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HomeMy WebLinkAbout321 Strohm Cir - 211106406002INDIVIDUAL 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. 2 01 -92 Please call for final inspection before covering any portion of installed system. OWNER: Tom Foral PHONE: 524-7287 MAILING ADDRESS: P.O. BOX 451, Gypsum, CO 81637 AGENT: PHONE: SYSTEM LOCATION: Lot 23, Filing 6. Bertroch Sub. 321 Strohm Circle LICENSED INSTALLER: Ben L' ddings LICENSE NO. 19-92 DESIGN ENGINEER OF SYSTEM: INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING: 1500 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT. DISPERSAL AREA REQUIREMENTS: SQUARE FEET OF SEEPAGE BED 712 SQUARE FEET OF TRENCH BOTTOM. SPECIAL REQUIREMENTS: Install inspection portals at -end: -of each trench. 19 infiltrater units in trenches, per owners request. ENVIRONMENTAL HEALTH OFFICER: DATE: /L) 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 /S 7 �I-REeT 4i0—J? e k� SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR: PROPER MATERIALSAND ASSEMBLY / YES NO COMPLIANCE WITH COUNTY/STATE 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: 1HA9,ENVIRONMENTAL HEALTH OFFICER: /ys- DATE: 11 ENVIRONMENTAL HEALTH OFFICER: DATE: (RE-INSPECTIONCESSARY) RETAIN WITH RECEIPT RECORDS PERMIT APPLICANTIAGENT: OWNER: AMOUNT PAID: RECEIPT #: CHECK #: CASHIER: RECEIVE® ISDS Permit # Building Permit # -' OCT JP CATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT ENVIRONMENTAL HEALTH OFFICE- EAGLE COUNTY EAGLE COUNTY P.O. BOX 179 COMMUNITY DEVELOPMENT EAGLE, CO 81631 328-8755/927-3823(Basalt) PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00 ************************************************************************** PROPERTY OWNER: MAILING ADDRESS: APPLICANT/CONTAC LICENSED SYSTEMS CONTRACTOR: ADDRESS:J1 ********** om ************************************************************** PERMIT APPLICATION IS FOR: (O NEW INSTALLATION ( ) ALTERATION ( ) REPAIR LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM: �� '_ 1 Legal Description: L.o , P3 %1 11 vi c, 6�� ✓ {�pCv k� i v► i r� 6p� Parcel Number: 0 L _r�U -2. Lot size: )- 44s Y4cre Physical Address: S) S � r-Cti �, vM C\ Y`c I le BUILDING TYP (Check (� Residential / ( ) Residential / ( ) Commercial / applicable category) Single Family Number Multi -Family* Number Industrial* Type_ of Bedrooms of Bedrooms TYPE OF WATER SUPPLY: Well( ) Spring ( ) Surface ( ) Public ( Name of Supplier: *These systems require design by a Registered Professional Engineer NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION MAKE ALL REMITTANCYPAY LE TO: "EAGLE COUNTY TREASURER" SIGNATURE: / �- DATE • *************************************************************************** AMOUNT PAID: RECEIPT# / /`/ DATE: 42 CHECK #_c:94!;7540 CASHIER COMMUNITY DEVELOPMENT DEPARTMENT (303) 3 28-8 730 EAGLE COUNTY, COLORADO November 20, 1992 Tom Foral P.O. Box 451 Gypsum, CO 81637 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 RE: Final of ISDS Permit No. 1201-92, Parcel 12111-064-06-002, Lot 23, Filing 6, Bertroch Sub., 321 Strohm Circle, Gypsum 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# TOG-722 COMMUNITY DEVELOPMENT DEPARTMENT (303) 32S.8730 EAGLE COUNTY, COLORADO DATE: October 20, 1992 500 BROADWAY P.O. BOX 179 EAGLE. COLORADO 81631 FAX (303) 328-7207 TO: Tom Foral FROM: Eagle County, Environmental Healt RE: Issuance of Individual Sewage Disposal System Permit No.: 1201-92, Property located at: 321 Strohm Circle, Gypsum Enclosed is your ISDS Permit No. 1201-92 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. cc: file Building Department, File # TOG-722 COMMUNITY DEVELOPMENT DEPARTMENT (303) 328-8730 EAGLE COUNTY, COLORADO September 27, 1993 Ms. Robin Foral P.O. Box 451 Gypsum, CO 81637 Dear Ms. Foral, 500 (;ROADWAY P.O. GOX 179 EAGLE. COLORADO S 1631 FAX (303) 32S-7207, All loan inspections are.completed under the authority of the Eagle County Building Resolution, Section 3.08.03, B(6), amended by the Eagle County Board of County Commissioners on June 23, 1992. On September 23, 1993, you telephoned my office requesting this Division conduct a site inspection at 321 Strohm Circle, Lot 23, Filing 6, Bertroch Subdivision, Gypsum, Colorado. The inspection was requested by you for the purpose of evaluating the condition of the on -site wastewater treatment and. water supply systems. On November 19, 1992, the Individual Sewage Disposal System (ISDS), Permit #1201, was inspected and approved in accordance with Eagle County Regulations. The system consists of a 1500 gallon septic tank and 900 square feet of absorption area. It was determined by this Division that a site inspection would not be necessary since the dwelling was recently certified for temporary occupancy on September 16, 1993. Therefore, the septic system remains new and virtually unused. Obviously, this does not guarantee the continued satisfactory performance of the on -site system. It is recommended that the septic tank be pumped by a Licensed System's Cleaner every three to four years. Enclosed is a pamphlet which contains information on how to manage your on -site system. The water supply to this residence is provided by the Town of Gypsum, a public water system. This water system is regulated by the Colorado Department of Health, Water Quality Control Division, and, to the best of my knowledge, is operating within acceptable parameters. If you have any further questions concerning this correspondence, please feel free to call me at 328-8755 or write. Sincer Rad P . Me, S Environmentealth Manager cc: Keith Montag, Director of Community Development ISDS File #1201 PERCOLATION TEST EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT. OWNER: IO'r-� 1 `J��-Q-� ISDS # �U LEGAL DESCRIPTION: C MAILING ADDRESS: TYPE OF DWELLING: NUMBER OF BEDROOMS TEST HOLES PRE-SOAKED: YES_ NO TTMF WAMVD n' nmv - T - 1 2 3 1 2 3 1 2 3 1 2 3 0 Si 2 10;-AD 11 Z 15.15 3, 0 � a -�5 S', 3 `'�45I t 1 `��i ID lL-o"5 4 —5 q�75 22,t�E 1, 25' '�7E ef �. F t /i Time to drop last inch � r./,h.f-j PERC RATE: ' (,LSE it) II PI-e MINIMUM SEPTIC TANK SIZE: MINIMUM LEACH FIELD SIZE: -7/2 tfi COMMENTS: �_ X •.i_� , C J(l�P r" ,1 (�� 7� �'a cX� �)z-j- .j p j_4, ,,:,- r uSe_J/O r'dP/ � a;l j- n PERC TEST DONE BY: J ® 9 ®fin DATE • Environmental Health Offi er 1201-92 - Lot 23, Filing 6, Bertroch Sub., 321 Strohm Circle., ;> Foral _ JOB NO. Parcel # 2111-064-06-002 ,000 JOB LOCATION BILL TO DATE STARTED DATE COMPLETED DATE BILLED P J rt 4 lei 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 @ NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MASS. 01471 JOB FOLDER Printed in US.A. v. 1���G1L/7,�.-� rs'as /,20l - 9? a y ,z /�4- 4 ' I lel#i l— r ,s.s l ` F