oll o„ Telephone: (101) 242-2999 Address: 2248 Kingston Rd, - Grand Junction, CO 81503 System Location: 4780 Gypsum Creek Road - Gypsum, CO Licensed Installer: Merle Hobbs License Number: 85-2 t —T 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 300 Sq. Ft. Number of Bedrooms 2 X 300 Sq. Ft. minimum requirement per bedroom - equals 600 Total Sq. Ft. minimum requirement Special Requirements: Date: October 3, 1985 Environmental Health Officer: rl r C 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 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 system is approved prior to covering any portion of the system. INSTALLED ABSORPTION OR DISPERSAL AREA: Ann SQ. FT. INSTALLED SEPTIC TANK: 1000 GALLONS; 200 DEGREES; 50 FEET DESIGN ENGINEER OF SYSTEM: __ Hobb's Excavating INSTALLER OF SYSTEM: Hobb's Excavating PHONE: SEPTIC TANK CLEANOUT TO WITHIN 12"OF FINAL GRADE OR AERATED ACCESS PORTS ABOVE GRADE: YES x NO PROPER MATERIALS AND ASSEMBLY: YES NA NO COMPLIANCE WITH PERMIT REQUIREMENTS: YES x NO COMPLIANCE WITH COUNTY / STATE REGULATION REQUIREMENTS: YES x NO COMMENTS: (Any item checked NO requires correction before final approval of system is made work is completed.) DATE (Final Approval)10/3/85 ENVIRONMENTAL HEALTH OFFICER: Erik DATE (Re -Inspection) ENVIRONMENTAL HEALTH OFFICER: Arrange a re -inspection when Edeen RETAIN WITH RECEIPT RECORDS PERMIT Name of Applicant: Charles & Betty Albertson Name of Owner: Marguerite Gutierrez Colliton Amount Paid: $200, 00 Receipt Number: C0374 Date: 9 23 85 Cashier: Gail Parker White and Pink Copies - Environmental Health Department Yellow Copy - Applicant / Owner APPLICATION FOR I`;DICIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY P.O. Box 850 Eagle, Colorado 81631 No. c� PERMIT APPLICATION FEE: $150.00 328-7311 PERCOLATION TEST FEE: 550.00 � / M NAME OF OWNER: ADDRESS: Q�d � Cd- 0 IJj 03 PHONE; NAME OF APPLICANT (if different from owner): ADDRESS: DESIGN ENGINEER OF SYSTDI (iiV applicable): ADDRESS: PhNoil 1V 1\LJL 6i1 Joi J-' L, INSTALLATION OF SYSTEM: Licensed Installer (see attached list). PHONE:„ PHONE: YES_ _ NO_ ADDRESS: PHONE: PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration (� Repair LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Street/Rural Address: X7 X-0 42- 0 �� /� Q Lot Size: "��jT�_ Legal Description: BUILDING OR SERVICE TYPE (check applicable category): () Residential - Single Family ( ) Residential - Duplex ( ) Residential - Triplex NUMBER OF PERSONS: WASTE TYPES (check applicable categories): ( ) Commercial or Institutional ( ) Non -Domestic Wastes ( ) Garbage Disposal () Automatic Washer `) Other E OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED: ( ) Residential Quadplex ( ) Commercial (state usage) NUMBER OF BEDROOMS: (� Dwelling ( ) Transient Use ( ) 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 (� IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES NO ( ) WASTEWATER FLOW REDUCTION PLAN: YES (j) NO (x) (16 Yes, see attached wastewatet �Zow teduct i.on methods) NOTE: The Envi tonmenta2 Health 064icet may teduee the tequiAed absorption area upon apptcovaZ o6 an adequate wat6tewatet 6tow reduction p.2an. SOURCE AND TYPE OF WATER SUPPLY: ( ) Well �kJ Spring ( ) Creek/Stream Give depth of all wells within 200 feet of system: If supplied by community water, give name of supplier: y SIGNATURE: .s.Y, 2�L,, , � -el .� DATE_ - INFORMATION -��• - -4- BELOW TO BE FILLED OUT BY ENVIROMIJENTAL HEALTH OFFICER: - - - - - - - - GROUND CONDITIONS: PeAcent Ground Slope Depth to Bedrock (pet 8' Pt 4ite Hote) Depth to GAoun&vatetL TabZe SOIL PERCOLATION TEST RESULTS:- Minutes nett inch in Hole I Afinutes pets .inch ,to HoZe # 2 1Vi.nutei5 pert � iLdL to HoZe #3 FINAL DISPOSAL BY: ( ) Absotpti oA TAench, Bed of Pit ( ) EvapotAanspiaxtion ( ) Above Ground Dis pmsa,t ( ) Sand FiZten ( ) Unde,'tgtound DZSpeUa.0 ( ) WasJtewatet Pond ( ) Othe t Amoultt Paid: Receipt Numbe.' CC),3-74 Date: NOTE: Site Plan must be attached to'application. (Env. Health Department - Rev. 4-07-83) REPAIR PERMIT APPLICAT ICON FOR SE111AGE DISPOSAL SYS T Ei"S �. . j A permit fee of $150.00 shall be charged for alteration, enlargement or any repair involving alteration of an existing sewage