HomeMy WebLinkAbout3293 Cooley Mesa Rd - 211108213001INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway 9 Eagle, Colorado 81631
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 987
Please call for final inspection before covering any portion of installed system.
OWNER:
Rachel Collins PHONE: 524-7555
MAILING ADDRESS: P•0• Box 400, GYPsum,CO 81637
AGENT: PHONE:
SYSTEM LOCATION: 3293 Cooley Mesa Rd., Gypsum
LICENSED INSTALLER: 6�� �"-"`�-�' 524-7501 LICENSE N0.
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1250 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 570 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: This permit replaces permit #945 which is null and void. Requested si zi
of infiltrator system is 112.5 ft of infiltrator (18 units). Place inspection portal
at the end of each trenc
ENVIRONMENTAL HEALTH OFFICER: DATE:
CONDITIONS: Oct
1. ALL INSTALLATIONS MU COMPLY WITH ALL REQUIREM TS O EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS, ADOPTED PURSUANT TO AUTHORITY GRA TED 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 /it, 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: SQUARE FEET.
INSTALLED SEPTIC TANK: /a S GALLONS D DEGREES 70 FEET ��O^` NW Orn �✓ 02` /� or S G r� may. orZ
^ � � ^ k. tic
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: �(
PROPER MATERIALS ANDASSEMBLY � ` YES NO
COMPLIANCE WITH COUNTY/STATE REGULATION REQUIREMENTS: X 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 OFFICER: �` " DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
E
11-
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL -SYSTEM PERMIT 1-3yi
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY Number:
P. O. BOX 179
EAGLE, COLORADO 81631
949-5257 Vail
328-7311 Eagle
927-3823 Basalt
PERMIT APPLICATION FEE $150.00 PERCOLATIONd TEST FEE $125.00
NAME OF OWNER: ( U (, (�0 /1 C-r /riS
MAILING ADDRESS: %' ok (,(00 EV/'95(l,?y PHONE:
NAME OF APPLICANT (If different from owner):
G
ADDRESS: 0A (f 6 a 6- /,R5 U "y PHONE:
DESIGN ENGINEER OF SYSTEM (If applicable):
ADDRESS:
PHONE:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
LICENSED INSTALLER: ( ) YES ( ) NO
ADDRESS: PHONE:
PERMIT APPLICATION IS FOR: (X ) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address: -3', ooy �/T -3,4 /712 _
Parcel Number: Lot Size: l C f? c—
Legal Description:
BUILDING OR SERVICE TYPE (Check applicable category):
Residential - Single Family ( ) Residential - Fourplex
( ) Residential - Duplex ( ) Commercial (Type)
( ) Residential - Triplex
NUMBER OF PERSONS: NUMBER OF BEDROOM$ : �{
WASTE TYPES TTheck applicable categories):
—� Commercial or Institutional ( ) Dwelling
Non -Domestic Wastes ( ) Transient Use
( k ) Garbage Disposal ( ) Dishwasher
( X) 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 NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: ( ) YES ( NO
WATER CONSERVATION PLAN: ( ) YES (1() 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 supplied by community water, give name of supplier: v
SIGNATURE: , % �� 1 DATE: —/ 9, ir?
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope
SOIL
Depth to Bedrock (Per 8' profile hole
Depth to Groundwater table
PERCOLATION TEST RESULTS: Minutes per inch in Hole #1
Minutes per inch in Hole #2
Minutes per inch in Hole #3
FINAL DISPOSAL BY:
Absorption Trench, Bed or Pit
Above Ground Dispersal
( ) Under Ground Dispersal
( ) Other
AMOUNT PAID:��7 - �� RECEIPT NUMBER
Evapotranspiration
Sand Filter
Wastewater Pond
1 71 DATE: 9/ ���✓
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION.
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER".
(Environmental Health Dept. - Rev. 4/88)
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
Date: June 27, 1990
Cal and Rachel Collins
P.O. Box 400
Gypsum, CO 81637
Re: Issuance of Individual Sewage Disposal System Permit No. 987
Enclosed is your ISDS Permit No. 987 This copy of the
permit must be posted on the installation site. You must
call our office for final inspection before covering any
portion of the installed system. If you have any questions,
please feel free to contact us at the following numbers for
your calling area: Vail/Avon 949-5257; Basalt/El Jebel
927-3823; Eagle area 328-8730.
Sincerely,
Raver
Envi
xc: ISDS file
c e r
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
ROUTE FORM
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
Name
Dat Rou ed 3 Application No.
ocation
Please review the attached Individua, 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:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
YES NO REVIEWED BY DATE
YES NO REVIEWED BY DATE
ENVIRONMENTAL HEALTH: Complies with - YES NO IEWED BY DATE
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
Recommend Approval:
COMMENTS:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
May 29, 1991
Rachel Collins
P.O. Box 400
Gypsum, CO 81637
Re: Final of ISDS Permit No. 987 -
Dear Ms. Collins:
725 CHAMBERS AVE.
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328.7207
This letter is to inform you that the above referenced ISDS
Permit has been inspected and finalized. Enclosed is a copy
to retain for your records. Also enclosed are informational
sheets regarding the care of your septic system.
