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