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Home My WebLink About315 Strohm Cir - 211106406005INDIVIDUAL 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. 1039, Please call for final inspection before covering any portion of installed system. OWNER: Jack E. Osburn PHONE: 303-524-9605 MAILING ADDRESS:_ P.O. Box 265, Gypsum, CO 81637 AGENT: PHONE: SYSTEM LOCATION: 8455 Colorado River road. Gypsum CO 81637 LICENSED INSTALLER: -Schultz Construction CO Inc.LICENSE NO. 11-91 DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 5 i i SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: 180 Lft. 1011 SB2, 106.25 Lft. (17 units) infiltrator need inspection portals at end of each line Keep to Southeast of area ENVIRONMENTAL HEALTH OFFICER: DATE: 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: o SQUARE FEET. INSTALLED SEPTIC TANK: d GALLONS J00 DEGREES N !D FEET 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: lot� DATE: ENVIRONMENTAL HEALTH OFFICER: DATE: (RE-INSPECTIO IF CESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANT/AGENT: OWNER: AMOUNT PAID: RECEIPT N: CHECK #: CASHIER: /6VJ^- o Permit r APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY P.O. BOX 179 EAGLE, CO 81631 328-8730/927-3823(Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $125.00 NAME OF OWNER: JACK E. OSBURN MAILING ADDRESS: P. 0. Box 265, Gypsum, CO 81637 PHONE: (303) 524-9605 NAME OF APPLICANT (If different from owner): ADDRESS: PHONE: PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM: Schultz Construction Co. Inc. ADDRESS: 8455 Colo. River Road, Gypsum, CO 81637 PHONE: (303) 524-9472 PERMIT APPLICATION IS FOR: (X) NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: Physical Address: 315 Sthrom Circle, Gypsum, CO Parcel Number: 6th Filing, Lot 26, Bethroch-Sup Lot size: 1.10 Acres Legal Description: BUILDING OR SERVICE TYPE: (Check applicable category) (X) Residential / Single Family - ( ) Residential / Multi -Family ( ) Commercial / Industrial NUMBER OF PERSONS: 2 NUMBER OF BEDROOMS: 3 SPA TUB Yes ( ) No (X) WATER CONSERVATION PLAN: Yes { ) No (X) SOURCE AND TYPE OF WATER SUPPLY: Well( ) Spring ( ) Creek/Stream { ) Give depth of all wells within 200 feet of system: 0 If supplied by community water, give name of supplier: Gypsum SIGNATURE: DATE: <SVol AMOUNT PAID �J ty RECEIPT#k 15-9� � DATE: CHECK # lo�S C/ CASHIER: 7 , TIME LOG Travel Perc Final 01(030 �� IS NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER" COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 .EAGLE COUNTY, COLORADO April 4, 1991 Jack E. Osburn P.O. Box 265 Gypsum, c0 81637 �OLORAn..:: 1 3 i (' :.. . . RE: Issuance of Individual Sewage Disposal System Permit No. 1039 Enclosed is your ISDS Permit No. 1039. The enclosed copy of the permit must be posted at the installation site. You must call our office for final inspection before covering any portion of the installed system; the deadline for final inspections is December 1. If you have any questions, please feel free to contact us at the following numbers for your calling area: Basalt/El Jebel 927-3823 ext. 730; Eagle Valley 328-8730. Sincerely, 6plel L�� Roger Hosea Asst. Environmental Health Officer community Development cc: ISDS file encl. RH/alm P COMMUNITY DEVELOPMENT DEPARTMENT (303) 328.8730 EAGLE COUNTY, COLORADO May 9, 1991 Jack E. Osburn P.O. Box 265 Gypsum, CO 81637 Re: Final of ISDS Permit No. 1039 725 CHAMBERS AVE. P.O. BOX 179 EAGLE, COLORADO 81631 FAX (303) 328-7207 -- ThAs 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 927-3823; Eagle Area 328-8730. Sincerely, �� 0��'c Roger C. Hosea Asst. Environmental Health Officer Community Development Enclosures: Informational Sheets Final ISDS Permit cc: Chrono file ISDS file## Building Permit file## 2c/finalisd 1p40191 RH/alm Application # Adz 9 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: :0 G LEGAL DESCRIPTION: MAILING ADDRESS: /7, U TYPE OF DWELLING: �C/w�� NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES NO TIME Wamry nrpm" rwir+vre nc. z-Tr T M 1 2 3 1 2 3 1 2 3 1 2 3 0' 37 IGI 2 0 13 L!0 L/z 111 3, 27 75 ;7 5, 2-917- l �l Z %� �7 671 U - l / / z Zz i 3 Z 17 .%t �Z_ %l l zZ' z% 17 % % �7 ?_ Time to drop last inch PERC RATE: �6 MINIMUM SEPTIC TANK SIZE: D C MINIMUM LEACH FIELD SIZE: ,g Z p � z--- COMMENTS: I')�f G i /e t( 7�5 L 167"_ `/ % G4tW_ PERC TEST DONE BY: �" �1/'��✓� DATE: ronmental Health officer rev. 6/90ks 1039-91 JOB NA )�,1(.tU LW,W-��pv\ JOBNO. _Z-07- ,00'JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED JOB COST SUMMARY TOTAL SELLING PRICE '.Fw ..,. .. Tl1TA1 AAATCQIAI c . 'OST ZOFIT COSTS PRICE ROFIT n� f �S /Q / Sk�J / f! W %D� EI JOB FOLDER Product 278 (® NEW ENGLAND E r P Printed in U.S.A. i