HomeMy WebLinkAbout265 Cedar Dr - 211106405013INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 921
Please call for final inspection before covering any portion of installed system.
OWNER: Jim and Marcia Parmenter PHONE: 524-9325
MAILING ADDRESS: P. 0. Box 214 Gypsum, CO 81637 AGENT: Self PHONE: 5 24- 9(]
3 25
a6s`
SYSTEM LOCATION: Jft Cedar Drive Gypsum, CO 81637
LICENSED INSTALLER: T & T Excavating P 0 Box 151 lm, CO— LICENSE NO. 023-89-1
DESIGN ENGINEEROFSYSTEM: NSA
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1,000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
800 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: 1,000 gallon septic tank - two compartment, 800 sq. ft. leach field,
or 200 feet of 10" SB 2
ENVIRONMENTAL HEALTH OFFICER: 7.�J�� Erik Edeen DATE: 7-10-89
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 Ill, 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: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE 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: �00 a4�SQUARE FEES e�> {'
INSTALLED SEPTIC TANK: r0>?d GALLS DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS ANDASSEMBLY YES NO
COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS: YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
COMMENTS:
ENVIRONMENTAL HEALTH OFFICE i " DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS
APPLICANT/AGENT: Jim and Marcia Parmenter OWNER:
PERMIT
Jim and Marcia Parmenter
AMOUNT PAID: $275.00 RECEIPT#: 1734 CHECK#: 225 CASHIER: A. Rusch
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number: 32 99
P. 0. BOX 179
EAGLE, COLORADO 81631
949-5257 Vail
328-7311 Eagle
927-3823 Basalt
PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00
NAME OF OWNER: lar ,i 1-1 oct,CaPAT IV
MAILING ADDRESS: 6 . YJ PHONE:
ELA -141 Z
NAME OF APPLICANT ( I erCen roR owner) :
ADDRESS:
DESIGN ENGINEER OF SYSTEM (If applicable):
PHONE:
ADDRESS: PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: :HT � ', cay �(ii t�
LICENS D INSTALLER: ( ) YES ( ) NO
ADDRESS: (� LS3 C,y�S �d PHONE : S�; ; 3 2-
PERMIT APPLICATION IS FOR: NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE QISPOSALSYSTEM:
Physical Address: IC rt�
Parcel Number: "o. S Lot Size: rc
Legal Description: L �' 1,62 A
BUILDING OR SERVICE TYPE (Check applicable category):
Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential - Triplex
NUMBER OF PERSONS: 4 NUMBER OF BEDROOMS:
WASTE TYPES Check applic ble categories):
Commercial or Institutional F-I'Transient
DwellingNon-Domestic Wastes Use
Garbage Disposal IX) Dishwasher
Automatic Washer ( ) Spa Tub
Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Septic Tank Composting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use
( ) Other ( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES (q NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( YES ( ) NO
WATER CONSERVATION PLAN: ( ) YES ( ) NO
NOTE: The Environmental Health Office may reduce the required absorption area upon
approval of an adequate water conservation plan.
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If SUPO ied by co unity water, give name of supplier: O hn
SIGNATURE: DATE: 3 ph; Q
INFORMATION VELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope
SOIL PERCOLATION
Depth to Bedrock (Per 8' profile hole
Depth to Groundwater table
TEST RESULTS: Minutes per inch in Hole #1
Minutes per inch in Hole #2
Minutes per inch in Hole #3
FINAL DISPOSAL BY:
T--T Absorption Trench, Bed or Pit ( ) Evapotranspiration
( ) Above Ground Dispersal ( ) Sand Filter
( ) Under Ground Dispersal ( ) Wastewater Pond
( ) Other
AMOUNT PAID: 1275.00 RECEIPT NUMBER r/34 DATE: 5 31-S9
CHECK NUMBER �2a5 CASHTFR
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION.
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY -TREASURER".
(Environmental Health Dept. - Rev. 4/88)
PERCOLATION TEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $125.00 paid ISDS APPLICATION NO.
OWNER: UIiYi maicia,
LEGAL DESCRIPTIO
RURAL ADDRESS:
TYPE OF DWELLING: NUMBER OF BEDROOMS:_
DATE OF PERCOLATION TEST: 4 TYPE OF SOIL:
TEST HOLES PRE-SOAKED: YES
NO 2_
TIME
WATER DEPTH
INCHES OF FALL
RATE
vcp�� b� kz�
PERCOLATION RATE: / () /-? .c
RECOMMENDED MINIMUM SEPTIC TANK SIZE: �90
RECOMMENDED MINIMUM LEACH FIELD SIZE: �Oy'
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: S �.