disposal system. This, fee is authorized by Eagle County Individual Sewage Disposal System Regulations adopted and effective March 27, 1930. For minor repairs of less than $100.00 for maintenance of the individual sewage disposal system, no fee shall be required. A percolation test fee of $50.00 shall be charged for all new leach fields on repair permits. Percolation testing may be waived at the discretion of the Environmental Health Officer on certain repair cases where prompt action must be taken to prevent a heal+h Ha -A IF PRESENT SYSTEM IS PRE-EXISTING, NON-CONFOP.P1ING, A NEW SYSTEM SHALL BE INSTALLED, COMPLYING WITH ALL CURRENT REGULATIONS._ IF A NEW SYSTEM IS REQUIRED, ALL FEES ARE APPLICABLE. DESCRIPTION OF PROBLEM/MALFUNCTION: TYPE AND SIZE OF SYSTEM PRESENTLY IN USE: DATE PRESENT SYSTEM WAS INSTALLED: PERMIT NUMBER FOR ORIGINAL SYSTEM, IF A PERMIT WAS ISSUED BY THIS DEPARTMENT: # SITE PLAN BELOW SHOWING PRESENT SYSTEM COMPONENTS: k0(s _� .goy1�' , © r OWNER OF SYSTEM: ADDRESS: APPLICANT: ADDRESS: DATE: PERCOLATION TEST ENVIRONMENTAL HEALTH DEPARTMENT Eagle County FEE: $50.00 ISDS APPLICATION NO. 0 (* OWNER: M(.-N GL1DX'l �U 19XY1Z� �l !�`�►'1 LEGAL DESCRIPTION: RURAL ADDRESS: L-- - 8;0 TYPE OF DWELLING: NUMBER OF BEDROOMS: DATE OF PERCOLATION TEST: TYPE OF SOIL: vs­e- o eelr TEST HOLES PRE-SOAKED: YES Npu"��/ SAGS r TIME WATER DEPTH INCHES OF FALL RATE 1 2 3 1 2 3 1 2 3 El 2 3 2- _z - I O 7 2�7 --------------------- PERCOLATION RATE: ��'. 2-0 RECOMMENDED MINIMUM SEPTIC TANK SIZE: 7<5_6 ( (- ? () RECOMMENDED MINIMUM LEACH FIELD SIZE: (6 C% C � � - & RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: 3 Cr, SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE. V Environmental Health Officer Date COMMENTS Rev. 5/31/84 IL o 3 EAGLE COUNTY CERTIFIED MAIL # P 661 September 5, 1985 551 Broadway Eagle, Colorado 81631 (303) 328 7311 276 884 Marguerite Gutierrez C/O Colliton M.S. 2248 Kingston Rd. Grand Junction, CO 81503 Dear Ms. Gutierrez: Your property located at 4780 Gypsum Creek Road has a malfunctioning individual sewage disposal system. A recent inspection on August 28, 1985 of the area revealed sewage sur- facing on the ground between the subject residence and Gypsum Creek Road. This inspection was part of a broader review of the Gypsum Creek drainage for water pollution sources. Section 3.8 of the Eagle County Individual Sewage Disposal Regulations states that "upon failure or need of repair or alt- eration, pre-existing non -conforming systems 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 a repair permit must be sub- mitted by the owner or occupant to this office.within two (2) business days after receipt of this notice. Upon receipt of the completed application and fees, a permit for repair or re- placement of the septic system can be issued. The permit will allow up to 30 days for repairs to be made. Before covering of the new or repaired system, an inspection is required. If you have any questions concerning this matter, do not heistate to call. Sincerely, .0 Erik Edeen Sid Fox Environmental Health Officer Asst. Environmental Health Officer EAGLE COUNTY EAGLE COUNTY cc: Charles Albertson Peggy Feamster 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 October 3, 1985 Margureite Gutierrez Colliton 2248 Kingston Rd. Grand Junction, CO 81503 RE: ISDS Permit #721 Dear Ms. Colliton: This letter is to inform you_that your ISDS Permit ��721 for property located at 4780 Gypsum Creek Road - Gypsum, Colorado, has been inspected and finalized.by Erik Edeen on October 3, 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 0721 Gutierrez 4780 Gypsum .JOB NAMI Creek JOB NO. --/Z/ .' JOB LOCATION BILL TO _ .. . DATE STARTED DATE COMPLETED DATE BILLED A r� /ya C 7 a yS JOB COST SUMMARY TOTAL SELLING PRICE TOTAL MATERIAL 3c'7�J�V PERMIT #721 � OWNER: Marguerite Gutierrez Colliton LOCATION: 4780 Gypsum Creek Road INSTALLER: Merle Hobbs SIZE OF TANK: 1000 gal. DWELLING: Res. Single Family - 3 PERC RATE: 1 inch in 20 minutes ABSORPTION AREA: 600 s.f. FINALIZED: 10/03/85 BY: s - Gypsum bedroom Erik Edeen TOTAL LABOR INSURANCE SALES TAX MISC. COSTS TOTAL JOB COST GROSS PROFIT LESS OVERHEAD COSTS % OF SELLING PRICE NET PROFIT DER Printed in. U.S.A.