HomeMy WebLinkAbout2022 Gypsum Creek Rd - 000000000000INDIVIDUAL 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. 1170
Please call for final inspection before covering any portion of installed system.
OWNER: Reese Gaymon PHONE: 524-7218
MAILING ADDRESS: Gypsum Creek Road
AGENT:
PHONE:
'�r�
C�oZ
SYSTEM LOCATION: 255 Gypsum Creek Road
LICENSED INSTALLER: Hobbs Excavation Merle Hobbs LICENSE NO. 32-92
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 SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: This permit is for the installation of a 1000-gallon septic tank to
accommodate the 3 bedroom mobile home flows. The use of the existing leach field will
be allowed. Upon failure appropriate corrections must be made to bring the system int
conformance with Eagl Couay L,_ Use Regu ations.
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: SQUARE FEET.
INSTALLED SEPTIC TANK: GALLONS 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 OFFICER: DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANTIAGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
.rr� �vuyVll.� vr111 Nul' be Accepted
//e Plan MUST be attached)
ISDS Permit ## 870
Building Permit 7
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P• O. BOX 179
EAGLE, CO 81631
23
8�r898��� (Basalt)
PERMIT PERMIT APPLICATION FEE $150.00
PERCOLATION TEST FEE $125.00
MAKE ALL REMITTANCE PAYABLE TO:
"EAGLE
vr COUNTY
N �r yr yr Rvr ASURER�r
PROPERTY OWNER: ' L) cC",-� W, LA z C-L�
MAILING ADDRESS( o% t"j C- n-11-tn!(A1, PHONE:
APPLICANT/CONTACT PERSON:
`c- & S�-C�_ . PHONE : �� - 7c� /
LICENSED SYSTEMS CONTRACTOR: r� i Hob 13 S '3 p PHONE:
,XCCA 9-7�bj
COMPANY/DBA :I�Y�S - �') °ESS:'e l9 7
vc��rxvc�vc�cx:�*�Ycxyc�Yc�kYtycYrYcrrvrYcvrYcvcYc�kYc�vr�cvcADDR�c�vc�c�cxcrc�rxvc���vc�:rrxvcvrvc�rv�xv��r���r�c�vc�r�r�c�
PERMIT APPLICATION IS FOR: ( ) NEW INSTALLATION
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEMLTERATION REPAIR
Legal Description,,
Tax Parcel Number: _ _ �� 1
Lot Size:
Physical Address:
BUILDING TYPE: (Check app14.cable category)
i ) Residential/Single Family
( ) Residential/Multi-Family* Number of Bedrooms
( ) Number of Bedrooms
Commercial/Industrial*
Type ------
TYPE OF WATER SUPPLY: (Check applicable category)
( ) Well ( ) Spring ( ) Surface
Public Name of Supplier:
*These systems require design by a Registered Professional Engineer
SIGNATURE:
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
June 29, 1992'.
Hobbs Excavating, Merle Hobbs
1760 Gypsum Creek
Gypsum, CO 81637
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1170
Dear Applicant:
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328.7207
Enclosed is your ISDS Permit No. 1170 valid for 120 clays.
The enclosed copy of the permit must be posted at the
installation site. Any changes in plans or specifications
invalidates the permit unless otherwise approved. Please call
our office well in advance for the final inspection. The final
inspection is to be done before any portion of the installed
system is covered. The deadline for the final inspections done
by Eagle County Environmental Health is December 1. Systems
designed by a Registered Professional Engineer must be certified
by the Engineer indicating that the system was installed as
specified. Eagle County does not perform final inspections on
engineer designed systems.
Be aware that the specifications on the permit are minimum
requirements only. Installers should bring this to the attention
of the property owner.
This permit does not indicate conformance with other Eagle
County requirements.
If you have any questions, please feel free to contact us at
328-8755.
Sincerely,
Brenda Henderson
Environmental Health, Administrative Assistant
cc: file
Building Department, File #5367
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
June 29, 1992
Dan Williams
P.O. Box 173
Edwards, CO 81632
Mr. Williams,
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328-7207
We have permitted the use of a septic system at 2022 Gypsum
Creel', Road. This septic system consist of a 1000 gallon tank.
and, unknown leach field absorption area.
Conditions- of this permit were:
The irrigation ditch flowing near the leach field must
be lined or culverted a minimum of 50' in each
direction of the area where the leach field is likely
to be.
If the leach field fails, appropriate measures will be
taken to construct a new leach field that complies with
the Eagle County Landuse Regulations.
This septic system permit is valid only for tl.e
proposed mobile home owned by Reese Gayman. In the
event of a change in housing on this site, a new septic
leach field must be constructed in conformance with the
Eagle County :janduse Regulations.
Piease feel free to contact this office if you have any
questicns.
Sincerely,
Tania Busch
Envl-ciu-neni.al Health
Eagle Canny
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328-8730
EAGLE COUNTY, COLORADO
July 08, 1992
Dan Williams,
500 BROADWAY
P.O. BOX 179
EAGLE, COLORADO 81631
FAX (303) 328-7207
We have issued a new septic system permit at 22022 Gypsum
Creek Road. This septic system will consist of a 1000 gallon
tank and a minimum leach field size of 202 square ft.
The previous permit will be voided, along with the special
conditions attached to it.