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environmental Health Officer
COMMENTS:
Rev. 5/31/84
-7--10
ate
INSPECTION REQUEST
TOWN OF GYPSUM
P.O. BOX 237
PHONE: 524-7514, 524-7515
DATE 7- 5 _ ffq JOB NAME P6
TIME RECEIVED 45 o AM PM CALLER
TOWN OF GYPSUM
P-'5-_ AD
. &U
OTHER 1SDS El PARTIAL. LOCATION
PERG TEST 24.E cadat
READY FOR INSPECTION
MON TUE WED THUR FRI AM PM
COMMENTS:
APPROVED ❑ DISAPPROVED ❑ REINSPECT
❑. UPON THE FOLLOWING CORRECTIONS:
CORRECTIONS
r
DATE 7-5--Kz oA
INSPECTOR
ROUTE FORM
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
n ran Pwrrmtr
a 6 (Name)MCP
Date Routed _� 4�'' �_ j !Q Application No .
J dJG1 f MM
Please review the attached Individual Sewage Disposal System Permit Application and
return it with this completed form the the Environmental Health Office.
PLANNING: Complies with - YES NO REVIEWED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDING: Complies with - YES NO REVIEWED BY
Building Permit Applied For:
Buildina Permit Issued:
Recommend Approval: �--
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
ENVIRONMENTAL HEALTH: Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
COMMENTS:
YES NO REVIEWED BY
DATE
DATF
vr7c pin DCVTCt.IC) RV nATC
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
February 6, 1990
Jim Parmenter
P.O. Box 214
Gypsum, CO 81637
RE: Water supply and sewage disposal information for property
located at:
Lot 23, Filing 5, Bertroch Subdivision
265 Cedar Drive, Gypsum, CO 81637
ISDS Permit No 921
Dear Mr. Parmenter:
All loan inspections are completed under the authority of
the Eagle County Building Resolution, Section 3.09.03, A (7)1
adopted by the Eagle County Commissioners on October 8, 1985.
A review of the County records indicates that:
On November 15, 1989, the sewage disposal system was permitted
under Permit Number 921, inspected and approved in accordance
with County Individual Sewage Disposal Regulations. The system`
consists of a 1000 gallon septic tank and 800 square feet of
absorption area through utilizing 200 lineal feet of 101, SB2
piping. The system is apparently functioning satisfactorily at
this time.
The water supply to this residence is from the Town of
Gypsum, a.community water system. The community water system is
inspected on a regular basis by the Colorado Department of Health.
and to the best of our knowledge complies with current drinking
water standards
If you have any further questions concerning this
inspection, please feel free to call me at (303) 328-7311, Ext.,
530, or write.
Respectfu 't d,
xc: Files
RPM/tmt
Board of County Commissioners Assessor
P.O. Box 850 P.O. Box 449
Eagle, Colorado 81631 Eagle, Colorado 81631
Raymond. Merry, RS
Environmental Health Off
Dept. of.Community Devel
Clerk and Recorder Sheriff
P.O. Box 537 P.O. Box 359
Eagle, Colorado 81631 Eagle, Colorado 81631
t
Treasurer
P.O. Box 479
Eagle, Colorado 81631
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7 r . •77 40
JOB NAME
JOB NO. �' 1
JOB LOCATION
BILL TO
DATE STARTED
PERMIT NO: 921
OWNER: JIM AND MARCIA PARMENTERum
LOCATION: 2Bertroch..Sbbdevision
INSTALLER: t&T Excavating
SIZE OF TANK: 1000 gal.
DWELLING: 3 Bedrooms
PERC RATE: 10 MPI
ABSORPTION AREA: 200 if of SB2 10"
FINAZLIED: 11-15-89 BY RPM,RS
PARCEL NO.:
JOB R
DATE
DATE BILLED
JOB COST SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
A" M SSA G FOR:
FRO
OF a o
Zoo
DATE
TIME L-3 P.M.
PHONE
AREA CODE NUMBER rEXT.
❑ URGENT
TELEPHONED ❑ CAME TO SEE YOU ❑ RETURNED YOUR CALL
M SSAGE: PLEASE CALL ❑ WANTS TO SEE YOU
❑ WILL CALL AGAIN
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