If you have any questions regarding this permit, please
contact the Eagle County Environmental Health Officer, P.O.
Box 179, Eagle, Colorado 81631. We can also be reached,
depending on your calling area, at the following numbers:
Basalt/El Jebel area 927-3823; Eagle area 328-8730.
Sincerely,
Raymo P. Merry, R. .S -
Environmental Health Officer
Community Developme t
/mk
Enclosures: Informational Sheets
Final ISDS Permit
cc: Chrono File
ISDS File
Building Permit File TOG, 4"3
INDIVIDUAL 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. 94,57
Please call for final inspection before covering any portion of installed system.
OWNER: Rachel Collins PHONE: 524-7555
COMAILING ADDRESS: Box 400, Gypsum, O 81637
AGENT: PHONE:
SYSTEM LOCATION: 3293 Cooley Mesa Rd., Gypsum
LICENSED INSTALLER: Hoff s 524-7501 LICENSE NO.
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
ZOO GALLON SEPTIC TANK OR GALLON AERATED T PTMENT UN
DISPERSAL l/AREA REQUIREMENTS:
0 SQUARE FEET OF SEEPAGE BED V 0 SQUA E F T OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: v\
ENVIRONMENTAL HEALTH OFFICER: DATE:
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY TH LL REQUIREMENT OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS, ADOPTED PURSUANT TO UTHORITY GRAN D IN 25-10-104, C.R.S. 1973, AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRU URES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND
BUILDING REQUIREMENTS. CONNECTION TO OR USE WI H ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND
BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE 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 CO STRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM
TO BE LICENSED ACCORDING TO THE REGULATI S.
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECVELE
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH TIEOUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED
PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET.
INSTALLED SEPTIC TANK: GALLONS DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 6" 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 OFFICER: DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
TW r1�,
G P5um..
3297 Cooley Mesa Road, Bldg A • PO Box 150 • Ggpsum, CO 81657
Telepkone (970) 524-5024 • Facsimile (970)524-5022 • www.townof�'Jp' m.com
P80ppv` b
APR 1
April 8, 2005
Eagle County Environmental Health
Attn: Ray Merry
PO Box 179
Eagle, CO 81631
Re: 3293 Cooley Mesa
Dear Ray:
The Town of Gypsum has pumped and filled the septic tanks at the residence located at 3293
Cooley Mesa Road with dirt and sand. This letter serves as notice that the tank has been
abandoned per section 4.07.02 of the Eagle County Land Use Regulations. If you have any
questions regarding this matter, please do not hesitate to contact me at (970) 524-5024.
Sincerely,
Anne Martens
Director of Public Works
CC:
PUBLIC WORKS
DEPARTMENT
Puklic Works Director
Anne Martens
Public. Works InsP ection
Steve Cock
PuNic Works Foreman
Gilbert Rodriguez
Waste Water Plant Operator
Jeff Wright
Pete Peterson, Building Official
Frances Barela, Assistant Town Manager
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PERCOLATION PEST
ENVIRONMENTAL HEALTH DEPARTMENT
Eagle County
FEE: $125.00 ISDS APPLICATION NO.
OWNER:
LEGAL DESCRIPTION: pae. he/ 5v6, P., 1
}6$,
RURAL ADDRESS:
TYPE OF DWELLING: 12,,e- �aC NUMBER OF BEDROOMS: y
DATE OF PERCOLATION TEST:
tiv�2 Z (r le/1?OTYPE OF SOIL:
TEST HOLES PRE-SOAKED: YES J _ NO
TIME
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1I INCHES OF FALL
RATE
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PERCOLATION RATE: /,, A4,7-r-
RECOMMENDED MINIMUM SEPTIC TANK SIZE: iZ�—o
®e
RECOMMENDED MINIMUM LEACH FIELD SIZE: S7
RECOMMENDED MINIMUM SQUARE FOOTAGE PER BEDROOM: IGlO ��f
- SI
SITE HAS BEEN REVIEWED AND TESTED FOR PERCOLATION RATE.
Environ ntal Health Officer Date
COMMENTS: aab/ t'MP- / x ce, 49a/
% }2,� �t / d`i e mac-` ter'' �l $ r�m� a 1� S� e" i ivt r i�
T- VA
Rev.' 5/31/84 6, 5
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987 ea TTTr_3293 Cooley Mesa
JOB NAME JOB NO.
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 Printed in U.S.A.
JOB FOLDER
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