Please feel free to contact this office if you have any
questions.
sincerely,
Tania Busch
Environmental Health
Eagle County
�o r�ox ►�3
CD � I LOS a
--F-LZS.G
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER:
LEGAL DESCRIPTIC!4:
M
MAILING ADDRESS: G- ^ �St� /5��e �
TYPE OF DWELLING; (tio J d e NUMBER OF BEDROOMS
TEST HOLES
PRE-SOAKED:
YES
✓
NO
TIME
WATER
DEPTH
INCHES
OF FALL RATE
SOIL PROF
1
2
3
1
2
3
1
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Time to drop
last
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>5
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PERC RATE: j,(jE
MINIMUM
SEPTIC
TANK SIZE:
1�
MINIMUM LEACH
FIELD SIZE:
7-0z �A
COMMENTS:
AN 1 h wAk,
a � � ,_J �1�1 11 1 �I •
PERC TEST DONE BY.
Environment
rev. 6/90ks
Health Officer
DATE: / - r-) -
CONIMUNITY DEVELOPMENT
DEPARTMENT
(303) 3' 3.8 730
tAULt COUNTY, COLORADO
Dear I.S.D.S. Applicant:
Your applicatiorL for an
(ISDS) Permit for
has been received.
300 BROAPWAl
P.O. BOX 1-9
EAGLE. COLORADO , 1 C 31
FAX (303) 32S•-_0-
vidual Sewage Disposal System
Issuance of your permit is on hold until the following
materials or fee(s) are submitted.
Payment of $150.00 Application Fee
Payment of $125.00 Percolation Test Fee
Site Plan
Licensed System Contractor (See attached list)
Engineer Design
Other:
If you have any questions please call, 328-8755. When
calling or submitting information please reference your ISDS
application # /����_
Please submit information to:
Eagle County,
Environmental Health Division
P.O. Box 179
500 Broadway
Eagle, CO 81631
ISDSHOLD.LET
ISDSDSK BH392
COMMUNITY DEVELOPMENT
DEPARTMENT
(303) 328.8730
EAGLE COUNTY, COLORADO
July 8, 1992
Hobbs Excavating, Merle Hobbs
1760 Gypsum Creek
Gypsum, Co 81637
RE: Issuance of Individual Sewage Disposal System
Permit No.: 1174-92
Dear Applicant:
500 BROADWAY
P.O. BOX 179
EAGLE. COLORADO 81631
FAX (303) 328.7207
Enclosed is your ISDS Permit No. 1174-92 valid for 120 days.
The enclosed copy of the permit must be posted at the
installation site. Any changes in plans or specifications
invalidates the permit unless otherwise approved. Please call
our office well in advance for the final inspection. The final
inspection is to be done before any portion of the installed
system is covered. The deadline for the final inspections done
by Eagle County Environmental Health is December 1. Systems
designed by a Registered Professional Engineer must be certified
by the Engineer indicating that the system was installed as
specified. Eagle County does not perform final inspections on
engineer designed systems.
Be aware that the specifications on the permit are minimum
requirements only. Installers should bring this to the attention
of the property owner.
This permit does not indicate conformance with other Eagle
county requirements.
If you have any questions, please feel free to contact us at
328-8755.
Sincerely,
Brenda Henderson
Environmental Health, Administrative Assistant
cc: file
Building Department, File #5367
COMMUNITY DE\'ELOPMENT
DEPARTMENT
(303) 32S-S730
EAGLE COUNTY, COLORADO
November 2, 1992
Reese Gaymon
2022 Gypsum Creek Road
Gypsum, CO 81637
RE: Final of ISDS Permit No. 1174-92
500 BROADWAY
P.O. PDX 179
EAGLE. COLORADO S 1631
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. This permit does not indicate
compliance with any other Eagle County requirements. Also
enclosed is a brochure regarding the care of your septic system.
Be aware that later changes to your dwelling may require
appropriate alterations of your septic system.
If you have any questions regarding this permit, please
contact the Eagle County Environmental Health Division at
328-8755.
Sincerely,
Brenda Henderson
Office Assistant
Environmental Health
/bh
ENCL: Information Brochure
Final ISDS Permit
cc: Files BP# 5367
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. 1, 1',74 —92
Please call for final inspection before covering any portion of installed system.
OWNER: Reese Gaymon PHONE: 524-7218
MAILINGADDRESS: 2022 Gypsum Creek Road
AGENT: PHONE:
SYSTEM LOCATION: 2022 Gypsum Creek Road
LICENSED INSTALLER: Hobbs Excavation, Merle Hobbs LICENSE NO. 32-92
DESIGN ENGINEER OF SYSTEM:
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
200 SQUARE FEET OF SEEPAGE BED SQUARE FEET OF TRENCH BOTTOM.
SPECIAL REQUIREMENTS: __ Install 6 Infiltrators units at request of owner. Install inspection
portal in each trench. Minimum 50' from irrigation ditch.
ENVIRONMENTAL HEALTH OFFICER: AenE
DATE: w
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: CQC�?6 SQUARE FEET. v I C�_ LP c-(4tk1 I rob
INSTALLED SEPTIC TANK: 10 GALLONS DEGREES 3C FEET 114 C.04" 6_tk
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 OFFICER: q a j:a= d kaM DATE: / 99
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
JOB DAME
1170-92 1�epic c ed
2022 Gypsum Crk. Rd.
Reese Gaymon
JOB NO.
,000'JOR LOCATION �.
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
JOB COST
SUMMARY
TOTAL SELLING
PRICE
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