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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 2 3 1 2+--I �� . 0_7 iD,5 5 `_1 r / 1( .0 Ig , 0 a®. D o 5 _&325 `4 2, q.za z i I z2 P-5 Iq.lea; ►� /,75 J,�a �e9 i. j s' q .' � � � 2� ( I.� _/ � . �.J� CJ a 1 LJ � � � . ,� � r J� ,3 41 3a� �► ! 3! 1 4� .JL 3,333 6 aa. 14 5 J-7 X-_ 25 Cyr 7 8 1 Time to drop last inch >5 5 ''5 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 TCITAI ee A-*-----• - G1A)< Ix 3T IT IS :E IT JOB FOLDER Product 278 (Q@ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 :�vl- 11 JOB FOLUEzt ,-�D �/ Printed in U.S.A. 0